bluuebunny/crossref_metadata_2025 huggingface dataset:
Construindo pontes: a construção de pontes de palito de picolé no ensino básico como incentivo à inserção no ensino superior
Authors: SOUZA Ariel Miranda de , CARREIRA Isabella Marcossi Biagioni Baeta , ADAMS Érika , OLIVEIRA Karen Pereira , CAPANEMA André Martins , LIMA Mariana Palma , MENDES Beatryz Cardoso , PEDROTI Leonardo Gonçalves , CARVALHO José Maria Franco de
Published: November 2023

É de suma importância incentivar os alunos de escolas públicas a conhecerem e continuarem os estudos no ensino superior, visto que muitos deles, ao concluírem o ensino básico, sentem-se desmotivados ou incertos sobre a continuação de sua educação. Desta forma, o projeto de extensão Construindo Pontes da Universidade Federal de Viçosa realizou um concurso de pontes de palito de picolé, em conjunto com as escolas públicas da cidade de Viçosa — MG. Aulas expositivas expuseram pontos básicos dos cursos de Engenharia Civil e Arquitetura e Urbanismo, além de orientações para a construção das pontes. Ao final do concurso, foi realizada a cerimônia de rompimento das pontes e discussão das possíveis causas dos rompimentos e formas de se aumentar a eficiência das pontes. Foi possível promover a extensão entre o conhecimento adquirido pelos alunos da UFV com os estudantes do ensino básico de Viçosa, possibilitando troca de saberes e acesso a um novo mundo de perspectivas e oportunidades.
Strategic non-regulation as migration governance
Authors: Natter Katharina , Norman Kelsey , Stel Nora
Published: November 2023

Over the last decade, critical migration scholarship has been increasingly concerned with how state actors in both the Global South and Global North deploy forms of inaction and ambivalent action to govern migrants. Scholars have mobilized and developed concepts to capture such strategic non-regulation, ranging from notions of standoffishness, ignorance, indifference, ambiguity, adhocracy, and informality in political science, IR and sociology, to necropolitics, ignorance, opacity, obfuscation, non-recording and liminality in anthropology, socio-legal studies and political geography. Scholars thus seem to agree that the strategic use of non-regulation by state actors is a significant aspect of migration governance. Yet, conceptual and methodological advances remain fragmented and scattered across geographical regions and disciplines. This paper argues that much can be gained by putting the different conceptual and methodological innovations on strategic non-regulation into dialogue. First, consolidating insights from different bodies of scholarly work moves analyses of strategic non-regulation from the fringes of migration scholarship to its center and demonstrates that strategic non-regulation is a core feature of migration governance. Second, bringing these different works together enables us to synthesize the variety of analytical strategies that scholars have devised to empirically locate the elusive phenomenon of strategic non-regulation. Overcoming disciplinary and geographical divides in the study of strategic non-regulation will also be key to advance broader social science debates on the political functionality of policy failure and on the interplay between state capacity and political will - in migration governance but also beyond.
OSTEOGENESISIMPERFECTA IN THE NEWBORN: ABOUT A CASE
Authors:   Neonatal Intensive Care Unit, UniversityHospital Center Mohammed VI, Marrakech,Morocco., Kaouani D. ,   Health,Childhood and Development Faculty of MedicineResearch Team, Cadi AyadUniversity,Marrakech,Morocco., Bennaoui F. ,   Neonatal Intensive Care Unit, UniversityHospital Center Mohammed VI, Marrakech,Morocco.,   Health,Childhood and Development Faculty of MedicineResearch Team, Cadi AyadUniversity,Marrakech,Morocco., Lalaoui A. ,   Neonatal Intensive Care Unit, UniversityHospital Center Mohammed VI, Marrakech,Morocco.,   Health,Childhood and Development Faculty of MedicineResearch Team, Cadi AyadUniversity,Marrakech,Morocco., Idrissi Slitine N. El ,   Neonatal Intensive Care Unit, UniversityHospital Center Mohammed VI, Marrakech,Morocco.,   Health,Childhood and Development Faculty of MedicineResearch Team, Cadi AyadUniversity,Marrakech,Morocco., Maoulainine FMR. ,   Neonatal Intensive Care Unit, UniversityHospital Center Mohammed VI, Marrakech,Morocco.,   Health,Childhood and Development Faculty of MedicineResearch Team, Cadi AyadUniversity,Marrakech,Morocco.
Published: November 2023

Osteogenesis imperfect (OI) is a rare hereditaryconstitutionaldiseaseshowingvaryingseveritycharacterized by bonefragility, secondary to a defect in the synthesis of collagentype I . Its management ismultidisciplinary. We report a case of neonataldiscovery ofOI atMohammed the VIUniversityHospital in order to identify diagnostic and therapeuticdifficulties and improve the vital prognosis.
A QUALITATIVE STUDY ABOUT FALSE PERCEPTION STUDENTS TOWARDS THE MAGNETIC RESONANCE IMAGING EQUIPMENT IN RADIOLOGY DEPARTMENT
Authors:   M.Sc.RIT Research Fellow, Radiation and Imaging Technology, Nims University, Rajasthan Jaipur, India., Bala Bulti , Pratap Bhanu ,   Assistant Professor and Head, Radiation and Imaging Technology, Nims College of Paramedical Technology, Nims University, Rajasthan Jaipur, India., Kumar Gourav ,   Assistant Professor, Radiation and Imaging Technology, Nims College of Paramedical Technology, Nims University, Rajasthan Jaipur, India., Hrangkhawl Wilson ,   Assistant Professor, Radiation and Imaging Technology, Nims College of Paramedical Technology, Nims University, Rajasthan Jaipur, India.
Published: November 2023

