bluuebunny/crossref_metadata_2025 huggingface dataset:
El seguro de responsabilidad civil de los profesionales sanitarios: cuestiones problemáticas
Authors: Martínez-Gijón Machuca Pablo
Published: October 2024

El análisis de la evolución del seguro de responsabilidad civil de los profesionales sanitarios obliga a tener en cuenta la incidencia que en el ámbito de la responsabilidad sanitaria están teniendo los efectos derivados de la pandemia originada por la COVID-19. Esta, cuyas consecuencias en la actualidad siguen manifestándose de forma bastante virulenta, ha reducido la siniestralidad vinculada a este tipo de seguro porque el número de actos médicos no relacionados directamente con la COVID-19 se ha reducido notablemente. Pero, al mismo tiempo, ha provocado la aparición de nuevos tipos de reclamaciones que, con anterioridad, eran más excepcionales. La ponencia tiene por objeto analizar las particularidades del seguro de responsabilidad civil de los profesionales sanitarios, no solo las que se regulan contractualmente en las pólizas comercializadas por las entidades aseguradoras, sino también las que se presentan por la posibilidad de reclamar ante la jurisdicción contencioso-administrativa o la civil, según los casos, y por el ejercicio de la acción de repetición contra las aseguradoras de responsabilidad civil de los facultativos de los cuadros médicos de las entidades aseguradoras de asistencia sanitaria.
Inteligencia artificial en la fecundación in vitro
Authors: Meseguer Escrivá Marcos
Published: October 2024

El tratamiento de la infertilidad ha evolucionado continuamente desde el nacimiento de Louise Brown en 1978. La fecundación in vitro (en adelante, FIV) se basa en una serie compleja de eventos interrelacionados, cada paso del procedimiento tiene varias variables impactando al otro. Por lo tanto, para sobresalir y lograr el objetivo final de un nacido vivo único saludable en el lapso de tiempo más corto posible, es necesario optimizar el éxito y eficacia en cada uno de estos trámites y variables. El éxito de los tratamientos de reproducción asistida depende de la interacción entre distintos factores. Las características de la paciente, la medicación administrada y los laboratorios de FIV y andrología contribuyen en gran medida a la consecución del embarazo. La tecnología empleada y las diferencias entre embriólogos, para identificar embriones con alto potencial de embarazo, provoca variabilidad en los resultados clínicos. Se ha propuesto el uso de big data y algoritmos de inteligencia artificial (en adelante, IA) para evitar la subjetividad y mejorar los resultados de los tratamientos de reproducción asistida (Blank et al., 2019; Curchoe y Bormann, 2019).
Los nuevos retos del derecho del deporte en el siglo XXI
Authors: López Candela Javier Eugenio
Published: October 2024

El presente trabajo constituye un examen actualizado de las cuestiones más palpitantes del derecho del deporte. Se trata de un examen interdisciplinar sobre la base de los temas más candentes en la jurisprudencia y en la doctrina. Y ello alcanza tanto al ámbito del derecho constitucional (derechos fundamentales e igualdad), como del derecho de la competencia, tributario, laboral y administrativo. Se van a tratar las novedades del proyecto de ley de la nueva ley del deporte, así como de la nueva Ley Orgánica 11/2021, de 28 de diciembre, y aquellas cuestiones que requerirán una respuesta jurisdiccional futura en todos los órdenes.
La resolución de controversias deportivas: vías previas y alternativas al recurso judicial
Authors: Carbonell Porras Eloísa
Published: October 2024

La legislación deportiva internacional y nacional se caracteriza por la búsqueda de mecanismos de resolución de conflictos que permitan eludir la intervención de los tribunales de justicia. A esta finalidad responde la creación en 2013 del Tribunal Administrativo del Deporte, órgano administrativo al que se atribuye la resolución en vía de recursos de cuestiones disciplinarias y electorales. Igualmente, una de las federaciones más importante, la Real Federación Española de Fútbol, cuenta con un órgano estatutario, el Comité Jurisdiccional, destinado a resolver conflictos entre los miembros de la federación. Al análisis de las cuestiones fundamentales de ambos órganos se dedica esta ponencia.
Sobre la defensa del Estado de derecho en la Unión Europea
Authors: Cortés Martín José Manuel
Published: October 2024

Aparte de la invasión de Ucrania, pocos temas están causando tanta preocupación a la Unión Europea como la crisis del respeto del Estado de derecho. Polonia y Hungría continúan encabezando la clasificación de los mayores infractores, aunque no son los únicos. Poco a poco está surgiendo el consenso sobre la ausencia de una verdadera democracia en Polonia, mientras que Hungría se acerca peligrosamente a ese estatus, habiendo experimentado en los últimos tiempos una peligrosa erosión de la vigilancia judicial sobre el poder ejecutivo. Todos estos desafíos requieren una adecuada reacción de las instituciones de la Unión porque la realidad de los últimos años refleja un creciente número de casos en los que algunos gobiernos buscan conscientemente socavar sistemáticamente algunos de los valores claves de la Unión. Es entonces cuando nos hemos dado cuenta de las insuficiencias del artículo 7 del Tratado de la Unión Europea para abordar los desafíos sistémicos contra estos valores, permitiendo un desafortunado impasse en el Consejo. Sin embargo, desde finales de 2017 una serie de fallos fundamentales han revelado la firme voluntad del Tribunal de Justicia de la Unión Europea para actuar como guardián de la ortodoxia del orden constitucional europeo para proteger, al menos, la independencia judicial en los Estados miembros. En este contexto, los procedimientos de infracción a través del procedimiento acelerado, acompañados de medidas cautelares de suspensión bajo apercibimiento de cuantiosas multas, han demostrado ser una forma efectiva de reaccionar frente a la actual crisis del Estado de derecho en algunos Estados miembros.
MY LESSON STUDY JOURNEY
Authors: Lewis C.C.
Published: October 2024

I share my Lesson Study journey from the 1990s to the present. I have experienced many failures, and each failure revealed a new problem to be solved through collaboration with people in diverse roles – teachers, administrators, researchers – in several countries. Working together, we have ultimately shown a positive impact on one of the most serious problems facing U.S. education – our poor mathematics achievement and achievement gaps related to historical privilege.

