bluuebunny/crossref_metadata_2025 huggingface dataset:
VIOLÊNCIA PSICOLÓGICA SOB À LUZ DA LEI MARIA DA PENHA
Authors: Correia Emily Bianca de Queiroz
Published: December 2023

O presente artigo aborda a temática da violência psicológica à luz da Lei Maria da Penha, enfocando definições, consequências, medidas protetivas e a relevância da legislação. O objetivo da pesquisa é analisar como a lei aborda a violência psicológica, fornecendo proteção e recursos para as vítimas. O método empregado consistiu em uma revisão documental da legislação e análise da literatura acadêmica sobre o assunto. A pesquisa destaca que a Lei Maria da Penha reconhece a violência psicológica como uma forma grave de abuso, que inclui ameaças, humilhações, isolamento e outras condutas prejudiciais à saúde mental das vítimas. Além disso, a legislação estabelece medidas protetivas, como o afastamento do agressor e assistência jurídica e psicológica às vítimas. Conclui-se que a Lei Maria da Penha desempenha um papel fundamental na proteção das mulheres contra a violência psicológica e na promoção da igualdade de gênero. No entanto, a conscientização, educação e prevenção contínuas são necessárias para combater esse problema de maneira abrangente. Este artigo contribui para uma compreensão mais aprofundada da abordagem legal da violência psicológica e destaca a importância da aplicação efetiva dessa legislação na sociedade.
Uncertainties, complexities and possible forecasting of Volcán de Colima energy emissions (Mexico, years 2013–2015) based on a fractal reconstruction theorem
Authors: Monterrubio-Velasco Marisol , Lana Xavier , Arámbula-Mendoza Raúl
Published: December 2023

Abstract. The effusive–explosive energy emission process in a volcano is a dynamic and complex physical phenomenon. The importance of quantifying this complexity in terms of the physical and mathematical mechanisms that govern these emissions should be a requirement for deciding to apply a possible forecasting strategy with a sufficient degree of certainty. The complexity of this process is determined in this research by means of the reconstruction theorem and statistical procedures applied to the effusive–explosive volcanic energy emissions corresponding to the activity in the Volcán de Colima (western segment of the Trans-Mexican Volcanic Belt) along the years 2013–2015. The analysis is focused on measuring the degree of persistence or randomness of the series, the degree of predictability of energy emissions, and the quantification of the degree of complexity and “memory loss” of the physical mechanism throughout an episode of volcanic emissions. The results indicate that the analysed time series depict a high degree of persistence and low memory loss, making the mentioned effusive–explosive volcanic emission structure a candidate for successfully applying a forecasting strategy.
Multidecadal variability and predictability of Antarctic sea ice in the GFDL SPEAR_LO model
Authors: Morioka Yushi , Zhang Liping , Delworth Thomas L. , Yang Xiaosong , Zeng Fanrong , Nonaka Masami , Behera Swadhin K.
Published: December 2023

Abstract. Using a state-of-the-art coupled general circulation model, physical processes underlying Antarctic sea ice multidecadal variability and predictability are investigated. Our model simulations constrained by atmospheric reanalysis and observed sea surface temperature broadly capture a multidecadal variability in the observed sea ice extent (SIE) with a low sea ice state (late 1970s–1990s) and a high sea ice state (2000s–early 2010s), although the model overestimates the SIE decrease in the Weddell Sea around the 1980s. The low sea ice state is largely due to the deepening of the mixed layer and the associated deep convection that brings subsurface warm water to the surface. During the high sea ice period (post-2000s), the deep convection substantially weakens, so surface wind variability plays a greater role in the SIE variability. Decadal retrospective forecasts started from the above model simulations demonstrate that the Antarctic sea ice multidecadal variability can be skillfully predicted 6–10 years in advance, showing a moderate correlation with the observation. Ensemble members with a deeper mixed layer and stronger deep convection tend to predict a larger sea ice decrease in the 1980s, whereas members with a larger surface wind variability tend to predict a larger sea ice increase after the 2000s. Therefore, skillful simulation and prediction of the Antarctic sea ice multidecadal variability require accurate simulation and prediction of the mixed layer, deep convection, and surface wind variability in the model.
Discourses on War and Peace in a Professional Ethics Classroom
Authors: V.K. Karthika
Published: December 2023

Empty seats, uninterested faces and distracted student behaviour are general characteristics of the classroom where humanities subjects are taught to students of science and technology. In this article, I discuss my experience of teaching a course, Professional Ethics, that is generally discarded by the students as ‘an additional burden’ made mandatory  by the All India Council for Technical Education (AICTE) for securing a bachelor of technology degree from Indian institutes of higher education. The teaching note documents the initial attitude of students towards the course content, the process of their transformation into imbibing the essence of the course, and finally the outcomes of the adapted teaching method. Socratic questioning on memes and news reports was used to sensitise the students towards the ethics of war and weapon development. In other words, the teaching process was a discourse of peace building by engaging students in sustainability dialogues.
The Study of Various Errors of Language in Local News Items of English Newspapers of Southern Punjab
Authors: Zamir Muhammad Ali , Sattar Maliha , Javed Hafiz Muhammad Hammad , Yousaf Hafiz Muhammad Jawad
Published: December 2023