Introduction-Magnetic resonance imaging has been called the most important development in medical diagnosis since the discovery of the x-ray 100 years ago. It became the most important tools of modern radiology Purpose-The aim of the study is to find out the students false perception towards the magnetic resonance imaging equipment in radiology department. Methodology- A prospective study was conducted by making objective type questionnaire and filled it by the students of paramedical college. Result-At the end of study, following results were observed the studys result revealed several key themes regarding false perceptions of MRI equipment among students.23.04% students expressed fear of radiation exposure. 19.82% students held misconceptions about the potential danger of MRI scan. These misconceptions may arise from a lack of understanding and underlying principles of MR technology.18.43% students think that MRI generates images of the body by emitting sound waves and measuring their echoes. The most common false believe that MRI is only used for bone scan (28.57%). 20.74% students think that MRI can cause cancer.29.49% students have no idea about noise during the MRI scan.38.80% students are not aware about the prohibited items to the MRI room. Conclusion- Comparing courses wise MRI safety knowledge in subjects by using chi-square test It is found statistically significant with p â€“ Value 0.00623, It means course wise MRI safety knowledge were change.Comparing to the others course medical lab technology (MLT) students have better knowledge about MRI equipment.The study did not find any significant differences in false perception of MRI equipment based on age or gender among the students. It implies that age and gender may not be significant factors in shaping these perceptions within this particular group.
The impact of social aid on poverty during the COVID-19 pandemic: Empirical evidence from Indonesia
Authors: Rante Langi Cornelius , Lufi Zulfikar Akbar , Maulana Indra , Widayati Nurfiza , Yudaruddin Rizky
Published: November 2023

The primary goal of this study is to investigate the impact of social aid expenditures on the proportion of poor people in Indonesian provinces, as well as the additional impact of the COVID-19 pandemic on poverty levels, with a particular emphasis on the interaction between social assistance spending and the pandemic’s effects. Focusing on 34 provincial governments in Indonesia from 2004 to 2022, the data were analyzed using the two-step GMM system. The results of this study indicate that social aid expenditures negatively and significantly impact the proportion of Indonesia’s population living in poverty. This demonstrates that a rise in social aid expenditures lowers Indonesia’s proportion of the impoverished population. The observed negative impact suggests a real decrease in the poverty rate as social aid expenditures rise. In the meantime, this study discovers a positive and noteworthy impact of the COVID-19 variable. This indicates that compared to the time prior to the COVID-19 pandemic, a larger percentage of Indonesians lived in poverty during the pandemic. Furthermore, social aid expenditures were unable to reduce the number of poor people in Indonesia during the COVID-19 period.
A critical review of risk matrices used in water safety planning: improving risk matrix construction
Authors: Lane Kaycie , Hrudey Steve E.
Published: November 2023

Risk matrices are used in water safety planning to prioritize improvements to drinking water systems. While water safety plans (WSPs) are promoted globally, no study has evaluated whether risk matrices are comprehensively constructed to accurately assess risk. We used risk matrix criteria adapted from previous risk matrix research to evaluate risk matrices found in twelve templates across global jurisdictions. WSP templates were found using the WSPortal website and definitions of likelihood and impact were extracted from each template to assist in the evaluation of WSP risk matrices. Application of the criteria developed from a detailed mathematical analysis by revealed that 11 of 12 risk matrices evaluated contravene at least one of the risk matrix criteria. Furthermore, definitions of likelihood and impact varied widely across different jurisdictions, due in part to the system specific nature of the WSP methodology. To improve risk matrix construction, we recommend: setting clearer risk level boundary criteria, aligning specific impact category definitions with water system objectives, and selecting specific impact categories as opposed to defining impact in several ways. Finally, we recommend risk matrix construction be reviewed as part of the WSP process to ensure accurate identification of key risks in a water system.
O tema gênero e as autoras no campo editorial das Ciências Sociais no Brasil
Authors: Almeida Tânia Mara Campos de , Rocha Emerson Ferreira
Published: November 2023