Мен 1990 жылдардан бастап қазіргі уақытқа дейін Сабақты зерттеу жолындағы өз тәжірибемді бөліспекшімін. Бұл жолда көптеген сәтсіздікті бастан өткердім және әрбір сәтсіздік жаңа проблеманы анықтауға ықпал етті, мұны шешу үшін бірқатар елдің әртүрлі лауазымдағы адамдары – мұғалімдермен, басшылармен, зерттеушілермен ынтымақтасу қажет болды. Бірлескен жұмыс нәтижесінде біз америкалық білім берудегі ең маңызды проблемалардың бірі – математика пәні бойынша үлгерімі төмен және тарихи артықшылықтарға байланысты оқу үлгеріміндегі олқылықтарды шешуге оң әсер ете алдық.
MAKING A LASTING DIFFERENCE: HOW CAN SCHOOLS SUSTAINABLY IMPLEMENT LESSON STUDY AS AN IN-SERVICE PROFESSIONAL DEVELOPMENT APPROACH?
Authors: Seleznyov S.
Published: October 2024

This article explores what can be learnt from decades of Lesson Study activity in the UK, with a view to supporting its international implementation more broadly. The article begins by exploring the findings of a policy network analysis of how Lesson Study came to the UK and moved around people, organisations and events, as well as shifts in the importance of various key “policy entrepreneurs” over time as they shaped the trajectory of Lesson Study. It also explores the extent to which those engaged with Lesson Study believe that the last 40 years of work have led to fruitful outcomes in terms of teacher education. Subsequently, the article explores implementation lessons drawn from six case studies of the adoption of Lesson Study in UK schools, including both sustained and abandoned cases, to analyse the challenges and possibilities for Lesson Study in schools. Finally, it suggests further avenues of research which the international Lesson Study research community might usefully consider.

Мақалада Сабақты зерттеуді халықаралық деңгейде енгізуді қолдау мақсатында Ұлыбританиядағы Сабақты зерттеу қызметінің нәтижелері негізіндегі ұсыныстар қарастырылады. Мақала Сабақты зерттеу саясатының желілік талдау нәтижелерін, оның Ұлыбританияға қалай келгенін және білім беру ұйымдарында қалай дамығанын, белгілі бір уақыт ішінде Сабақты зерттеу траекториясын анықтайтын әртүрлі негізгі «стратегиялық кәсіпкерлердің» ролі қалай өзгергенін зерттеуден басталады. Сондай-ақ «Соңғы 40 жыл бойы сабақты зерттеумен айналысатындар бұл тәсіл педагогикалық білім беру тұрғысынан жемісті нәтижелерге әкелді деп санайды ма?» деген сұрақ зерттелді. Мектептердегі Сабақты зерттеудің қиындықтары мен мүмкіндіктерін талдау үшін Сабақты зерттеуді қолданудың алты нақты мысалына, соның ішінде тұрақты және тоқтатылған жағдайларға негізделген нәтижелер ұсынылған. Қорытындыда Сабақты зерттеу бойынша халықаралық зерттеушілер қауымдастығы өз тәжірибесінде қолдана алатын қосымша зерттеу бағыттары ұсынылады.
NALIKULE COLLEGE OF EDUCATION AND ITS CLUSTER SCHOOLS: CONSTRUCTING PROFESSIONAL LEARNING COMMUNITIES IN SECONDARY SCHOOLS IN MALAWI
Authors: Vwalika K.D.
Published: October 2024

This article explores Nalikule College of Education’s innovative approach to addressing the multifaceted challenges faced by secondary schools in Malawi. Recognizing the crucial role of ongoing professional development, Nalikule College of Education has implemented a program to create professional learning communities (PLCs) within eight cluster schools, utilizing Lesson study as a core practice. It highlights how Lesson study, with its emphasis on collaborative reflection and inquiry, addresses challenges such as limited resources, diverse student needs, and the implementation of inquiry- based teaching methods. By establishing PLCs, Nalikule College of Education aims to cultivate a collaborative learning environment, encouraging the exchange of ideas, strategies, and best practices amongst educators.

Бұл мақалада Малавидегі орта мектептерде кездесетін көп қырлы проблемаларды шешуге бағытталған Наликуле педаго- гикалық колледжінің инновациялық тәсілі қарастырылады. Үздіксіз кәсіби дамудың маңыздылығын негізге ала отырып, Наликуле педагогикалық колледжі тиімді құрал ретінде Сабақты зерттеуді пайдалана отырып, сегіз кластерлік мектепте кәсіби білім қоғамдастықтарын (PLC) құру жөніндегі бағдарламаны енгізді. Сабақты зерттеудің негізі болатын бірлескен рефлексия мен зерттеуді басшылыққа ала отырып, шектеулі ресурстар, оқушылардың алуан түрлі қажеттіліктері мен зерттеуге негізделген оқыту әдістерін енгізу сияқты проблемаларды шешу жолдары баяндалады. Кәсіби қоғамдастықтар құра отырып, Наликуле педагогикалық колледжі педагогтер арасында идеялар, стратегиялар мен озық тәжірибе алмасуды дамытып, бірлесіп оқыту ортасын құруға ұмтылады.
Pengabdian Masyarakat Untuk Sistem Informasi Potensi Wisata Desa Kota Pari Kecamatan Serdang Bedagai Berbasis Web
Authors: Rizal Chairul , Fachri Barany , Hendry  , Irwan  , Ricky Ramadhan Harahap
Published: October 2024

