bluuebunny/crossref_metadata_2025 huggingface dataset:
Healing the Healers: Adressing Occupational Stress and Promoting Well-Being Among Anaesthesiology and Reanimation Physicians in Türkiye
Authors: Özkal Yalin Miraç Selcen , Oral Ahıskalıoğlu Elif
Published: December 2024

Objective: Anesthesiology and reanimation is a high-performance specialty where physicians are constantly exposed to stressors. This study primarily aims to evaluate the physical and mental health status of physicians working in anesthesiology and reanimation in Turkey, and to further identify the major occupational stress factors that could be eliminated by fatigue-management strategies.
Methods: Our study was conducted through an online 63-item questionnaire. 115 anaesthesiologists working at various institutions in Türkiye were included. The questionnaire consists of multiple-choice and open-ended questions, designed with a 4-point Likert scale. The cumulative Likert scores for the responses were statistically evaluated, and further analyses were performed through comparisons among different groups of physicians with various descriptive characteristics.
Results: 57.4% of physicians reported near-miss incidents caused by fatigue. Burnout levels were highest among trainees, followed by specialists, with faculty members experiencing the least burnout; physicians with children reported lower burnout, while female anaesthesiologists experienced more Imposter Syndrome symptoms. Hospital conditions for physician health were poorest in training and research hospitals and best in university hospitals, with a significant difference between the two (P=.004).
Conclusion: Early recognition and treatment of the negative effects of occupational stress on anesthesiologists are crucial for improving patient safety and work performance. There is a need for more research in this field in Türkiye for raising awareness of burnout and fatigue amongst anaesthesiologists and hospital managements.
Use of E-Learning Tools in Teaching and Learning English
Authors: Vinay Kumar K. , Babu Palukuri Vijaya , Noorie Banu Syeda
Published: December 2024

Information and communication technology (ICT) plays a pivotal role in every walk of life in the present world. The teaching methodology has undergone a profound transformation due to the prevalence of technology and its tools. Technology and e-learning have become buzzwords during the COVID-19 pandemic. The world has shut down for the first time, and all the educational institutions are closed with uncertainty of their reopening. There is no chance of conducting classroom-based teaching and learning. At this juncture, the compelled option is online teaching and learning. This paper introduces some of the useful tools and techniques to overcome the problem of classroom teaching learning English. It also helps to learn language skills independently. These tools provide opportunities for motivating students learning and collaborative nuance. The majority of the tools which are discussed in the paper can be used for the enhancement of four skills (LSRW) of language
Reimagining Lupus Vulgaris: Case Studies and Emerging Insights
Authors: Shinde Rohini
Published: December 2024

Tuberculosis remains a significant global health challenge, particularly in developing nations. Lupus vulgaris, a rare and chronic form of cutaneous tuberculosis, poses unique diagnostic difficulties due to its indolent progression and paucibacillary nature. It affects both immunocompromised and immunocompetent individuals, often manifesting in those with prior sensitization to Mycobacterium tuberculosis. This article examines three clinical cases of lupus vulgaris, showcasing its varied presentations and the complexities involved in diagnosis.
In addition, a comprehensive review of the literature is presented, covering the epidemiology, pathogenesis, clinical features, diagnostic techniques, and treatment approaches for lupus vulgaris. The aim is to increase awareness and understanding of this under-recognized manifestation of tuberculosis, enabling healthcare professionals to recognize and manage it effectively. Emphasizing the importance of early diagnosis and intervention, this article seeks to improve patient outcomes and address the tuberculosis burden, especially in resource-constrained settings
Effectiveness of Rhythmic Stabilization (PNF) vs. Conventional Physiotherapy in Knee Osteoarthritis
Authors: Kalunke Ankita
Published: December 2024

Knee osteoarthritis (OA) is a degenerative condition marked by pain, stiffness, reduced range of motion (ROM), and impaired proprioceptive accuracy, negatively impacting quality of life. Proprioceptive Neuromuscular Facilitation (PNF) stretching, particularly rhythmic stabilization, has shown potential for addressing these issues by stimulating mechanoreceptors and improving flexibility and pain management.
This study compared the effectiveness of rhythmic stabilization PNF to conventional physiotherapy in managing Grade 2-3 knee OA. Thirty-six participants aged 40–60 were randomly assigned to Group A (rhythmic stabilization PNF) or Group B (conventional physiotherapy). Outcome measures included the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and Visual Analog Scale (VAS).
Results showed significant improvements in pain reduction, flexibility, and functional mobility in both groups, with Group A achieving superior outcomes. Rhythmic stabilization PNF emerges as an effective therapeutic option for knee OA, offering enhanced patient outcomes and better quality of life.
Halkevlerinin Eğitim Faaliyetleri “Kayseri Halkevi Örneği”
Authors: Gezer Kübra , Sarıyar Sezan Canan
Published: December 2024

1930 senesinde vatandaşlar inkılâp hareketlerinin ve yenilik çalışmalarının insanlara ulaşamadığının farkına varmıştır. Bu durum karşısında Cumhuriyet Halk Partisi tarafından halkevlerinin açılması yönünde karar alınmıştır. 19 Şubat 1932 tarihinde açılmış olan 14 halkevi kısa zaman içerisinde sayı olarak artarak toplumun eksik yönlerini gidermeye çalışmış ve bu konuda büyük bir fayda sağlamıştır. Mustafa Kemal Atatürk tarafından açılan halkevleri mili irade ve mili bilincinde gelişmesi yönünde yapılanarak Atatürk devrimlerini halka benimsetmeye çalışmıştır. Halkevleri, Atatürk’ün devrimlerini benimsetme çabalarının bir parçası olarak, halkçılık ilkesini benimsemiş ve bu ilke doğrultusunda çeşitli faaliyetler düzenlemiştir. Bu çalışmada Anadolu’nun ortasında kurulan Kayseri Halkevi’nin eğitim kapsamında yürüttüğü faaliyetler ele alınmıştır. Kayseri Halkevi, bu faaliyetleriyle Atatürk'ün hedeflediği çağdaş toplum yapısına ulaşma yolunda önemli bir adım atmış ve Anadolu’nun modernleşme sürecine katkıda bulunmuştur. Bu çalışmalar, halkın eğitim düzeyini yükseltmekle kalmamış, aynı zamanda toplumda bir farkındalık ve dayanışma kültürü de oluşturmuştur. Çalışmanın kaynağını ise Cumhurbaşkanlığı Osmanlı Devlet Arşivleri başta olmak üzere çeşitli kitap, dergi, tez ve makaleler oluşturmaktadır.
Endülüslü Arap Dili Âlimi eş-Şelevbîn ve et-Tevtie Adlı Eserinde İstişhâd Metodu
Authors: Erdoğan Abdulhakim , Arslan Mehmet Nafi
Published: December 2024