O presente artigo realiza um estudo exploratório e descritivo sobre a presença de autoras e do tema gênero no campo editorial das Ciências Sociais no país, a partir da análise comparativa entre periódicos com Qualis A1, abrangendo Sociologia, Antropologia, Ciências Políticas e áreas afins, inseridos na plataforma SciELO, com mais de trinta anos de publicação contínua. Ancora-se pela busca da frequência e distribuição de autoras como únicas e primeiras assinantes dos seus artigos, bem como pela frequência do tema gênero, em caráter estrutural para a compreensão da realidade social, no decorrer de seus perfis de publicação. Em particular, centra-se na revista Sociedade e Estado, com o intuito de mostrar como a expressiva contribuição feminina nos critérios observados, inclusive por meio do número majoritário de editoras mulheres à sua frente, contribuiu para a presença feminina na autoria de artigos e para o debate e o aprofundamento de gênero no panorama teórico-conceitual da área, impactando juntamente com as demais revistas na formação docente, acadêmica e a agenda de pesquisa na pós-graduação brasileira.
Customary Sanctions: Social Control of Rural Development
Authors: Nurdin Bartoven Vivit , Asnani Asnani , Ratnasari Yuni , Syah Pairul
Published: November 2023

The whole community should be involved in rural development. However, occasionally, some obstacles cause a lack of community participation. Therefore, several aspects, like socio-cultural and customary practices, are utilized for the rural development of indigenous peoples. This study aimed to analyze customary sanctions' function as social control in rural development for the indigenous Pepadun community in Srimenanti Village, Negara Batin sub-districts, Way Kanan Regency. This field research used a descriptive qualitative approach. The primary data were collected from interviews and observations, while the secondary data were assembled from Statistics Indonesia and customary records owned by informants. Transcription and description were conducted for data processing and analysis. As a result, customary sanctions enforced by Members of the Indigenous Council (Anggota Dewan Adat) have an important role in the social control of deviant behavior through agreed Bia (Biaya Adat/Customary Fees). Additionally, customary rules also play a role in filling both physical and non-physical rural development of the skills in the rural government and customary administrators. These customary sanctions run on community participation in complying with agreed customary rules.
A two-fold strategy towards low-carbon concrete
Authors: Zunino Franco
Published: November 2023

Concrete is by a substantial margin the most widely used construction material. Projections indicate that the demand for concrete it will continue to increase to sustain the development of emerging economies. This paper presents a new perspective of low-carbon concrete by refocusing on the actual final product, highlighting the tremendous CO2 saving opportunities of reducing the total paste volume of concrete while simultaneously using high performance, low-clinker cements in the so-called two-fold strategy (low clinker content, low paste volume concrete formulations). Different aspects of low paste volume concrete formulations are discussed based on a combination of published and new concrete performance data, showing the potential for CO2 savings of the strategy and the technical opportunities to retain the robustness and reliability that make concrete such a versatile and widely used material. Chemical admixtures play a crucial role in reaching those objectives, as they enable to reduce the cement content while retaining the needed workability (slump and slump retention) for each application. The key issues relating to using those admixtures in low carbon concrete are highlighted.
Nature-Saving Practices on the Territory of a Higher Educational Institution
Authors: Prelikova E. A. , Yushin V. V. , Kopylov M. R. , Trifonov A. P.
Published: November 2023

Relevance. One of the global problems of our time is environmental pollution. The problem of filling huge territories with plastic waste is becoming more acute every year. The main reason for this is the inability to process the entire volume of plastic formed as a result of the vital activity of the population. The problem can be mitigated by reducing the amount of plastic consumption in a person's daily life and organizing the practice of separate collection of plastic, which will still be used by the population. The purpose is to research and develop one of the options for nature–saving practice on the territory of Southwestern State University. Objectives: to study the respondents' readiness to improve the plastic waste management system; to identify the main problems associated with the formation of an effective plastic management system; to develop one of the options for nature-saving practices. Methodology. Theoretical-methodological, structural-functional and sociological analysis of studying the issue of improving the plastic waste management system were used to solve the tasks. Results: the main problems of the formation of the plastic waste management system are identified; the readiness of employees and students of the university to improve the plastic waste management system is analyzed; the option of installing an apparatus for receiving plastic as a nature-saving practice on the territory of a higher educational institution is proposed. Conclusions. The implementation of nature-saving practices on the territory of a higher educational institution is a way to solve the growing conflicts in the socio-ecological sphere. The formation of a sustainable and efficient plastic waste management system will contribute to ensuring the environmental safety of the territory. According to the results of the conducted sociological research, the main problems of forming an effective plastic waste management system are insufficient or incorrect location of plastic collection/reception sites, weak popularization of separate waste collection, as well as insufficient motivation to carry out.
Formation of the Vector of Strategic Development of the Organization in Conditions of Risk and Uncertainty
Authors: Kryzhanovskaya O. A. , Pykhtin A. I.
Published: November 2023