Pengabdian masyarakat ini bertujuan untuk merancang dan mengimplementasikan sistem informasi berbasis web yang mempromosikan potensi wisata desa. Kegiatan ini dilaksanakan di Desa Kota Pari, yang memiliki kekayaan alam dan budaya yang beragam namun kurang dikenal secara luas. Dengan pendekatan partisipatif, tim pengabdian bekerja sama dengan pemerintah desa dan masyarakat setempat untuk mengidentifikasi potensi wisata, merancang sistem informasi, dan memberikan pelatihan kepada warga mengenai pengelolaan dan pemeliharaan sistem tersebut. Hasil dari pengabdian ini adalah terbentuknya sebuah situs web yang informatif dan mudah diakses, yang diharapkan dapat meningkatkan jumlah kunjungan wisatawan ke desa tersebut. Selain itu, melalui kegiatan ini, masyarakat setempat menjadi lebih sadar akan pentingnya memanfaatkan teknologi dalam mempromosikan pariwisata lokal. Evaluasi terhadap penggunaan sistem menunjukkan respon positif dari pengguna dan peningkatan jumlah wisatawan. Keberlanjutan program ini diharapkan dapat terus memberikan manfaat jangka panjang bagi Desa Kota Pari.
Surgical Tracheostomies: A Retrospective Chart Analysis Comparing ENT Specialists and Residents
Authors: Dallari Virginia , De Cecco Francesca , Liberale Carlotta , Mazzola Marco , Arsie Athena Eliana , Arietti Valerio , Monzani Daniele , Sacchetto Luca , Molteni Gabriele
Published: October 2024

AIM: The primary aim of our retrospective chart review is to compare open surgical (OS) tracheostomies performed by specialist and supervised resident surgeons, focusing on surgical time and post-surgical complications. The secondary objective was to compare these data based on the years of surgical experience for both specialists and residents.
METHODS: All patients undergoing surgical tracheostomy at the Unit of Otorhinolaryngology, Head & Neck Department, University of Verona between 1 January 2017, and 31 December 2022, were subjected to a retrospective analysis. A total of 385 OS tracheostomies were included in the study. Procedures conducted by supervised residents across various training years were compared with those performed by junior and senior specialists, focusing on surgical duration and postoperative complications. Subsequently, these data were stratified based on the surgical experience of subgroups: residents were categorized into 4 years of training, and specialists were categorized into junior (with less than 5 years of experience) and senior (with at least 5 years).
RESULTS: Statistical analysis concerning patients' anatomy revealed a significant increase in operative times among those with no palpable neck landmarks (p = 0.006) and those with previous neck surgery (p = 0.039). Among patients' comorbidities, only anticoagulant or antiaggregant therapy was found to prolong operative time (p = 0.018), while the ASA score did not correlate with the duration of surgery. Finally, no statistically significant differences in surgical time were observed (p = 0.287), and no significant differences in complication frequency were reported between supervised residents and specialists (p = 0.908), regardless of years of experience.   
CONCLUSIONS: Under appropriate supervision, OS tracheostomy has demonstrated safety for residents as early as their first year of residency. Residents can perform tracheostomies without significantly prolonging the duration of the operation or increasing the risk of peri- and post-operative complications.
Anesthetic Effects of Dexmedetomidine Combined with Nalbuphine in Patients Undergoing Laparoscopic Cholecystectomy and its Impact on Nutritional Status
Authors: Yang Yue , Zhang Li , Yao Wanjun
Published: October 2024

AIM: Laparoscopic cholecystectomy (LC) is a common surgical procedure for the removal of the gallbladder. Effective anesthesia is crucial for ensuring patient comfort and safety during LC. Dexmedetomidine, a selective α2-adrenergic agonist, is widely used as an adjunct to anesthesia due to its sedative and analgesic properties. Nalbuphine, a synthetic opioid analgesic, is also employed for pain management during various surgical procedures. This study aimed to determine the anesthesia effects of dexmedetomidine combined with nalbuphine on patients undergoing LC and its impact on their nutritional status.
METHODS: The clinical records of 100 patients who underwent LC at Wuhan No.1 Hospital between January 2021 and January 2022 were analyzed retrospectively. Forty-six patients who received intravenous dexmedetomidine (0.4 µg/kg) were assigned to the control group, while fifty-four patients who received intravenous nalbuphine (0.2 mg/kg) and dexmedetomidine (0.4 µg/kg) were assigned to the study group. The outcomes compared between the two groups included heart rate (HR), mean arterial pressure (MAP), Riker sedation-agitation scale (RSAS) scores, visual analogue scale (VAS) scores, duration of operation, awakening time from anesthesia, extubation time, adverse reactions, and nutrition-related indicators before and after surgery.
RESULTS: There were no significant differences in MAP between the groups at the same time point (p > 0.05). However, at T1 and T3, the study group had significantly lower HR compared to the control group (p < 0.05), with no significant differences in HR at other time points (p > 0.05). The study group exhibited significantly lower RSAS scores compared to the control group (p < 0.01). No significant differences were observed between the groups in terms of duration of operation, awakening time from anesthesia, and extubation time (p > 0.05). At 6 hours post-operation, there were no significant differences in VAS scores between the groups (p > 0.05), but at 12, 24, and 48 hours post-operation, the study group had significantly lower VAS scores compared to the control group (p < 0.0001). No significant inter-group difference was observed in the total incidence of adverse reactions (p = 0.180). Additionally, one week after surgery, the study group exhibited significantly higher levels of albumin, prealbumin, transferrin, and total protein compared to the control group (p < 0.0001).
CONCLUSIONS: Dexmedetomidine combined with nalbuphine provides a superior anesthetic effect compared to dexmedetomidine alone in patients undergoing LC. This combination effectively controls hemodynamic fluctuations during the recovery period and reduces agitation without affecting the awakening time from anesthesia. These findings suggest that this combination is beneficial and worth promoting.
Oncologic Outcomes and Safety Assessment of Retroperitoneal Laparoscopic Partial Nephrectomy versus Open Partial Nephrectomy in Treating Patients with Localized Renal Cell Carcinoma: A Propensity Score Matching Study
Authors: Chu Yamin , Jin Pei , Xu Nuan , Mu Xiaoyan
Published: October 2024

