bluuebunny/crossref_metadata_2025 huggingface dataset:
Sex-specific differences in fit between two different types of body armour: A pilot study
Authors: Buttner Claire , Tiller Sharne-Louise , Vollenweider Nash , Canetti Elisa , Schram Ben , Dawes Jay , Lockie Robert , Orr Robin
Published: November 2024

Introduction. Body armour, whilst improving wearer survivability, can negatively impact physical performance and increase injury risk. These impacts may differ between male and female personnel due to the generic design of armour systems. The aim of this study was to assess sex-specific differences in comfort when wearing military (MBA) and law enforcement (LEBA) body armour. Methods. Using a prospective, within-subjects, repeated measures, randomized cross-over design, 10 police officers (female=6: male=4) wore each set of body armour. After completing a variety of tasks, officers provided feedback on a subjective mannequin sketch and provided free text comments. Results. The heavier MBA received more negative comments than LEBA. The majority of negative comments by female officers referred to: (a) discomfort around the throat and shoulders, particularly when seated (six comments), (b) the vest compressing the utility belt or holster (six comments); (c) compression of the stomach and back (two comments); (d) restrictions in breathing and range of motion (four comments), (e) reduced ability to perform tasks (two comments); and (f) ill-fitting design (two comments). In comparison, male officers reported: (a) discomfort around the shoulders and abdomen (five comments), particularly when seated (three of the five comments); and (b) hip discomfort (e.g., pinching) (two comments). Conclusion. Comfort and fit of body armour should not be considered the same between males and females. Industries need to consider these sex-specific differences in their research and design. Agencies should investigate potential differences between sexes and between systems when purchasing such systems.
Phân cấp quản lý thu, chi ngân sách nhà nước
Authors: Nguyễn Thanh Nhã
Published: November 2024

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Kiểm soát quyền lực nhà nước ở địa phương thời kỳ nhà Nguyễn
Authors: Nhâm Thúy Lan
Published: November 2024

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Bảo vệ quyền của người tố cáo: các tiêu chuẩn quốc tế và những gợi ý cho Việt Nam
Authors: Trần Thùy Dương
Published: November 2024

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Giải pháp nâng cao hiệu quả quản lý nhà nước về môi trường
Authors: Hoàng Đình Hiển  , Phạm Quốc Vinh
Published: November 2024

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Tổ chức lại đơn vị sự nghiệp công lập thuộc phạm vi quản lý của Ủy ban nhân dân tỉnh Hưng Yên - thực trạng và giải pháp
Authors: Nguyễn Thị Thiều Hương
Published: November 2024

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Thực hiện công tác cải cách hành chính giai đoạn 2021 - 2025 của tỉnh Vĩnh Phúc
Authors: Vũ Thị Kim Tuyết
Published: November 2024

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Nâng cao hiệu quả công tác bảo vệ chính trị nội bộ góp phần quan trọng bảo vệ nền tảng tư tưởng của Đảng
Authors: Nguyễn Thị Lê Thư
Published: November 2024

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Produção etnocientífica sobre o uso de plantas em comunidades quilombolas brasileiras no século XXI
Authors: Silva Rodrigo Vinícius Luz da , Souza Rosely Tavares de , Randau Karina Perrelli
Published: November 2024

Os quilombolas possuem vasto conhecimento sobre o uso de plantas, com as etnociências servindo como ferramentas de estudo desse fenômeno. Dessa forma, o presente artigo objetivou mapear a produção etnocientífica acerca deste tema. Realizou-se uma revisão integrativa por meio das bases de dados SciELO, PubMed, Scopus, Arca, ScienceDirect, BVS e Periódicos Capes, obtendo-se 41 artigos produzidos principalmente por instituições do Sudeste e com predominância de publicação entre 2014-2017. 59 comunidades foram estudadas, com predominância no Nordeste. Foram levantadas 1.354 espécies, com destaque para a família Asteraceae e para a espécie Dysphania ambrosioides. Apesar do número significativo de trabalhos, está longe de se ter uma compreensão geral sobre o tema, visto as milhares de comunidades ainda não estudadas, além da ausência de estudos em oito estados. Toda via, esse campo de pesquisas têm se mostrado fértil, com o número de artigos crescendo nas últimas décadas.
Assessment of Hypertension and its Associated Risk Factors Among Medical Students
Authors: Shirazi Ovais Ullah , Shahbaz Aatiqa , Akhtar Ali , Fatima Samreen , Batool Iram
Published: November 2024

Introduction: Hypertension refers to the condition where the pressure of blood against the artery walls is consistently too high. The increase and decrease in blood pressure throughout the day is normal but if it stays too high for a longer period, it causes severe health problems. Globally, Hypertension accounts for 28,000 deaths each day. The risk factors that can increase the likelihood of developing hypertension include older age, obesity, lack of exercise, high salt intake, family history, and certain medical illnesses such as diabetes and chronic kidney disorders.
Objective: To assess hypertension and its associated risk factors among medical students.
Method: In this cross-sectional study, 314 medical students were assessed by both an online and an F2F survey. Online data collection was carried out through Google Forms and F2F data was collected by manual data collection forms for a period of three months. The collected data was then analyzed using appropriate statistical methods to draw conclusions and answer the research questions.
Result: The study findings depicted those students aged between 21 to 25 years were affected the most (79.0%). In terms of obesity, students weighing greater than 60kg were 51.9%. The largest percentage of students 24.8% belonged to their final year followed by their fourth year 22.0%. Most students who participated in this study belonged to the degree program PharmD (46.5%). 49.7% of participants reported to have a family history of hypertension. It appeared that most students know the potential risk factors of hypertension and 74.8% of participants believed that arterial hypertension leads to cardiac failure.
Conclusion: Our study suggested a good understanding of hypertension among medical students. Family history, sedentary lifestyle, and high salt intake are potential risk factors. These findings highlight the importance of awareness and interventions to promote healthy habits.
Neurological Insights and Modern Interventions in Strabismus: A Comprehensive analysis of Screening, Diagnosis, and Treatment
Authors: Chandra Shivam , Saini Arjun , Keane James , Goldstein Leonard B.
Published: November 2024