Relevance. Close attention is paid to the issues of long-term development of economic entities. Obtaining results in a strategic perspective depends on the correctly chosen vector of the organization's movement in an unstable external environment, risk and uncertainty. In this regard, the problem of forming the vector of the organization's strategic development under conditions of risk and uncertainty requires its solution from a scientific and practical point of view, which confirms the relevance of conducting research on this topic. The purpose of the study is to substantiate the relevance of the stated topic and develop scientific and practical recommendations for the formation of the vector of strategic development of a particular organization (on the example of the organization of the tourism industry) under conditions of risk and uncertainty. Objectives: The tasks are defined by the subject of the study and involve substantiation of the relevance of forming the vector of strategic development of the organization under risk and uncertainty, conducting a strategic analysis of the industry and the external environment of the organization, identifying and assessing the risks of developing an economic entity, identifying and choosing strategic alternatives for the development of the organization in the context of forming the vector of strategic development of the organization in conditions of risk and uncertainty. Methodology. The research methodology involves the use of methods of empirical, statistical and comparative analysis, as well as methods of multi-criteria choice, game theory. Results: the relevance of the formation of the vector of strategic development of the organization under the conditions of risk and uncertainty is substantiated; a strategic analysis of the industry and the external environment of the organization was carried out; the risks of development of an economic entity were identified and assessed; a strategic alternative for the development of the organization was identified and selected in the context of the formation of the vector of strategic development of the organization under risk and uncertainty. Conclusions. The study substantiates the relevance of forming the vector of strategic development of a particular organization (on the example of the organization of the tourism industry) under conditions of risk and uncertainty, developed specific scientific and practical recommendations.
The Practice of Implementing the Policy of Resource Saving in the Housing and Communal Services of the Kursk Region
Authors: Kuzmina V. M. , Parkhomchuk M. A.
Published: November 2023

Relevance. The system of functioning of housing and communal services requires fundamental changes. Today, there is an obvious need for an integrated approach to the reform of housing and communal services and resource conservation using foreign experience. The purpose is to consider the practice of implementing the resource-saving policy in the housing and communal services of the Kursk region, the problems and ways to improve it. Objectives: to investigate the target indicators for the implementation of programs and subprograms in the housing and communal services sector at the level of the Kursk region; to study the nature of the appeal of citizens of the Kursk region on the problems of housing and communal services and resource conservation; show the real level of equipment with individual automated metering devices for housing and communal services in the Kursk region as of January 1, 2023; identify the problems and ways to improve the policy in the field of resource conservation of housing and communal services. Methodology: collection, systematization and analysis of sources on the research problem; statistical data presented in the public domain of the official websites of the administration of the Kursk region, GIS housing and communal services. Results. The targets for the implementation of programs and subprograms in the housing and communal services sector at the level of the Kursk region were studied, which showed a high level and timeliness of the implementation of the stated target indicators. The nature of the appeal of citizens of the Kursk region on the problems of housing and communal services and resource conservation showed that residents are aware of the high level of wear and tear of electricity and heating systems, understand the difficulties with cold and hot water supply, while reminding the regional authorities of their appeals the need to modernize the infrastructure of housing and communal services. Conclusions. It is impossible to solve the problems of resource conservation only by administrative mechanisms, it is necessary to use economic levers, including stimulation and support of resource-saving measures. It is also necessary to stimulate the end user of resources in the housing and utilities sector, since for the layman the mechanisms of economic benefit will be much more tangible than administrative punishment.
Wearable Activity Trackers That Motivate Women to Increase Physical Activity: Mixed Methods Study
Authors: Peterson Neil E , Bate Danielle A , Macintosh Janelle LB , Trujillo Tanner Corinna
Published: November 2023

Background

Physical inactivity is a significant public health concern, particularly among women in the United States. Wearable activity trackers (WATs) have been proposed as a potential solution to increase awareness of and engagement in physical activity (PA). However, to be effective, WATs must include features and designs that encourage daily use.

Objective

This study aims to explore the features and designs of WATs that appeal to women and determine whether devices with these attributes are effective motivators for women to be physically active.

Methods

A mixed methods study guided by the self-determination theory was conducted among 15 women. Participants trialed 3 WATs with influence in their respective accessory domains: Apple Watch for the wrist; Oura Ring for the finger; and Bellabeat Leaf Urban for multiple sites (it can be worn as a bracelet, necklace, or clip). Participants documented their daily PA levels and rated their satisfaction with each device’s comfort, features, and motivational effect. Focus groups were also conducted to gather additional feedback and experiences within the a priori areas of comfort, features, and motivation.

Results

Behavioral Regulation in Exercise Questionnaire–2 scores indicated that most participants (14/15, 93%) were motivated at baseline (amotivation score: mean 0.13, SD 0.45), but on average, participants did not meet the national minimum PA guidelines according to the self-reported Physical Activity Vital Sign questionnaire (moderate to vigorous PA score: mean 144, SD 97.5 min/wk). Mean WAT wear time was 16.9 (SD 4.4) hours, 19.4 (SD 5.3) hours, and 20.4 (SD 4.7) hours for Apple Watch, Bellabeat Leaf Urban, and Oura Ring, respectively. During focus groups, participants reinforced their quantitative ratings and rankings of the WATs based on personal experiences. Participants shared a variety of both activity-related and non–activity-related features that they look for in a motivating device. When considering what the ideal WAT would be for a woman, participants suggested features of (1) comfort, (2) extended battery life, (3) durability, (4) immediate PA feedback, (5) intuitive PA sensing, and (6) programmability.