AIM: Surgical intervention is crucial in radical resection of renal cell carcinoma (RCC). Different surgical procedures have different oncologic outcomes and safety in patients with RCC. Therefore, we aimed to investigate the oncologic outcomes and safety of retroperitoneal laparoscopic partial nephrectomy (RLPN) versus open partial nephrectomy (OPN) in treating patients with localized RCC.
METHODS: This retrospective cohort study included 160 patients with localized RCC who underwent either OPN or RLPN from January 2016 to June 2020. Out of these patients, 75 patients were treated with OPN and 85 patients were treated with RLPN. After propensity score matching, 130 patients (65 cases in each group) were finally included in the analysis. Additionally, surgical outcomes, three-year survival rates, and renal function parameters were assessed between the two groups, and the data were statistically analyzed using SPSS.
RESULTS: Compared to the OPN group, RLPN demonstrated significantly shorter surgical time, lower estimated blood loss (p < 0.05), and lower incidence of complications (p = 0.024). In contrast, the RLPN group had significantly longer warm ischemia time (p = 0.011) than the OPN group. Furthermore, there were no significant differences in three-year overall survival, disease-free survival, cancer specific survival rates, positive surgical margins, hospitalization time between the RLPN and OPN groups (p > 0.05). The incidence of complications in the RLPN group was significantly lower than that in the OPN group (p = 0.024). Postoperatively, creatinine level was significantly lower following RLPN at one year compared to OPN (p = 0.029).
CONCLUSIONS: RLPN offers advantages in surgical time, estimated blood loss, and postoperative complications, and it positively affects postoperative renal function, while OPN shows a shorter warm ischemia time. These two approaches result in comparable three-year survival rates. This study provides valuable insights into the oncologic outcomes and safety of RLPN compared to OPN in treating localized RCC.
Effects of Different Ultrasound-Guided Nerve Block Modalities on Inflammatory Stress Response in Elderly Patients after Total Hip Arthroplasty
Authors: Liu Jie , Xia Hailu , Liu Xin , Cui Jingjing , Wang Jianhua , Jing Yumo
Published: October 2024

AIM: This study aimed to evaluate the impact of different ultrasound-guided nerve blocks on the postoperative inflammatory and stress response in elderly patients undergoing total hip arthroplasty (THA), providing a theoretical foundation for clinical application.
METHODS: Elderly patients with THA who received ultrasound-guided nerve block combined with general anesthesia from June 2021 to June 2022 in the hospital were selected as a retrospective cohort study. Patients were divided into two groups based on the type of nerve block used. The observation group (n = 60) received ultrasound-guided pericapsular nerve group (PENG) block combined with femoral nerve block (FNB), while the control group (n = 60) received ultrasound-guided PENG block. The cortisol (Cor), tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), visual analogue scale (VAS) scores, and pain medication consumption in both groups were compared.
RESULTS: The observation group demonstrated significantly lower serum levels of Cor, TNF-α, and IL-6 at postoperative 1 day, 3 days and 7 days, as well as lower soluble protein-100β (S100β) levels at postoperative 1 day compared to the control group (p < 0.001). The VAS score in the observation group was significantly lower than that in the control group at postoperative 1 day, 3 days and 7 days (p < 0.001), with no significant difference in preoperative VAS score between the two groups (p > 0.05). Additionally, opioid consumption in the observation group was significantly lower than that in the control group at postoperative 48 h (p < 0.001).
CONCLUSIONS: The combination of ultrasound-guided PENG block and FNB effectively reduces postoperative pain and the inflammatory response in elderly patients undergoing THA, facilitating early recovery.
Effect of Sugammadex on Postoperative Pulmonary Complications and Rapid Recovery in Lung Cancer Patients Treated with Video-Assisted Thoracic Surgery: A Retrospective Cohort Study
Authors: Song Tianhao , Xing Lingxi , Ding Yuyan , Gu Xiaolan , Gao Rong , Qiu Lei , Gu Lianbing
Published: October 2024

