bluuebunny/crossref_metadata_2025 huggingface dataset:
The Factors Driving Preventive Health Behaviors
Authors: Juen Suzette Teh Su , Sinnappan Punitha , Idris Izian , Kunjiapu Shamuni
Published: November 2024

Recent global health emergencies have led to significant considerations for preventive health behaviors (PHBs). Given the severity of these crises and the significance of protection against the spread of diseases, understanding the predictors of engaging in PHBs is very important. Therefore, this study investigated the effect of social media usage on self-efficacy, perceived threat, and PHBs among adults in Malaysia. Along with social media usage, this study further investigated the effects of self-efficacy and perceived threat on PHBs. The Health Belief Model (HBM) was used as the theoretical basis of this study. An online survey was administered among adults aged 18 years and above. A total of 275 usable online survey was collected through purposive sampling technique. The findings revealed that social media usage positively affects self-efficacy and perceived threat. The results also showed that perceived threat had the strongest effect on PHBs, followed by social media usage, and self-efficacy. Implications and suggestions for future studies were also discussed.
Persistent Complaints After Infection With COVID-19 in Patients Admitted to Jordan Hospital
Authors: Qudaisat Ibraheem Y. , Alansari Fahad , Almutairi Saad , Alarbash Ali H M , AlRashidi Salah , Almutairi Abdulaziz , Alnowaishri Khalaf , Aldousari Abdulrahman , Alazmi Hamad
Published: November 2024

Many COVID-19 patients recover within a few weeks, but some experience symptoms lasting over four weeks, known as post-COVID-19 condition (PCC) or long COVID syndrome. This cross-sectional observational study aimed to determine the prevalence of PCC in Jordan and identify its associated risk factors. Conducted at a tertiary teaching hospital, the study used an online questionnaire targeting patients who sought medical care for COVID-19 between 1 January 2019 and 20 December 2022. The survey included demographic data, medical conditions during infection, and symptoms persisting beyond four weeks (LC28). Among 1834 identified COVID-19 patients, 291 completed the survey. Over two-thirds (70.4%) reported persistent symptoms, with headache (47.4%), muscle pain (45.7%), fatigue (43%), and cough (40.5%) being most common. Female gender and obesity (BMI > 25) significantly increased PCC frequency. PCC is prevalent among Jordanian patients, highlighting the need for increased awareness and adherence to health preventive measures.
Lichenoid dermatitis induced by abemaciclib in a patient with HR+/HER2- breast cancer
Authors: Mortato Edoardo , De Caro Anna Paola , Schinzari Luca , Maniglio Sonia , Laface Carmelo , Cazzato Gerardo , Foti Caterina , Ambrogio Francesca
Published: November 2024

Cyclin-dependent kinase (CDK) 4/6 inhibitors, such as palbociclib, ribociclib, and abemaciclib, are widely used in combination with endocrine therapy for the treatment of hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) breast cancer. Despite their efficacy, these drugs are associated with a range of adverse events, including dermatologic toxicities. This case report presents a rare instance of lichenoid dermatitis in a 48-year-old woman following treatment with abemaciclib. The patient developed erythematous, edematous plaques and papules on her hands and forearms, which resolved after discontinuation of the drug and treatment with topical corticosteroids. This report highlights the need for awareness of cutaneous side effects associated with CDK4/6 inhibitors, particularly abemaciclib.
Can land help church history? A spatialised historical methodology using land contestations
Authors: Mlambo Ntandoyenkosi N.N.
Published: November 2024

Time has historically been discussed as a container of history, with many philosophers exploring it as a dynamic concept. However, the emphasis on the dynamism of time has led to a diminished appreciation of space’s equally dynamic nature. Space (such as land) plays a crucial role in historical narratives, particularly in contested areas like South Africa. It allows for what has been referred to as dynamism in analysis, alongside time. This article proposes a spatial-temporal method for studying history, particularly church history, using a qualitative research approach. Firstly, the article examines the relationship and dynamics between time and space through a literature review. Secondly, it discusses spatial contestations (particularly regarding church land) with examples from South Africa. Finally, it reflects on a temporal and spatialised methodology in church history. The article advocates for a spatial-temporal methodology in church history, which includes the use of space as a mode of analysis, a decolonial perspective on memory, and an interdisciplinary approach.Contribution: This article aligns with the scope of the journal by fostering a conversation around the methodology regarding church history and the interrelated concepts of time and space.
Giant Cell Tumor of Pinna
Authors: Kayarkar Darshan , David Saumya , Srinivasa Nanditha , Rajendiran Abinaya
Published: November 2024

Giant cell tumor (GCT) is a benign but locally aggressive bone tumor which usually involves the end of long bones. This occurs in both benign and malignant forms. Primary GCTs of soft tissue resembling osseous GCTs are uncommon but with distinct entities and is a rare benign tumor of low malignant potential. Only a few cases are reported in medical literature and much few cases involving ear. There has been no reporting of Indian studies till date, and hence in this article, we report for the first time in India GCT of pinna which is a rare condition.
A Study on Outcomes of One-time Tinnitus Masking by External Sound Stimuli for Nonpulsatile Subjective Tinnitus
Authors: Thamizharasan P. , Nirmala S. Mary , Chokkalingam Balaji , Muthuchitra S. , Senthoorani A. , Venkatesh Sumee
Published: November 2024

Background:

Tinnitus has no definitive treatment to date. Sound therapy can be given as tinnitus retraining therapy.

Aims and Objectives:

Our study is aimed to study the outcomes of a novel one-time tinnitus masking for nonpulsatile subjective tinnitus.

Materials and Methods:

All patients who presented with tinnitus which is subjective nonpulsatile without any treatable causes of tinnitus are included in the study.