Conclusions

This study is the first to specifically address women’s experiences with and preferences for different types of WATs. Those who work with women should realize how they view WATs and the role they play in motivation to be active.
Effectiveness of psychological treatments for offenders diagnosable with a ‘personality disorder’: a systematic review and meta-analysis (Preprint)
Authors: Freestone Mark
Published: November 2023

BACKGROUND

Despite the prevalence of personality disorder (PD) in institutions, evidence for successful treatments for people with this diagnosis, who have also committed a criminal offence remains elusive. The previous systematic review of this literature was conducted in 2003; this review updates that search and includes methodological updates based on CRD guidance.

OBJECTIVE

To systematically identify and synthesis evidence for the effectiveness of psychological treatments for individuals with a diagnosable personality disorder who have offended.

METHODS

A systematic literature review (PROSPERO Registration:CRD42021248567), using CRD guidelines, was conducted of studies reporting quantitative outcomes from psychosocial treatments for offenders in any setting, between 2003 and 2023. Papers were assessed for their evidence level achieved according to the OCEBM, and narratively summarised. Meta-analyses were conducted per outcome where homogeneity permitted.

RESULTS

28 papers met the inclusion criteria, across eight outcomes: change in PD traits; recidivism; institutional sanctions; risk reduction; wellbeing; treatment completion and progression; anger & aggression; and non-convicted violence. Meta-analysis was possible for two domains: PD traits (impulsivity) and recidivism. Neither meta-analysis revealed a significant overall impact of any treatment. The quality of evidence available was best for schema therapy.

CONCLUSIONS

Several problems remain with the evidence for successful psychological treatment of personality disorder: too broad a range of interventions, lack of agreement on outcomes, generally poor study methodology with a preponderance of single-arm studies; and a focus on treatment of a relatively small number of diagnostic traits from the antisocial/borderline domains. Greater co-ordination of therapeutic innovation in offender treatment is suggested.
Development of a Clinical Simulation Video to Evaluate Multiple Domains of Clinical Competence: Cross-Sectional Study (Preprint)
Authors: Shikino Kiyoshi , Nishizaki Yuji , Fukui Sho , Yokokawa Daiki , Yamamoto Yu , Kobayashi Hiroyuki , Shimizu Taro , Tokuda Yasuharu
Published: November 2023

BACKGROUND

Medical students in Japan undergo a 2-year postgraduate residency program to acquire clinical knowledge and general medical skills. The General Medicine In-Training Examination (GM-ITE) assesses postgraduate residents’ clinical knowledge. A clinical simulation video (CSV) may assess learners’ interpersonal abilities.

OBJECTIVE

This study aimed to evaluate the relationship between GM-ITE scores and resident physicians’ diagnostic skills by having them watch a CSV and to explore resident physicians’ perceptions of the CSV’s realism, educational value, and impact on their motivation to learn.

METHODS

The participants included 56 postgraduate medical residents who took the GM-ITE between January 21 and January 28, 2021; watched the CSV; and then provided a diagnosis. The CSV and GM-ITE scores were compared, and the validity of the simulations was examined using discrimination indices, wherein ≥0.20 indicated high discriminatory power and >0.40 indicated a very good measure of the subject’s qualifications. Additionally, we administered an anonymous questionnaire to ascertain participants’ views on the realism and educational value of the CSV and its impact on their motivation to learn.

RESULTS

Of the 56 participants, 6 (11%) provided the correct diagnosis, and all were from the second postgraduate year. All domains indicated high discriminatory power. The (anonymous) follow-up responses indicated that the CSV format was more suitable than the conventional GM-ITE for assessing clinical competence. The anonymous survey revealed that 12 (52%) participants found the CSV format more suitable than the GM-ITE for assessing clinical competence, 18 (78%) affirmed the realism of the video simulation, and 17 (74%) indicated that the experience increased their motivation to learn.

CONCLUSIONS

The findings indicated that CSV modules simulating real-world clinical examinations were successful in assessing examinees’ clinical competence across multiple domains. The study demonstrated that the CSV not only augmented the assessment of diagnostic skills but also positively impacted learners’ motivation, suggesting a multifaceted role for simulation in medical education.
Exploring Healthcare-Seeking Behavior Intentions of Middle-Aged and Elderly Individuals with Critical Illnesses in Taiwan under the COVID-19 Pandemic (Preprint)
Authors: Lee Po-Chun , Huang Ching-Yuan , Hsu Meng-Jun
Published: November 2023

BACKGROUND

Taiwan is grappling with the profound implications of a rapidly aging demographic, a trend contributing to an increased burden of critical illnesses. These diseases are now emerging as predominant contributors to mortality rates in the country. This demographic shift poses complex healthcare challenges and necessitates a reevaluation of resource allocation and care strategies to accommodate the escalating needs of this vulnerable segment of the population.

OBJECTIVE

In the wake of the COVID-19 pandemic, healthcare environments have encountered unprecedented risks, exacerbating the vulnerabilities of middle-aged and elderly individuals, especially those with pre-existing critical illnesses. This heightened risk landscape accentuates the critical need to closely analyze the factors influencing healthcare-seeking behavior in this demographic. Understanding their intentions and decision-making processes in seeking medical attention is now more crucial than ever to ensure that their healthcare needs are met effectively and safely during such a global health crisis.