Bu çalışma, Endülüslü Arap dili alimi eş-Şelevbîn’in hayatı ve ilmî katkılarını, özellikle de onun ünlü eseri et-Tevtie’yi incelemektedir. 12. yüzyılda İsbiliye’de (Sevilla) doğan eş-Şelevbîn, Arap dilbilimi, özellikle nahiv (sözdizimi) alanında özgün katkılarda bulunmuştur. Çalışmanın temel amacı, eş-Şelevbîn’in et-Tevtie adlı eserinde kullandığı istişhad yöntemini analiz etmektir. Bu yöntem, nahiv kurallarını Kur’an ayetleri, hadisler, şiirler ve Arap atasözleri ile destekleyerek açıklamayı içermektedir. Eş-Şelevbîn, bu yöntemi ustalıkla kullanarak nahiv kurallarını basit ve anlaşılır bir şekilde sunmayı başarmıştır. Çalışmada öncelikle, eş-Şelevbîn’in hayatı, hocaları, öğrencileri, ilmî etkisi ve eserleri ele alınmaktadır. Daha sonra ise et-Tevtie adlı eserde istişhad yönteminin nasıl uygulandığı derinlemesine incelenmektedir. Araştırmanın sonuçları, eş-Şelevbîn’in et-Tevtie eserinin nahiv ilminde sade ve anlaşılır bir yöntem sunduğunu göstermektedir. Eser, diğer dönemin gramer kitaplarının aksine, gereksiz detaylardan kaçınıp öğrencilerin ihtiyacına uygun, kolay anlaşılır bir yapı sunmaktadır. Eş-Şelevbîn’in bu eserinin, Arap dilbilimi çalışmalarında önemli bir referans noktası olduğu sonucuna varılmıştır.
Türk Romanında Mekânın Dönüştürücü Etkisi: Kafamda Bir Tuhaflık
Authors: Tütak Mehmet
Published: December 2024

Tarih boyunca birçok disiplinin odağa aldığı mekân, kişiler arası ilişkilerin, sosyal ve kültürel değişimin doğru anlaşılmasını sağlayan temel yapılardan biridir. Kültür, kimlik, aidiyet, bağlanma, uyum üzerinde önemli etkileri bulunan mekân sadece birey yaşamını değil toplumsal alanı da dönüştürür. Dünyayı algılama biçimini şekillendirir. Mekânın dönüştürücü etkisi, bireysel deneyimlerin içsel bir parçasını teşkil eder. Mekânlar bireyleri sosyal, psikolojik ve kültürel boyutlarda etkiler; algıları şekillendirir ve ruh dünyasında kalıcı izler bırakır. Edebi bir eser söz konusu olduğunda mekân; kimi zaman sosyolojik değişimin yansıma alanı, bazen insanın ruh durumunu anlatmaya yarayan somut bir çevre, kimi zaman da geçmişe duyulan özlemin ve geçmişin bir daha geri getirilemeyeceği gerçeğinin birer göstergesi olabilir. Bu çalışmada mekân ve mekânın dönüştürücü etkisi, roman özelinde ele alınacaktır. Romanlarında mekân konusuna önem veren Orhan Pamuk’un Kafamda Bir Tuhaflık adlı romanından hareketle mekânın eser kişilerinin yaşamlarını ve kamusal alanı nasıl değiştirip dönüştürdüğüne değinilecektir. Zira edebi eserlerde mekân, yalnızca hikâyenin geçtiği bir arka plan olmaktan öte, çok katmanlı anlamlar taşıyan bir anlatı unsuru olarak karşımıza çıkar. Mekân; kimi zaman toplumsal ve sosyolojik değişimlerin yansıma alanı olarak hizmet eder, bireylerin yaşadığı değişim ve dönüşüm süreçlerini görünür kılar. Bazen karakterlerin ruh durumlarını, psikolojik derinliklerini ve iç çatışmalarını somut bir çevre aracılığıyla anlatmaya olanak tanır. Aynı zamanda, geçmişe duyulan özlemi, kaybedilen değerleri ve geçmişin bir daha geri getirilemeyecek olması gerçeğini vurgulayan bir sembol haline gelebilir.
Traditional and Novel Treatment of Demodex Blepharitis
Authors: Azieva Gomez Gulnoza , Canellos Harriette , Mikos Kamila
Published: December 2024

A 77-year-old male presented for a dry eye evaluation with symptoms of irritation that started in the right eye and then the left eye for at least four days...
Contact Lens Induced Limbal Stem Cell Deficiency
Authors: Natarajan Ramya , Nguyen My-Chau , Chivetta Mary
Published: December 2024

Limbal stem cells are critical for maintaining the integrity of corneal epithelium. External insults, including contact lens overwear, can destroy the limbal...
Yakari Animasyon Filminin Monomit Kuramı Perspektifinden Analizi
Authors: Yücetürk Sinem
Published: December 2024