AIM: This study aimed to investigate the effects of sugammadex on postoperative pulmonary complications and rapid recovery in lung cancer patients undergoing video-assisted thoracic surgery (VATS).
METHODS: A retrospective analysis was conducted on the clinical data of 1131 lung cancer patients. Of these, 631 patients received sugammadex at the end of anesthesia, while 500 patients did not. To mitigate potential confounding factors, propensity score matching (PSM) was employed at a 1:1 ratio. After matching, 435 patients were obtained from each group. Patients who received sugammadex at the end of anesthesia were classified into Group S (n = 435) and those who did not receive sugammadex were Group P (n = 435). Postoperative pulmonary complications, indicators of recovery after surgery, nausea and vomiting, pain and lung infection scores and biochemical indices were compared between the two groups.
RESULTS: Compared to Group P, Group S demonstrated statistically significant improvements across multiple perioperative and postoperative outcomes. Group S exhibited a lower incidence of postoperative pulmonary complications (χ2 = 9.52, p = 0.002), as well as reduced durations for several key time intervals: from the cessation of muscle relaxation to extubation (Z = 12.96, p < 0.001), from the conclusion of surgery to extubation (Z = 13.66, p < 0.001), and total operating theatre occupancy (Z = 5.81, p < 0.001). Furthermore, Group S showed accelerated recovery in terms of time to first oral intake (drink: Z = 3.80, p < 0.001; eat: Z = 3.80, p < 0.001), time to defecate (Z = 3.25, p = 0.001), and time to chest tube removal (Z = 5.04, p < 0.001). Pain management outcomes were also superior in Group S, with lower motor visual analogue scale (VAS) scores at both 24 h (Z = 4.71, p < 0.001) and 48 h (Z = 5.05, p < 0.001) postoperatively. Group S additionally demonstrated a lower modified Clinical Pulmonary Infection Score (mCPIS) (Z = 4.68, p < 0.001), reduced complication rates during the general anesthesia awakening period (χ2 = 23.54, p < 0.001), and a lower incidence of renal function abnormalities (χ2 =12.65, p < 0.001). Certain parameters, including total hospital stay duration and postoperative drainage volume, did not differ significantly between the two groups (p > 0.05).
CONCLUSIONS: Sugammadex can effectively reduce the incidence of postoperative pulmonary complications in lung cancer patients treated with VATS, and help promote their rapid postoperative recovery with significant clinical benefits.
Application of Health Belief Model and Theory of Planned Behavior-Based Care in Patients undergoing Surgery for Limb Fractures
Authors: Wang Xin-Yu , Gu Xi-Qian
Published: October 2024

AIM: This retrospective study aimed to evaluate the effectiveness of a nursing model on the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB) in patients undergoing surgery for limb fractures.
METHODS: A total of 100 patients who underwent limb fracture surgery at Zhongnan Hospital of Wuhan University from February 2023 to February 2024 were selected for this study. The research group (n = 58) received nursing care based on the HBM and TPB, while the control group (n = 42) received conventional nursing care. Comparative analyses were conducted on curative effectiveness, the degree of limb swelling, pain intensity (measured by the Visual Analogue Scale [VAS]), symptom recovery time (including pain duration, swelling duration, ambulation time, and length of stay), and self-care management (assessed through behavior management, psychological activities, and status management).
RESULTS: The results indicated no significant differences in curative effectiveness between the two groups (p > 0.05). The research group had fewer grade I and II limb swelling cases than the control group (p < 0.05). Additionally, the research group reported lower VAS scores on postoperative days 3 and 7, earlier ambulation, shorter pain and swelling durations, and reduced length of hospital stay compared to the control group (p < 0.01). Furthermore, self-care management scores, including behavior management, psychological activities, and status management, were significantly higher in the research group after treatment compared to the control group (p < 0.05).
CONCLUSIONS: The nursing model based on HBM and TPB provides benefits for patients undergoing limb fracture surgery by reducing swelling, relieving pain, promoting symptom disappearance, speeding up rehabilitation, and enhancing self-care management.
The Value of Refined Nursing Management for Surgical Efficiency, Postoperative Recovery, and Stress Response in Laparoscopic General Surgery
Authors: Zhang Kunxian , Zhao Guoyan
Published: October 2024

AIM: The study aimed to explore the impact of refined nursing management in the operating room on surgical efficiency, postoperative recovery, and stress responses in patients undergoing laparoscopic general surgery.
METHODS: A retrospective analysis was conducted on 100 patients who underwent laparoscopic surgery at Zhongnan Hospital of Wuhan University between March 2023 and March 2024. The control group comprised 48 cases receiving conventional operating room nursing, while the observation group comprised 52 cases receiving refined nursing management in the operating room in addition to the conventional care. Comparisons were conducted between the two groups regarding surgical efficiency, postoperative recovery, postoperative stress indicators, psychological status before and after nursing, overall treatment comfort, perioperative complications, and nursing satisfaction.
RESULTS: The observation group showed statistically significant improvements in surgical efficiency, postoperative recovery, and stress indicators compared to the control group. After the intervention, the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores of both groups significantly decreased compared to pre-nursing levels (p < 0.05), while such decrease was notably higher in the observation group (p < 0.05). Patients in the observation group reported significantly higher post-nursing comfort levels (p < 0.05) and exhibited significantly fewer perioperative complications (p < 0.05) compared to the control group. Furthermore, the nurses indicated significantly higher satisfaction with patient care in the observation group (p < 0.05).
CONCLUSIONS: Implementing refined nursing in the operating room for laparoscopic general surgery can facilitate the recovery of gastrointestinal function, reduce postoperative recovery time, prevent complications, improve patients' psychological state, and enhance their quality of life.
Effect of Y-shaped Nasal Columella Made of Autologous Cartilage in Secondary Nasal Deformity after Cleft Lip Surgery
Authors: Li Xuwen , Ge Xiuyu , Liu Zhijian , Wang Yifan , Xu Jing , Song Peijun
Published: October 2024

