bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of Renal Function in Living Kidney Donors by Isotopic Measurement of Glomerular Filtration Rate with 99mTc-DTPA
Authors: Khelifa Amel , Lyazidi Abdesslam , Bouyoucef Salah Eddine
Published: December 2024

Introduction. Accurate assessment of kidney function in living kidney donors is
essential prior to surgery. The aim of this study is to demonstrate the value of 99mTc
DTPA isotope Glomerular Filtration Rate measurements (GFRmDTPA) in kidney donors
compared to the estimated technique (GFReMDRD). Methods. 203 kidney donor’s
candidates (119 women and 84 men) had a GFRmDTPA after intravenous injection of 37
MBq 99mTc-DTPA, followed by two blood samples at 2h and 4h post-injection.
DFGmDTPA was compared to GFReMDRD and patients were classified according to
KDIGO 2012 stages. Patients selected for transplantation were those with a GFR ≥
80ml/min/1.73m2. Results. Mean GFRmDTPA was 93 ml/min/1.73m2 versus 95
ml/min/1.73m2 for GFReMDRD. 124 patients (61.1%) were at stage 1 with GFRmDTPA vs
113 by GFReMDRD (55.7%). 73 patients (36%) at stage 2 by GFRmDTPA vs 87 by
GFReMDRD (42.9%). 6 patients (3%) were at stage 3 by GFRmDTPA and 3 by GFReMDRD
(1.5%). A total of 151 patients achieved a GFRmDTPA ≥ 80ml/min/1.73m2 and selected
into the transplant protocol, compared to 146 by GFReMDRD. 52 patients with GFRmDTPA
less than 80ml/min/1.73m2 compared to 57 by estimated technique were rejected from
the transplant protocol based on GFRmDTPA results. Conclusion. GFRmDTPA is a
referent method in the evaluation and selection of potential kidney donors’ candidates
with an impact on the transplant decision, but requires indications adapted to this
population.
Upper femoral fractures in patients over 80 years of age: retrospective analysis of prognostic factors
Authors: NEBCHI Leila
Published: December 2024

Aim. The primary objective of this study was to evaluate whether different types of
surgical intervention have an effect on mortality in elderly patients with fractures of the
upper end of the femur. The secondary objective was to examine the factors
associated with mortality in our population. Materials and methods. Patients aged 80
years and older who sustained a proximal femur fracture after a fall and underwent
surgery by one of three approaches (hemiarthroplasty or total hip arthroplasty and
extracapsular fracture osteosynthesis) were retrospectively reviewed. The impact on
mortality was examined according to factors such as type of surgery, type of
anesthesia, ASA score, need for intensive care, need for blood transfusions, waiting
time for surgery, and length of stay. 290 patients: 187 women and 103 men underwent
surgery in 2021 and 2023. Results. The mortality rate after the first quarter was 30%.
Patients over 80 years of age had higher mortality rates than younger patients (80-85
years). Gender had no impact on mortality. The mortality risk rate was found to be
higher than in extra capsular fractures, and the longer the preoperative period, the
higher the mortality rate, bearing in mind that the type of fracture, extra or intra
capsular, plays a role in the mortality rate from age 85 onwards. Age is the main risk
factor for first-year mortality in patients over 85 with fractures of the upper end of the
femur. In addition to advanced age, an increased need for blood transfusions and
exploration for extra capsular fractures are risk factors for first-year mortality.
Conclusion. In our experience, rapid operative management within 24 hours reduces
the risk of mortality, as does the good care of frail patients. The importance of
preventing osteopenia has been demonstrated. Fracture prevention and osteoporosis
treatment are of paramount importance.
Securing medicine circuit at the department of medical oncology at Constantine’s Universal Hospital
Authors: AYADI Amira , GACEM Hocine , BOULEFKHAD Nesrine , ACHACHI Nawel , NEHAL Chahinez
Published: December 2024

In
Algeria, medication errors are poorly understood, poorly evaluated, and
consequently poorly addressed. Securing the chemotherapy process is crucial in the
various Cancer Treatment Centers across the national territory and requires ongoing
evaluation of the process. Implementing a proactive risk management tool (FMEA)
could facilitate the identification and study of risks, as well as measure the impact of
such a tool on optimizing the quality and safety of care provided to patients by
restructuring the system into a centralized process and computerizing it. An
interdisciplinary group of experts was formed, consisting of three permanent
oncologists, two pharmacist pharmacologists, and two permanent nurses. Through
brainstorming, the process and various failure modes were described to calculate the
relative criticality index for each step as well as the overall criticality index of the entire
process before and after securing the circuit. The most prominent risks in the previous
process were identified as disorganized file and dispensation (IC 576), diluent error
(IC 450), Contamination of the handler by cytotoxic products (IC 400), and infusion
rate error (IC 400). In the new process, the most critical steps were inappropriate
quantity (IC 288), diluent error or unspecified diluent (IC 252), and labeling error (IC
189). The obtained criticality indices can be further reduced by implementing
computerized digitization tools to reinforce the measures proposed by our team, which
are relatively straightforward to implement in the context of our work.
Compounded medicines: tailored solution for rare diseases - the case of Urea Cycle Disorders and Primary Distal Tubular Acidosis
Authors: NEHAL Chahinez , AKLI Rania , AIT AISSA Ouardia Sofia , AIT HAMMOU Kenza , BOUDOUH Abdelhamid , AYADI Amira , FIALA Sarah , DJENNANE Fazia
Published: December 2024