İnsan, yaratıldığı andan itibaren sürekli mücadele içerisinde yaşamaya çalışır. İçerisinde bulunduğu bu mücadele kimi zaman anlam veremediği doğayla kimi zaman vahşi hayvanlarla kimi zaman da diğer insanlarladır. İnsanoğlunun bu var olma mücadelesinin belgeleri olarak da karşımıza mitolojik anlatılar çıkmaktadır. Bugün mitolojik anlatılar incelendiğinde, anlatıların pek çoğunda insanoğlunun yaşam mücadelesinin dile getirildiği görülmektedir. İşte anlatılan bu mitolojik hikâyelerde dikkati çeken bazı ortak unsurlar karşımıza çıkmaktadır. Anlatılan mitolojik hikâyeler, farklı kültürler ve farklı coğrafyalara ait olsa da birçoğunun benzer temalar etrafında şekillendikleri anlaşılmaktadır. Mitolojik anlatılarda karşımıza çıkan bu ortak temalar toplumların ortak bilinç dışının tezahürüdür. İşte tam da bu hususta Joseph Campbell, farklı kültürlere ait mitlerdeki olaylar ve kahramanların yaşadığı değişim evrelerinin birbirine benzediğini söyler. Kahramanın geçirdiği bu değişim evrelerini monomit adı vererek kuramlaştıran Campbell, kahramanın izlediği yolu yola çıkış, erginlenme, dönüş ana başlıkları altında merhalelere ayırmıştır. Her ana merhalenin ise alt bölümleri söz konusudur. Aslında tüm bu aşamaları incelediğimizde her yolculuğun birer döngüden ibaret olduğu anlaşılmaktadır: Kahramanın yolculuğu, yaşadığı sıradan dünyasında başlar ve yine orada son bulur. Monomit kuramı bugün geleneksel olarak nitelediğimiz hikâye, masal, destan gibi pek çok anlatı türüne uygulanabildiği gibi özellikle sinema ve animasyon yapımlarının kurgulanmasında tercih edilen bir uygulama olarak da karşımıza çıkmaktadır. Yakari filmi de monomit kuramına göre kurgulanan filmlerden biridir. Bu çalışmada amaç, Yakari filmini monomit kuramı yöntemine göre çözümlemek ve kuramın animasyon filmlerinde de kullanılabileceğini göstermektir. Bu bağlamda çizgi roman serisi olan ve 2020 yılında animasyon filmi olarak gösterime giren Yakari animasyon filmi, Campbell’in sistemleştirdiği monomit kuramı yöntemine göre değerlendirilmiş, kahramanın yaşadığı aşamaları ve geçirdiği dönüşümleri yansıtan sahneler tespit edilmiştir.
Sıfır Toplamlı Oyun: İran’ın Aras Vadisi Jeopolitikaları
Authors: Akdemir İlhan Oğuz , Khakıkhoeı Jila
Published: December 2024

Aras, sınır teşkil eden ve sınıraşan bir nehirdir. Aras Vadisi, Ermenistan, Azerbaycan, Türkiye ve İran gibi ülkeler arasında geçiş yolu ve doğal sınır olarak işlev görmesi nedeni ile bölgedeki çeşitli ülkeler için stratejik bir öneme sahiptir. Vadi bölgesel ve küresel aktörler için farklı jeopolitik anlamlar ifade etmektedir. Ermenistan için ekonomik ve enerji bağlantılarının yanı sıra Azerbaycan'ın lojistik ve enerji kaynaklarına erişimi önemlidir. Türkiye için ticaret, ulaşım Dehlizi ve Orta Asya’ya erişim olarak değerlidir. Çin'in "Kuşak-Yol" projesi açısından Orta Asya'ya erişim sağlama potansiyeli taşırken, ABD'nin Batı Asya ve Orta Asya politikaları ev Hazar enerjisine erişim ve ticari yolları kontrol bağlamında stratejik öneme sahiptir. Rusya için Güney Kafkasya’yı uzaktan kontrol ve bölgede İran ile irtibat kurma açısından stratejiktir. Aras Vadisi, İran için ekonomik, ticari ve güvenlik açılarından kritik bir bölgedir. Vadideki enerji kaynaklarının ulaşım yolları, İran'ın ekonomisini ve bölgesel güvenliğini etkilemektedir. Enerji kaynaklarına erişim, ticaretin genişlemesi ve altyapı projeleri İran'ın ekonomik kalkınmasını destekleyebilir. Aras Vadisi üzerinden gerçekleştirilecek ulaşım ve ticari faaliyetleri, İran'ın Orta Asya ve hatta Çin'e ulaşımını kolaylaştırarak bölgesel güç olma potansiyelini artırabilir. İş birliği ve diyaloglar, bölgesel istikrarı ve güvenliği güçlendirerek İran'ın çıkarlarına hizmet edebilir. Bu çalışmanın amacı, Aras Vadisi'nin İran için potansiyel faydalarını belirlemektir. Stratejik önemi vurgulanarak vadideki potansiyelin en iyi şekilde değerlendirilmesi ve bölgedeki ekonomik, ticari ve güvenlik faktörlerinin incelenmesi amaçlanmaktadır. Çalışma; İran İslam Cumhuriyeti'nin Aras Vadisinde karşılaştığı tehditlerin neler olduğu ve İran'ın bunları engelleme stratejilerinin neler olması gerektiğini irdelemektedir. Ayrıca İran için Aras Vadisi’ne dair jeopolitik önerilerde bulunulmuştur.
Aras Vadisi’nde etnik ve siyasi sınır uyumsuzluğu söz konusudur. Reflektivist teori ve progresif yöntemden yola çıkan çalışma; bölgedeki etnik grupların coğrafi dağılımını ve tarihi bağlantılarını göz önünde bulundurarak İran’ın jeopolitik çıkarları için Aras Vadisi’nin potansiyel gücünü ve İran’ın vadi üzerine üretmesi gereken politikaları ele alacaktır.
Pensamiento Crítico en Estudiantes de Bachillerato: Una Aproximación desde las Inteligencias Artificiales
Authors: García-García Nansi Ysabel , Gutiérrez-Pérez Martha Patricia , Soto-Sánchez Rita Elizabeth , Soto-Sánchez Rita Elizabeth , Jiménez-García Germán Raúl
Published: December 2024