Our media language needs to be improved. Press reporters, hosts, and anchors making so many grammatical errors is excruciating. They keep making mistakes on common stuff. When communication was limited to printing, spelling errors predominated. With electronic media sweeping the world, we see various problems besides spelling errors. Simply observe television broadcast tickers for errors. Typesetting before computers caused many spelling problems. With computerized word processors, there is no excuse. Readers are forgiving, so it is a rush to print. As for grammar, some of the text uses Indian English phrases that may be improper in British or American English. Sloppy grammar is another issue. Associated Press of Pakistan Lahore Bureau required me to write and edit news. I found various linguistic faults in Pakistan's foremost official news agency reporters. English newspapers have many errors. That led me to study newspaper inaccuracies. Objectives are to examine Southern Punjab English newspaper local news linguistic faults and to examine the causes of language faults in Southern Punjab English newspapers' local news. The local English newspapers were read. Various language errors were noted. The errors were categorized, and their repetition percentage was computed. Academic qualifications and journalism experience of journalists were collected. A total of 79 news articles from both publications were examined. The following graphs, including a diagram of a pie, bars, and various other graphs, show the proportion of errors that were discovered. According to Martin R. Maier's study, readers need to fix errors. Readers can report errors by email and a toll-free number in the New York Times daily. Pakistani publications need a similar approach so readers may correct errors. Unfortunately, none will recognize their mistakes and take such action.
Comparing Fictional War Hero, Paul Baumr, and US Marine, Sam Siata: A Trauma Study of PTSD Victims in Soldiers
Authors: Abbas Mazhar , Kharal Ali Ahmad , Shahzadi Kiran
Published: December 2023

This research focuses on new PTSD symptoms highlighted in C. J. Chiver's case study in "The Fighter" published in the New York Times under the trauma theoretical perspective with the aim to interpret the same in the character of Paul Baumer, the fictional war hero of All Quiet on the Western Front by Eric Maria Remarque. The research first defines PTSD in modern psychiatric terms and reviews it in light of the psychiatric theoretical studies outlined by Miriam Reisman and the trauma theorized by Dominick LaCarpa and Judith Herman. Reviewing the relevant literature to form a theoretical framework for the analysis of PTSD in Baumer, the research seeks to prove that Baumer suffers from PTSD signs. The research finds that Baumer is a soldier tougher than Siam Siatta, the US marine, who suffered the same during his Afghanistan tour. The research also highlights Baumer's peaceful death as compared to Sam Siatta's pulverization of the social fabric to highlight its significance as well as demonstrate ways to cope with such war victims.
Relationship of Parenting Style and Academic Achievement among University Students: Mediating Role of Personality Traits
Authors: Rashid Nudrat , Saddique Rabia , Arfan Rumaisa , Shahzadi Mafia , Tabassum Urooj
Published: December 2023

The aim of this study was to explore predictors of academic achievement with association of parenting style and personality traits. After a review of the detailed literature the following hypotheses were formulated; a) parenting styles would be the predictor of personality traits (openness to experience, conscientiousness, extraversion, agreeableness, neuroticism), b) personality traits would be the predictor of parenting styles (supportive parenting, compassionate parenting, controlling parenting, avoidant parenting and orthodox parenting), c) there would be positive relationship between academic achievement and parenting styles (supportive parenting, compassionate parenting, controlling parenting, avoidant parenting and orthodox parenting), d) There would be positive relationship between academic achievement and personality traits (openness to experience, conscientiousness, extraversion, agreeableness, neuroticism). The total sample was N=500, (male 50% and female 50%) between 18-30 years. A purposive sampling technique was used to collect data from government universities of Faisalabad. In addition, to explore findings, following psychological measures was used i.e. Perceived Dimensions of Parenting Scale (PDPS) and Big Five IPIP Personality Scale used to measure participant’s personality traits. The descriptive statistical and regression analysis of variance tests was used and the findings showed that there is a significant prediction between parenting styles and academic achievement (R2 =.083; F (1,498) = 44.87 p<.001).  The findings of the study showed that there is significant prediction between personality traits and academic achievement (R2 =.251; F (1,498) =116.83 p<.001). It is concluded that parenting styles and personality traits have significant predictions in academic achievement among adolescents.
Brand Credibility: Navigating the Pathway to Customer Satisfaction and Loyalty
Authors: Anum Isma , Khan Maida , Azmat Syeda Zartashia
Published: December 2023

Customers are a very valuable asset for any company or brand. Brand credibility is playing a key role in developing customers’ behavioral patterns. The credibility and integrity of a company play an essential role in making its customers contended with the services and also in maintaining their customers for a prolonged time. Considering the importance of customers and brands in marketing any product(s) or service(s), this study aims to analyze the influence of brand credibility on customer satisfaction and loyalty as well as to explicate the association between customer satisfaction or gratification and customer loyalty or devotion. The study was quantitative in nature and a close-ended questionnaire was distributed amongst the drawn sample to assess the influence of credible brands on clients’ satisfaction, devotion, and loyalty towards the brand. A convenient sampling procedure was adopted for acquiring data from the target population of Islamabad/Rawalpindi and the sample size was 160 respondents using the banking services of any public or private sector bank of Pakistan and residing in Islamabad and Rawalpindi. It was found that brand credibility is positively associated with customer loyalty and satisfaction. Besides, the findings also acknowledged a positive association of customer satisfaction with customer devotion and loyalty. This means that the more a brand is credible, the more customer satisfaction is achieved, which consequently influences customer loyalty trust, and devotion toward the brand in a positive manner.