METHODS

This study applied the Theory of Planned Behavior and examined critical illness patients' “behavioral intention” during COVID-19. Constructs such as “attitude,” “subjective norm,” “perceived behavioral control,” “perceived risk,” and “trust” were considered. Data from 526 valid questionnaires were analyzed using smart partial least squares structural equation modeling.

RESULTS

All 17 hypotheses within the research framework, including five major constructs and 12 sub-constructs, were supported. Trust emerged as the most significant construct, followed by attitude, perceived risk, perceived behavioral control, and subjective norm. The sub-constructs mediated the relationship between the major constructs and behavioral intention. Notably, there were significant differences in the healthcare behavioral intention model among the three common critical illnesses (hypertension, diabetes mellitus, and hyperlipidemia).

CONCLUSIONS

The expanded Theory of Planned Behavior offers a comprehensive framework for understanding the complex factors that influence the healthcare-seeking behaviors of middle-aged and elderly populations, particularly those with critical illnesses, in the context of the COVID-19 pandemic. This theoretical model illuminates how attitudes, subjective norms, perceived behavioral control, perceived risk, and trust interact to shape the intentions and decisions of these individuals when accessing healthcare services during a time of heightened vulnerability and public health challenges.

CLINICALTRIAL

NONE
Evaluation of Opening Offers Early for Deceased Donor Kidneys at Risk of Nonutilization
Authors: Kilambi Vikram , Barah Masoud , Formica Richard N. , Friedewald John J. , Mehrotra Sanjay
Published: November 2023

Background

Reducing nonutilization of kidneys recovered from deceased donors is a current policy concern for kidney allocation in the United States. The likelihood of nonutilization is greater with a higher kidney donor risk index (KDRI) offer. We examine how opening offers for organs with KDRI >1.75 to the broader waitlist at varying points of time affects usage rates.

Methods

We simulate kidney allocation using data for January 2018 to June 2019 from Organ Procurement and Transplantation Network. For the simulation experiment, allocation policy is modified so that KDRI >1.75 organs are offered to all local candidates (same donation service area) after a set amount of cold time simultaneously. Open offers to candidates nationally are similarly examined.

Results

Simulation results (n=50 replications) estimate that opening offers locally for KDRI >1.75 after 10 hours yields a nonutilization rate of 38% (range: 35%–42%), less than the prevailing rate of 55% of KDRI >1.75 kidneys. Opening offers after 5 hours yields 30% (range: 26%–34%), reducing the prevailing nonutilization rate by 45%. Opening offers nationally after 10 and 5 hours yields nonutilization rates of 11% (range: 8%–15%) and 6% (range: 4%–9%) for KDRI >1.75 kidneys, respectively.

Conclusions

Simulation findings indicate that opening offers and adjusting their timing can significantly reduce nonutilization of high-KDRI kidneys.
Malala Yousafzai: A Progressive Voice for Progressive Society
Authors: Kaur Dr. Mohinderpal
Published: November 2023

This paper seeks to suggest that Malala Yousafzai, despite being born and brought up in Swat, a small valley which is part of the province of Khyber Pakhtunkhwa (Pakistan), proved to be an emissary of education for women and hence of their empowerment with sheer grit and courage in the face of multiple threats. The paper also attempts to understand that in her autobiography, Malala’s voice gives a clear assurance of the promotion of gender equality. It has already been established that she strived to find a place of independence and liberation amidst a male-privileged society. Malala Yousafzai’s act of writing blogs and challenging the Taliban has promoted the slogan “One child, one teacher, one book, one pen can change the world”(UNESCO Speech) and it has become the slogan for millions of men and women worldwide who actively work to claim their rights.
Sexuality as a Subversive Force in Erica Jong’s Fear of Dying
Authors: Ashokan Amrutha
Published: November 2023

Women have been marginalized and pushed to the periphery of the society all these years. They are marginalized in terms of gender and sexuality. They were confined to private sphere and was restricted from participating in the public sphere or mainstream society. There was no representation of women in the mainstream history. With the passage of time, women started to claim their rights. They started deconstructing the popular notion of mainstream history in order to provide equal space for women. Erica Jong in Fear of Dying also displays the anxiety of ageing in a woman’s perspective. Through the work, the author unsettles the notion of fear towards ageing and death. Erica Jong in Fear of Dying is trying to give women an authoritative and rational voice by challenging the patriarchal rules. Vanessa, a 60 year old actress in the story, reflects the condition of women and challenges the patriarchal rules. The novel explicitly represents those activities and lifestyles which helps women to move from passive agents to active agents. Through Vanessa, Jong exhorts women to move out of existing patriarchal system and discover their identity as separate from male defined identity of women.
Exploring Structural Analysis of Building Conventionally
Authors: Patel Rutvij
Published: November 2023