Results:

Out of 16 patients, tinnitus matching was done by 15 patients, and 13 patients had complete masking of tinnitus with a single time. Eight patients who had more than moderate hearing loss developed recurrence of symptoms on follow-up. Tinnitus Handicap Index pre- and posttreatment with questionnaire showed a significant improvement (P > 0.001) in analysis.

Conclusion:

The origin of tinnitus central or peripheral is unsettled, as people with normal hearing also had tinnitus and people with hearing loss had recurrence of tinnitus. They were further managed by hearing aids with tinnitus maskers. This method is individual operatable and can be used in apps as self-curing treatment.
Prevalence of Dementia in the Geriatric Population Residing in a Long-term Care Facility: An Updated Systematic Review and Meta-Analysis
Authors: Mittal Apurva , Arora Isha , Jayaram Riddhee , Yashwanth G. , Rangarajan Subhashini K.
Published: November 2024

Background:

The global rise in the geriatric population is increasing dementia cases, imposing significant burdens on families and society, making long-term care facilities (LTCFs) essential. Thus, updated dementia prevalence data are crucial for effective health-care planning and policy-making.

Methodology:

A systematic review and meta-analysis, updating Fagundes et al. (2021), included articles post-August 2, 2020, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies were selected based on predefined criteria, and data extraction was independently performed by two reviewers, focusing on dementia prevalence rates, assessment tools used, and regional variations. Meta-analytic techniques estimated pooled dementia prevalence rates and assessed study heterogeneity, focusing on assessment tools and regional variations.

Results:

The review included 38 studies, with 18 new ones since the previous review. The pooled dementia prevalence in LTCFs was 57.8% (confidence interval 51.63–63.98; P < 0.01), up from 53%. Europe had the highest rate, while other regions showed variability. High heterogeneity suggests diverse factors, such as diagnostic criteria and population characteristics, influence prevalence estimates.

Discussion:

The rising dementia prevalence in LTCFs highlights the need for specialized care, improved health policies, and resource allocation. Regional prevalence variations may be due to differences in diagnostic criteria, health-care infrastructure, and societal factors, with high heterogeneity reflecting diverse methodologies and populations. Increased public awareness and ongoing research are essential for developing innovative, tailored care models for dementia patients in LTCFs.

Conclusion:

This updated review shows a higher dementia prevalence in LTCFs, highlighting the need for targeted interventions and policy adjustments to improve care quality and outcomes. Further research is needed to explore regional prevalence factors and develop standardized care practices.
Research on Fault Diagnosis Method for Photovoltaic Array Based on XGBoost Algorithm
Authors: Zhang Zongyu , Liu Bodi , Xie Chun , Yan Ermei
Published: November 2024

INTRODUCTION: Photovoltaic (PV) energy sources frequently experience issues, including fragmentation, open-circuit, short-circuiting, and other common and hazardous problems. The current focus of PV research is on fault detection within solar arrays. Traditional models encounter challenges in identifying errors due to uncertainties in panel settings and the complex nature of the actual PV structure.OBJECTIVES: This study aims to introduce a novel Extreme Gradient Boosting (XGBoost) approach for fault diagnosis in PV arrays.METHODS: The XGBoost algorithm is trained using collected PV array defect data samples. Data preprocessing is performed to manage missing values and remove noisy data. Feature extraction is conducted using Linear Discriminant Analysis (LDA) to improve detection accuracy. To further enhance XGBoost’s performance, the World Cup Optimization (WCO) approach is applied to select optimal features from the extracted data. Fault detection is then conducted using the XGBoost algorithm on the processed data. Various indicators are utilized for performance assessment within the Python environment.RESULTS: The comparative analysis demonstrates that this research improves fault detection efficiency in PV arrays compared to existing methodologies.CONCLUSION: The study presents an effective method for enhancing fault detection in PV systems, showcasing the advantages of the XGBoost and WCO-based approach over conventional methods.
Research on a New Maximum Power Tracking Algorithm for Photovoltaic Power Generation Systems
Authors: Shi Lei , Zhang Zongyu , Yu Yongrui , Xie Chun , Yang Tongbin
Published: November 2024

INTRODUCTION: Significant advances have been made in photovoltaic (PV) systems, resulting in the development of new Maximum Power Point Tracking (MPPT) methods. The output of PV systems is heavily influenced by the varying performance of solar-facing PV panels under different weather conditions. Partial shading (PS) conditions pose additional challenges, leading to multiple peaks in the power-voltage (P-V) curve and reduced output power. Therefore, controlling MPPT under partial shading conditions is a complex task.
OBJECTIVES: This study aims to introduce a novel MMPT algorithm based on the ant colony incorporated bald eagle search optimization (AC-BESO) method to enhance the efficiency of PV systems.
METHODS: The effectiveness of the proposed MPPT algorithm was established through a series of experiments using MATLAB software, tested under various levels of solar irradiance.
RESULTS: Compared to existing methods, the proposed AC-BESO algorithm stands out for its simplicity in implementation and reduced computational complexity. Furthermore, its tracking performance surpasses that of conventional methods, as validated through comparative analyses.
CONCLUSION: This study confirms the efficacy of the AC-BESO method over traditional strategies. It serves as a framework for selecting an MPPT approach when designing PV systems.
Demographic Variables And Academic Achievement Of Primary Five Pupil With Mild Intellectual Disability In Public Primary Schools In Calabar Metropolis Of Cross River State, Nigeria
Authors: Michael Okaba Ataben , Raymond Ogbebe Ogar , Lazarus Ishifundi Udie
Published: November 2024