Keywords: Brand, Customers, Brand Credibility, Customer Satisfaction, Customer Loyalty.
Critical Discourse Analysis of Chris Varney’s Speeches: Unpacking the Construction of Strength, Resilience and Self-Acceptance in Autism Spectrum Disorder
Authors: Saira Abbas  , Atta Aqsa
Published: December 2023

This research endeavors to address three intricately formulated research inquiries pertaining to Chris Varney's oratory endeavors. Firstly, it scrutinizes the sociocultural structure inherent in Varney's speeches, aiming to unravel its nuanced contributions to a more comprehensive comprehension of the construction of strength within the domain of autism. Subsequently, the investigation delves into Varney's adept utilization of motivational stimuli and techniques, informed by the tenets of "Motivational Theory," to impart motivation and instill self-acceptance among autistic children. Lastly, the research contemplates the rhetorical framing discernible in Varney's speeches, elucidating its capacity to offer a novel and profound understanding of resilience within the context of autism. Employing qualitative and descriptive methodologies, the analysis integrates critical discourse analysis with theoretical frameworks, namely  Fairclough Three Dimensional Model and Maslow's Motivational Pyramid, relying on a corpus of five transcribed speeches gleaned from YouTube. The synthesis of these findings contributes significantly to advancing a nuanced comprehension of the multifaceted dimensions surrounding strength and resilience in the discourse on autism.
The Nexus Between Fintech Adoption & Bank Performance: A Role of Competitiveness
Authors: Riaz Nimra , Riaz Ahsan , Tariq Rabia , Talha Muhammad
Published: December 2023

This research investigates the relationship between fintech adoption, competitiveness, and bank performance within Pakistan's banking industry, encompassing Islamic and conventional banking practices. This study empirically examines the impact of fintech adoption on the performance of banks in Pakistan, unveiling a nuanced relationship shaped by the moderating effect of competitiveness. The findings of this research reveal that the relationship between fintech adoption and bank performance is significantly influenced by competitiveness, displaying a complex interplay with both positive and negative implications. While fintech adoption holds the potential to enhance banks’ efficiency, profitability, and customer loyalty, it also introduces challenges and threats to the established norms of the traditional banking sector. Moreover, this study identifies several critical research gaps and proposes avenues for future investigations to comprehensively understand the role of Fintech within Pakistan's financial system. The evolution and integration of Fintech present both opportunities and challenges, underscoring the need for continued exploration and analysis to navigate this transformative landscape better. However, this research contributes to understanding how adopting Fintech impacts bank performance in Pakistan, highlighting the moderating role of competitiveness and the duality of opportunities and challenges presented by Fintech in the banking realm.
Linkage of Regulatory Environmental, legal and Social Environmental Resources towards Entrepreneurial Attitude
Authors: Zulfiqar Mehwish , Naveed Shabana , Khoula Ghazia , Rahman Saif Ur
Published: December 2023

This study aims to examine the relationship between entrepreneurial mentality and social and regulatory environmental resources. Data was obtained using self-report analysis. Using a sample of 276 graduating and post-graduating students, the partial least squares method is used to examine the hypotheses. The findings indicate that the perceived worth of social-economic resources and entrepreneurial mindsets have a favorable indirect link. The study enhances its portion as an element that should be taken into contemplation to extend teaching programs for entrepreneurship and will support the developing research of entrepreneurship teaching in the entrepreneurship pitch. It is important for business and economic development that entrepreneurship education should be offered to the students. Although previous studies discover entrepreneurship learning others claim unfavorable outcomes and advise taking social and economic factors into account in order to have a major impact on entrepreneurial inclination.
Exploring the Nexus of Religiosity and Trust in E-commerce: Implications for Purchase Intentions in Pakistan
Authors: Siddiqui Munib , Hameed Waseem ul
Published: December 2023

This research delved into the influence of religiosity on online shopping, exploring two dimensions: cognitive-based trust rooted in available knowledge and affect-based trust founded on emotional connections. The study considered factors such as ethnicity, education, culture, trust, risk, peer influence, attitude, and more. Notably, there is a scarcity of research in Pakistan on the impact of religion on purchase intention. A qualitative approach was adopted, the paper employs the thematic analysis based on semi-structured interviews, phenomenological technique of reviewing related literature available on e-commerce as well as religiosity, and thematic analysis were done for that number of interviews conducted and recorded. This study lays the foundation for a comprehensive investigation into the integration of Sharia principles within the realm of e-commerce. By examining the current landscape of e-commerce and the challenges faced in ensuring compliance with Sharia principles, this study highlights the critical need for a holistic and integrated approach to address these concerns. The development of relationship between religiosity and purchase intention in Pakistan could be helpful to gain the trust with endorsement of Islamic model of e-commerce. This study could be helpful for the users as well as vendors of the industry.
Szkoła parafialna Bożego Ciała na Kazimierzu w Krakowie w pierwszej połowie XVI w. w świetle krakowskiego archiwum archidiecezjalnego
Authors: Urban Wacław
Published: December 2023

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Wikariusze katedry krakowskiej w XIII i XIV stuleciu
Authors: Wieczorek Jan
Published: December 2023

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Męczennicy sandomierscy. Legenda i rzeczywistość
Authors: Stopka Krzysztof
Published: December 2023

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Emigracja polska w Estonii w latach 1918-1939
Authors: Fyda Ryszard
Published: December 2023

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Polacy na Węgrzech w latach 1918-1939
Authors: Kusek Janusz
Published: December 2023

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Straty Kościoła katolickiego w południowo-zachodniej części archidiecezji wileńskiej 1939-1944
Authors: Wysocki Wojciech
Published: December 2023

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Próby włączenia państw jagiellońskich do koalicji antytureckiej przez papieża Aleksandra VI na przełomie XV/XVI wieku
Authors: Baczkowski Krzysztof
Published: December 2023

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Legal nature and practice of application of the Vienna convention in the regulation of international contractual relations
Authors: Tatar Olga , Mihalache Iurie
Published: December 2023