Strabismus a prevalent ocular disorder marked by eye misalignment, poses a significant concern, especially among children. This condition harbors not just mechanical implications but substantial neurological components as well. Reduced Voxel-mirrored homotopic connectivity (VMHC) in children with strabismus accentuates impaired interhemispheric connectivity, suggesting a compromised neural basis. This literature review, spanning from 1999 to 2023, elucidates the American Academy of Ophthalmology's recommendations for pediatric vision screenings, underscoring the importance of early diagnosis and intervention. Modern diagnostic tools, such as mobile applications and the Stereo Butterfly test, alongside advancements in surgical techniques, offer promising avenues for early detection and effective treatment. Emphasizing the neurological underpinnings, the findings advocate for a multi-faceted approach to strabismus, merging mechanical understanding with neurological insights. Early identification and intervention can pave the way for improved outcomes, potentially preventing irreversible vision loss in affected children.
Diffuse Hyperkeratotic Skin Lesion as Paraneoplastic Manifestation of Classical Hodgkin's Lymphoma
Authors: Sharma Vishnu , Agarwal Abhinav , Bagrodia Vansh
Published: November 2024

A 28-year-old male presented with a two-month history of fever and generalized lymphadenopathy. Notably, he had a six-month history of pruritic, scaly, hyperkeratotic, non-erythematous skin lesions spread diffusely over his trunk and the back of his head, covering 41.5% of his body surface area.
Vascular Mirage: When Sarcoidosis Conjures a Spontaneous Pseudoaneurysm in the Superficial Femoral Artery
Authors: Mehmood Asim , M Rida , Ullah Zafar , Mamoon Nadira
Published: November 2024

A pseudoaneurysm is a pulsating, encapsulated hematoma that communicates with a damaged vessel. It can develop either iatrogenically or spontaneously. In both cases, it is a cause for major concern because it can rupture, bleed, or potentially lead to sudden death. In this case report, we present the development of a pseudoaneurysm in the Superficial Femoral Artery (SFA) of a 51-year-old male patient with sarcoidosis. It is relatively uncommon for pseudoaneurysms to arise spontaneously, particularly in patients with sarcoidosis. Early diagnosis and timely intervention are critical in preventing potentially life-threatening complications associated with pseudoaneurysms. The successful management of this case underscores the effectiveness of these treatments in addressing vascular anomalies, ensuring the patient's well-being, and minimizing the risk of complications.
Giant Heart: A Case Report
Authors: Zeinab El Mawla
Published: November 2024

Introduction: Giant left atrium (LA), by definition >80 mm, is a rare disease with an incidence of 0.3% and is often associated with rheumatic mitral valve disease.
Case Presentation: A case of a 57-year-old female patient who underwent repeated mitral valve replacement and suffered from persistent atrial fibrillation, heart failure with dyspnea and lower extremity edema. A chest X-ray showed opacification of the right middle and lower lobes. Chest CT scan showed that the atrium occupied 80-90% of the right hemithorax, and the diagnosis of giant atrium was confirmed by echocardiography.
Conclusion: Giant left and right atriums are rarely seen and typically found in patients with mitral valve disease. It may be misdiagnosed as a pleural or pericardial effusion or mass lesion on CXR. Echocardiography is the gold modality to confirm its diagnosis. Mitral valve surgery with volume reduction remains the therapeutic options with favourable outcome.
Rare Case of Gamstorp-Wohlfart Syndrome in Northwestern India-A Case Report
Authors: Chaudhary Ira , kaushal Himanshu , Sureka Rajendra Kumar , Bhatia Aril
Published: November 2024

We report a 15-year male with Gamstorp Wohlfart Syndrome from Rajasthan, India who presented with sensory motor neuropathy with asymmetric onset and neuromyotonia which was also confirmed on needle electromyography. His clinical exome analysis was carried out which showed that patient carried homozygous missense variant mutation in the coding exon 2 of HINT 1 gene p. Cys38Ter(c.114TC>A). Gamstorp wohlfart syndrome which is characterised by sensory motor (motor>sensory) or pure motor axonal neuropathy with distinctive feature of neuromyotonia which is usually associated with recessive HINT 1 mutation. The present case expands the geographic distribution of HINT 1 neuropathy in India. We confirm the association of hallmark sign of neuromyotonia with the disease.
Gaps in the Implementation of Drug Utilization Programs in Pakistan: A Systematic Review
Authors: Ali Syed Muhammad , Ishaq Wafa , Shabbir Ramla , Imran Rukhsar
Published: November 2024