This study adopted survey design to examine the   influence of demographic variables   on academic achievement   of   primary    five   pupils’ with intellectual disability in   public primary schools    in Calabar    Metropolis of Cross River State, Nigeria. A sample of seven (70) primary 5 pupils’ with intellectual disability was selected from public primary schools using simple    random sampling technique, teacher   nomination check list   and school record. One instrument titled “titled “Teacher Nomination Checklist and pupils’ academic  school   records.  were used for data collection.  The reliability of the questionnaire established using Cronbach Alpha which yielded .87. The hypotheses were tested using Independent   t-test    for the   two hypotheses at .05 level of significance. The result   of the   findings of the study revealed that gender, age    significantly influence academic achievement   of   pupils’ with intellectual   disability. It therefore concluded   that academic achievement  of pupils’  with  intellectual  disability  in  primary schools   depend on their  gender differences  as well as  different in age..   Based on the findings  and conclusion  of this study, it was recommended amongst others that Schools should implement gender-responsive teaching strategies and age-appropriate  educational interventions that recognize and address the different learning styles and needs of boys and girls  and   also  targeted support based on developmental stages  for  pupils  with  mild intellectual disabilities.
The Computational Effect And Hyperparameters Tuning Of Deep Convolutional Layer Depth Of High- Ranking Tuberculosis Detection Models
Authors: O Otobi Augustine , O Esin Joseph , E Eteng Idongesit , I Ele B , I Ele S , U Ashishie D , Anietie Okpan Cleopas
Published: November 2024

In the past decade, artificial intelligence (AI) solutions have seen widespread application in medical fields, which include automated detection of breast cancer, brain tumors, physiological monitoring and detection of lung diseases such as pneumonia from chest X-Rays (CXRs). Machine learning, a subset of AI, empowers computers to learn autonomously, without direct human programming, by extracting patterns (feature extraction) from data (images). Deep learning, a specialized branch of machine learning, employs multiple convolutional layers to extract complex features from raw input data. This article examines the impact of varying the convolutional layers in deep learning models on their efficiency, focusing on algorithm complexity and parameter counts. We discuss theoretical foundations, and relevant factors affecting efficiency, and analyze algorithm complexity of high-ranking models developed for detecting tuberculosis from chest x-ray (CXR) using convolutional neural networks.  The number of convolutional layers significantly influences model efficiency, affecting both performance and computational complexity. We could conclude practically that optimal layer depth balances model efficiency, accuracy and resource utilization. This assertion was reached by developing a model with fewer convolutional layer depth using the ResNet18 architecture. The parameters count of the ResNet18 model developed was compared with other model developed to detect tuberculosis from chest X-Ray images. The result of this comparison proved that fewer layer depth with the right hyperparameter tuning can produce a better and more efficient deep learning solutions to societal problems. This article also gives insights for future research and practical applications which includes the exploration of adaptive architectures that can dynamically adjust their depth based on the complexity of the task and available resources. Further research can also scientifically probe other methods of reducing the computational overhead of deep neural networks while maintaining priority for high computational performance, model scalability and efficiency.
Apports de l’intégration des simulations cliniques en soins infirmiers aux exposes magistraux en termes de qualité d’apprentissage des étudiants : une étude descriptive mixte de type recherche-action
Authors: Otti A. , Tchansi Kouamber A.N. , Sossa C. , Oloukoï D.M. , Bokossa S.Y.R.F. , Truc P.
Published: November 2024

Pour préparer les étudiants infirmiers au développement des compétences en stage pratique, des simulations cliniques sur des modèles anatomiques sont diversement organisées par les enseignants à défaut d’une conception explicite et cohérente de l’articulation théorie- pratique. L’objectif de l’étude était de décrire les apports de l’intégration des simulations cliniques en soins infirmiers aux exposés  magistraux en termes de qualité d’apprentissage. A l’aide d’un devis descriptif mixte de type Recherche-Action, un dispositif  d’intégration des simulations cliniques en soins infirmiers aux exposés magistraux conçu en référence au modèle des huit Evènements d’Apprentissage-Enseignement de Leclercq et Poumay, a été testé auprès d’étudiants de première année de bachelier en soins infirmiers  d’une haute école belge. Les données collectées par observation-critique de trois étudiants novices ayant reproduit devant  leurs pairs, la manipulation préalablement démontrée par un enseignant-expert, ont été analysées à l’aide d’une grille de 16 critères de  qualité de reproduction d’une technique de soins infirmiers. Les perceptions des étudiants du dispositif pédagogique testé ont été relevées à l’aide d’un auto-questionnaire suivies d’une analyse sémantique de contenu qualitative et indirecte des réponses fournies. Le  dispositif d’Enseignement-Apprentissage expérimenté aurait permis aux étudiants d’établir une relation directe entre les cours  théoriques et les techniques de soins infirmiers, d’améliorer leur capacité d’observation-critique par la reconnaissance de gestes  techniques d’un soin de qualité et, de développer leur capacité de raisonnement clinique. Les étudiants ont donc fait un apprentissage  socio-constructif par observation, donc un apprentissage vicariant ou apprentissage par modelage. Une appropriation du dispositif   pédagogique par les enseignants s’avère nécessaire.
Aspects épidemiocliniques et étiologiques des dyspnées aiguës dans le service de cardiologie du Centre Hospitalier Universitaire de Kara
Authors: Tcherou T. , Yayehd K. , Bakai A.M. , Ametoto K.J. , Djalogue L. , Atta D.B. , Amekoudi E.M.Y.Y. , Pio M.
Published: November 2024