AIM: Due to the diversity and complexity of tissues involved in secondary nasal deformities following unilateral cleft lip, secondary nasal deformity correction surgeries are challenging and often yield unsatisfactory results, posing a difficult problem for plastic surgeons. Autologous cartilage, with its low sculpting difficulty, minimal absorption, and stable tissue compatibility, is considered the optimal material for reconstructing the columella, nasal tip, and alar. This study analyzed the clinical outcomes of using autologous cartilage to create a Y-shaped columella to correct secondary nasal deformities after cleft lip surgery.
METHODS: In this retrospective study, 75 patients with secondary nasal deformity after unilateral cleft lip surgery were treated from January 2018 to December 2023. Appropriate costal cartilage, auricular cartilage, and iliac crest cartilage were fashioned into Y-shaped stents and implanted into the nasal columella of the patients to strengthen the tip cartilage. The free alar cartilage was sutured and fixed with a Y-shaped bracket. The wound healing rate, subjective satisfaction evaluation, and complications were analyzed. The nasal appearance, nasal deformity classification, and objective indices of healthy and affected nasal sides, function, and quality of life were compared before and after the operation.
RESULTS: All patients healed well during the first stage without related complications, and the average incision healing time was 5.16 ± 1.37 days. The scores of nasal tip position, nasal tip shape, nostril shape, nasal dorsum shape, and nasal floor shape at 6 months post-operation were significantly lower compared to pre-operation (p < 0.001). The grade of nasal deformity at 6 months post-operation was lower than the pre-operation (p < 0.001). Pre-operation, the nasal base and nasal width of the affected side were higher than those of the healthy side, while the nasal columellar and nostril height were lower (p < 0.001). At 6 months post-operation, the nasal base and nasal width decreased, and the nasal columellar and nostril height increased (p < 0.001), with no significant difference between the two sides (p > 0.05). The nasal obstruction symptom evaluation (NOSE) and Functional Rhinoplasty Outcome Inventory-17 (FROI-17) scores at 6 months post-operation were significantly lower than pre-operation, while the rhinoplasty outcome evaluation (ROE) score was higher (p < 0.001). The total patient satisfaction was 97.33% (73/75).
CONCLUSIONS: Y-shaped nasal columella made of autologous cartilage can effectively correct secondary nasal deformity after cleft lip surgery, improve nasal alar collapse, lengthen nasal columella, elevate nasal end, enhance the quality of life, nasal appearance, and nasal ventilation function of patients, with high satisfaction and few complications.
Metastatic Primary Hepatic Neuroendocrine Carcinoma: A Case Report
Authors: Izzo Paolo , Izzo Luciano , D’Onghia Giuliano , Macci Leonardo , Giancontieri Paola , Codacci-Pisanelli Massimo , Molle Marcello , De Intinis Claudia , Izzo Sara
Published: October 2024

AIM: Primary hepatic neuroendocrine carcinomas (PHNECs) are rare tumors with limited understanding and management. Diagnosing and treating these tumors pose significant challenges due to the lack of clinical experience. Surgery is often considered an effective therapeutic strategy for early-stage PHNECs. This case report describes an advanced metastatic PHNEC managed primarily with chemotherapy.
CASE PRESENTATION: The medical records of the patient and diagnostic imaging findings were reviewed. A multidisciplinary team of specialists discussed the case and determined the treatment plan. The patient received a chemotherapy regimen tailored to PHNEC, which included specific neuroendocrine tumor-targeting agents.
RESULTS: Despite the advanced stage of the disease, the patient responded well to chemotherapy, with a notable reduction in tumor size and improvement in symptoms. The treatment was well-tolerated, and the patient showed a favorable overall response. The survival duration from the time of diagnosis was 18 months.
CONCLUSIONS: In this case of advanced metastatic PHNEC, a primarily chemotherapy-based approach yielded positive outcomes. Although surgery is typically preferred for early-stage cases, this case highlights the potential efficacy of chemotherapy in managing advanced PHNECs. Further research and clinical experience are warranted to better understand the optimal treatment strategies for these rare tumors.
Preoperative Delta Neutrophil Index, Platelet Lymphocyte Ratio and Immature Granulocyte Count for Differentiating Metastatic Colon Cancer from Non-Metastatic Colon Cancer: A Retrospective Study
Authors: Öter Serdar , Özkömeç Ali , Bozan Mehmet Buğra , Yazar Fatih Mehmet , Kale İlhami Taner , Azak Bozan Ayşe , İşler Ali
Published: October 2024

AIM: Immature granulocytes show bone marrow activation before neutrophil response and there are studies in the literature showing that the number of immature granulocytes is an auxiliary marker in the diagnosis and treatment of different diseases. The Delta Neutrophil Index (DNI), Immature Granulocyte Count (IGC) have previously been studied as markers in thyroid and breast cancers. The aim of this study was to determine whether immature granulocyte IGC and DNI values measured in preoperative blood parameters have a diagnostic benefit for the detection of advanced colon cancer.
METHODS: A study was conducted on patients who had undergone selective operation for colon cancer in our clinic from February 2015 to February 2020. The patients were divided into two groups: early stage (stage I–III) and advanced stage (stage IV) colon cancer. The IGC and DNI values as well as other hematological parameters, demographic parameters (sex, age) in these two groups were compared.
RESULTS: A total of 43 patients with mean age 67.47 (35–96) years were included in the study. Eighteen of the patients were male and 25 were female. When the early stage and advanced stage colon cancer groups were compared, no statistically significant difference was found between age, sex, white blood cell count, lymphocyte-to-monocyte ratio, eosinophil count, basophil count, mean platelet volume and: systemic immune-inflammation index score. It was observed that platelet-to-lymphocyte ratio, IGC and DNI or Immature Granulocyte Percentage (IGP) values were statistically significantly higher in the metastatic colon cancer group compared to the non-metastatic group. When the specificity and sensitivity of laboratory markers in metastatic colon cancer were examined, it was observed that the specificity and sensitivity of DNI or IGP and IGC were statistically higher than other values.
CONCLUSIONS: DNI, IGC and PLR values, which are the parameters measured in the preoperative period are easily measurable laboratory parameters and do not involve additional costs in differentiating metastatic from non-metastatic colon cancer in the preoperative period.
Big Data as An Emerging Paradigm in Organisations' Management: A Bibliometric Analysis
Authors: Gonçalves Sidalina , Ventura José Biléu , Rua Orlando Lima , Dias Rui , Galvão Rosa
Published: October 2024