Background: Drug utilization programs are crucial for ensuring rational, safe, and cost-effective medication use. However, in Pakistan, the implementation of such programs faces numerous challenges, leading to gaps in achieving their intended objectives.
Objective: This systematic review aims to identify and analyze the gaps in the implementation of drug utilization programs in Pakistan, focusing on factors hindering effective implementation and potential strategies for improvement.
Methods: A systematic search of electronic databases including PubMed, Google Scholar, and relevant Pakistani journals was conducted. The search strategy included keywords such as "drug utilization program," "implementation," "Pakistan," and variations thereof. Articles published between 2000 and 2023 were considered for inclusion. Studies reporting on the implementation of drug utilization programs in Pakistan, including qualitative, quantitative, and mixed-methods studies, were included. Data extraction and synthesis were performed using thematic analysis.
Results: A total of 25 studies met the inclusion criteria and were included in the review. The findings revealed several gaps in the implementation of drug utilization programs in Pakistan. These included inadequate regulatory enforcement, limited healthcare infrastructure and resources, poor healthcare provider adherence to guidelines, lack of public awareness, insufficient monitoring and evaluation mechanisms, and challenges related to drug procurement and supply chain management. Additionally, sociocultural factors, such as patients' beliefs and preferences, also influence medication utilization patterns.
Conclusion: The implementation of drug utilization programs in Pakistan is hindered by multifaceted challenges at various levels of the healthcare system. Addressing these gaps requires a comprehensive approach involving regulatory reforms, capacity building, public awareness campaigns, and community engagement. Collaboration between government agencies, healthcare providers, pharmaceutical industry stakeholders, and civil society organizations is essential to overcome these challenges and improve medication use practices in Pakistan.
Invasive Procedures Used in Tuberculosis with Questionable Indications: Report from Russia
Authors: Jargin Sergei V.
Published: November 2024

Surgical treatment of tuberculosis has been applied in the former Soviet Union more frequently than in other countries. On the contrary to the international practice, tuberculoma cases have been often operated on. There was a decreasing tendency since the last decades; but the surgery rate is still comparatively high. Surgeries were sometimes performed without preceding chemotherapy. Among others, an argument in favor of the early surgery was non-compliance increasing with time. Compulsory treatments of patients with Tb and/or alcoholism are discussed here. The factors predisposing to the use of invasive procedures with questionable indications included the partial isolation from international scientific community, insufficient consideration of the principles of informed consent, professional autonomy and scientific polemics, as well as paternalistic attitude to patients. The message of this review is that patients should not undergo operations to comply with doctrines. Evidence-based clinical indications must be determined individually.
Surgical Procedures with Questionable Indications Used in Russia
Authors: Jargin Sergei V.
Published: November 2024

This review summarizes available data on invasive procedures applied with questionable indications in Russia in the recent past: mastectomy with the removal of muscles, gastrectomy for peptic ulcers, spleno-renal anastomosis for diabetes mellitus, thoracic surgery for bronchial asthma, overuse of surgery in tuberculosis, excessive and compulsory treatments of alcohol-dependent patients, etc. Among factors contributing to the use of invasive procedures with unproven efficiency have been the partial isolation from international scientific community, insufficient consideration of the principles of professional autonomy, informed consent and scientific polemics, training of medical personnel. It is known that invasive procedures can exert a placebo effect, which might have contributed to reported efficiency of some methods discussed here. However, by definition, placebo must be free of risks.
A Case Report of Ramsay Hunt Syndrome with Concurrent Vestibulocochlear Nerve Involvement
Authors: Sabouri Reza
Published: November 2024

Background: Ramsay-Hunt syndrome (RSH) is a rare clinical condition characterized by herpes zoster oticus and ipslilateral facial nerve paralysis caused by reactivation of latent varicella-zoster virus (VZV) in the sensory root of geniculate ganglia. This syndrome must be distinguished from other causes of facial palsy such as Bell’s palsy, stroke, Lyme disease and malignancies. Accurate dignosis and treatment in the first 72 hours of are crucial to improve the prognosis and to prevent later complications including postherpetic neuralgia and corneal damage.
Case Report: A 72-year-old female without any past medical history was admitted to emergency center of Vali Asr Hospital in Zanjan with hearing loss, ererythematous papules on the right external ear, otalgia, vertigo and dysgeusia. One day after hospitalization, the patient developed unilateral right-sided facial palsy and crusted erythematous papules on the right external ear.
Conclusion: Ramsay-Hunt syndrome is an uncommon peripheral neuropathy of the facial nerve caused by reactivation of VZV in the geniculate ganglion. Most cases occur in immunocompromised and elderly. Pharmacological interventions can reduce recovery time and prevent complications. Specialists are not unanimous on the choice of medication, dosage and the duration of therapy, thus more research is warranted.
From Hypertension to Edema: Managing Amlodipine's Side Effect
Authors: Inam Rida , Binte Rashid Manahil , Mehmood Asim
Published: November 2024

A 42-year-old female, known hypertensive for last 5 years managed via amlodipine, presented with complaint of bilateral lower limb swelling for the last 1 week, which started gradually first on the right foot (refer to image 1) and then progressed to the other foot and bilateral limbs (image 2). Apart from swelling, patient didn't have any other associated symptoms of urinary or cardiac system. Patient's medical history is significant for hypothyroidism for last 10 years managed via levothyroxine and her surgical history is significant for myomectomy.
Análisis del impacto del Dumping en la competitividad de confecciones del Emporio Gamarra
Authors: Oroncoy Vilca Gabriela Janett
Published: November 2024