Introduction: Rare diseases are those with a prevalence of 1 in 2,000. These include
urea cycle disorders (UCDs) and primary distal tubular metabolic acidosis (DTA). Their
treatment relies on the use of oral sodium benzoate and sodium bicarbonate,
respectively. The aim of this study was to formulate capsules of sodium benzoate and
sodium bicarbonate of 250 mg and to demonstrate their role in the treatment of these
rare diseases. Materials and Methods: A retrospective descriptive study was carried
out over a 3-year period evaluating requests for compounded medicines. Formulation
and quality control of sodium benzoate and sodium bicarbonate capsules dosed at 250
mg were performed according to Good Hospital Preparation Practices. Treatment
efficacy and adverse effects were evaluated. Results and Discussion: A total of
10106 drugs were compounded during the study period, including 325 preparations
based on drugs for metabolic disorders, i.e. 3.22% of all preparations. Sodium
benzoate accounted for 12.31% and sodium bicarbonate for 10.15% of these
preparations for metabolic disorders. The capsules were formulated with a consistent
appearance, weight uniformity and drug content with a stability of 3 months. Treatment
efficacy was followed in a population of 20 patients, 11 of whom completed the
questionnaire. A male predominance was observed in patients with UCD and primary
DTA, with the majority of patients with UCD and primary DTA having onset of
symptoms before 1 year. Treatment efficacy was observed in 9 patients with no
adverse events reported. Conclusions: The present study confirms the stability and
efficacy of compounded medicines based on sodium benzoate and sodium
bicarbonate in the treatment of UCD and DTA, making them an excellent alternative
for their treatment.
Mucopolysaccharidoses at Bab-el-Oued University Hospital: management, evolution and budgetary impact
Authors: IGUEBLALENE Sarah , HOUCINAT Loubna , MELZI Souhila , BOUZERAR Zair , HADJADJ-AOUL Fatima-Zohra
Published: December 2024

Introduction: Muccopolysaccharidoses (MPS) are a group of rare genetic diseases,
called “lysosomal overload diseases” due to enzymatic deficiencies responsible for the
accumulation of muccopolysaccharides or glycosaminoglycans (GAGs) in different
tissues. MPS causes multiple symptoms, the spectrum of severity and the organs
affected vary from one child to another, depending on the type of MPS. At Bab el Oued
University Hospital, the first patient with MPS was treated in 2017. Since then, several
children have been diagnosed and followed for MPS of different types. Our work was
carried out with the objective of taking stock of the situation on the types of MPS
supported, the number of patients treated and the evolution of treatment while
assessing the budgetary impact. Material and methods: This is a retrospective study
carried out on all patients diagnosed with MPS whatever the type, and treated at the
university hospital. Results and discussions: several patients were diagnosed but
only four with MPS I and VI were treated with Laronidase and Galsulfase. For an MPS
I
patient, symptoms progressed despite adherence to treatment. After 6 years, he
experienced an anaphylactic reaction which required the treatment to be stopped. A
poor clinical outcome was noted in an MPS VI patient due to late diagnosis and
repetitive interruptions of treatment. The other two MPS I patients have shown good
progress so far. Concerning the budgetary evaluation of this disease, the amount of
annual care for the four patients represented 9.42% of the budgetary allocation of the
hospital. Conclusion: benefits have been observed from the treatments implemented
but early treatment is recommended to avoid irreversible complications. To deal with
the delay in diagnosis and treatment, the creation of dedicated reference centers with
a specific budget is one of the recommendations which constitute a first and big step
towards improving the situation.
Obstetric antiphospholipid syndrome
Authors: BENAMER Lamya-Nawel
Published: December 2024

Antiphospholipid syndrome (APS) is a clinico-biological entity affecting essentially
females with multiple facets. It can be associated with an autoimmune disease, mainly
lupus, worsening the prognosis. Obstetric APS can present with maternal and fetal
extremely serious complications: pre-eclampsia, eclampsia, HELLP syndrome
(Hemolysis-Elevated Liver enzymes-Low Platet count), thrombo-arterial and/or venous
event, abortive disease (beyond 10 weeks), In utero fetal death (MFIU), Small weight
for gestational age (PPAG) and often induced prematurity. The new ACR/EULAR 2023
classification criteria have modified certain points for the search for Obstetric APS and
refines the diagnostic criteria. Biologically, there are 3 types of antiphospholipid
antibodies with certain high-risk profiles. Management is improved by a preconception
consultation; multidisciplinary monitoring and treatment adapted to feelings and
biological profile.
Therapeutic advances in the management of chronic kidney disease: A look at the last 10 years
Authors: ARBAOUI Ibtissame
Published: December 2024

Over the last ten years, nephrology has experienced several therapeutic advances
which have changed the management of patients with chronic kidney disease, their
quality of life and their prognoses. Among these treatments we cite Hypoxia-Inducible
Factor stabilizer which is an oral treatment for anemia, tolvaptan, treatment of
autosomal dominant polycystic kidney disease, budesonide and sparsentan for the
treatment of IgA nephropathy, denervation renal disease proposed for resistant arterial
hypertension and a molecule which has revolutionized the management of diabetic
kidney disease with and without proteinuria and kidney disease without diabetes:
inhibitors of the sodium-glucose cotransporter type 2. We will discuss these different
therapies which have given hope to doctors and patients, while waiting for what the
future holds.
60-71 aylık çocuklara uygulanan müzik etkinliklerinin mekânsal algı becerilerine etkisinin incelenmesi
Authors: Özbek Ayaz Ceylan , Tuğrul Belma
Published: December 2024