Abstract: Two methodologies are used to analyze the complete structure throughout the structural analysis procedure - Conventional Method and Software Base Method. A description of traditional techniques is included in this text. A structural engineer must be proficient in conventional methods of analysis. This article includes references to sub methods, total methods, conventional method processes, and examples. The accuracy of the analysis is crucial, failing which the structure will not be able to support the weight. This article covers a wide range of subjects, such as analysis techniques, definitions, and load calculations in analysis. The accuracy of the traditional analysis method is also discussed.
Pengembangan Modul Pembelajaran Berbasis Kearifan Lokal pada Mata Kuliah Keterampilan Menulis dan Membaca SD
Authors: Toding Bua Mety , Ady Saputra
Published: November 2023

The learning module was developed because there was no teaching material in the form of a module based on local wisdom developed by the course lecturer. Therefore, through this research, it is expected to develop a learning module based on local wisdom. This research aims to develop a learning module suitable for use in teaching and to assess students' responses to the development of the learning module. They provide varied teaching materials to facilitate students' teaching and learning processes. This module was developed as a product through the Research and Development (RnD) method with the development process using the 4-D model (Define, Design, Develop, and Disseminate stages). Data collection instruments consist of validation sheets and questionnaires. The validation sheet is used to assess the validity of the product. The questionnaires are used to assess students' responses to the development of the interactive module. This research showed the feasibility of the research results in terms of validation by subject matter experts and language experts. The validation results of the material expert reached 88.57%, with a very feasible category. Meanwhile, the language expert validation results reached 93.33%, with a very feasible category. The survey results on students' interest in using the module reached 92.67%, with a very interested category. Based on the results, the learning module developed for elementary school reading and writing skills is highly suitable and attractive for teaching and learning.
An Improved Approximation Algorithm for Quantum Max-Cut on Triangle-Free Graphs
Authors: King Robbie
Published: November 2023

We give an approximation algorithm for Quantum Max-Cut which works by rounding an SDP relaxation to an entangled quantum state. The SDP is used to choose the parameters of a variational quantum circuit. The entangled state is then represented as the quantum circuit applied to a product state. It achieves an approximation ratio of 0.582 on triangle-free graphs. The previous best algorithms of Anshu, Gosset, Morenz, and Parekh, Thompson achieved approximation ratios of 0.531 and 0.533 respectively. In addition, we study the EPR Hamiltonian, which we argue is a natural intermediate problem which isolates some key quantum features of local Hamiltonian problems. For the EPR Hamiltonian, we give an approximation algorithm with approximation ratio 1/2 on all graphs.
Wealth in the Perspectives of the Quran
Authors: Suhaimi Suhaimi
Published: November 2023

Wealth is a matter of great urgency in human life, and it is not surprising that everyone needs it. Many people are even preoccupied with accumulating wealth without caring whether it is rightfully obtained or not. The Quran itself, as the guidance for Muslims, extensively discusses the concept of wealth. Therefore, this article aims to uncover the Quran's perspective on the essence of wealth, its acquisition, and its utilization by examining and analyzing the writings of Quranic scholars through a qualitative descriptive approach. The expected outcome is to enhance our comprehensive understanding of wealth and enable us to implement it correctly and responsibly in real life. In general, wealth in the Quranic view is inherently linked to two aspects: a gift and trust from Allah that should be appreciated, and a trial that must be approached with caution. This is because wealth not only has the potential to positively impact the owner's future (afterlife), but can also have negative consequences. Hence, it requires high knowledge and awareness regarding its acquisition and utilization.
Immediate Results of Colonic Flat Epithelial Neoplasms Removal Using Diathermic Snare Endoscopic Mucosal Resection and Mucosectomy Combined with Dissection in the Submucosal Layer: Comparative Assessment
Authors: Fedorenko A. A. , Pavlov P. V. , Kiryukhin A. P. , Tertychnyy A. S.
Published: November 2023

Aim: to compare the immediate outcomes of removing colonic flat epithelial neoplasms by using diathermic snare endoscopic mucosal resection (EMR) and mucosectomy with endoscopic submucosal dissection (ESD).

Materials and methods. Ninety-six endoscopic procedures were conducted on the colon of 93 patients with flat epithelial neoplasms. The mean age of patients was 64.9 ± 10.7 years, with an age range of 39 to 88 years. The size range of epithelial neoplasms was 20 to 70 mm, with a median of 37.4 ± 14.8 mm. Only patients with benign epithelial neoplasms were included in the study since patients with suspected malignancy in laterally spreading tumors are indicated for ESD intervention to avoid fragmentary excision and risk of colorectal cancer progression due to possible positive resection margins. The patients were separated into two equally sized groups and treated with EMR and ESD methods.

Results. Epithelial neoplasms in the ESD group had an average size of 41.6 ± 15 mm while those in the EMR group had an average size of 33.1 ± 13.5 mm. The ESD group had an average intervention time of 143.6 ± 102.9 min, whereas the EMR group had an average intervention time of 52.6 ± 34.4 min. Both groups (96 adenomas) had a total of 10 (10.4 %) patients who experienced colonic perforations during the intervention, with 4 (4.1 %) cases observed in the EMR group and 6 (6.2 %) in the ESD group. No statistically significant differences were identified in the occurrence of perforations during the operation (p = 0.7401). ESD resulted in an en bloc removal rate of 44/48 (91.6 %), whereas EMR only achieved a rate of 14/48 (29.1 %).