The objective of the study was to determine the relationship between strategic forecast management Dumping undermines the competitiveness of clothing manufacturing companies. The present research aims to analyze the impact of dumping on the commercial competitiveness of clothing manufacturing companies in the Gamarra Commercial Emporium, in Peru. The research was carried out using a non-experimental quantitative approach, classified as applied research, with a descriptive and explanatory focus. The sample consisted of 60 companies. The main results show that dumping represents a serious threat to competitiveness, with 57% of respondents considering the impact as bad and average. 47% rate the commercial competitiveness of companies as good. It is concluded that clothing manufacturing companies are aware that dumping represents a serious threat to competitiveness, which could negatively affect their performance in a market that is increasingly aware of sustainability.
Enfoque del presupuesto por resultados en el gasto público de la región de Puno, Perú
Authors: Lupa Quisocala Teodocio , Quispe Mamani Julio Cesar , Enriquez Tavera Manuel , Tisnado Chura Tomás
Published: November 2024

The research analyzed the budgetary variations and the execution of regional public expenditure, especially in capital expenditure, by levels of government, during the period 2011-2023. A deductive method of quantitative approach with a descriptive and explanatory design was used, together with the results chain model. The modified institutional budget of the three levels of government went from 3,793.0 million in 2011 to 7,290.9 million in 2023, and the resources for capital expenditure increased from 1,803.0 million to 2,613.0 million soles in the same period. The execution of capital expenditures revealed poor ratings for regional and local governments, and regular ratings for the national government. Despite the large amount of resources invested, there was no evidence of favorable results for the population, as problems such as poverty, anemia, child malnutrition, and deficiencies in basic services such as health, education and drinking water, among others, persist.
Transformación digital de procesos aduaneros y productividad laboral en Train Perú SAC durante la pandemia
Authors: Estrada Izquierdo Yaritza Jazmin
Published: November 2024

Digital transformation is crucial in the evolution of the customs sector, acting as a driver of change beyond technology. This research aimed to determine the relationship between digital transformation and its dimensions in the labor productivity of employees of the TRAIN PERU Customs Agency during the pandemic. A non-experimental, descriptive correlational design was used, with a sample of 52 employees to whom two questionnaires were applied. The results show that digital transformation in the organization was perceived positively, optimizing operational efficiency. Each digital improvement is associated with an increase of 0.70 in labor productivity, digital channels are the most influential dimension, with a score of 0.652. Sensitive areas to improve in regulations and digital automation are detected, so the implementation of training programs is recommended to maximize the potential of these tools and facilitate adaptation to new technologies in a complex commercial environment.
La gestión de procesos y la productividad laboral en la municipalidad de Huancavelica
Authors: Aroni-Villavicencio Aderlyn Mauro , López-Lino Víctor Marcelino , Salazar-Espinoza Jaime Rodrigo , Baños-Medina Lilian , Chanca-Mucha Teofila , Yaulilahua-Huacho Maximiliano
Published: November 2024

An efficient management of business processes benefits all its collaborators, allowing for an effective workflow, prompt communication among them, and a greater capacity to evaluate performance. This work focuses on determining the relationship between process management and the labor productivity of administrative workers at the Provincial Municipality of Huancavelica, Peru. Due to its particularities, the research corresponds to a non-experimental design, cross-sectional, descriptive-correlational. To explain the study problem, bibliographic and field research was conducted, utilizing theoretical, empirical, and statistical methods. The analysis was performed using descriptive and inferential statistics; the Spearman correlation calculation was 0.480 with a 95% confidence level. The proposed result highlights the ongoing update of the investigated issue, with effective process management in the municipality.
Hacia un código tributario municipal: desafíos y oportunidades para mejorar la recaudación local.
Authors: Salazar Soplapuco Jorge Luis , Manrique Urteaga Sandra Verónika , Pimentel Tello María Isabel , Terán Ramírez Teresa Ysabel
Published: November 2024

The tax is fundamental for the functioning of the State. In order to analyze the theoretical and legislative basis of the tax system of municipal ordinances and to develop a regulatory proposal to govern them, the research was conducted using a descriptive qualitative approach in Cajamarca. Municipal ordinances from 2001 to 2018 were analyzed, selecting 2 per year. They were grouped according to concepts, and techniques of applied hermeneutics and legal argumentation were employed. During this period, 239 municipal ordinances with tax content were enacted. The analysis and systematization of these revealed that most established and regulated various concepts, often contradictory and analogous. It is concluded that the analysis reveals their crucial role in the organization and distribution of State revenues. The viability of approving a municipal tax code that systematizes the existing regulations while protecting the taxpayer from abuses in the exercise of tax authority is suggested.
Efectos de las variaciones del tipo de cambio en las importaciones de bienes de consumo y capital
Authors: Huacani Sucasaca Yudy , Mamani Mamani Jesús , Mamani Mamani Ambhar Marjore , Cruz Hilasaca Henry Brayhand
Published: November 2024