Bu araştırmada okul öncesi dönemdeki çocuklara yönelik hazırlanan müzik etkinliklerinin mekânsal algı becerilerine etkisi incelenmiştir. Araştırmanın çalışma grubunu 2023-2024 eğitim öğretim yılında Tekirdağ Süleymanpaşa’da Milli Eğitim Bakanlığına bağlı resmi anaokullarında eğitim gören 60-71 aylık 47 çocuk oluşturmaktadır. Çalışmada; nicel ve nitel araştırma yöntemlerini içeren karma araştırma yöntemlerinden sıralı açıklayıcı desen kullanılmıştır.
Araştırmada nicel veriler öğrencilere uygulanan Mekânsal Algı Gözlem Formu ile nitel verileri ise araştırmacılar tarafından geliştirilen ve deney grubunun öğretmenine uygulanan yarı yapılandırılmış görüşme formu ile toplanmıştır.
Ön test-son test kontrol gruplu deneysel desen modelinin kullanıldığı araştırmada deney grubuna 8 hafta boyunca haftada 3 gün müzik eğitim programı uygulanırken kontrol grubuna ise MEB okul öncesi eğitim müfredatı uygulanmaya devam edilmiştir.
Araştırmada elde edilen veriler bağımsız gruplar için t-test ve bağımlı gruplar için t-test teknikleri kullanılarak analiz edilmiştir.
Araştırma sonuçları deney grubunda yer alan çocukların mekânsal algı puanlarının kontrol grubuna oranla yüksek olduğunu göstermektedir. Bu bulgudan hareketle ve deney grubunun öğretmeniyle yapılan görüşme sonuçlarına göre müzik etkinliklerinin mekânsal algı becerilerini geliştirmek için kullanılabilecek etkili bir uygulama olduğu belirlenmiştir. Okul öncesi dönemdeki çocukların mekânsal algı becerilerini geliştirmeye yönelik olarak müzik etkinliklerinin programda daha çok yer alması gerektiği düşünülmektedir
Efficient Access Control for Cloud-Based User Data Storage and Sharing
Authors: SK. Pujitha  , Chintala Harish  , Ganesh Gangishetty  , Chimmula Shruthi Reddy  , Arpan Butti
Published: December 2024

Cloud computing provides flexible data management and ubiquitous data access. However, the storage service provided by cloud server is not fully trusted by customers. Searchable encryption could simultaneously provide the functions of confidentiality protection and privacy-preserving data retrieval, which is a vital tool for secure storage. In this paper, we propose an efficient large universe regular language searchable encryption scheme for the cloud, which is privacy-preserving and secure against the off-line keyword guessing attack (KGA). A notable highlight of the proposal over other existing schemes is that it supports the regular language encryption and deterministic finite automata (DFA) based data retrieval. The large universe construction ensures the extend ability of the system, in which the symbol set does not need to be predefined. Multiple users are supported in the system, and the user could generate a DFA token using his own private key without interacting with the key generation center. Furthermore, the concrete scheme is efficient and formally proved secure in standard model. Extensive comparison and simulation show that this scheme has function and performance superior than other schemes
Fashion Recommendation System Using Social Media Website
Authors: P. Anusha  , Kandula Nikhil Saradhi  , Kokkirala Sravan Kumar  , Marisetty Tejesh
Published: December 2024

Fashion knowledge encourages people to properly dress and faces not only physiological necessity of users, but also the requirement of social practices and activities. It usually includes three jointly related aspects of: occasion, person and clothing. Nowadays, social media platforms allow users to interact with each other online to share opinions and information. The use of social media sites such as Instagram has already spread to almost every fashion brand and been evaluated as business take-off tools. With the heightened use of social media as a means of marketing communication for fashion brands, it has become necessary to empirically analyses and extract fashion knowledge from them
Systematic Approaches to Optimize Opioid Prescribing in Surgical Patients
Authors: Tambe Sujit  , Kale Shravani  , Thakur Ashitosh  , Thorat Ishika  , Karishma Bhakare  , Borude Kishor
Published: December 2024

The opioid crisis has highlighted the urgent need to optimize pain management strategies in surgical settings, prompting a shift towards opioid-sparing therapies. While opioids are crucial for alleviating moderate to severe postoperative pain, their over prescription poses significant risks, including addiction and overdose. This paper examines the feasibility of achieving opioid-free surgical recovery, particularly for minor and minimally invasive procedures, with the goal of extending this practice to more invasive surgeries through enhanced recovery after surgery (ERAS) programs. It also considers the cultural factors that influence patient expectations regarding pain management in countries with lower opioid prescribing rates, such as Japan and Germany, emphasizing the need for tailored approaches in the United States. The study advocates for the exclusion of opioids at every stage of the perioperative experience, promoting opioid-free anesthesia and analgesia. A framework for optimizing opioid prescribing practices in surgical contexts is proposed, highlighting the vital roles of acute pain specialists and pharmacists in developing comprehensive pain management strategies. By incorporating multimodal analgesia techniques, including non-opioid medications and alternative therapies, healthcare providers can effectively mitigate the risks associated with opioids while ensuring adequate pain relief
Postcholecystectomy Syndrome due to Prominent Remnant of the Cystic Duct and Choledocholithiasis: A Case Report
Authors: Sachedina Archana , Choi Patrick
Published: December 2024