This paper explored the impact of the use of artificial intelligence on the development of critical thinking skills in high school students. It was hypothesized that the use of this tool can have a positive effect on cognitive abilities. For this purpose, a mixed approach was used to examine how interaction with AI affects the teaching-learning process in a diverse educational environment. The theoretical framework established the growing relevance of AI in the transformation of education. The methodology detailed the quasi-experimental design, the selection of a diverse sample, and the quantitative and qualitative instruments for data collection. The findings provided an in-depth understanding of how participants use AI tools in their learning and their perception of impact. The mixed analysis highlighted trends in AI use and its relationship to cognitive skill development. This paper seeks to contribute to knowledge about the impact of AI on critical thinking, hoping that it will serve as a starting point for improving educational practices in an increasingly digitized context.
Numerical Analysis and Applications of Coupled Vibration in Asymmetric Laminated Composite Beams
Authors:   Mechanical and Industrial Engineering Department, Faculty of Engineering -University of Tripoli, Nagiar Hasan M. , Hjaji Mohammed Ali ,   Mechanical and Industrial Engineering Department, Faculty of Engineering -University of Tripoli
Published: December 2024

This paper presents a comprehensive numerical analysis and application of extension-bending-shear-torsion coupled vibration in asymmetric laminated composite beams, in which the exact closed-form solutions were previously obtained to investigate the steady-state dynamic response of such beams under various harmonic loading and boundary conditions. Key objectives include predicting natural frequencies and corresponding mode shapes, as well as establishing quasi-static responses for different harmonic excitation frequencies. Numerical examples are used to validate the accuracy and efficiency of the proposed solutions by comparing static and dynamic results with those from existing literature and finite element analysis. The study reveals excellent agreement between the closed-form solutions and previously published results, emphasizing the utility of the developed approach for both static and dynamic coupled vibration analysis in asymmetric laminated beams. The results offer valuable insights into the dynamic behavior of asymmetric composite beams, with potential applications in engineering structures subjected to complex loading conditions.

Keywords: Coupled vibration, steady state response, asymmetric laminated beam, harmonic loading.
19. Yüzyıl Sömürgecilik Faaliyetlerinde İngiltere'nin Rolü: Afrika Kıtası Örneği
Authors: Daban Cihan
Published: December 2024

Bu çalışma, küresel siyasetin gündemini işgal eden ve temel sorunlardan biri haline gelen Afrika kıtasındaki sömürgecilik faaliyetlerini konu almaktadır. Doğuşu milattan öncesine dayanan; ancak etkisi bugünlere kadar devam eden sömürgeciliğin hangi aktörler tarafından nasıl ve ne şekilde Afrika kıtasında yayıldığını irdelemektedir. Afrika sömürgeciliği üzerine yazılmış çok sayıda çalışma mevcuttur. Bu çalışma daha çok İngiltere’nin Afrika’da izlediği ve uyguladığı sömürgecilik faaliyetlerine ve siyasetine odaklanmaktadır. Her ne kadar 19. yüzyıla odaklanılsa da bu yüzyılın tarihsel arka planına da değinilmektedir. Aynı zamanda 19. yüzyıl İngiliz yayılmacılığında önemli rol oynayan kaşifleri de inceleyen bu çalışma, İngiltere'nin imtiyazlı şirketler ve denetimli-dolaylı yönetim sistemi aracılığıyla Afrika'ya nasıl dahil olduğunu ve etkin bir güç haline geldiğini aktarmaktadır.
Descripción de Labiduris Argentinensis sp. Nov. (Nematoda: Cosmocercoidea: Atractidae) una nueva especie de nematodo en Chelonoidis Chilensis gray, 1870 (Testudines: Testudinidae) para Argentina
Authors: González-Rivas Cynthia J. , N. Castillo Gabriel , Simoncelli Iván
Published: December 2024

Describimos una nueva especie de Labiduris (Thapar, 1925) (Cosmocercoidea: Atractidae) colectada del intestino largo de la tortuga terrestre Chelonoidis chilensis Gray 1870 en Argentina. Labiduris argentinensis sp. nov. se diferencia de Labiduris gulosa (Rudolphi, 1819) (única especie válida del género), por el tipo y distribución geográfica del hospedador, posición del poro excretor, tamaño del cuerpo y cola de los nemátodos machos y hembras. La nueva especie posee un poro excretor a nivel de ensanchamiento medio del esófago, un tamaño del cuerpo más pequeño, cola corta y truncada, además de encontrarse en una tortuga terrestre con distribución restringida de Argentina. Estas características de la nueva especie son diferentes a las de L. gulosa que posee un poro excretor frente al bulbo y una cola larga y puntiaguda de gran tamaño y un cuerpo más grande. La nueva especie L. argentinensis sp. nov. representa la segunda especie válida para el género Labiduris.
Enfermedad de Still del adulto (ESA), un desafío diagnóstico. Reporte de caso
Authors: Alarcón Cedeño Nora , Sánchez Cantos Yelena , Barcia Cansino Amada
Published: December 2024

La enfermedad de Still del adulto (ESA) es una enfermedad inflamatoria, poco frecuente de etiología desconocida, con clínica variada y síntomas como fiebre, exantema asalmonado evanescente, odinofagia, adenopatías, hepatoesplenomegalia, leucocitosis (neutrofilia), hiperferritinemia asociada con ausencia de anticuerpos. Presentamos el caso de paciente femenina con síntomas típicos y atípicos. Los estudios de laboratorio iniciales reportaron aumento de reactantes de fase aguda, considerando como diagnóstico diferencial procesos infecciosos, neoplásicos y autoinmunes. Se indicó tratamiento farmacológico de forma multidisciplinaria con resultados de alta satisfactoria después de 25 días de internación, con limitaciones institucionales para la obtención de estudios complementarios, concluyendo que la enfermedad de Still, sigue siendo un reto para el médico ya que no contamos con un estudio específico y que los criterios de Yamaguchi pueden ser guías para su diagnóstico temprano.
Sociological analysis of migration intentions of Tuvan youth
Authors: Karashpai Sailyk
Published: December 2024