Objectif : Décrire les aspects épidémiologiques, cliniques et étiologiques des dyspnées aiguës dans le service de cardiologie du centre  hospitalier universitaire de Kara.
Méthodes : Il s’est agi d’une étude descriptive, rétrospective portant sur les dossiers des patients ayant  consulté ou ayant été hospitalisé dans le service du 1er Janvier 2021 au 30 juin 2023 et chez qui la dyspnée aiguë était diagnostiquée.  
Résultats : Sur 1810 dossiers consultés, il y avait 125 patients qui avaient présenté une dyspnée aiguë soit une fréquence de 6,9%. L’échantillon d’étude était composé de 113 dossiers dont 60 femmes avec un âge moyen de 56,3 ± 16,1 ans. Les principaux facteurs de  risque cardiovasculaires retrouvés étaient l’HTA (51,4%), la surcharge pondérale (31%) et le diabète (12,4%). La durée moyenne  d’évolution de la dyspnée aiguë était de 6,2 ± 4,6 jours. La dyspnée aiguë était associée aux douleurs thoraciques (35,4%), à la toux (29,2%) et à des palpitations (20,4 %). Les étiologies des dyspnées aiguës étaient cardiaques dans 83,2 % des cas et extra cardiaque dans  16,8 % des cas. Les étiologies cardiaques étaient dominées par les cardiopathies hypertensives (25,7%) suivies de l’embolie pulmonaire  (22,1%), les cardiomyopathies (12,4%) et les cardiopathies ischémiques (8%).
Conclusion : La dyspnée aiguë est l’un des principaux  symptômes chez les patients admis dans le service de cardiologie du CHU Kara dont les étiologies sont dominées par la cardiopathie   hypertensive et l’embolie pulmonaire.
Thrombose de la veine porte dans le service d’hépato-gastroentérologie du CHU Kara : aspects cliniques et diagnostiques
Authors: El-Hadji Yakoubou R. , Lawson-Ananissoh L.M. , Bouglouga O , Kogoe L.R. , Redah D.V. , Bagny A.
Published: November 2024

Objectif : l’obstruction de la veine porte est une complication fréquente des hépatopathies chroniques avec des signes non spécifiques. L’objectif de cette étude était de décrire les aspects cliniques et diagnostiques de la thrombose de la veine porte au CHU Kara.
Matériel  et méthodes : étude transversale et descriptive sur deux ans chez les patients hospitalisés dans le service d’hépatogastroentérologie du  CHU Kara pour une thrombose de la veine porte.
Résultats : en tout 80 cas ont été colligés sur 02 ans, dont 54 hommes, soit une sex- ratio de 2. Les adultes entre 40 et 60 ans étaient de 40%. Les douleurs abdominales (69%) et l’altération de l’état général (46%) étaient les  principaux signes révélateurs de la thrombose porte. Les signes physiques étaient la distension abdominale associée ou non à un œdème des membres inférieurs (77%) et une hépatomégalie sensible (41%). Le thrombus siégeait au tronc commun dans 95% des cas. Les signes échographiques étaient un gros foie (84%), micronodulaire (45%) et macronodulaire (46%). Quatre-vingt-dix-huit pourcent des patients  avaient un bilan hépatique perturbé. Le taux d’alphafœtoprotéines était élevé dans 94% des cas. Les hépatites virales B (52%) et C (23%)  étaient les principales étiologies. Le taux de décès était de 74%.
Conclusion : la thrombose porte est fréquente chez les patients porteurs  d’hépatopathie chronique avec une mortalité élevée. La réduction de cette mortalité passe par le diagnostic et la prise en charge précoce  des hépatites virales B et C.
Hypertension artérielle et facteurs associés chez les demandeurs d’emploi du secteur privé au Congo-Brazzaville
Authors: Ebatetou A.E. , Kokolo J.G. , Atipo-Galloye P.K.
Published: November 2024

Introduction : L’hypertension artérielle (HTA) représente un problème majeur de santé publique et les études réalisées dans le secteur  de l’emploi au Congo sont rares. L’objectif de la présente étude était de déterminer la prévalence de l’HTA et d’identifier les facteurs  associés chez les demandeurs d’emploi du secteur privé de Pointe-Noire et de Brazzaville.
Matériel et méthodes : Il s’est agi d’une étude descriptive transversale menée auprès des demandeurs d’emploi dans les villes de  Brazzaville et Pointe-Noire au Congo entre le 21 février et le 26 avril 2023. Ces individus ont été reçus pour une visite médicale et ont  répondu aux offres d’emploi des entreprises privées. Une fiche de consultation complétée par la prise des mesures anthropométriques  de la pression artérielle a servi de collecte des données.
Résultats : L’étude avait inclus 544 demandeurs d’emploi dont 419 hommes (77%) et 125 femmes (23%). Leur âge moyen était  de 34,9 ±7,89 ans. La prévalence de l’HTA était de 9,4%. L’HTA était liée  significativement à l’âge (âge moyen de 34,2 ans chez les non hypertendus versus 41,6 ans chez les hypertendus, p<0,001),à l’obésité (p<0,001) et au statut diabétique du demandeur d’emploi (p<0,001). Au niveau du statut matrimonial, 20,4% des demandeurs d’emploi hypertendus étaient mariés, contre 6,5% d’hypertendus parmi les célibataires (p<0,001). Le genre et le secteur d’activité n’étaient pas  associés à l’HTA (p>0,05).
Conclusion : L’étude a trouvé une faible prévalence de l’HTA chez les demandeurs d’emploi par rapport à la  population générale. L’âge, le statut de marié, l’obésité et le diabète sucré ont été associés à l’HTA.
La Gran Rebelión surandina y el Ejército del Rey en la pintura rupestre de Ccancahuani, provincia de Carabaya, Puno
Authors: Vega-Centeno Alzamora Milena
Published: November 2024