Postcholecystectomy syndrome is a group of common upper abdominal symptoms manifesting in patients who have undergone cholecystectomy. These symptoms may mimic some or all of the symptoms the patient had prior to cholecystectomy. The symptoms may be due to biliary or nonbiliary conditions. Patients may present with the syndrome during the early postoperative period or in the months to years after the surgery. We report a case of postcholecystectomy syndrome that appeared fifteen months after laparoscopic cholecystectomy in a patient with residual choledocholithiasis and a prominent remnant of the cystic duct with low, medial insertion. We also discuss the causes of postcholecystectomy syndrome and some algorithmic approaches to imaging workup on patients with the syndrome.
Strategies for Effectively Managing Stakeholders in 4IR Information Technology (IT) Projects
Authors: Fore Stanley , Mugobo Virimai Victor
Published: December 2024

As a result of the Fourth Industrial Revolution (4IR) and the resultant rapid growth in Artificial Intelligence (AI) technologies, effective stakeholder management in Information Technology (IT) projects has become pivotal for project success. This study explores strategies for IT stakeholder management. The emphasis is on proactive and innovative approaches. Using a mono-method research approach, data was collected through online questionnaires distributed using the Lime Survey platform, targeting IT project professionals. The findings highlight the importance of regular and transparent communication, stakeholder engagement in planning and decision-making processes, and the use of data analytics and AI for informed stakeholder engagement. Factor analysis identified two primary components: traditional engagement-focused practices and data-driven decision-making. The results underscore the necessity of integrating human-centred and technology-centric strategies to enhance stakeholder management and project success in the dynamic landscape of 4IR.
THE VOICE OF MEMORY
Authors: Elias Garcia Tatiane
Published: December 2024

This article explores the intersection between oral history, country music, and intangible heritage, with an emphasis on the experiences of the elderly. Using oral history as a methodology, we seek to understand how the personal narratives of the elderly contribute to the preservation and transmission of country culture. We analyze country music not only as an artistic expression, but also as a vehicle for collective memory and cultural identity. We highlight initiatives such as the Memórias Vivas Project in Piracanjuba, which promote intergenerational dialogue and strengthen community ties. We conclude that valuing the voices of the elderly is essential for the maintenance and revitalization of Brazil's intangible cultural heritage.
Urban and Architectural Alterations in Elbasan from Ottoman Period to Modernity
Authors: Basha Brunilda , Sağdiç Zafer
Published: December 2024

This research paper examines the transition of urban spaces and architectural changes in Elbasan, Albania, from Ottoman influence to modernity. By analyzing urban development and architectural styles from both the Ottoman and contemporary periods, the paper aims to provide a comparative perspective on the architectural language between these two periods. The study explores the alterations in
characteristics of city urbanism and architecture in Ottoman and post-Ottoman times, spanning from the early 19th century to the present day. It also examines the implications of these changes for urban spaces and cultural identity.

Through case studies and comparative analysis, the paper highlights the dynamic evolution of Elbasan’s architectural landscape and provides insights into its future development. The data was collected using a multi-faceted methodology, including archival drawings, scholarly works, maps, field visits, and observations. The results reveal significant variability in the urban and architectural patterns of the city. The differences between 18th- 19th- century Elbasan and that of the 20th and 21st centuries are profound and
distinct. However, the central area of the city, which remains the most historic part due to the survival of structures such as the castle, the clock tower, old bathhouses, and the king’s mosque, still retains traces of the Ottoman city.
(In) the Name of the Other; Albanian Migrants in Contemporary Greek Fiction and the Role of Naming
Authors: Moros Marios
Published: December 2024

This paper explores the experiences of the main character in Michalis Malandrakis’ short novel, Patriot (2018). The protagonist, an Albanian migrant in Greece, is compelled to change his name and (re) invent his identity to achieve his goals in the new country. Agim becomes Yiannis (John) and ultimately dies as Yiannis. The novel engages in an open dialogue with theoretical questions about the self and the Other, subjectivity and objectivity, as well as the feeling of “belongingness.” This paper addresses several questions: What role does the self-narrator play in constructing an identity? To what extent is the protagonist welcomed into this new world after his name change? What must he sacrifice to become accepted? And to what extent can a person (re)invent their identity?
A Comparative Analysis between Islamic Economics and Environmental Economics: Historical Development and its Significance for Contemporary Challenges
Authors: Aysan Ahmet Faruk , Canga Miranda , Kayani Umar Nawaz
Published: December 2024

This article investigates the possible relationship between Islamic and Environmental Economics to address environmental concerns. Comparative analysis shows that Environmental Economics has been more successful in addressing environmental challenges, even though both frameworks approach the economic activity with different concepts. Environmental Economics has been successful because of its all-encompassing focus on environmental factors, acceptance on a worldwide scale, relevance of policies, and individual-centered methodology. On the other hand, Islamic economics, which functions mainly at the community level, needs more clarity with broader implementation. The strengths of each strategy are examined in this research, which concludes that environmental economics provides a more flexible and universally applicable framework for promoting economic activity by environmental preservation. The results add to the current discussion on sustainable development by highlighting the significance of combining realistic, internationally recognized strategies with moral principles to create a sustainable future.
Foundations of Organizational Culture: A Comprehensive Review
Authors: Hameli Kujtim
Published: December 2024