Abstract.
Relevance. In modern society, the mobility of the population, in particular the younger generation, is increasing. Young people are the most dynamic social group, which is open to new opportunities and directions. The relevance of studying the migration intentions of Tuvan youth is due to the fact that 31.7% of the population of Republic of Tyva are young people aged 14 to 35. The study of the migration intentions of young people helps to determine migration movements, motives and goals of migration. Materials and methods. In June 2023, a sociological study was conducted by order of the Agency for Youth Affairs of Republic of Tyva. The research method was a mass survey of young people aged 14 to 35. The survey involved 1,503 people living in Kyzyl (34.9%), Ak-Dovurak (5.9%), 17 districts of Republic of Tyva (58.4%), as well as young people living outside the republic (0.8%). Results. About half of the respondents expressed a desire to move to live outside the republic - 42.6%. Every third respondent prefers to live and work in the republic - 28.4%. 16.3% of young people would like to change their place of residence within the republic, among them the main share is rural youth. The main reasons for the migration of the younger generation are the search for work with a decent salary, obtaining higher and secondary specialized education, difficulties in acquiring real estate in the republic. Conclusion. Migration sentiments among young people are quite high, about half of the survey participants are focused on moving outside the republic. The implementation of migration intentions of young people may lead to the threat of outflow of the young working population, which may entail serious economic and social consequences. Migration policy should be aimed at supporting young people in employment, solving housing problems, increasing the availability of social services, which will significantly reduce the outflow of young specialists outside the republic.
Epidemiological situation of tuberculosis in Republic of Tyva in 2014-2023
Authors: Anandy Laura , Erdynieva Lyudmila
Published: December 2024

Abstract.
Relevance. Tuberculosis still remains one of the most serious public health problems worldwide. In Republic of Tyva, despite the ongoing anti-tuberculosis measures, the epidemiological situation remains unfavorable. Objectives. To analyze epidemiological indicators for the period from 2014 to 2023 in Republic of Tyva and set goals to stabilize the epidemiological situation of tuberculosis in Republic of Tyva. Materials and methods. A retrospective analysis of the morbidity, mortality, and prevalence of tuberculosis among the population over the past 10 years was carried out based on statistical data and market reports of the tuberculosis dispensary (form 2-TB, Order of the Ministry of Health of the Russian Federation No. 50 dated 02/13/2004 for 2014-2023, "Main indicators of tuberculosis activity in the Siberian and Far Eastern Federal Districts" (statistical materials) for 2014-2023, market reports for 2014-2023. GBUZ RT "Tuberculosis dispensary" of the Ministry of Health of Republic of Tyva). Results. The analysis showed that in Republic of Tuva there is a tendency to decrease the mortality rate (per 100,000 population) from 54.5 in 2014 to 25.8 in 2023 (a decrease of 52%). Despite this, the mortality rate from tuberculosis in Republic of Tyva exceeds that in the Russian Federation by 87%. During the period from 2014 to 2020, the indicators of general (from 170.0 to 86.1) and child morbidity (from 30.5 to 25.4) decreased. As you know, 2020 fell on the COVID-19 pandemic, when all preventive measures were minimized. In Republic of Tyva, since 2021, there has been an increase in general and child morbidity and in 2023 amounted to 153.8 and 126.3 per 100,000 population, respectively. The highest child morbidity in the Russian Federation and the Siberian Federal District is registered in Republic of Tyva – 126.3 per 100 thousand children in 2023. Conclusions. Based on the results of the analysis, the effectiveness of the work of the phthisiological service of Republic of Tyva was studied and evaluated, positive dynamics in terms of tuberculosis mortality in the region was noted against the background of the implementation of the regional tuberculosis control program and further steps were outlined for its implementation.
Construction of a risk assessment and prediction model for athlete doping use based on bioinformatics
Authors: Zhang Lu , Tian Hongtao
Published: December 2024

A suitable approach to identifying doping behavior among athletes is to use advanced techniques. Bioinformatics can analyze large biological databases. It has potential approaches for mapping out decision models. Doping substances can severely distort an athlete’s biomechanical performance. For example, stimulants may enhance short-term power output but disrupt the natural rhythm and coordination of muscle contractions, leading to imbalanced forces and increased risk of musculoskeletal injuries. This abnormal biomechanical loading can affect joint stability and movement efficiency. n training, doping gives a false impression of enhanced capacity. Athletes might overtrain, ignoring proper recovery periods. Their bodies, under the influence of doping, can’t follow the normal adaptive process of training, leading to a breakdown in the physiological systems. Recovery is also hampered. Doping can disrupt the body’s hormonal and metabolic balance, slowing down tissue repair and regeneration. Genetic predispositions, which might make an athlete more receptive to doping’s effects, along with lower recovery rates and high competitive stress levels, are identified as key doping risk factors. Bioinformatics collects multi-source data like genomic profiles, hormone levels, and metabolic markers. Advanced tools analyze these to expose patterns and correlations related to doping risks. Machine learning trains a prediction model using historical doping data and biological signatures. Validated via simulations and real-world tests, it predicts doping risks. Sports authorities can use the resulting risk matrix to detect potential dopers early, promoting clean sports.
Adult Diabetic Ketoacidosis: An Overview, Diagnosis, Treatment, Emergency, and Nursing Interventions
Authors: Alenazy Souad Mohammad , Wahishi Amna Mohammed , Albeshri Nouf Omran , Al Baqal Suaad Abdullah , Alabdulaziz Wed Mohammed , Almutairi Dlwl Rabeh , Alharbi Muteb Fuhayd , Alshammari Abdullah Batel , Al Somali Rawdah Mohammed
Published: December 2024

Background: Diabetic ketoacidosis (DKA) is a life-threatening complication commonly seen in individuals with diabetes, particularly those with type 1 diabetes mellitus (T1DM), although it also occurs in individuals with type 2 diabetes mellitus (T2DM). DKA is precipitated by factors such as infections, trauma, surgery, and non-compliance with insulin therapy. The condition is marked by hyperglycemia, metabolic acidosis, and ketonemia. Immediate management is crucial to prevent severe complications, including coma and death. Aim: This article aims to provide an overview of DKA, including its etiology, pathophysiology, diagnostic approaches, treatment strategies, and nursing interventions. Methods: A comprehensive review of the existing literature on DKA was conducted, focusing on the epidemiology, pathophysiology, diagnosis, and treatment modalities. The article examines clinical management approaches, including insulin therapy, fluid resuscitation, and electrolyte correction, alongside the role of nursing interventions in the acute care setting. Results: The incidence of DKA varies across regions, with a higher prevalence observed among individuals with T1DM and in urban populations with poor adherence to insulin therapy. Diagnostic criteria include elevated blood glucose levels, metabolic acidosis, and the presence of ketones. The management of DKA involves aggressive rehydration, insulin administration, and correction of electrolytes. Nursing interventions focus on monitoring vital signs, assessing for complications, and providing patient education to prevent recurrence. Conclusion: DKA is a preventable but serious complication of diabetes that requires prompt recognition and treatment. Healthcare professionals, particularly nurses, play a critical role in managing the acute phase of DKA and in educating patients to prevent future episodes. Enhanced awareness, early intervention, and improved adherence to treatment can significantly reduce morbidity and mortality associated with DKA.
Muslim Consumer Behavior in Consuming Halal Food in Muslim Minority Communities
Authors: Hidayati Amalia Nuril , Suman Agus , Noor Iswan , Badriyah Nurul
Published: December 2024