El sitio de Ccacahuani, ubicado en el departamento de Puno, destaca como uno de los lugares más representativos de arte rupestre posconquista en la región. A pesar de los desafíos metodológicos inherentes a los estudios del arte rupestre, aplicamos un análisis iconográfico específico para este caso. Los resultados muestran representaciones de un emblema de la orden militar de Santiago y de combatientes ataviados con vestimenta española del siglo XVIII. Esta escena resalta la marcha triunfal de un escuadrón de dragones en la coyuntura de la segunda fase de la revolución de Tupac Amaru en 1781 en Carabaya. Considerando que, hacia finales del siglo XVIII, esta provincia desempeñó un papel activo durante la Gran Rebelión andina, se infiere que esta pintura rupestre constituye una alegoría a la victoria del ejército realista en 1781.
Doença de Sjögren extraglandular: compreendendo as manifestações do Neuro-Sjögren
Authors: de Lima Renata Fróes Ramos , Marques Regis Suwa , Pugliesi Alisson
Published: November 2024

A doença de Sjögren (DSj) apresenta um grande espectro de manifestações neurológicas, tanto do sistema nervoso periférico (SNP) quanto do central (SNC). Quatro formas de envolvimento do SNP devem ser especialmente lembradas: ganglionopatia, neuropatia de fibras finas, polineuropatias sensitivo-motoras e mononeurite múltipla. Caracterizá-las, abrangendo a distinção com seus diagnósticos diferenciais, é fundamental, uma vez que o tratamento imunossupressor tem benefícios em apenas algumas formas. Antes de atribuirmos uma manifestação do SNC à DSj, uma avaliação multidisciplinar deve excluir diagnósticos típicos de doenças do espectro da neuromielite óptica (DE-NMO) ou de esclerose múltipla (ES), duas condições que podem coexistir com a DSj e que demandam uma abordagem de seguimento e tratamento distintas. Neste artigo, apresentaremos dois casos clínicos (um de SNP e outro de SNC) para ilustração e debate desse tema clínico.
Unitermos: doença de Sjögren; neuropatia periférica; ganglionopatia; neuromielite óptica.
Doença de Sjögren extraglandular: compreendendo a doença linfoproliferativa
Authors: Fretes Ananda Ribeiro , Dufles Guilherme , Pugliesi Alisson
Published: November 2024

A doença de Sjögren (DSj) está associada a um aumento significativo no risco de desenvolvimento de linfoma não Hodgkin, particularmente o linfoma de células B e do tecido linfoide associado a mucosa (MALT), afetando cerca de 5% dos pacientes com a doença. A transformação linfomatosa é influenciada pelo tempo de doença, características clínicas, histológicas e biomarcadores próprios de cada paciente. Este processo evolutivo pode ser marcado pela avaliação da proliferação e ativação de linfócitos B (hipergamaglobulinemia policlonal, positividade para anti-Ro/SS-A, anti-La/SS-B e fator reumatoide), monoclonalidade e crioglobulinemia. Neste artigo, oferecemos uma revisão do tema baseada em um caso clínico, onde reforçamos a ideia de vigilância e manejo clínico cuidadosos, mantendo a alta suspeição para linfoma em pacientes com DSj.
Unitermos: linfoma não Hodgkin; doença de Sjögren; parotidite; rituximabe.
Doença de Sjögren sob a perspectiva dos pacientes
Authors: Cintra Beatriz Carneiro , de Oliveira Fabiola Reis
Published: November 2024

Com frequência e interatividade crescentes, as associações de pacientes com doença de Sjögren (DSj) participam de congressos nacionais e internacionais nos últimos anos. Fundadas e geridas por portadores da doença, abordam nesses fóruns os anseios, dúvidas e necessidades não atendidas pela comunidade científica e pelos órgãos de saúde. Através de seus representantes e tendo suporte de delegação na plateia, dão voz a temas como os caminhos da investigação translacional, perspectivas de tratamento e questões de acesso farmacêutico nos principais eventos científicos sobre a doença. Além disso, externam francamente aquilo que esperam dos profissionais da saúde. No 16th International Symposium on Sjogren’s Disease (ISSjD), realizado na Holanda em abril de 2024, participaram não apenas como ouvintes, mas também submeteram seus trabalhos e contribuíram apresentando estudos e ferramentas desenvolvidas por conta própria ou em parceria. Esse envolvimento traz ao evento o ponto de vista dos pacientes e rememora o porquê e para quem são realizadas as pesquisas cientificas.
Unitermos: doença de Sjögren; perspectiva dos pacientes; necessidades não atendidas; expectativas dos pacientes.
Conceitos básicos para o diagnóstico da doença de Sjögren: dos critérios ACR/EULAR 2016 ao ESSDAI
Authors: Gennari Juliana D’Agostino
Published: November 2024

A doença de Sjögren (DSj) pode apresentar-se com manifestações glandulares e sistêmicas e, comumente, é diagnosticada tardiamente. Em 2016 o grupo ACR-EULAR (American College of Rheumatology e European League against Rheumatism) validou novos critérios de classificação para a doença, úteis para o diagnóstico mais precoce. Esses critérios são aplicados a pacientes que possuem ao menos um sintoma de secura, ocular ou oral, ou àqueles com pelo menos uma manifestação sistêmica definida pelos domínios do EULAR Sjögren’s Syndrome Disease Activity Index (ESSDAI). Pela primeira vez os critérios de classificação podem ser aplicados em pacientes com sinais de atividade de doença em outros órgãos ou sistemas, na ausência dos tradicionais sintomas secos do domínio glandular. A avaliação multidisciplinar, o uso do instrumento de atividade de doença (ESSDAI), testes clínicos, laboratoriais e de imagem são úteis para confirmar o diagnóstico da DSj e avaliar melhor seu prognóstico.