This paper aims to provide a comparative analysis of seminal cultural studies by Schein, Hofstede, and the Project GLOBE initiative, examining their influence on contemporary organizational contexts. The study conducts a literature review and comparative assessment of the cultural models proposed by Schein, Hofstede, and the Project GLOBE initiative. Additional cultural models from Schwartz and Trompenaars are briefly reviewed to acknowledge their relevance. The analysis reveals that Schein’s model emphasizes cultural artifacts, beliefs, and assumptions; Hofstede’s model focuses on six dimensions of national cultures; and the Project GLOBE initiative identifies nine cultural dimensions affecting leadership and organizational processes. These models collectively offer a comprehensive understanding of organizational culture and its impact on behavior and performance. This paper contributes to the field by synthesizing and comparing key cultural models, highlighting their enduring significance in organizational studies and providing insights into their practical applications in various organizational settings.
Comparative Perspectives on Digital Entrepreneurship and Economic Growth: A Focus on the Western Balkans
Authors: Baush Abil
Published: December 2024

This study explores how digital entrepreneurship drives economic growth in the Western Balkans by examining factors such as digital infrastructure quality, venture capital investment, digital literacy, and policy environment. Using a mixed-methods approach, the research analyzes data from regional statistical offices, interviews with digital entrepreneurs, and investment trends. Results indicate an average internet accessibility rate of 70% and annual venture capital investments of approximately $100 million in the region. Correlation and regression analyses reveal a strong positive association between digital infrastructure quality and GDP growth, as well as between venture capital investment and the emergence of new startups. Additionally, while digital literacy shows a positive correlation with employment in the digital sector, its impact is less significant. Based on these findings, the study recommends focusing on enhancing digital infrastructure and literacy programs to support economic development. This research highlights digital entrepreneurship as a crucial catalyst for economic advancement in the Western Balkans, offering actionable insights for policymakers and identifying avenues for future research.
Էրզրումի նահանգի Քղի գավառակի հայության տեղահանությունը. Քղիից դեպի Դեր Զոր
Authors:   Armenian Genocide Museum-Institute Foundation, Kazaryan Anna
Published: December 2024

Հիմնվելով տարբեր սկզբնաղբյուրների վրա` սույն հոդվածում փորձ է արվում ներկայացնելու 1914-1915 թթ. թուրքական կառավարության՝ Էրզրումի նահանգի Քղի գավառակի հայության նկատմամբ գործադրած հալածական քաղաքականությունը, գավառակի հայության աքսորի հիմնական ուղիները, աքսորի ընթացքում հայերի հանդեպ իրականացված վայրագ գործողությունները, ինչպես նաև կոտորածների հիմնական վայրերը։ Նմանատիպ առանձին շրջանների, նույնիսկ առանձին բնակավայրերի հայության տեղահանման և բնաջնջման պատմության ուսումնասիրությունը թույլ է տալիս ավելի ամբողջական պատկերացում կազմել Հայոց ցեղասպանության իրականացման մեխանիզմների վերաբերյալ։
Roman Öğrencilerin Eğitime Erişimleri ve Aldıkları Eğitime İlişkin Öğretmen Görüşleri
Authors: Arslan Atakan , Şahin İdris
Published: December 2024

Bu çalışmada, eğitim hakkı çerçevesinde; Roman öğrencilerin eğitime erişimleri, eğitimden yararlanma durumları öğretmenlerin görüşlerine dayalı olarak incelenmektedir. Bu kapsamda eğitim hakkına erişimi engelleyici unsurlar ortaya konularak sorunların çözümüne yönelik önerilerin sunulması amaçlanmaktadır. Olgu bilim deseni özelliği taşıyan araştırmada amaçlı örnekleme tekniklerinden ölçüt örnekleme esas alınmıştır. Çalışma, Romanların yoğun bulundukları İzmir’in 6 ilçesindeki 10 ortaokulda çalışan 20 öğretmen üzerinden yürütülmüştür. Araştırmanın katılımcısı olan 10 farklı branştaki öğretmenlerin 11’i kadın, 9’u erkektir. Veriler, araştırmacı tarafından geliştirilen yarı yapılandırılmış görüşme formu kullanılarak toplanmıştır. Görüşmeler araştırmacı tarafından katılımcılarla yüz yüze yapılmış ve kayıt cihazı ile kayıt altına alınmıştır. Veri analizinde içerik analizi kullanılmıştır. Araştırmada elde edilen sonuçlara göre; genellikle Roman öğrenciler okula fiziksel erişimde sorun yaşamamakta, öğrencilerin ihtiyaçlarının karşılanmasında eğitimcilerin pozitif tutum ve yaklaşımları, eğitime erişimde desteği artırmaktadır. Buna karşın Roman ailelerin ekonomik yetersizlikleri, öğrencilerin yeterli ve dengeli beslenememeleri, okula devamsızlıkları ile Roman kültürü ve aile yapısından kaynaklı sorunlar, nitelikli eğitime erişimlerinde engeller oluşturmaktadır. Yine katılımcıların tamamına yakınına göre Roman öğrenciler, akademik başarı yönüyle akranlarının gerisinde kalmaktadır. Roman öğrencilerin aldıkları eğitimin niteliğini artırmaya yönelik öneriler, “yakın etkileyiciler” ve “uzak etkileyiciler” şeklinde iki temada toplanmıştır.
A New Data Coding Algorithm for Secure Communication of Image
Authors: Oğraş Hidayet
Published: December 2024