Consumption is an important factor that drives production and distribution activities. Halal food consumption is increasingly becoming a concern, especially in non-Muslim majority countries. As Indonesia's leading tourism destination, Bali has great potential to contribute to economic growth through MSMEs. Halal food consumption preferences are easier to find in Muslim-majority areas but have become an interesting issue in areas with Muslim minorities, especially in understanding halal consumption choices in these communities. This reflects challenges in the distribution and accessibility of halal products in some areas. This study aims to analyze Muslim consumer preferences for halal food consumption in minority Muslim communities in Bali Province. This research uses an associative quantitative approach. Data were obtained from primary data and secondary data. The sample analyzed was 390 using a questionnaire. The tests carried out include the data stationarity test, lag optimum, model stability, Granger causality, and cointegration. The results showed that: 1) Price is not a significant factor for Muslim consumers in minority communities; halal and spiritual beliefs are prioritized. 2) Taste is an essential factor, where consumers choose halal food that suits local flavors and culture. 3) Trust in halal labeling is crucial, especially in areas with limited information on halal products. 4) Religiosity remains a key driver in halal food consumption, with high levels of religiosity in minority communities in Bali. 5) Subjective norms significantly influence Muslim consumer preferences in consuming halal food 6) Limited accessibility of halal food forces consumers to rely on local communities and halal labels. Based on the results of the analysis conducted, it can be concluded that although Balinese society is generally not dominated by Muslim consumers, these factors remain relevant for the halal food market in Bali, especially for Muslim tourists or local Muslim consumers who are looking for products that are by their beliefs.
The Significance of Vaccines in Mitigating Emerging Infectious Diseases: A Comprehensive Review
Authors: ALNAKHLI REHAB HUSSAIN , NAGEI SHARIFAH HADI AHMAD , Alotaibi Adel Shabib , ATAIFI HAYAT IBRAHIM YAHYA , ALMUTAIRI MUTEB BIN KHALID BIN HAMAD , Al Mutairi Muteb Saleem , Ghashum Rahma Qasem Ajibi , Alhakami Bashaer abdulaziz , Hakimi Amal Jadah Abu Al-Qasim , Alshammari Salman Hamoud , Sahely Rokaia Abdu , Sahely Mariam Abdu , Mahnshi Laila Mohammed Ali , Aljasir Maisoon Marzouq , Almushaddak Wedyan Saleh
Published: December 2024

Background: The global rise in emerging infectious diseases presents significant challenges to public health, exacerbated by issues such as antimicrobial resistance (AMR). Vaccination remains a pivotal strategy in preventing the spread of these diseases, yet its role is often underappreciated in the context of rising drug resistance. Methods: This review synthesizes current literature on the effectiveness of vaccines and immunotherapeutic approaches in controlling emerging infectious diseases. It analyzes data from clinical studies, epidemiological reports, and the impact of vaccination on AMR trends, particularly in regions severely affected by infectious diseases. Results: Findings indicate that vaccines significantly reduce the incidence and severity of diseases such as tuberculosis, malaria, and COVID-19. Furthermore, immunotherapy, including monoclonal antibodies, demonstrates potential in enhancing host immunity against multidrug-resistant pathogens. Despite advancements, the ongoing rise of AMR, particularly in low- and middle-income countries, poses a considerable threat to the efficacy of existing vaccines and treatments. Conclusion: Vaccination and immunotherapeutic strategies are essential components in the fight against emerging infectious diseases and AMR. Continued investment in vaccine development and implementation is critical to mitigate the impact of these evolving health threats. Future research should focus on innovative vaccine technologies and strategies to enhance public health responses in vulnerable populations.
Dual Pathways Linking Trait Negative Affect to Employee Creativity
Authors: Yoon Hye Jung
Published: December 2024

Previous studies have reported inconsistent findings regarding the impact of negative affectivity on employee creativity. To accurately capture the influence of negative affect in organizational environments, this research investigates the relationship between trait negative affectivity and employee creativity. This study also proposes a dual-pathway theoretical framework, encompassing both positive and negative paths of trait negative affect in an integrated model. Drawing on mood-as-input theory and conservation of resources theory, this study explores the mediating effects of (1) needs for problem reframing and (2) impression management motivation in linking the relationship between negative affect and employee creativity. A survey was conducted with 244 full-time employees working in various industries. As a result of structural equation modeling analyses, the dual pathways connecting negative affectivity to employee creativity were found to be empirically supported. According to the statistical results, negative affectivity exhibited a positive indirect effect on employee creativity via needs for problem reframing, while it had a negative indirect effect through impression management motivation. The implications and limitations of this study are discussed.
Rightless Migration in India: A Study of Inefficiency and Sufferings Sprouting in the Agricultural Fields of Bihar
Authors: Mohan Shivani , Kumar Manoranjan
Published: December 2024