El estudio tiene por propósito explicar el efecto que tiene las variaciones del tipo de cambio en las importaciones de bienes de consumo y capital en el Perú, entre el período 2012 a 2022. El diseño metodológico sigue un procedimiento de tipo cuantitativo, no experimental, con datos longitudinales, utiliza 125 observaciones mensuales a partir de enero de 2012 hasta mayo de 2022. Los resultados de las estimaciones econométricas obtuvieron resultados de significancia conjunta de los efectos de las variaciones del tipo de cambio del 78.98% en las importaciones de bienes de consumo duraderos y de 93.07% en los bienes de consumo no duraderos. Mientras que, los efectos de las variaciones del tipo de cambio han demostrado una significancia conjunta del 91.90% en las importaciones de bienes de capital en materiales de construcción; 93.89% en la agricultura; 87% en la industria y 95.67% en los equipos de transporte, explicándose en cada uno de los modelos un nivel de confianza del 95%, con parámetros significativos e inversamente relacionados entre ellos. Se concluye, que las variaciones del tipo de cambio son de vital importancia para tomar medidas de precaución en las importaciones de bienes y de capital.
Influencia del clima organizacional en la satisfacción laboral en el Hospital Civil Santa Teresita, Ecuador
Authors: Ruiz Quezada Karla Melissa , Ruiz Quezada María Alejandra , Alcívar Cabada Ronald Ricky
Published: November 2024

La satisfacción laboral se centra en las percepciones que un individuo tiene acerca de su empleo y, en gran medida, depende de los beneficios que este le ofrezca. Esta investigación tuvo como objetivo determinar la incidencia del clima organizacional en la satisfacción laboral en el Hospital Civil Santa Teresita de la ciudad de Santa Rosa. Se utilizó un diseño no experimental con un corte transversal de tipo descriptivo, con una muestra de 145 empleados a quienes se les aplicaron dos cuestionarios. Los resultados de la evaluación del clima organizacional generaron opiniones mayoritariamente positivas. Del mismo modo se obtuvieron respuestas positivas en su mayoría respecto influencia del anterior en la satisfacción laboral donde hubo casos donde aparecieron porcentajes mayores a los esperados como en la libertad de expresión. En conclusión, a pesar de las diferencias de percepciones entre trabajadores, el clima organizacional influye significativamente en la satisfacción laboral, considerando aspectos externos y subjetivos del trabajador.
Returning To Normalcy: Operational Radiology Recovery In Academic Radiology Departments Following The COVID-19 Pandemic
Authors: Ammar Mohammed  Alibraheem
Published: November 2024

With an emphasis on various recovery domains, including managing appointment availability, patient safety and workflow changes, and operational data and analytics, this article provides a current snapshot of how radiology departments nationwide are planning recovery from the baseline of the coronavirus disease 2019 pandemic. 114 academic radiology departments received an email survey via the Society of Chairs of Academic Radiology Departments list server. Three main areas are described using best practices and shared experiences based on data provided by the 38 survey participants:(1) recovery planning, (2) establishing a new normal, and (3) forecasting and measuring. The common strategies and preparations academic radiology departments have made to reopen imaging in the post-coronavirus disease 2019 world should be known by radiology practices. All of this should be carried out while preserving a secure and patient-focused setting and getting ready to lessen the effects of any upcoming pandemics or outbreaks.
Artificial Intelligence In Radiology Practice: The "Augmented Radiologist"
Authors: Ammar Mohammed Alibraheem
Published: November 2024

Artificial intelligence (AI), which can "see" more than human radiologists in areas like tumor size, shape, morphology, texture, and kinetics, is highly anticipated in the medical field, especially in radiology. This will allow for better care through earlier detection or more accurate reports. AI is also capable of managing sizable data sets in high-dimensional environments. But it's important to remember that AI is only as good as the training data it has access to, which should ideally be enough to cover every variation. However, content knowledge and the capacity for near-optimal solution finding are the primary characteristics of human intelligence. Reviewing the complexity of radiology workplaces today and outlining their benefits and drawbacks is the aim of this paper. We also provide an overview of the various AI types and features that have been utilized thus far. We also discuss how AI and human intelligence differ in their ability to solve problems. We introduce "explainable AI," a new kind of AI that should allow for a balance or collaboration between AI and human intelligence, bringing both domains into compliance with legal requirements. We suggest developing an artificial intelligence (AI) assistant to assist (pediatric) radiologists, freeing up their brains for general tasks.
Air pollution abatement from Green-Blue-Grey infrastructure
Authors: Kumar Prashant , Corada Karina , Debele Sisay E. , Emygdio Ana Paula Mendes , Abhijith KV , Hassan Hala , Broomandi Parya , Baldauf Richard , Calvillo Nerea , Cao Shi-Jie , Desrivières Sylvane , Feng Zhuangbo , Gallagher John , Kjeldsen Thomas Rodding , Khan Anwar Ali , Khare Mukesh , Kota Sri Harsha , Li Baizhan , Malham Shelagh K , McNabola Aonghus , Namdeo Anil , Nema Arvind Kumar , Reis Stefan , SM Shiva Nagendra , Tiwary Abhishek , Vardoulakis Sotiris , Wenk Jannis , Wang Fang , Wang Junqi , Woolf Darren , Yao Runming , Jones Laurence
Published: November 2024