This paper proposes a new entropy-sensitive based data coding algorithm for the secure communication of image information between transceiver systems. The proposed algorithm utilizes chaos theory and the image information content of the reference image to create sensitivity on the decoding side for a high level of secrecy. It successfully recovers secret images at the receiver’s side using secret code series derived from both the secret and reference images, instead of direct transmission of secret image. The image information can be retrieved only through the same reference image, the same system parameters and identical code series using the proper decoding technique at the receiver. Quantitative results indicate that the average coding time for 128x128 images is approximately 0.27 seconds, while the extraction time averages 0.19 seconds, yielding impressive rates of 0.487 Mbps and 0.677 Mbps, respectively. Moreover, according to qualitative results, even a single-bit change in the reference image leads to a complete inability to decode the secret image, highlighting the robustness and security of the algorithm. Experimental results on various images show that the proposed algorithm is reliable, fast and effective in securing confidential image information.
The Impact of Governance on Structural Violence in Cameroon
Authors: Aretouyap Abdel Salam Pekekue
Published: December 2024

Governance inefficiency is responsible for unspeakable feelings of structural violence and political disenchantment. Cameroon like many other African countries is afflicted by weak governance. This study investigates the intricate relationship between governance and structural violence in Cameroon, a nation grappling with multifaceted crises rooted in historical injustices and socio-political challenges. Structural violence, defined as systematic ways in which social structures harm individuals by preventing them from meeting their basic needs, manifests in various forms, including economic deprivation, social inequality, and political marginalization. This research reveals that governance in Cameroon, characterized by corruption, sociopolitical crisis, and lack of accountability, exacerbates structural violence, particularly affecting marginalized communities. By employing a qualitative methodological framework, this study analyzes governmental policies, civil society responses, and the pervasive impact on civilian populations in the education sector, health sector, and economic sector which are domains where structural violence inflicted on the poor is the product of poor governance or bad policies. It argues that the failure of governance to address socio-economic disparities not only perpetuates structural violence but also contributes to the escalation of direct violence, further destabilizing an already fragile social fabric. Ultimately, this research emphasizes the urgent need for inclusive governance reforms that address the root causes of structural violence to foster peace, social justice, and sustainable development in Cameroon.
What Is Hidden Behind the Gravitational Constant?
There Is A Relationship Between Gravity and The Electric Field?
Authors: József Ferencz
Published: December 2024

Let’s look at Kepler’s, Newton’s, and Coulomb’s laws again. There are a few things that have escaped our attention. Kepler’s and Newton’s laws show that movement is also necessary for the creation of the gravitational force field. Gravity is a force field induced by motion. Therefore, the gravitational constant G depends on the speed, so we cannot measure it precisely. Based on Coulomb’s and Newton’s laws, it can be understood that gravity and the electric force field are related to each other. The gravitational field can be described using the electric field. Let’s ask some questions about gravity.
Can the value of G be determined by calculation?
Why can’t we measure the value of G exactly?
How can you prove that G is variable?
Is there a relationship between the gravitational force field and acceleration?
What gives the energy of a gravitational force field?
What properties do we know of the gravitational force field?
Is there a connection between the gravitational force field and the electric force field?
What connects the gravitational force field and the electric force field?
The Effect of Pulmonary Rehabilitation on Length of Hospitalization, Alveolar-Arterial Oxygen Gradient, and Interleukin-8 Levels in Hospitalized Non-Severe Community-Acquired Pneumonia Patients at Prof. I.G.N.G Ngoerah General Hospital
Authors: Putra I Wayan Angga Suamerta , Arisanti Ni Luh Putu Eka , Kamiati Luh , Candrawati Ni Wayan , Kusumawardani Ida Ayu Jasminarti Dwi , Krisdanti I Desak Putu Agung
Published: December 2024

Background: Community-acquired pneumonia is an acute infection of the lung parenchyma that can lead to inflammatory fluid exudation, thereby impairing oxygen diffusion. Pulmonary rehabilitation is a series of therapies aimed at enhancing respiratory efficiency, lung expansion, respiratory muscle strength, and clearing respiratory system secretions. Interleukin-8 (IL-8) is a pro-inflammatory cytokine that reflects epithelial injury in the respiratory system. The alveolar-arterial oxygen gradient (A-a O2) measures the oxygen difference between alveoli and arteries, which is clinically important for assessing diffusion function and distinguishing between pulmonary and extra-pulmonary causes of hypoxemia. Methods: This study is a systematic, single-center randomized controlled trial (RCT) conducted at Prof. I.G.N.G. Ngoerah Hospital from July to September 2024. The study examined the effect of pulmonary rehabilitation on length of hospitalization, A-a O2 gradient, and IL-8 levels. Results: The length of group P1 (pulmonary rehabilitation and conventional therapy) was significantly shorter by 1.16 days (p = 0.013). Pulmonary rehabilitation significantly reduced A-a O2 and IL-8 levels, with a median decrease from day one to day five of 16.00 mmHg in group P1 and 7.50 mmHg in group P2 (conventional therapy) (p = 0.000). IL-8 levels also significantly decreased, with a median reduction of 41.81 pg/ml in group P1 and 18.35 pg/ml in group P2 (p = 0.025). Conclusion: The combination of pulmonary rehabilitation and antibiotic therapy effectively reduces the length of hospitalization, A-a O2 levels, and IL-8 in hospitalized non-severe community-acquired pneumonia patients.
The Correlation Between Age of Diagnosis and Quality of Life in Children with Congenital Hypothyroidism: A Cross Sectional Study in A Limited Resource Setting
Authors: Rahma Dhinda Adilia Zulia , Rochmah Nur , Mudjanarko Sony Wibisono , Qurnianingsih Ema
Published: December 2024