The procedure for concluding an agreement has come a long way of evolution from a strictly formalized process to concluding an agreement using computer networks. Currently, almost all legal systems regulate the main stages of the pre-contractual process - the direction of the offer, its analysis and acceptance to the addressees, as well as the conclusion of the contract during the negotiation process. However, the intensity of such regulation and the range of regulated relations differ in each legal family and even in states belonging to the same legal family (for example, Great Britain and the United States). The process of negotiations between the parties during the conclusion of an agreement remained the least regulated, although attempts to regulate some elements of the negotiation process are observed in almost all legal systems (for example, the establishment of pre-contractual responsibility, the legal status of pre-contractual relations). For this reason, it is of particular interest to analyze the UN Vienna Convention.
The draft law on the supreme court of justice and the emptying of the meaning of a way of attack – the appeal
Authors: Turcan Serghei , Rusanovschi Iulian
Published: December 2023

The remedy implies the right of the parties to benefit, in the resolution of an existing dispute, apart from the courts of fact and a court of law, intended to verify the way of applying the objective law to the case under judgment. Through this appeal, the Supreme Court of Justice fulfills one of its most important roles - that of unifying judicial practice. The existence of a Supreme Court is also a matter of national unity, taking into account the fact that in the Republic of Moldova there are two autonomous territorial-administrative units - Transnistria and Gagauzia. There are two basic principles of the Supreme Court of Justice: the first is the sovereignty of the decisions given in the last instance and the second is contained in the nature of the appeal, from which it appears that the Supreme Court does not constitute a third degree of jurisdiction and as such is prevented from knowing the substance of the cases received for examination. The draft law of the Supreme Court of Justice disfigures this remedy at law, which can only be used for cases of the greatest social and legal importance, as well as those that reveal particularly serious violations of the law and human rights.
The application of conditional release before the term - reaction to the criminal phenomenon
Authors: Groian Elena
Published: December 2023

Conditional release from punishment before the term is an alternative to detention for the convicted person, if he is flexible to follow the path of correction and re-education, thus being examined in this sense by the employees of the penitentiary institution in whose custody the convict is held , before going to court. This existing extrajudicial way and the grounds for conditional release, are beneficial both for making a qualification in the sense of meeting the conditions for the possible conditional release of the convicted and, considering the predominant volume in the increase in the number of files brought to the table in the cases concerning detainees in the courts of national judgment, an easing of the judge’s work. At the same time, the preliminary examination of the convict’s personality should be carried out from the beginning of the execution of the custodial sentence, in order not to admit the proposal for the conditional release of the sentence before the term of a convict who in fact does not meet the conditions provided by the law.
Procedural protection of persons who collaborate with the law enforcement agency in uncovering the criminal network
Authors: Gropa Maxim
Published: December 2023

Ensuring the evidential basis is a permanent challenge for the law enforcement agency in criminal proceedings. This challenge is materialized by the desire of the perpetrator/criminal to destroy the evidence that proves their guilt. In investigating crime offenses, this danger is more imminent due to the operating methods of criminal groups and organizations, namely violence, cruelty and terror. For centuries, the statements of persons targeted by criminal actions or those who witnessed these actions have been considered the most viable evidence in a criminal trial. Given the importance and weight of the given evidence, the actions of criminal organizations have constantly been aimed at influencing and destroying it. It is precisely this fact that has led the legislator to take a firm position in this regard to ensure the state protection of persons who collaborate with the law enforcement agency in holding the guilty parties accountable.
Expertise of fingerprints contaminated with particles of nuclear material collected from the radiological crime scene
Authors: Nitrean Alina
Published: December 2023

For the successful investigation of crimes involving the MNR, it is important to examine and evaluate all traces and material evidence collected from the crime scene, which require special handling conditions as they are contaminated with radionuclides. This study establishes the possibility of examining both NRM microparticles by SEM-RMA and fingerprints by cyanoacrylate fumigation, on common objects with different surfaces. It is shown that the most complete results can be obtained by analyzing the samples on conductive objects. The surfaces of objects on which limited results can be obtained are determined, as well as the surfaces on which the examination of microparticles and fingerprints is not possible.
Kết quả ghép tế bào gốc tạo máu tự thân điều trị bệnh nhân đa u tuỷ xương tại Bệnh viện Trung ương Quân đội 108
Authors: Nhung Phạm Thị Tuyết
Published: December 2023

Mục tiêu: Đánh giá kết quả ghép tế bào gốc tạo máu tự thân điều trị bệnh đa u tuỷ xương. Đối tượng và phương pháp: Nghiên cứu mô tả tiến cứu trên 08 bệnh nhân đa u tuỷ xương được ghép tế bào gốc tạo máu tự thân tại Trung tâm Ghép tế bào gốc tạo máu, Bệnh viện Trung ương Quân đội 108 từ tháng 01/2021 đến tháng 5/2023. Kết quả: Tỷ lệ mọc ghép đạt 100%, thời gian mọc ghép trung bình dòng bạch cầu: 9,38 ± 0,92 ngày, dòng tiểu cầu: 9,13 ± 0,32 ngày; tỷ lệ sống thêm bệnh không tiến triển và sống thêm toàn bộ 2 năm lần lượt là 75% và 100%, không có bệnh nhân bị tử vong liên quan đến ghép, tác dụng không mong muốn hay gặp nhất là suy tuỷ xương tạm thời mức độ nặng 100% và trên đường tiêu hoá, nhưng hồi phục hoàn toàn và không để lại di chứng. Kết luận: Ghép tế bào gốc tạo máu tự thân điều trị bệnh nhân đa u tuỷ xương cho kết quả tốt và an toàn.
Đặc điểm lâm sàng, cận lâm sàng và một số yếu tố liên quan đến cơn động kinh sớm sau đột quỵ não trên lều
Authors: An Lê Đình
Published: December 2023