Green-blue-grey infrastructure (GBGI) offers environmental benefits in urban areas, yet its impact on air pollution is under-researched, and the literature fragmented. This review evaluates quantitative studies on GBGI's capability to mitigate air pollution, compares their specific pollutant removal processes, and identifies areas for further investigation. Of the 51 GBGI types reviewed, only 22 provided quantitative pollution reduction data. Street trees and mixed-GBGI are the most studied GBGIs, with efficacy influenced by wind, GBGI type vegetation characteristics, and urban morphology. Negative percentages denote worsening air quality, while positive reflect improvement. The 22 different GBGI grouped into eight main categories provide an average (± s.d.) reduction in air pollution of 16 ± 21%, with substantial reduction shown by linear features (23 ± 21%), parks (22 ± 34%), constructed GI (14 ± 25%), and other non-sealed urban areas (14 ± 20%). Other individual GBGI reducing air pollutants include woodlands (21 ± 38%), hedges (14 ± 25%), green walls (14 ± 27%), shrubland (12 ± 20%), green roofs (13 ± 23%), parks (9±36%), and mixed-GBGI (7 ± 23 %). On average, GBGI reduced PM1, PM2.5, PM10, UFP and BC by 13 ± 21%, 1 ± 25%, 7 ± 42%, 27 ± 27%, and 16 ± 41%, respectively. GBGI also lowered gaseous pollutants CO, O3 and NOx by 10 ± 21%, 7 ± 21%, and 12 ± 36%, on average, respectively. Linear (e.g., street trees and hedges) and constructed (e.g., green walls) features can impact local air quality, positively or negatively, based on the configuration and density of the built environment. Street trees generally showed adverse effects in street canyons and beneficial outcomes in open-road conditions. Climate change could worsen air pollution problems and impact GBGI effectiveness by shifting climate zones. In Europe and China, climate shifts are anticipated to affect 8 of the 22 GBGIs, with the rest expected to remain resilient. Despite GBGI's potential to enhance air quality, the meta-analysis highlights the need for a standardised reporting structure or to enable meaningful comparisons and effectively integrate findings into urban pollution and climate strategies.
La Reforma del Sistema de Justicia Penal en Ecuador: Desafíos, Avances y Perspectivas
Authors: Alvarado Moncada Zoila , Cevallos Sánchez Gissela
Published: November 2024

En la encrucijada de la justicia, donde los derechos individuales, la seguridad pública y la eficacia del sistema judicial convergen, se encuentra un proceso de cambio profundo y trascendental: la reforma del Sistema de Justicia Penal en Ecuador. Este libro, se sumerge en un viaje intelectual a través de los pasajes de una transformación legal que está remodelando las bases de la justicia en nuestro país.
Ecuador, como muchas naciones en el mundo, ha enfrentado desafíos considerables en su sistema de justicia penal. Problemas de congestionamiento judicial, impunidad, desigualdad en el acceso a la justicia y una percepción de falta de transparencia han sido piedras angulares que demandaban una reforma urgente.
Sin embargo, la reforma no solo implica identificar y resolver problemas, sino también imaginar y construir un sistema de justicia penal que sea más justo, eficiente y equitativo. A medida que avanzamos a través de estas páginas, exploraremos los objetivos clave de las reformas, los logros notables que se han alcanzado hasta el momento y las perspectivas que se abren hacia el futuro.
The Power of Service Quality Influence on Community Satisfaction: Is Community Satisfaction Influenced By Service Quality?
Authors: Ismaya Risma , Hamdani Inggit Sukmawati , Nursahidin Nursahidin
Published: November 2024

The One-Stop Manunggal Administration System known as SAMSAT is committed to providing quality services to all people who are taxpayers through mobile Samsat. Because the service process at the Main Samsat takes time so that it has an impact on taxpayer compliance. This study aims to determine the influence of the quality of Samsat Mobile services on the satisfaction of the people of Cirebon City. Through the use of quantitative methods and primary data, data collection was carried out through the distribution of questionnaires using simple random sampling techniques. The results of the analysis of the T test showed that the quality of service had a significant effect on community satisfaction, with a significance value of 0.000 < 0.05, then there was rejection and acceptance which showed that the quality of the Mobile Samsat service had an effect on community satisfaction. The results of the determination coefficient test showed that the quality of service had an influence of 73%, while the remaining 27% was influenced by other variables that were not studied in this study.
Clinical Practice Guidelines as Evidence In Proving Medical Negligence
Authors: Fransisren Fransisren , Suwarty Haryono Waty , Herkutanto Herkutanto , Kus Setyowati Retno
Published: November 2024

Medical negligence is a doctor's failure to provide a standard of care that results in harm to the patient. The difference in the concept of negligence in the Criminal Code and the lex specialist Law No.17 of 2023 is in the legal standing of the basis for proving medical negligence. Articles 359 and 360 of the Criminal Code do not involve PPK. In Article 280 paragraph (2) jo Article 291 paragraph (1) of Law No.17 of 2023, it is explained that to avoid impacts that can harm medical personnel and hospitals, services must be carried out as a form of best effort, which is by norms, service standards, professional standards, and patient needs. Proof of whether or not the doctor commits negligence must be present in the PPK and medical records. In many criminal and civil cases in court in terms of evidence, the judge has ruled out PPK as evidence of letters. The research method in this research uses juridical-normative research. The results of the research are the requirements for proving medical negligence according to Law No.17 of 2023, which must fulfill legal obligations, violations of obligations, injuries, and causality. Proof of medical negligence in hospitals can use PPK as evidence if it fulfills the formal and material legal requirements. The formal requirement is if the PPK is by the legislation. The material requirement is if the PPK is prepared according to science, namely the National Guidelines for Medical Services (PNPK).
Optimization of Production Inputs For Potato Farming In Sumber Brantas Village, Bumiaji District, Batu City
Authors: Syarifatul Karima Lilis , Erni Widyastuti Dyah , Mumpuningsih Gumoyo , Wahib Muhaimin Abdul , Isaskar Riyanti
Published: November 2024