Unitermos: doença de Sjögren; síndrome de Sjögren; critérios de classificação; ESSDAI; atividade de doença.
Enhancing Pedagogical Approaches for Fostering Patriotism In Students During Educational Transformation
Authors: Sadiev Valijon
Published: November 2024

Developing patriotic qualities in students is essential for fostering a strong national identity and civic responsibility, especially in times of social and educational transformation. This article explores effective approaches to improve pedagogical conditions for instilling patriotism in educational settings. It highlights strategies including curriculum innovations, experiential learning, and the integration of inclusive teaching practices. The analysis draws on recent research findings to present evidence-based methods for enhancing patriotic education.
Prospects for the Development of Patriotism in Students in the Educational Process
Authors: Ismoilovich Madaliev
Published: November 2024

This article highlights the thoughts of our ancestors about patriotic education and the development of patriotic qualities through artpedagogics using cora-events, modern approaches and various tools aimed at developing a sense of patriotism of young people in our country today.
The Problems of Word Formation in German
Authors: Mahmudova Nigora
Published: November 2024

The article examines the problem of word formation, models, types and styles of word formation, the opinions of a number of scientists dealing with the issues of word formation in German, and their classification based on the semantic principle.
Universal Educational Activities in Primary Grades
Authors: Abdullaev Azimjon
Published: November 2024

It can be said that activities form the basis for active learning, however teachers determine which activity is effective for the development of students. One of the criteria in this determination is the student, which is the basic input of education. This article discusses universal educational activities of elementary school students as a result of a meta-subject approach that serve to deepen and expand understanding of school subjects.
Analisis Pengelolaan Media Sosial Instagram Sebagai Media Promosi Kawasan Wisata Bendungan Karian Di Desa Pasir Tanjung, Rangkasbitung
Authors: Kurniawan Gisela , Prawiro Johann
Published: November 2024

Akun Instagram @pokdarwispasirtanjung berperan penting dalam mempromosikan kawasan wisata Bendungan Karian. Namun, pengelolaan media sosial ini masih kurang maksimal, terlihat dari rendahnya kesadaran publik terhadapa keberadaan akun tersebut. Penelitian ini bertujuan untuk menganalisis strategi pemasaran yang diterapkan oleh akun Instagram tersebut, termasuk segmentasi, targeting, dan positioning. Melalui wawancara dengan ketua POKDARWIS Desa Pasir Tanjung, ditemukan bahwa akun ini menargetkan masyarakat Indonesia, terutama kaum milenial yang menyukai wisata alam. Rekomendasi yang diberikan untuk meningkatkan kualitas konten dan memperluas jangkauan promosi agar dapat menarik lebih banyak pengunjung dan meningkatkan brand awareness.
Analisis Peran Media Sosial Terhadap Wisata Di Agrowisata Gunung Mas Bogor
Authors: Jayanti Elisabeth , Prawiro Johann
Published: November 2024

Penelitian ini mengeksplorasi pengaruh media sosial terhadap pariwisata di Gunung Mas, Bogor. Dengan munculnya teknologi, media sosial memainkan peran penting dalam membentuk visibilitas dan reputasi tujuan wisata. Studi ini bertujuan untuk menganalisis bagaimana konten media sosial, ulasan pengunjung, dan interaksi online mempengaruhi minat wisatawan dan proses pengambilan keputusan. Memanfaatkan metode kualitatif, temuan menunjukkan bahwa interaksi media sosial meningkatkan keterlibatan dan loyalitas pengunjung, secara signifikan mempengaruhi harapan dan pilihan mereka. Penelitian ini menyoroti pentingnya memahami peran media sosial dalam pariwisata berkelanjutan, karena dapat mengarah pada hasil positif dan negatif bagi bisnis lokal dan lingkungan. Studi ini menyimpulkan bahwa strategi media sosial yang efektif dapat meningkatkan daya tarik Gunung Mas sebagai tujuan wisata, sementara juga menyarankan penyelidikan lebih lanjut tentang efek jangka panjang media sosial pada loyalitas wisatawan dan pengaruh demografis pada penggunaan media sosial dalam konteks pariwisata.
Analisis Partisipasi Masyarakat dalam Pengelolaan Sampah di Kawasan Wisata Bahari Pantai Tanjung Pasir
Authors: Putri Keisya , Setiawan Budi
Published: November 2024

Pantai Tanjung Pasir, yang terletak di Kecamatan Teluk Naga, Kabupaten Tangerang, Banten, mengalami masalah signifikan terkait dengan pengelolaan sampah akibat peningkatan jumlah kunjungan wisatawan, masyarakat lokal, pedagang dan sampah dari laut. Masalah ini mengakibatkan pencemaran lingkungan yang mempengaruhi daya tarik wisata dan kelestarian ekosistem pesisir. Penelitian ini bertujuan untuk mengeksplorasi dan menganalisis partisipasi masyarakat dalam pengelolaan sampah Wisata Pantai Tanjung Pasir, dengan fokus pada penerapan dan partisipasi. Metode penelitian dilakukan dengan cara kualitatif dengan pendekatan wawancara dan observasi, data diambil secara purposive sampling dari pengelola pantai dan masyarakat lokal. Hasil menunjukan bahwa partisipasi masyarakat dalam pengelolaan sampah yang belum optimal disebabkan oleh kurangnya tempat sampah yang sesuai serta rendahnya kesadaran masyarakat dalam bentuk partisipasi pengelolaan dalam menangani sampah dari laut. Upaya partisipasi masyarakat untuk pengelolaan sampah dalam bentuk Pemikiran, Tenaga, Keahlian, Barang dan Uang. Penelitian ini memfokuskan pada pentingnya partisipasi masyarakat dalam pengelolaan sampah untuk memastikan keberlanjutan dan kebersihan pada Kawasan Wisata Pantai Tanjung Pasir.
Strategi Pengembangan Fasilitas dan Atraksi Dunia Air Tawar TMII Jakarta
Authors: Ivada Emelien , Sari Wiwik
Published: November 2024