The Big Data Age defines the present era, and the globalisation of business makes it pressing to derive valuable insights from data so that organisations can make sustained decisions. There is no consensus in the literature on how organisations should guide the vast volume of data in value creation or galvanise performance gains. The study aims to address these gaps by reviewing the literature searching WoS using R. Bibliometrix. 4,019 documents were identified between 2008 and early February 2022 through a current mapping of Big Data in management. The results indicate a strong collaboration network among authors and a notable trend in Big Data, Big Data Analytics, Machine Learning, and Artificial Intelligence. These keywords reveal a concern for the predictive analysis of data and the emergence of new research trends, namely management, performance, decision-making, business and value creation, supporting the thesis that Big Data is an emerging paradigm in organisational management.
The Curriculum Management Models of Laboratory Schools in Lptk
Authors: Bahri Samsul , Bestari Prayoga , Sinaga Obsatar
Published: October 2024

This study examines the curriculum management models in laboratory schools under the Educational Personnel Training Institutions (LPTK) at four universities: Universitas Pendidikan Indonesia (UPI), Universitas Negeri Jakarta (UNJ), Universitas Negeri Padang (UNP), and Universitas Pendidikan Ganesha (Undiksha). Laboratory schools play a vital role as practical training grounds for prospective teachers and as centers for educational innovation development. This research employs a qualitative method with a descriptive approach to explore the various curriculum management models implemented in these laboratory schools.The findings indicate that the curriculum management in each laboratory school has its unique characteristics based on the vision and mission of each university. However, there is a general focus on developing curricula that align with national education needs and local content. Effective evaluation and supervision are key to successful curriculum implementation in laboratory schools. Furthermore, laboratory schools also play a strategic role as centers for innovative education and serve as models for other schools in preparing professional teacher candidates.
Item Analysis of Criterion-Referenced Tests
Authors: Gay L. , Gallagher Jo
Published: October 2024

We propose that teachers should not calculate reliability but rather should use item analysis data as the major determinant of the adequacy of classroom measures. Using the results of two actual classroom tests-one elementary-level mastery test and one secondary-level nonmastery test–we demonstrate an approach to item analysis for CRTs that involves the calculation of item difficulty for all items and discriminating power for those items with unacceptable P values. For each test, the effects on initial reliability estimates and item analysis indexes of systematically removing low-scoring students’ results (one at a time) are presented. We conclude that this modified item analysis strategy for classroom CRTs is both efficient and useful.
Evaluation of a Pilot Program for Computer Literacy in Grades K-8
Authors: Still Jacquelyn
Published: October 2024

A curriculum guide and suggested instructional resource materials were developed for an Orange County School District Program in computer literacy for grades K-8. The program was piloted with 43 teachers in nine elementary schools and one junior high school in the spring of 1984. Both teachers and students were positive about the program and students’ achievement gains were satisfactory. The evaluation data provided information about revisions that should be considered in the curriculum guide, resource materials, inservice training and instruction.
A Call for Improved Teacher Assessment Training
Authors: Revak Marie
Published: October 2024

This literature review reports on the status of teacher assessment training and assessment practices in relation to the recommendations set forth by the National Council of Teachers of Mathematics (NCTM) Curriculum and Evaluation Standards for School Mathematics (1989). Present methods of assessment used by teachers are not in congruence with the NCTM standards. Furthermore, teachers have not been adequately trained to design, administer, score, or interpret the alternative assessments recommended by the NCTM. Recommendations are made for improved teacher assessment training and research to determine the effectiveness and usefulness of new assessment training programs.
LEAN MANUFACTURING: LEVANTAMENTO BIBLIOMÉTRICO RELACIONADO À ÁREA DE SAÚDE E SEGURANÇA DO TRABALHO
Authors: Dos Santos Matos Cecilia Pereira , Alves dos Santos Ivair , Hamzagic Miroslava Hamzagic
Published: October 2024

Essa pesquisa se inicia a partir da apresentação das características do Lean Manufacturing e Bibliometria. O levantamento bibliométrico foi baseado em dissertações e teses com base no Google Scholar no período de 2014 a 2022, alcançando um total de 130 publicações. Cinco publicações que alcançaram o objetivo proposto, sendo 03 voltadas a área da Construção Civil, 01 da área Têxtil e outra na área Automobilística. Os resultados encontrados nas publicações revelaram que práticas como o Kaizen e melhoria contínua associado ao trabalho em equipe contribuem para a segurança das atividades. Os achados dessa pesquisa permitem concluir que contribuições do Lean Manufacturing a área de Saúde e Segurança do Trabalho atuam em forma de sinergia para os objetivos de redução de acidentes e doenças, ou seja, de desperdícios.
महात्मा गांधी के विचार: एक विश्लेषण
Authors: . अनामिका , बाला रजनी
Published: October 2024