Mục tiêu: Mô tả đặc điểm lâm sàng, cận lâm sàng và một số yếu tố liên quan đến cơn động kinh sớm của đột quỵ não trên lều. Đối tượng và phương pháp: Nghiên cứu tiến cứu trên 1061 bệnh nhân đột quỵ não trên lều tại Bệnh viện Trung ương Quân đội 108 và Bệnh viện Đa khoa tỉnh Phú Thọ từ 2018 đến 2022. Khám lâm sàng, cận lâm sàng và theo dõi đến khi bệnh nhân ra viện. Kết quả: Có 61/1061 bệnh nhân đột quỵ não trên lều khởi phát cơn vận động và 68,9% là cơn toàn thể. Có 73,7% cơn cục bộ không giảm ý thức. Tuổi trung bình là 61,5 ± 12,3 tuổi và nam giới chiếm 77,0%. Điểm Glasgow trung bình là 14,2 ± 1,6 và NIHSS là 8,2 ± 1,6. CT-MRI ghi nhận 57,1% là bên trái, tổn thương vùng vỏ não và dưới vỏ là 32,1%, nhiều nhất là thùy đỉnh và thùy trán. 81,7% là thể nhồi máu và 1 vùng động mạch não chiếm 75%. Yếu tố liên quan đến cơn động kinh sớm là tuổi cao, nam giới, đột quỵ não cũ, điểm Glasgow thấp, điểm NIHSS cao, vùng tổn thương hỗn hợp, tổn thương thùy trán. Kết luận: Cơn động kinh sớm sau đột quỵ có khởi phát vận động, kiểu toàn thể. Yếu tố liên quan là: Tuổi cao, nam giới, điểm Glasgow thấp, điểm NIHSS cao, tổn thương 2 bên, vùng tổn thương hỗn hợp, tổn thương thùy trán.
Nghiên cứu tỉ lệ, đặc điểm lâm sàng và cận lâm sàng bệnh gan nhiễm mỡ không do rượu ở bệnh nhân rối loạn chuyển hóa lipid máu tại Bệnh viện Quân y 175
Authors: Tiến Đào Đức
Published: December 2023

Mục tiêu: Xác định tỷ lệ, đặc điểm lâm sàng và cận lâm sàng bệnh gan nhiễm mỡ không do rượu ở bệnh nhân có rối loạn chuyển hóa lipid máu tại Bệnh viện Quân y 175. Đối tượng và phương pháp: Nghiên cứu hồi cứu kết hợp tiến cứu trên 201 bệnh nhân rối loạn chuyển hóa lipid máu khám và điều trị tại Bệnh viện Quân y 175 từ tháng 01/2019 đến tháng 7/2020. Xác định tỷ lệ bệnh gan nhiễm mỡ không do rượu có sử dụng máy fibroScan và đặc điểm lâm sàng, cận lâm sàng ở nhóm bệnh này. Kết quả: Tỷ lệ nữ/nam: 1,16:1, với tuổi trung bình 61,33 ± 11,22. Đa số bệnh nhân có thừa cân, béo phì (61,19%); 54,23% bệnh nhân có tăng huyết áp; 46,77% bệnh nhân có đái tháo đường típ 2. Đa số các bệnh nhân đều không có triệu chứng lâm sàng liên quan đến bệnh gan. Trên xét nghiệm tăng triglycerid và tăng enzym GGT chiếm tỷ lệ cao (78,11% và 47,76%). Tỷ lệ bệnh gan nhiễm mỡ không do rượu ở bệnh nhân có rối loạn chuyển hóa lipid máu là 80,6%, với các mức độ nhẹ (S1), vừa (S2), nặng (S3) lần lượt là 35,80%, 30,86%, 33,34%, tỷ lệ viêm gan nhiễm mỡ chiếm 51,85%. Hầu hết bệnh nhân ở giai đoạn xơ hóa nhẹ (97,53%).           Kết luận: Bệnh gan nhiễm mỡ không do rượu khá thường gặp ở bệnh nhân rối loạn chuyển hóa lipid máu, đa số không có triệu chứng với độ nhiễm mỡ và xơ hóa gan mức độ nhẹ.
Đánh giá kết quả sử dụng kháng sinh dự phòng cefuroxime trong phẫu thuật tán sỏi thận qua da đường hầm nhỏ tại Bệnh viện Trung ương Quân đội 108
Authors: Dũng Trần Đức
Published: December 2023