Dunia Air Tawar merupakan sebuah destinasi wisata yang menampung lebih dari 6000 binatang air tawar dengan 126 spesies yang berbeda dan terletak di Taman Mini Indonesia Indah Jakarta. Penelitian ini penting untuk dilaksanakan karena dapat membantu untuk mengembangkan fasilitas dan atraksi yang ada di dalam Dunia Air Tawar TMII ini supaya dapat terus berlanjut. Penelitian ini berfokus pada pengembangan fasilitas dan atraksi wisata. Permasalahan yang ada pada penelitian ini di dukung dengan adanya komentar dari google review dan jurnal pendukung. Metode penelitian yang dipakai adalah dengan melakukan wawancara pada pihak pengelola dan pengunjung, juga observasi.  Data yang sudah terkumpul kemudian di olah dengan metodologi yang disampaikan oleh Miles dan Huberman. Hasil dari studi ini adalah terbentuknya strategi untuk mengembangkan fasilitas dan atraksi di Dunia Air Tawar TMII, seperti pengadaan petunjuk jalan, virtual tour guide, penambahan penerangan, penambahan akses jalan untuk pengunjung difabel, penambahan tempat duduk, pembersihan dan penggantian kaca akuarium, pembersihan kolam dan pengadaan spesies ikan, pengadaan tablet edukasi interaktif dan pengadaan teater mini.
On the Magnetism: Qualitative Description
Authors:   Weifang Engineering Vocational College (Weifang Educational College), Qingzhou City, Shandong Weifang, China and Zhaoqing KAIST Battery Material Co., Ltd., Gaoyao District of Zhaoqing City, Guangdong Province, China. ORCID: https://orcid.org/0000-0001-8397-0640., En Wang Xiao
Published: November 2024

This paper modifies the Hund’ rule, explains the macroscopic phenomenon that the orbital magnetic moment and most substances are not magnetic, discusses the microscopic mechanism of ferromagnetism, and obtains the position of magnetic generating elements in the periodic table. It has been found, by research, that the p-area elements in the second period, the d-area elements in the fourth period, and the f-area elements in the sixth period are most likely to become the main elements for magnetic generation.
"De que fiz este termo"
Authors: Souza Ivan Douglas de , Quintiliano João Pedro
Published: November 2024

O presente estudo se desenvolve por meio da análise filológica de um documento oriundo da Câmara da vila de Nossa Senhora da Ponte de Sorocaba. O referido texto, redigido no século XVII, faz parte, hoje, do acervo do Arquivo Público do Estado de São Paulo (APESP). O objetivo geral é publicar a sua transcrição modernizada. Por conta do cunho jurídico do documento, utilizamos a Diplomática, dentre as disciplinas filológicas, para as análises tanto dos seus elementos internos quantos dos externos. Desse modo, os resultados mostram que o documento em questão se configura como termo. Concluímos que nosso corpus compõe fonte primária de grande relevância histórica e diplomática.
The Significance of Big Data Analytics in the Procurement Process and Supply Chain Management in the Nigerian Manufacturing Industry
Authors: Okpara Itiri Idam , Moneme Patrick Chigozie , Onuaja Ogbonnaya Abraham , Ikegbunam Kingsley Enujiofor
Published: November 2024

The adoption of BDA in Nigeria faces challenges due to the absence of affordable computing, mining, reliable data, and weak institutional frameworks in many organisations. It is important to examine the significance of BDA in the procurement process and SCM in the Nigerian manufacturing industry (NMI). The study employed multiple case study sampling method, linear curve estimation (LCE), Cronbach’s alpha, and exploratory factor analysis (EFA) for the analysis of the data. The results showed that BDA contributed significantly to the increase in the procurement process by 65.3% and the increase in SCM by 48.4% in NMI. Further estimations to examine interconnectivity among the complex structures in SCM revealed that efficient procurement processes, SC visibility, and SC flexibility of NMI had positive and significant influence on SC resilience. Strong reliability was shown by the majority of scale items, which had Cronbach’s alpha coefficient values greater than 0.7 but less than 0.90. The outcomes of factor analysis indicated that the pattern matrix displayed significant factor loading and a high connection between factors. The study concluded that BDA is significant in the procurement process and SCM in the Nigerian manufacturing industry. Therefore, agreeing with knowledge management and competitive advantage theories that companies process diverse data to ensure efficient operations and market differentiation to improve competitive edge, customer satisfaction, and brand loyalty in the industry. The study provides valuable insights for practical policy implications.
A strategy for development and economic progress: challenges and opportunities of rural entrepreneurship
Authors: Mukta Rokeya Tamanna , Rayhan Zahir , Faruq Omar
Published: November 2024

Employing the Economic Performance Model to gauge rural places' attractiveness, this study investigates the opportunities and threats of rural entrepreneurs in underdeveloped regions. With 85.7% of its citizens residing in impoverished regions, rural areas play a crucial role in Bangladesh's economic development, according to World Bank research. While prior research has mostly concentrated on finances, innovation plays an essential role in rural growth. Using a semi-structured interview approach, we surveyed several local businesses to learn about their experiences involving entrepreneurs who own small businesses and the challenges and possibilities they encounter. We looked towards the Innovation Operations Approach and found the main opportunities and threats. To reduce unemployment and economic hardship, rural businesses must flourish in Bangladesh. To compile this data, we consulted other sources and spoke with rural business owners in Bangladesh. The study recommends policies and rules put in place by governments to support small-scale farming, highlighting its significance in rural growth. Academics in Bangladesh are particularly interested in studying the characteristics and backgrounds of founders from the country, plus the challenges and possibilities associated with the expansion of private enterprise in the country. Evaluation, summary, and recommendations for further research are included.
Analysis of the Hessian of time series models’ combination minimizing estimate of forecast variance
Authors:   MIREA – Russian Technological University, Moscow, Russia, Petrusevich D. , Savelev M.
Published: November 2024