महात्मा गांधी के विचारों का प्रभाव भारत और विश्व में सामाजिक, राजनीतिक, शैक्षिक और नैतिक बदलाव के रूप में देखा जा सकता है। गांधी जी ने सत्य, अहिंसा, श्रम और आत्म-निर्भरता को जीवन के केंद्रीय सिद्धांतों के रूप में अपनाया। उनके विचार न केवल भारतीय स्वतंत्रता संग्राम के लिए महत्वपूर्ण थे, बल्कि समाज सुधार, स्त्री अधिकार और शिक्षा के क्षेत्र में भी उन्होंने अमूल्य योगदान दिया। उन्होंने जीवनभर सत्य और अहिंसा के मार्ग पर चलते हुए समाज में समानता और न्याय की पैरवी की। गांधी जी के अनुसार शिक्षा का उद्देश्य केवल बौद्धिक विकास नहीं बल्कि व्यक्तित्व का सर्वांगीण विकास होना चाहिए। उन्होंने स्त्री और पुरुष के समान अधिकारों के पक्ष में भी मजबूत आवाज उठाई और मानवीय मूल्यों जैसे कि दया, क्षमा और त्याग पर जोर दिया। उनके विचारों ने न केवल भारत बल्कि दुनिया भर में लोगों को प्रेरित किया और आज भी उनके आदर्श समाज और व्यक्तिगत जीवन में मार्गदर्शन प्रदान करते हैं। संकेत शब्द : महात्मा गांधी, महात्मा गांधी के विचार
Reengineering Dental Hospital Information System Workflow Process: A case of the Obafemi Awolowo University Teaching Hospital Dental Clinic
Authors:   Department of Computer Science and Engineering, Obafemi Awolowo University, Ile-Ife, Nigeria, Olodude T. , Akinyemi B. ,   Department of Computer Science and Engineering, Obafemi Awolowo University, Ile-Ife, Nigeria, Aderounmu G. ,   Department of Computer Science and Engineering, Obafemi Awolowo University, Ile-Ife, Nigeria
Published: October 2024

The existing workflow process that dental patients undergo in hospitals is riddled with repetitive steps. This has led to delays in dental service delivery. Thus, there is a dire need for a workflow process that will eliminate repeated procedures and reduce the waiting time of service delivery. This paper seeks to reengineer the workflow problem in a dental hospital with a view to reducing the problems encountered by dental patients. The time taken for each workflow process was obtained from the staff and patients in Obafemi Awolowo University Teaching Hospital Complex Dental Clinic through interviews and observation. The existing and proposed workflow process models were represented using Petri net as workflow net and designed using Unified Modelling Language (UML) tools. The models were simulated in MATLAB environment using Simulink. The performance of the proposed model was evaluated by benchmarking it with the existing model using patient throughput and waiting time as performance metrics. The result showed that the proposed model outperformed the existing model significantly by a reduction in patient waiting time by 36.8% as a result of the reduction in the number of processes from 14 to 8 processes, thereby leading to higher patient throughput of 0.2 patients/sec. It was concluded that the proposed model can be adopted by the Hospital management for more effective and efficient healthcare service delivery.
Population and Economic Growth in Nigeria
Authors:   Delta State Polytechnic, Otefe-Oghara, Delta State, Nigeria, Mayuku J. , Ekperiware M. ,   National Centre for Technology Management (NACETEM), Ile-Ife, Nigeria, Mayor A. ,   Delta State Polytechnic, Otefe-Oghara, Delta State, Nigeria
Published: October 2024

This study investigates the relationship between population growth and economic growth in Nigeria. It particularly looked at the driving causes of population growth in Nigeria and the causal relationship between population and economic growth in the country from 1990 to 2017. The VAR granger causality analytical techniques used showed that economic growth significantly drives population growth in Nigeria. However, fertility rate and gross secondary enrolment drive population growth on a low significant level in the study while fertility rate was the only variable in the study that causes economic growth. The overall granger causality test indicates that all the variables (POPG, FRATE and EDU) significantly cause GDP to change in the Nigerian economy. One can deduce from the analysis that fertility rate which according to other studies is a major driver of population growth also accounts for economic growth, hence, the number of persons given birth to in Nigeria affects development. However, the direct granger causality of population on economic growth was only significant at a high degree of freedom and p-value. The study further revealed that economic growth significantly causes population growth in Nigeria. This indicates that the economic resources in the country have a way of reflecting on the number of people in the country. From the foregoing, it is obvious that population growth and economic growth in Nigeria exhibits unidirectional granger causality running from economic growth to population growth. More so, fertility rates and gross secondary enrolment (EDU) significantly exhibited bi-directional granger causality. Hence, it is also worth noting that all the variables (POPG, FRATE and GDPG) significantly contributed in causing gross secondary enrolment (EDU) in the country. The study concludes that fertility and secondary education are intermediate variables in the discourse of population and economic growth in Nigeria. The policy direction of education and fertility rate in the country can significantly reveal how population and economic growth relates. Hence, the study recommends that educational and fertility rate policies by all stakeholders should tilt toward ensuring the Nigerian populace achieve demographic dividend instead of demographic disaster.
FREEMARTINISMO EM BOVINOS
Authors: Gonçalves Barbara Scudeler , Lopes Gabriel Afonso Man , Correia Thiago dos Santos , Gerardi Bianca
Published: October 2024

Freemartinism syndrome affects the reproductive system of heifers and other female ruminants as a result of the twin gestation of heterozygous individuals,  which a process of early vascular anastomosis allows the exchange of blood cells and hormones in a common circulation between the two fetuses before their sexual differentiation. The purpose of this paper is to review the literature on cases of intersexuality in cattle over the years, bringing together the studies and specifying the possible causes, formation, differentiation of the affected animals and the diagnostic methods available.