Mục tiêu: Đánh giá kết quả sử dụng cefuroxime là kháng sinh dự phòng trong phẫu thuật tán sỏi thận qua da đường hầm nhỏ tại Bệnh viện TƯQĐ 108. Đối tượng và phương pháp: 56 bệnh nhân được tán sỏi thận qua da đường hầm nhỏ từ tháng 02/2022 đến tháng 02/2023 có chỉ định sử dụng kháng sinh dự phòng cefuroxim tại Khoa Tiết niệu, Bệnh viện Trung ương Quân đội 108 được sử dụng kháng sinh dự phòng là cefuroxim 750mg - 1,5g (tiêm 750mg với bệnh nhân < 70kg, tiêm 1,5g với bệnh nhân ≥ 70kg), tiêm tĩnh mạch một liều duy nhất trước mổ 30 phút. Tiêu chuẩn lựa chọn: Bệnh nhân không có nhiễm khuẩn niệu trên lâm sàng và cận lâm sàng, theo dõi 24 giờ sau mổ: Sốt, hội chứng đáp ứng viêm toàn thân, công thức máu, cấy khuẩn niệu. Kết quả: 24 giờ sau tán sỏi thận qua da (Percutaneous nephrolithotomy- PCNL) có 8 bệnh nhân bị sốt (14,3%), tỉ lệ bạch cầu máu (BC) tăng 45/54 (83,3%) (p=0,068). Hội chứng đáp ứng viêm toàn thân có 2/56 (3,6%). Có 1/56 (1,8%) bệnh nhân cấy khuẩn niệu trong và sau mổ dương tính. 48/56 bệnh nhân được rút sonde tiểu và thông dẫn lưu thận sau 2 ngày, 8/56 bệnh nhân rút sonde tiểu và thông dẫn lưu thận > 3 ngày do sốt sau mổ. Thời gian mổ trung bình là 41,16 ± 17,14 (20-115) phút, ra viện sau 3,78 ± 1,1 ngày. Kết luận: Cefuroxim 750mg được dùng làm kháng sinh dự phòng, tiêm tĩnh mạch 1 mũi duy nhất trong tán sỏi thận qua da đường hầm nhỏ đạt kết quả không có nhiễm khuẩn sau mổ là 85,7%, có thể thay thế kháng sinh bao phủ phẫu thuật đối với bệnh nhân không có nhiễm khuẩn niệu, thời gian mổ ngắn không có tai biến trong mổ.
Đặc điểm hình ảnh và giá trị của cắt lớp vi tính đa dãy trong phát hiện di căn hạch vùng ở bệnh nhân ung thư dạ dày
Authors: Sang Nguyễn Văn
Published: December 2023

Mục tiêu: Mô tả đặc điểm hình ảnh hạch vùng và đánh giá giá trị của chụp cắt lớp vi tính đa dãy trong phát hiện di căn hạch vùng ở bệnh nhân ung thư dạ dày. Đối tượng và phương pháp: Chụp cắt lớp vi tính đa dãy đầu dò được thực hiện trên 108 bệnh nhân ung thư dạ dày. Trong nhóm nghiên cứu, 1357 hạch đã được cắt bỏ, trong đó có 408 hạch ác tính, 949 hạch lành tính. Kết quả chụp cắt lớp vi tính được đối chiếu với kết quả phẫu thuật. Độ nhạy của cắt lớp vi tính trong phát hiện hạch di căn được đánh giá dựa trên kích thước hạch và tính chất ngấm thuốc. Kết quả: Cắt lớp vi tính phát hiện được 528 hạch trong tổng số 1357 hạch vùng được cắt bỏ trong phẫu thuật, trong đó có 224 hạch 4-6mm (42,4%), 141 hạch 6-8mm (26,7%), 98 hạch 8-10mm (18,6%), 65 hạch >10mm (12,3%). Có sự khác biệt có ý nghĩa thống kê về mức độ ngấm thuốc của hạch ác tính (68,4 ± 20,5HU) so với hạch lành tính (52,9 ± 15,5HU), kích thước trục ngắn của hạch ác tính so với hạch lành tính (9,66 ± 5,47mm so với 7,12 ± 2,50mm, p<0,05). Diện tích dưới đường cong của kích thước hạch là 0,663, ngưỡng hạch lành tính - ác tính là 7,5mm với độ nhạy 60,4% và độ đặc hiệu 64,9%. Kết luận: Cắt lớp vi tính đa dãy có giá trị trong phát hiện di căn hạch ở ung thư dạ dày. Mức độ ngấm thuốc và kích thước hạch là hai thông số có ý nghĩa trong chẩn đoán di căn hạch.
STUDY OF CROHN’S DISEASE IN THE COMPARISON OF ULCERATIVE COLITIS WITH TRADITIONAL MANAGEMENTS
Authors: Rahman Dr. Atiqur , Irshad Mohd
Published: December 2023

The ulcerative colitis as well as crohn’s disease is commonly referred to as chronic inflammatory bowel disease. The crohn’s disease affects the terminal ileum or anal canal that is known as terminal ileitis whenever, it involves a part of intestine then, it is called regional ileitis. It involves mostly colon, but may affect whole digestive tract from mouth to anus, if long lasting inflammation and ulcer in digestive tract which affect inner most lining of large intestine (colon) and rectum, While the ulcerative colitis is an inflammatory bowel disease, caused by chronic inflammation and ulcers (sores) in digestive tract and it affects the innermost lining of large intestine such as colon, and rectum. Usually, Infection, Nutritional (food containing sulfur or sulfate), Psychosomatic (depression) and immunological causes help in the development of ulcerative colitis. While conventional treatments can be effective in maintaining remission and decreasing the length of active disease periods. This review article refer to management of UC in the form of dietary changes, appropriate alternative treatment and reduce the extra-intestinal complication.
THE SIGNIFICANCE OF DIET IN UNANI MEDICINE: A COMPREHENSIVE PERSPECTIVE
Authors: Safee Dr. Rehan , Javed Dr. Anjum , A. Hai Dr. Shama
Published: December 2023

Unani medicine encompasses a comprehensive approach to health, drawing from various traditional systems of medicine and incorporating insights from Ayurveda, Persian medicine, and Chinese medicine. This diverse heritage has contributed to the development of Unani medicine's unique approach to diet and its significance in maintaining overall well-being.
ETIOLOGY OF EPISTAXIS AND ITS MANAGEMENT: A REVIEW
Authors: Arshad Khan Dr. Mohd , Rahman Dr. Atiqur
Published: December 2023