In the paper structure of the Hessian of the forecast variance function is investigated in case of ARIMA and ETS models. It is shown that in case of certian models the Hessian is equal to 0 and it is impossible to characterize the behavior of the extremum using standard methods. The Hessian of the forecast variance function has been constructed for the optimal weighted combination of two forecasts (aiming to minimize estimate of forecast variance). For the constructed combinations of forecasts, the Hessians aren't equal to zero at the extrema, except in degenerate cases. The results are tested on a subset of ARIMA, ETS models. It is shown that in the vicinity of the extremum points, the Hessian takes a diagonal form, and the coefficients in the blocks corresponding to the side diagonal are of the second order of smallness in terms of the parameters of the combined models.
Mapping the Landscape of Green Marketing: A Systematic and Bibliometric Approach (2004 – 2023)
Authors: Bee A Nowshath , Muthumeenakshi M
Published: November 2024

This research presents a comprehensive bibliometric and systematic analysis of the green marketing literature published between 2004 and 2023, focusing on the evolution of green marketing strategies over time while also examining cultural trends and significant issues within both research and industry literature. By conducting an extensive review of relevant articles, the study underscores the increasing significance of sustainability and environmental responsibility in contemporary marketing strategies. Our objective is to analyze current publishing trends, citation patterns, and leading sources related to green marketing over the past two decades. The findings offer a detailed overview of previous authors' evaluations of publications on green marketing, while also identifying the most frequently referenced articles on the subject. These articles cover a range of critical topics, including enhanced brand reputation, sustainability, sustainable development, green products, long-term profitability, and consumer loyalty. The analysis reveals that green marketing is not merely a passing trend but rather an essential strategy for companies aiming to succeed in a marketplace where consumers are increasingly environmentally conscious. This study contributes to a deeper understanding of green marketing techniques and provides valuable insights for future research, addressing existing gaps in the literature and offering practical guidance for the implementation of sustainable marketing strategies in real-world contexts. By highlighting the importance of integrating sustainability into marketing practices, this research aims to inspire both academics and practitioners to further explore the dynamic field of green marketing.
PKM Pemberdayaan Kader PKK Demaan Kudus melalui Optimalisasi Sumber Daya Lokal Buah Parijoto menjadi Nutrasetika Bersertifikat Halal Menuju Desa Mandiri Finansial
Authors: Wijayanti Rina , Susmayanti Windi , Rusdi Dedi , Shihab Aura Najwa , Saputri Seftiyaningsih Duwi
Published: November 2024

Buah parijoto (Medinilla speciosa blume) merupakan buah lokal yang benyak ditemukan di Desa Demaan. Buah parijoto memiliki beberapa aktivitas farmakologis seperti antioksidan, penurunan kadar glukosa, serta berkhasiat sebagai agen fertilitas. Tujuan dari kegiatan pengabdian ini adalah untuk meningkatkan keterampilan dan pengetahuan berwirausaha melalui produksi nutrasetika minuman probiotik dari buah parijoto, sehingga mampu meningkatkan ketahanan pangan dan kemandirian finansial keluarga terdampak Covid-19. Pelaksanaan pengabdian dilakukan melalui beberapa tahapan yaitu FGD dengan mitra, sosialisasi, demonstrasi dan workshop pembuatan minuman probiotik, pelatihan pembuatan kemasan, pelatihan manajemen usaha, serta monitoring dan evaluasi. Hasil pelaksanaan kegiatan menunjukkan adanya peningkatan pengetahuan peserta kegiatan sebesar 80%, sehingga kegiatan pengabdian ini telah berlangsung dengan baik sesuai prosedur.
Review on Cosmetics Science Preparation and Evaluation of Shaving Cream
Authors: Mr. Ketan Popat Awale  , Mr. Sohel Liyakat Momin  , Mr. Akshay Pandit Dange  , Mr. Pramod B. Chikkodi
Published: November 2024

Shaving Cream is a topical product designed to facilitate the process of shaving by providing a lubricating barrier between the razor and the skin. It aims to reduce friction during shaving, prevent nick and cuts, and promote a smooth glide for the razor. In addition to its primary function, shaving cream also serves to moisturize and protect the skin, minimizing irritation and razor burn. This paper reviews the formation aspects of shaving creams, encompassing various ingredients and preservatives. These components contribute to the cream’s texture, stability, and effectiveness, allowing for customization based on user preferences.
Robust Deep Reinforcement Learning in Autonomous Car Path Planning
Authors: Dr. Vikas Mahandule  , Mrs. Harsha Patil  , Mr. Ayush Thakur
Published: November 2024

The rapid advancements in autonomous vehicle technology have emphasized the need for adaptable and dependable control systems. Deep Reinforcement Learning (DRL) has emerged as a key method to address the complexity involved in autonomous driving. This research explores how DRL can enhance path planning and control mechanisms in self-driving vehicles, with a particular focus on its ability to handle dynamic traffic environments. The challenges in training DRL models, including generalization, safety, and real-time decision-making, are analyzed. The paper also suggests potential research directions for improving DRL's application in autonomous driving, offering insights into its strengths and limitations in the current technological landscape