Background and Objectives: Thyroid hormones have a significant impact on how the brain develops. The quality of life is greatly impacted by early diagnosis. Analyzing the correlation between the age of diagnosis and quality of life in children with congenital hypothyroidism in a setting with limited resources was the aim of this study. Materials and Methods: A cross-sectional study was performed on 31 children with congenital hypothyroidism who were still under routine control from August 2023 to February 2024. The generic Pediatric Quality of Life Inventory (PedsQL) scale was used to measure quality of life, while age at diagnosis was obtained from the patient’s medical record data. The normality test was performed and followed by Spearman analysis. Result: A total of 15 out of 31 children were aged between 2-4 years old. There were 15 respondents who were successfully diagnosed <6 months. There were 14 children who were diagnosed with central hypothyroidism. The average PedsQL score of 16 children was in the poor category (0-76). Age of diagnosis and quality of life showed abnormal distribution with Asymp. Sig (2-tailed) < 0.05. There was a correlation between age of diagnosis and quality of life (α=0.05, p=0.042, p<α). The Spearman correlation was in the negative distribution (-0,366), so the correlation between age of diagnosis and quality of life was inversely proportional. Conclusion: In children with congenital hypothyroidism, the age of diagnosis was associated with the quality of life overall, but was not significantly with each quality of life sector.
Teachers' perceptions on the need for the development of their digital skills, under the Tech Talent School for Educators program, in the Covid-19 era.
Authors: Iatrou Paraskevi , Psarrou Stella , Telekfalvi Gabriela , Papagiannopoulou Renolena
Published: December 2024

This paper is a quantitative research study of teachers' perceptions and experiences in relation to their training needs and expectations for the improvement of their digital skills, considering the special circumstances due to the COVID-19 pandemic. The research data were gathered in order to design, administer, and evaluate a 15-hour synchronous distance training program. The research tool used was questionnaires, and the research questions were: (1) To what extent do teachers consider that they need training for the development of their digital skills and for their professional empowerment? (2) To what extent did the structure and implementation of the specific program meet their expectations and needs? The findings of the research show that teachers consider their training necessary for the development of their digital skills and that the level of satisfaction of the participants in the program is high.
A systematic review of afterschool STEM literature in education
Authors: Sogut Mehmet , Tasar Mehmet Fatih
Published: December 2024

In this study, the literature on Afterschool STEM education was reviewed from the Proquest database. Within the scope of the research, 25 theses and dissertations that met the criteria were examined. The year, type, a method used, data collection tools, study group and number, and keywords of the theses were systematically analyzed. The systematic review method, one of the qualitative research methods, was used to examine the graduate theses on Afterschool STEM.  As a result of the findings obtained by examining the theses related to Afterschool STEM; it was found that the first thesis study was a doctoral dissertation in 2003, there was a great increase in the number of theses published in 2015, and no thesis was published between 2004-2013, and most of the published theses were in the doctoral thesis type. In addition, in the distribution of theses according to the fields selected in the Proquest database, it was determined that most theses were published in the field of Science Education, qualitative and mixed research methods were used equally and mostly as research methods, and survey, interviews, and observation were mostly used as data collection tools. In the analyzed theses, data were collected mostly from Middle school students. When the number of participants in the theses was examined, the participants between 31-100 were mostly preferred in the studies. According to the keywords used in the theses, the words "education", "out of school time", "afterschool", "STEM" and "STEM education" were preferred.
TRATAMENTO DAS COMUNICAÇÕES BUCO SINUSAIS
Authors: Ribeiro Bruce Vinicius Borges , Leonel Augusto César Leal da Silva , Reis Philippi Machado dos
Published: December 2024

A comunicação orofaríngea é uma complicação que pode ocorrer após a extração de pré-molares e molares superiores devido à proximidade das raízes com o seio maxilar. Essa comunicação cria uma conexão entre a cavidade oral e o seio, alterando a flora bacteriana. Em casos crônicos, o orifício pode se epitelizar, formando uma fístula orofaríngea. O tratamento inclui exame clínico para avaliar a extensão do problema, além de medicamentos como analgésicos, anti-inflamatórios, antibióticos e descongestionantes. O fechamento cirúrgico pode ser realizado por meio de retalho vestibular ou palatino ou por meio de sutura, dependendo da extensão da comunicação. O tratamento ideal para a fístula orofaríngea inclui irrigação do seio maxilar, uso de medicamentos e intervenção cirúrgica, como desbridamento do tecido conjuntivo e enxerto, cuja área doadora é a região palatina, além do uso de LPRF e tecido adiposo. O objetivo da revisão da literatura é descrito como o tratamento da fístula do seio oroantral, que é um processo delicado que envolve etapas desde o diagnóstico até o fechamento completo.
A MITIGAÇÃO DO PRINCÍPIO DA PRESUNÇÃO DE INOCÊNCIA DIANTE DA ATUAÇÃO MIDIÁTICA NA FORMAÇÃO DA OPINIÃO PÚBLICA NOS JULGAMENTOS DO TRIBUNAL POPULAR DO JÚRI
Authors: Silva Paulo Eduardo Batista da , Tupinambá Gustavo Luis Mendes
Published: December 2024