Epistaxis is a Universal problem that can affect the most people. The maximum number of cases are self-confined and do not want some medical invasion but epistaxis may take part in actively morbidity and even end of life in very unique circumstances. If Epistaxis does not resolve with first aid measures or episodes are frequent, patient grant permission needs assessment and treatment by an ENT specialist, either in the person being treated for medical problem dispensary or by way of unscheduled emergency admission to the hospital. Here, an analysis of the management of epistaxis in the person being treated for a medical problem and during an emergency admission in both pediatric and adult sufferers. And focus the key concern in etiology and Management covering the average and rare circumstances that are associated with epistaxis.
A DIVERSIFIED APPROACH TO THE PREVENTION AND MANAGEMENT OF HEMORRHOIDS (PILES)
Authors: Javed Dr. Anjum , Rahman Dr. Atiqur
Published: December 2023

Haemorrhoids are the commonest in 20-40 ages of adults. We have different therapies for the treatment of haemorrhoids, from topical to ethical. Now days we have so many conventional therapies for the disease. This is difficult to judge what the best treatment for the disease is because this is low-cost and has good efficacy. Some other surgical procedures introduced for the disease, such as haemorrhoidal artery ligation and stapled haemorrhoidopexy, which aim to reduce pain and provide complete rest for the patient. It is up to the patient to determine how comfortable it is for them and according to their disease condition. In this review, we aim to study the presentation, prevention and management of Haemorrhoids in the light of integrated approach. In order to perform this review, we used a thorough search of PubMed, Google Scholar, and MEDLINE with themes related to our title. The following search terms were used: Haemorrhoids, Haemorrhoidectomy, Haemorrhoidopexy, Haemorrhoidal artery ligation.
NEONATAL CARE IN THE PERSPECTIVE OF GRECO-ARAB MEDICAL WISDOM
Authors: Hai Dr. Shama Abdul , Safee Dr. Rehan
Published: December 2023

Human growth process is dynamic occurring in spurts at different periods in the child’s life. It is a continuous process occurring sequentially. Characteristic features appearing at particular period are termed as developmental milestones. Children are the asset of a nation. Individual child is unique and though it will show all the developmental milestones. Children are externally delicate and elegant in body, temperature and temperament. Their temper, as it adjusts to growth, should be kept very balanced and moderate, since responds quite rapidly and easily to events going on about it. The Greco-Arab scholars of this oldest practicing medicine since the times of Hippocrates had stressed on certain principles for maintenance and preservation of health of individuals of all ages in detail. The first treatise on pediatrics is “Practica Puerorum” written by Razi in the year 900 AD. Ali Ibne Abbas Majoosi has emphasized upon baby care in his masterpiece, Firdausul Hikmat, Ibne Sina one among the renowned sages of this age old field of knowledge has devoted a chapter to the care of the newborn, including issues such as cleanliness, breastfeeding, and child rearing. and well discussed various aspects of child’s physical, mental and social health in his all-time famous treatise, “The Canon of Medicine”. He has categorically classified human age according to the quality of temperament and quantity of innate heat and vital fluid. He has also classified childhood age (Sin-e-Namu) into four stages each having its own unique quality and requirement. Ibn Sina has discussed the Childcare (preventive and therapeutics aspects) under the four headings in a synchronized manner viz. Regimen for Newborn and Infants at birth (Tadbir-e-Naumolood/Neonatal Care), Regimen for Lactation and Weaning, Diseases of children and treatment and Regimen for young ones/ Adolescence. This article's goal is to look at different health promotion tactics and the contribution of Unani medicine to raising healthy kids.
AN APPROACH TO THE PREVENTION AND MANAGEMENT TETANUS
Authors: Javed Dr. Anjum
Published: December 2023

Tetanus still is a silent killer in low hygienic and poor families. However now a days it is a vaccine preventable disease. Causative agent of Tetanus is a toxin bacterium name Clostridium Tetani which is responsible as muscle spasm and autonomic nervous system dysfunction. The target of tetanus treatment to reduce spasm and cardiovascular instability and specially wound debridement is must in the affected patient antibiotics also help for supportive care. Now days IV magnesium sulphate and antitoxin administration for spasm control is very effective for ventilator support. If treatment is not given so fast then the mortality rate is very high and such patient remain in hospital for a prolonged period after the generate of secondary problems. Tetanus complications as cardiovascular problems are creating fatal problems for life.
Health Education and Family Support dalam mengatasi Ketidakpatuhan Minum Obat pada Lansia Hipertensi
Authors: Lestari Suci , Andriani Wiwiek Retti
Published: December 2023

Hipertensi merupakan penyakit yang tidak dapat disembuhkan dan penyebab kematian terbesar, namun hipertensi dapat dikendalikan melalui kontrol kesehatan secara rutin salah satunya dengan kepatuhan minum obat untuk menjaga kestabilan tekanan darah. Penelitian bertujuan untuk menganalisis asuhan keperawatan pada lansia Hipertensi dengan Ketidakpatuhan Minum Obat Hipertensi di Wilayah Kerja Puskesmas Jenangan Ponorogo. Desain penelitian deskriptif dengan pendekatan studi kasus yang melibatkan satu partisipan sesuai kriteria. Data dikumpulkan dengan melalui wawancara, observasi, pemeriksaan fisik dan dokumentasi. Intervensi untuk mengatasi masalah ketidakpatuhan menggunakan Standar Intervensi Keperawatan Indonesia (SIKI), yaitu: dukungan keluarga (Health Education) tentang penyakit hipertensi, ketidakpatuhan minum obat dan diet hipertensi. Instrumen untuk melihat tingkat kepatuhan minum obat menggunakan kuesioner MMAS-8. Hasil evaluasi setelah dilakukan implementasi selama 6 hari menunjukkan bahwa masalah teratasi, dibuktikan dengan awalnya kategori tidak patuh (skor 5) dan menjadi patuh (skor 8). Peningkatan kepatuhan dipengaruhi oleh dukungan kepatuhan Health Education dari peneliti, pasien yang kooperatif dan termotivasi patuh minum obat, konsisten dan dukungan keluarga dalam konsumsi obat.
Hubungan Antara Status Gizi Dan Faktor Maternal Lainnya Terhadap Kejadian Anemia Pada Ibu Hamil Di Puskesmas Kecamatan Cempaka Putih Kota Jakarta Pusat
Authors: Vianida Airiena , Permatasari Tria Astika Endah
Published: December 2023