The state of Bihar, an agrarian economy, is currently representing a paradoxical situation in India as the development narrative of north and south Bihar displays a unique history of economic advancement. During the Covid-19 pandemic, spurt in migration and even reverse migration created a severe livelihood crisis for the unemployed people in Bihar. United Nations’ Sustainable Development Goals of economic growth, social cohesion, and environmental sustainability can be successful in improving the lives of labourers if the socio-economic protection and workers’ rights are given due importance. The present study aims at explicating the reasons for unemployment, migration and poor economic conditions of labour in Bihar, a state in eastern part of India.  Secondary data available from NSSO, Census of India and Economic survey of Bihar have been analysed for this research. The study is based on the qualitative and quantitative analysis and descriptive methods to understand the various socio-economic facets of migration. Absence of uniform labour standards in the unorganised sector related to migrant labourers is the major issue which needs to be immediately and adequately addressed by the Government of India and the state government of Bihar.
Big Data Analytics for Real-Time Marketing: Opportunities and Challenges
Authors: Besiri Defne
Published: December 2024

Big Data Analytics has revolutionized real-time marketing by enabling organizations to process vast amounts of data to deliver personalized and timely customer experiences. This research explores the opportunities provided by Big Data Analytics in transforming marketing strategies, such as enhanced customer segmentation, predictive analytics for targeted campaigns, and dynamic content delivery. It highlights how real-time data processing facilitates agile decision-making, allowing businesses to adapt to rapidly changing market conditions. Simultaneously, the study addresses the challenges of Big Data Analytics, including data privacy concerns, the integration of diverse data sources, and the complexities of algorithmic biases. By analyzing case studies and emerging trends, the research underscores the critical role of Big Data in fostering innovation while proposing actionable solutions to overcome its limitations. The findings demonstrate that effective utilization of Big Data Analytics can empower businesses to stay competitive in the fast-paced digital landscape.
Information Governance in the Age of Data Privacy: Balancing Security and Accessibility
Authors: Besiri Defne
Published: December 2024

In the digital age, the exponential growth of data has made information governance a critical concern for organizations seeking to balance security and accessibility. This research explores the challenges and strategies involved in managing information in an era marked by stringent data privacy regulations, such as the GDPR and CCPA. It examines the intersection of data protection, cybersecurity, and user accessibility, emphasizing the need for robust governance frameworks that prioritize compliance without stifling innovation. Through an analysis of case studies and best practices, the study identifies tools and technologies, including encryption, access controls, and machine learning, that enhance information governance. Additionally, it addresses the ethical considerations surrounding data usage, transparency, and the rights of individuals. By providing actionable insights, this research aims to assist organizations in navigating the complexities of information governance in a privacy-conscious world.
Experiments with an electrophore as a way to introduce the concept of free and bound charges
Authors:   Glazov State University of Engineering and Pedagogical named after V.G. Korolenko, Mayer V.V. , Varaksina E.I. ,   Glazov State University of Engineering and Pedagogical named after V.G. Korolenko, Kornev Yu.A. ,   Glazov State University of Engineering and Pedagogical named after V.G. Korolenko
Published: December 2024

A contradiction has been revealed between the importance of the fundamental concepts of free and bound charges for an elementary physics course and the lack of a simple and convincing experiment to introduce and form them. The elimination of this contradiction is achieved by performing a series of demonstration experiments with an electrophor and a neon lamp in the classroom.
Physics foundations of robotics: improving the demonstration analyzer of linearly polarized light
Authors:   Glazov State Engineering Pedagogical University by V.G. Korolenko, Mayer V.V. , Varaksina E.I. ,   Glazov State Engineering Pedagogical University by V.G. Korolenko, Vasiliev I.A. ,   Glazov State University of Engineering and Pedagogical named after V.G. Korolenko
Published: December 2024

The results of a didactic study of a demonstration installation for the introduction of basic concepts of light polarization are presented. The installation includes an LED flashlight, a polarizer, a photodiode sensor of linearly polarized light and an electronic unit that rotates a double arrow on the servo motor shaft corresponding to the rotation of the plane of polarization of light. It is shown that the project activities of students and schoolchildren for the creation, establishment and research of such an installation are characterized by knowledge intensity, have practical significance and contribute to the development of engineering competencies of students.
Culprit and Victim: Scenarios for Philippine Agriculture amidst Climate Change
Authors: Galang Ivory Myka , Briones Roehlano ,   Philippine Institute for Development Studies
Published: December 2024

The study explores the complex role of Philippine agriculture, both as a contributor to and a victim of climate change. The agriculture sector, responsible for 23 percent of the country’s greenhouse gas (GHG) emissions, simultaneously faces severe losses from extreme climate events, which account for 60 percent of disaster-related damages. This study aims to assess the impact of climate change on Philippine agriculture, evaluate mitigation and adaptation options, and formulate effective policy recommendations to foster resilience and sustainability. Scenarios are analyzed using a computable general equilibrium model to examine different pathways for adapting to and mitigating climate change impacts on agriculture, framed as (a) baseline, (b) intensified adaptation, and (c) combined adaptation and mitigation scenarios.

The findings reveal that without enhanced interventions, Philippine agriculture is at risk of long-term supply and consumption reductions, leading to greater vulnerability. Meanwhile, the adoption of intensified adaptive and mitigation measures shows potential for improved resilience, increased productivity, and contributions to national climate commitments, at fairly modest intervention costs.

The policy recommendations emphasize proactive climate action in agriculture that aims to enhance adaptation while contributing to mitigation efforts. Accurate GHG emissions estimates across sectors, especially agriculture, are crucial for targeted policies. Climate adaptation measures must be prioritized to ensure sustainable production amid growing climate risks, despite potential uneven outcomes across sub-sectors. Introducing cost-effective mitigation technologies, such as Alternate Wetting and Drying for rice and improved manure management, can reduce emissions without compromising productivity. The Philippines should integrate agriculture into its unconditional Nationally Determined Contributions (NDC), focusing on technologies that offer sustainability while maintaining sectoral competitiveness and food security.
HEMŞİRELERİN MOTİVASYONUNU ARTIRMAYA YÖNELİK MÜDAHALELER: SİSTEMATİK İNCELEME
Authors: Ozlu Merve , Kantek Filiz
Published: December 2024