O presente artigo visa analisar a influência da mídia diante dos julgamentos do Tribunal Popular do Júri e como ela impacta o princípio da presunção de inocência. Partiu-se do seguinte questionamento: a atuação massiva da imprensa na cobertura de crimes a serem julgados pelo Tribunal Popular do Júri pode comprometer o princípio da presunção de inocência?. Assim, a pesquisa foi realizada pela técnica do método qualitativo, procedeu-se com pesquisa bibliográfica, documental, como também, por outros artigos científicos para compreender como o fenômeno da propagação em massa das notícias podem influenciar o imaginário dos julgadores e macular o estado de inocência do réu. Infere-se do presente estudo que é necessário maiores debates sobre o tema, visto que se trata de dois direitos constitucionalmente estabelecidos. Contudo, é imperiosa a reflexão sobre a força de influência dos meios de comunicação e aos prejuízos que podem trazer aos direitos e garantias do réu durante o processo e em uma futura sentença.
Improving Access to Justice for Women Who Kill Their Abusers: Practitioner Insights and Experiences
Authors: Tyson Danielle , Naylor Bronwyn , Tarrant Stella
Published: December 2024

Over the past decade, Australia has made significant reforms aimed at improving legal understandings of intimate partner violence, women’s use of force and their access to self-defence. While some courts have recognised the cumulative effects of coercive control and social entrapment on women’s responses, significant problems remain that deny many women access to justice. This article presents findings from a Victorian pilot study involving interviews with lawyers and experts who work with victim-survivors in these cases. Results revealed that a number of interviewees had limited knowledge of the family violence legislation. While psych-based expertise was seen as helpful, this tended to be in limited ways. Interviewees emphasised both the challenges accessing, and limited authority afforded, family violence experts/expertise by the courts. We conclude with recommendations for building the workforce and capacity of experts to work in this area and targeted training to skill up practitioners to more effectively utilise the family violence evidence provisions throughout the whole court process.
Advancing Socially Just Intimate Partner Violence Expert Testimony for Victim-Survivors Charged with Homicide: Critiquing the Old Bones of Knowledge
Authors: Smith Rachel , Tolmie Julia , Wepa Dianne , Wilson Denise
Published: December 2024

In assessing whether victim-survivors of intimate partner violence (IPV) were acting in self-defence in response to homicide charges, the criminal court favours disciplinary knowledges which erase social context and structural violence. This article argues that these factors are integral to understanding victim-survivors' experiences of IPV. The courts' overreliance on Euro-Western psych disciplines (psychiatry and psychology) that privilege neoliberal ideas of self and perpetuate flawed psychological theories of IPV is a significant problem. Critically, the white epistemology underpinning the psych disciplines and mainstream theories of IPV omit any appreciation of the operation of colonial violence, institutional racism, and the marginalisation of Indigenous women. This article suggests that experts must be able to critique the family violence response system using intersectional and anti-colonial conceptual frameworks. This will assist the criminal courts in understanding Indigenous and marginalised women's realities and support socially just outcomes in cases involving prosecuted victim-survivors. The article concludes by sharing the authors’ insights from providing expert evidence on social and systemic entrapment at trial and sentencing in the 2020 New Zealand case of R v Ruddelle.
Pengembangan Media Pembelajaran Berbasis Wordwall untuk Meningkatkan Pemahaman Siswa pada Mata Pelajaran IPA Sub Tema Ekosistem pada Siswa Kelas 5 di SDN 19 Muara Telang
Authors: Zahra Aprilia , Yusuf Yusni Arni , Anggraini Novita Citra , Amelia Suci
Published: December 2024

The aim of this research is to use Wordwall as a learning tool to improve students' understanding of Natural Sciences (IPA), with special emphasis on the ecosystem subtheme. Grade 5 students at SDN 19 Muara Telang use this media as an interactive learning alternative that is interesting and easy to use. This research uses research and development (R&D) methods using the ADDIE model (Analysis, Design, Development, Implementation and Evaluation). 30 students in grade 5 were research subjects. This research shows that the use of Wordwall media can increase students' understanding of ideas. ecosystem. The pretest and posttest results which increased by an average of 25% show this improvement. This media also received positive responses from students and teachers, who found it interesting, interactive and easy to understand. Therefore, the development of Wordwall-based learning media can be recommended as a way to improve the quality of science learning, especially the ecosystem sub-theme.
Implementation of Organizational Communication at Madrasah Aliyah Plus Taruna Teknik Al Jabbar Medan in Enhancing Teacher Performance
Authors: Nasution Toni , Mesiono Mesiono , Annisa Raudatun , Fuadi Wan Anwar , Siagian Indra Sakti
Published: December 2024

The study aims to analyze the implementation of organizational communication at Madrasah Aliyah Plus Taruna Teknik Al Jabbar Medan and its impact on improving teacher performance. This research employs a descriptive qualitative approach with the main informants being the head of the madrasah and the teachers. Data were collected through interviews, observations, and documentation, and then analyzed through data reduction, data presentation, and conclusion drawing, using triangulation techniques to ensure validity by comparing data collection methods. The results show that the head of the madrasah employs various communication strategies, including personal approaches, regular meetings, the use of digital media, and awarding high-performing teachers. However, obstacles such as differing perceptions, language limitations, and suboptimal use of communication media were identified. In conclusion, effective communication has been shown to improve teacher performance, and communication barriers can be addressed with structured strategies and appropriate media utilization.