World Health Organization (WHO) melaporkan bahwa pada tahun 2017 kematian ibu disebabkan oleh anemia dalam kehamilan sebesar 40%. Prevalensi anemia pada ibu hamil di Indonesia tahun 2018 yaitu sebesar 48,9%, dan di Provinsi DKI Jakarta ibu hamil anemia paling banyak pada umur 15-24 tahun sebesar 84,6%. Anemia pada kehamilan merupakan suatu masalah yang sedang dihadapi. Tujuan penelitian ini adalah menganalisis hubungan antara status gizi dan faktor maternal lainnya terhadap kejadian anemia pada ibu hamil di Puskesmas Kecamatan Cempaka Putih Kota Jakarta Pusat Tahun 2022. Penelitian ini menggunakan pendekatan Cross Sectional dengan menggunakan data sekunder periode Januari – Juli 2022. Jumlah sampel yaitu 80 ibu hamil di Puskesmas Kecamatan Cempaka Putih. Analisis yang digunakan yaitu analisis univariat, bivariat dengan uji Chi Square. Sebanyak 67,5% ibu hamil mengalami anemia, adapun hasil yang didapatkan yaitu status gizi (p-value 0,002), umur ibu (p-value 0,072), pendidikan (p-value 0,589), paritas (p-value 0,913), dan usia kehamilan (p-value 0,571). Variabel yang berhubungan dengan kejadian anemia pada ibu hamil adalah status gizi. Hasil tersebut menunjukkan bahwa ibu yang memiliki risiko KEK berpeluang 4,400 kali lebih besar untuk mengalami anemia dibandingkan ibu hamil dengan status gizi normal. Disarankan untuk meningkatkan promosi kesehatan untuk meningkatkan pengetahuan ibu khususnya mengenai anemia melalui penyuluhan poster, leaflet, dan konseling gizi.
Sclerosing Angiomatoid Nodular Transformation Disguised as Splenic Metastasis: A Case Report
Authors:   Inha University Hospital, Inha University School of Medicine, 27 Inhang-ro, Jung-gu, Incheon 22332, Korea, Suk Choi Moon
Published: December 2023

Spleen is sometimes referred to as the Neglected organ because it is always seen on computed tomography (CT) or Magnetic Resonance Imaging (MRI) scans, but rarely develops disease [1]. In addition, splenic metastases from solid tumors are considered an exceptional clinical diagnosis and are usually found as part of a broader
The use of social media in assessing the impact of war on cetaceans
Authors: Węgrzyn Ewa
Published: December 2023

War has always brought millions of silent non-human victims but the scale of this suffering is often either unknown, neglected or difficult to quantify. Further, the complexities associated with long-term and large-scale monitoring of marine species make it difficult to assess the impacts of war and the mortality of cetaceans resulting from warfare has not been investigated. Here we propose the use of a modified form of citizen science, namely gathering the information from social media. Dolphin stranding is such a poignant incident for most people, that the probability of eyewitness posting information on social media appears high. We test this idea by collecting data on cetacean strandings along the Black Sea published on the Internet over the three months of Russia's invasion of Ukraine in 2022. We also validate this method with a small-scale scientific study on cetacean mortality during the same period of time, conducted in ‘Tuzlivski lymany’ Nature National Park in Ukraine. Our dual approach has produced similar results, indicating a dramatic increase in cetacean mortality due to war operations in the Black Sea. We advocate the future use of social media to bridge the knowledge gap on the impacts of war on animals, in particular cetaceans.
A study on the improvement Strategies for the Obligations and Roles of Workers in Preventing Industrial Accidents
Authors:   Form of Public Safety and Culture, Na Min Oh
Published: December 2023

Workers play an important role in recognizing and preventing risks at work sites. However, the current Occupational Safety and Health Act does not provide rights and obligations commensurate with the worker's role as an industrial accident prevention agent. The study analyzed the regulations on workers' industrial accident prevention roles and obligations in major countries and presented the following implications to improve workers' duties and roles as subjects of industrial accident prevention.
First, the obligations of workers are specified: ① the duty to pay attention to the safety and health of others affected by their work performance (duty of care), ② the duty to work in accordance with training and instructions on safe work provided by the employer (obligation to comply), ③ reflects the obligation to report immediately upon discovery of an imminent risk of industrial accident (reporting obligation), ④ obligation to cooperate to identify the risks of the workplace and to select appropriate measures(duty of cooperation). Second, by limiting the scope of workers' obligations, it prevents comprehensive obligations from being imposed or the employer's obligations from being passed on to the employees. Third, there should be punishment provisions for workers' violation of their obligations, but punishment should be given for intentional and obvious violations, and the worker's violation of the law should not be interpreted as a reason to defend the employer's violation of the law. Fourth, judicial liability, such as disciplinary action and compensation for damages resulting from a violation of an employee's obligations, is limited to an appropriate scope considering the characteristics of the employment contract. Fifth, give workers the right to improve safety and health (right to participate, right to suggest, right to request improvement, right to report, etc.) and promote active activities.
I‘m expecting that by using the research results, future workers' participation in workplace safety and health improvement and industrial accident prevention activities will be promoted, and self-discipline based on the responsibility of industrial accident prevention subjects will be quickly established.