Potatoes are a vital horticultural commodity in Indonesia, serving as an alternative staple food and an industrial raw material. However, potato farming in Sumber Brantas Village, Bumiaji District, Batu City faces inefficiencies due to excessive use of inputs, such as seeds and fertilizers, and financial constraints arising from rising input costs. This study aims to evaluate the efficiency and optimization of production inputs in potato farming to enhance productivity and sustainability. A quantitative research approach was employed, with data collected from 50 potato farmers through interviews and questionnaires. The Cobb-Douglas production function was used to analyze input efficiency, supported by classical assumption tests, including multicollinearity, heteroscedasticity, and normality tests. The findings reveal that land area and seeds are relatively efficient inputs, while fertilizers, pesticides, and labor remain inefficient and underutilized. Further optimization analysis showed that none of the production inputs had achieved optimal levels, indicating overuse in some cases and underutilization in others. These inefficiencies significantly limit production outcomes. The study concludes that targeted interventions are required to optimize resource allocation and improve input management. These insights provide valuable recommendations for farmers and policymakers to enhance agricultural productivity and economic viability in the region, contributing to more sustainable potato farming practices.
The Role of Public Relations in Raising Awareness of the Activities of the Gulf Accreditation Center
Authors: Aljaid Mohammed
Published: November 2024

This research deals with “The Role of Public Relations in Raising Awareness of the Activities of the Gulf Accreditation Center”, and aims to explore how the objectives, activities, and practices of public relations affect the level of awareness of the center’s activities, in addition to identifying the obstacles facing these activities and their impact on the effectiveness of awareness. The data were collected using a questionnaire directed to those dealing with the center and analyzed to test a set of hypotheses related to the relationship between these variables. The results showed a statistically significant direct relationship between the objectives of public relations and the level of awareness of its activities, as it was found that the correlation coefficient between them was 0.43, indicating a moderate direct relationship. The results also showed that there is a direct relationship between the activities and practices of public relations and the level of awareness of its activities, with a correlation coefficient of 0.41. As for the obstacles facing public relations, the results showed an inverse relationship with awareness of the center’s activities, as the correlation coefficient was -0.54, indicating that the obstacles negatively affect the effectiveness of awareness. Through regression analysis, it was found that variables related to the objectives, activities, and obstacles of public relations contribute 52% to improving awareness of the center's activities. The differences between males and females, and between clients who differ in years of experience and job title were also tested, as the results showed statistically significant differences between clients' evaluations based on years of experience and job title, indicating the impact of these factors on the evaluation of obstacles. The research recommended increasing awareness in the center about the importance of public relations through workshops and training courses, and allocating greater resources to familiarize employees with the objectives of public relations and their impact on performance. It also recommended intensifying community activities to improve communication with the public, and improving training programs for public relations employees to enhance their skills and increase the effectiveness of awareness activities.
Wybrane techniki i narzędzia promocji marki w mediach społecznościowych
Authors: Lupa – Wójcik Iwona , Żywolt Wojciech
Published: November 2024

Marki obecnie poszukują skutecznych technik i narzędzi promocji w social media. Istnieją w tym zakresie pewne sprawdzone rozwiązania, które z powodzeniem stosują w swoich strategiach komunikacji najpopularniejsze marki. Celem artykułu jest prezentacja pięciu skutecznych technik i pięciu narzędzi, które można wykorzystać do promocji marki w mediach społecznościowych. Dobór tych technik i narzędzi został przeprowadzony w oparciu o najlepsze praktyki promocji marek w mediach społecznościo- 80 Wyższa Szkoła Ekonomii i Informatyki w Krakowie wych. Jako metodę badawczą zastosowano case study wybranych marek. Analiza pokazała, że stosując wskazane techniki i narzędzia komunikacji marki w mediach społecznościowych, można osiągnąć wymierne rezultaty w postaci zwiększenia zasięgu i zaangażowania użytkowników tych mediów wokół marki
Niskokodowy framework oparty na zdarzeniach napisany w języku Java
Authors: Rybarski Janusz
Published: November 2024

Artykuł omawia platformę niskokodową (ang. low-code) opartą na zdarzeniach, zaimplementowaną w języku Java. Omówione zostały główne założenia systemu opartego na blokach logicznych oraz szczegóły implementacyjne obejmujące strukturę klas, mechanizm annotacji dla sygnałów wejściowych i wyjściowych oraz implementacja przykładowego bloku logicznego (koniunkcja). Na zakończenie przedstawiono przykład zastosowania rozwiązania, w którym przepływ danych oraz zachowanie aplikacji 176 Wyższa Szkoła Ekonomii i Informatyki w Krakowie zdefiniowane jest w pliku konfiguracyjnym XML. Przeanalizowano także potencjalne problemy związane z testowaniem systemu, wynikające głównie z jego asynchronicznej natury.
Current Paradigm in the Laparoscopic Management of Colo-Rectal Cancers
Authors:   Professor of Surgery, GMC Srinagar, J and K, India, Chalkoo Mushtaq
Published: November 2024