Conclusion. Endoscopic mucosectomy with submucosal dissection (ESD), in contrast to endoscopic mucosal resection (EMR) with diathermic snare, provides a higher frequency of tumor removal en bloc, regardless of tumor size, but is characterized by a longer duration of intervention (p < 0.0001). In the ESD group, there were twice as many intraoperative bleedings (p = 0.0061) due to the longer duration and technical complexity of the procedure. There were no statistically significant differences in the incidence of late complications between the groups (p = 0.9999). Local recurrence of adenoma developed in two patients (4.1 %) after pEMR, statistically significant differences were noted (p < 0.0006).
Cytokines in Liver Cirrhosis (Their Importance in Assessing Activity and Decompensation)
Authors: Mirodzhov G. K. , Pulatova S. D.
Published: November 2023

Aim: studying the role of pro-inflammatory and anti-inflammatory cytokines in the pathogenesis of liver cirrhosis progression.

Materials and methods. The material of the study was the data of clinical-instrumental, biochemical, virological studies of 109 patients with liver cirrhosis of various etiologty, who were hospitalized in the clinic of the Institute of Gastroenterology (Dushanbe, Republic of Tajikistan). The diagnosis of the underlying disease was established according to the clinical recommendations of the Russian Society for the Study of the Liver and the Russian Gastroenterological Association for the diagnosis and treatment of liver fibrosis and cirrhosis and their complications (2021); decompensated liver cirrhosis was established according to the 1996 Child — Pugh classification. The age of the patients ranged from 17 to 79 years (36.9 ± 0.8 years), there were 55 men and 54 women.

Results. Among the examined patients, compensated liver cirrhosis (Class A) according to Child — Pugh was detected in 18 persons, subcompensated (Class B) — in 14, decompensated (Class C) — in 77. The study of the content of pro-inflammatory and anti-inflammatory cytokines in the blood serum of patients with Class A liver cirrhosis showed, that levels of tumour necrosis factor alpha (TNF-α), interleukin-2, interleukin-6 were statistically higher compared to healthy individuals, while the concentration of anti-inflammatory interleukin-10 was lower (30.7 ± 4.7 pg/mL) in comparison with the control group. In patients with Class B liver cirrhosis, the level of TNF-α increased to 75.0 ± 4.5 pg/mL (p < 0.001), interleukin-2 — to 328.7 ± 23.9 pg/mL (p < 0.05), and interleukin-6 — to 95.4 ± 7.7 pg/mL (p < 0.001). Serum interleukin-10 decreased compared with the control group (23.1 ± 2.8 pg/mL; p > 0.05). At the decompensated stage of Class C cirrhosis, a huge release of pro-inflammatory cytokines occurs — the content of TNF-α increases by 80 times, of interleukin-2 — by more than 60 times, аs for interleukin-10, its content is progressively reduced.

Conclusion. In liver cirrhosis, there is a significant disruption in the synthesis of pro-inflammatory cytokines, which is manifested by a sharp increase in the content of TNF-α, interleukin-2 and interleukin-6. High levels of proinflammatory cytokines in blood serum in liver cirrhosis correlate with the activity and degree of decompensation, which indicates their important role in the pathogenesis and progression of the pathological process.
Two-Stage Treatment of Enterocutaneous Fistulas
Authors: Struchkov V. Yu. , Berelavichus S. V. , Akhtanin E. A. , Gorin D. S. , Dvukhzhilov M. V. , Goev A. A. , Burmistrov A. I. , Markov P. V. , Kriger A. G.
Published: November 2023

Aim: to determine the most efficient treatment of enterocutaneous fistulas.

Materials and methods. Eighty-eight patients with intestinal fistulas underwent a two-stage treatment, including: the first stage — multicomponent therapy, the second stage — reconstructive surgery. Enterocutaneous fistulas were diagnosed in 61 patients, enteroatmospheric fistulas — in 26 patients, and combined fistula (enterocutaneous and enteroatmospheric) — in 1 patient.

Results. All 88 patients underwent reconstructive surgery after the multicomponent therapy. Resection of the intestine with a fistula with the formation of an entero-entero anastomosis was performed in 72 (81.8 %) patients; marginal resection of the intestine with a fistula, followed by suturing of the defect — in 7 (8.0 %); resection of the intestine with fistulas in combination with excision and suturing of the fistula — in 5 (5.7 %); an operation aimed at disabling the fistula from the passage of intestinal contents — in 3 (3.4 %); resection of the intestine with a fistula in combination with fistula exclusion — in 1 (1.1 %) patient. Postoperative complications in the group of patients with enteroatmospheric fistulas occurred in 13 cases, in the group with enterocutaneous fistulas — in 25 patients. Three (3.4 %) patients with enterocutaneous fistulas died from complications unrelated to the underlying disease and surgical interventions.

Conclusion. Two-stage treatment including multicomponent therapy (nutritional support, infection generalization control, local wound treatment) and reconstructive surgery allowed to reduce mortality rates to 3.4 %, which proves the effectiveness of this method.