Amaç: Hemşirelerin motivasyonlarını arttırmaya yönelik müdahalelerin incelenmesidir.
Tasarım: Sistematik bir inceleme.
Yöntemler: Araştırma şu veri tabanları kullanılarak gerçekleştirilmiştir: WOS, Scopus, Google Scholar, EBSCO Host, Pubmed. Dahil edilen çalışmaların çalışma seçimi, kalite değerlendirmeleri ve veri çıkarımı araştırmacılar tarafından bağımsız olarak gerçekleştirilmiştir. Raporun kalitesini ve şeffaflığını sağlamak için PRISMA kontrol listesi kullanılmıştır. Derlenen çalışmaların bias riski Cochrane Collaboration aracı kullanılarak değerlendirilmiştir. Çalışma için PROSPERO kaydı (CRD42024497626) yapılmıştır.
Bulgular: Çalışmaya 350 hemşirenin dahil olduğu toplam altı çalışma dahil edilmiştir. Derlemeye alınan araştırma makalelerinin biri randomize kontrollü deneysel, üçü yarı deneysel ve ikisi de tek gruplu ön son test tasarımlı yarı deneysel araştırma desenindedir. Derlemeye alınan araştırma makalelerinde hastane ortamında uygulanmak üzere geliştirilmiş oyunlaştırma müdahalesi, 7/24 rehabilitasyon programı, iş öncesi eğitiminde ters yüz edilmiş sınıf ve zihin haritası yöntemi, performansa dayalı teşvikler, kendi kararını tayin teorisini temel alan eğitim ve mentörlük uygulaması motivasyonu arttırıcı müdahale olarak kullanılmıştır.
Sonuç: Hemşirelerin motivasyonlarının arttırılmasında müdahaleler etkilidir. Hemşirelik alanında, motivasyon arttırıcı müdahaleleri inceleyen çalışmaların sınırlı kaldığı ancak, müdahalelerin geliştirildiği ve kullanıldığı takdirde hemşirelerin motivasyonları için olumlu sonuçlar verdiği belirlenmiştir. Çalışma sonuçlarının yönetici hemşirelerin motivasyon artırıcı stratejiler geliştirmesine katkı sağlayacağı ve motivasyon arttırıcı müdahaleler hakkında yeni bilgiler sağlayacağı düşünülmektedir.
Anahtar kelimeler: motivasyon, müdahale, hemşireler, sistematik inceleme
พลวัตและผลสะเทือนของขบวนการ “คณะราษฎร 2563”
Authors: เชียงเสน อุเชนทร์
Published: December 2024

ขบวนการ “คณะราษฎร 2563” ของไทย ที่นำโดยนักเรียนนักศึกษาผู้อ้างอิงตัวเองกับ “คณะราษฎร” ผู้ทำการปฏิวัติ 2475 ตามเป้าหมายหลักที่ต้องการปฏิรูปสถาบันกษัตริย์ให้เป็นไปตามหลักกษัตริย์ตามรัฐธรรมนูญ (constitutional monarchy) ได้สร้างปรากฏการณ์ที่ตื่นตาตื่นใจให้กับผู้สนใจไทยศึกษาทั่วโลก ด้วยเหตุผลสำคัญอย่างน้อย 3 ประการ ได้แก่ 1) ผู้แสดง คือ การกลับมามีบทบาทใหม่อีกครั้งของขบวนการนักศึกษาในรอบ 50 ปี นับตั้งแต่ 14 ตุลาคม 2516 2) ประเด็นการเรียกร้อง คือ การปฏิรูปสถาบันกษัตริย์ซึ่งเป็นศูนย์รวมจิตใจของผู้เข้าร่วมขบวนการ ที่เคยถูกทำให้เป็นเรื่องต้องห้ามในการอภิปรายทางการเมืองด้วยข้อจำกัดทางวัฒนธรรมและกฎหมายหมิ่นพระบรมเดชานุภาพมาหลายสิบปี 3) ความเป็นนวัตกรรม (innovativeness) ของกิจกรรมของขบวนการเคลื่อนไหวที่สร้างสรรค์และแหวกแนว ที่สามารถรวบรวมผู้คนที่หลากหลายเข้ามาอยู่ด้วยกัน และรักษาขบวนการเคลื่อนไหวได้อย่างต่อเนื่องแม้จะถูกกดปราบจากรัฐอย่างรุนแรงขณะที่หลายส่วนให้ความสนใจกับ “คณะราษฎร” ซึ่งเป็นองค์กรร่ม (umbrella organization) ที่มี “บทบาทนำ” การเคลื่อนไหวในช่วงเวลาหนึ่งแต่ลดบทบาทลงในช่วงหลัง และที่สำคัญคือ ประเมินว่าขบวนการที่แรกเริ่มนี้ยังห่างไกลจากเป้าหมายที่วางไว้นัก บทความนี้ต้องการโต้แย้งการประเมินดังกล่าว โดยเสนอว่า แม้ไม่ได้บรรลุเป้าหมายที่วางไว้ แต่ส่งผลสะเทือนที่สำคัญในหลายด้าน ทั้งมิติของ 1) องค์กรของขบวนการเคลื่อนไหว ผ่านพลวัตของการเคลื่อนไหว ท่ามกลางการปราบปรามของรัฐ ที่สามารถระดมผู้คนและกิจกรรม สร้างประสบการณ์ และจิตสำนึกร่วมทางการเมืองของผู้เข้าร่วมและผู้ปฏิบัติงานได้อย่างกว้างขวาง 2) โครงสร้างโอกาสทางการเมือง ที่เคยปิดแต่ถูกเปิดขึ้นด้วยการกระทำ (actions) ของขบวนการเอง ที่เป็นโอกาสให้กับขบวนการนี้เองและขบวนการอื่นในช่วงต่อไป 3) การปฏิบัติการและแย่งชิงการนิยามความหมายของพื้นที่สาธารณะ โดยเฉพาะอย่างยิ่งพื้นที่ที่เกี่ยวข้องกับสถาบันกษัตริย์และความสัมพันธ์กับราษฎรในฐานะผู้ถูกปกครอง ผลสะเทือนที่เกิดขึ้นใน 3 มิตินี้ ผู้เขียนเรียกว่าเป็นการปฏิวัติทางวัฒนธรรม ที่อาจปูพื้นฐานไปสู่การปฏิวัติทางการเมืองในอนาคต