The advent of minimally invasive surgery has transformed colorectal cancer management, yet early adoption of laparoscopic techniques faced scepticism. Initial concerns included the learning curve, risks of port-site metastasis, oncological clearance adequacy, and lack of advanced surgical tools. Key developments in the 1990s—like the work of Moises Jacobs and Dennis Fowler—established foundational techniques in laparoscopic colorectal surgery. Despite its complexity and steep learning curve, improvements in training and technology have refined laparoscopic methods. Surgeons now benefit from specialized programs and advanced tools like high-definition cameras and energy devices, which enhance safety and precision. Early fears of port-site metastasis were addressed through technique refinements, reducing risks associated with tumour spread. Oncological safety studies, including major trials like the COST, COLOR, and COREAN, found laparoscopic techniques non-inferior to open surgery for survival and recurrence rates, with advantages in recovery and postoperative morbidity. The accumulated evidence confirms laparoscopic surgery as an effective, ontologically safe approach for.
Influencia de la comunicación digital en la cultura organizacional de la preparatoria número 33 Universidad Autónoma de Guerrero
Authors: Santos Mejía José Roberto , Lataban Campos Anabela , Zagal Perez Monica , Hernández De Jesús Horacio
Published: November 2024

El trabajo de investigación titulado “Influencia de la comunicación digital en la cultura organizacional de la preparatoria número 33 Universidad Autónoma de Guerrero”, tuvo como objetivo principal, evaluar las vías internas de comunicación en la Preparatoria Número 33, para la construcción de alternativas digitales, que influyeran de manera significativa en el fortalecimiento de la cultura organizacional de la institución.
De acuerdo con lo anterior, se llevó la presente investigación bajo un enfoque cualitativo, con empleo de técnicas de recolección de datos, como la observación para la contextualización del entorno escolar y las vías de comunicación entre estudiantes y docentes. Asimismo, se implementó la realización de entrevistas dirigidas a la directora y docentes de la institución para conocer de manera detallada los procesos, el flujo y vías de comunicación implementadas.
Adicionalmente, se efectuaron entrevistas dirigidas a los estudiantes, las cuales, mostraron en la categoría de análisis de comunicación interna que la información recibida en temas académicos  deviene de Maestros y grupos de tutores en un 39.4%, de parte de directores en un 36.2%, por medio de compañeros de clase un 20.2% y por comentarios o rumores en un 4.1%; lo que permitió arribar a diferentes lecturas, siendo una de las más relevantes para el objeto de estudio,  la determinación del flujo de la información, consistente en el comunicado oficial y el comunicado  verbal, como vía principal para la trasmisión de reportes. En ese orden de ideas, la implementación de herramientas digitales para la transmisión efectiva de mensajes y el establecimiento de una comunicación accesible, que contribuya al desarrollo de una cultura organizacional dentro de la institución, se puede conseguir a través de canales tecnológicos.
Fishing Performance and Marketing Channel of the Marine Fisheries: An
Empirical Study Using Primary and Secondary Data
Authors: Quddus Md. Abdul , Rahman M. Muchlesur , Tasnim Zarin
Published: November 2024

The Bay of Bengal is an important resourceful asset of Bangladesh, which has a lot of impact
on the economy through its proper use. Marine fish and fishermen are the essential mechanisms
for the economy. Thus, the investigation was undertaken to explore the assessment of marine
fishing performance and fish marketing channels. Two marine fishing locations and 90 marine
fishermen were selected. Information was gathered with a structured interview schedule. About
50% of fishing crafts were large; 8 to 17 fishermen operated those in the deep region of the
Bay of Bengal and the majority of them (52.2%) were rented. About 48% of fishermen used
their gear, 51% had large gear mostly rented and 54.4% received loans with interest from
traders, banks, and NGOs. Shrimp/prawn production is lucrative for marine fishers and
supportive of the national economy. The major problems faced by most of the fishermen of the
two locations were the weather, engine breakdown, and prohibition of fishing time and Robbers
in the Moheshkhali deep sea, whereas the use of pass cards, wild animals, protection by forest
office and use of poison in Mongla. There are four marketing channels for marine fish and
most (81%) sell to the whole sellers. A present marine fish marketing channel is more timeconsuming
for a great number of intermediaries, insufficient road links and landing
points/centers. To minimize this problem, modern information technology should be
introduced, set up collective markets at coastal landing places, and reduce the number of
middlemen.
ostsecondary Students with Intellectual Disabilities: A Mixed Methods Evaluation of Peer Perceptions in the Inclusion Environment
Authors: Rhodes Judith L. F. , Guillot Dennis J. , Jeffress ichael S. , Breaud Mary Falgout , Medley Meagan Boyd
Published: November 2024

Applying for federal student financial aid became a postsecondary option through the 2008 reauthorization of the United States Higher Education Opportunity Act (HEOA) for students with intellectual disability (ID) in the US. Certified Transition Programs (CTP) utilizing 5 programing options for students with ID are now possible. This study evaluated university peers’ perceptions in conjunction with one such HEOA program at a mid-size regional public university in the Deep South. The research was a mixed method design with pre-post ratings on the Sentiments, Attitudes, and Concerns about Inclusive Education Revised (SACIE-R) scale and a focus group of students taking courses with students in the HEOA university program. Results indicated statistically significant differences in peer perceptions. Focus group findings showed student participants growth in awareness and understanding of SWID. Proposed state policies are changing the higher education climate to foster more CTP opportunities.