bluuebunny/crossref_metadata_2025 huggingface dataset:
Principles of the local treatment of venous trophic ulcers and the role of epidermal growth factor
Authors: Bogachev V. Yu. , Alukhanyan O. A. , Lobanov V. N. , Larina A. R.
Published: November 2024

Venous trophic ulcers affect approximately 1% of the working-age population of industrialized countries, which gives rise to massive direct and indirect healthcare expenditure. Today, irreversible injury to the microcirculatory bloodstream caused by impaired venous outflow from the lower extremities is regarded as the main cause of venous trophic ulcers, which explains the high recurrence rate of venous trophic ulcers even after surgical management of pathological changes in the superficial, deep and perforating veins of the lower extremities. In other words, it is necessary to restore adequate skin covering with a normally functioning microcirculatory bloodstream in order to heal and prevent the venous trophic ulcer recurrences. That is why the complex systemic and local conservative therapy is required for the treatment of venous trophic ulcers, even after an apparent radical surgical intervention. The local treatment pathogenetically substantiated and adapted to the phase of the wound process combined with the compression therapy plays a crucial role in the treatment of venous trophic ulcers and prevention of ulcer recurrences. The reason for this is a change in the paradigm of chronic wound treatment due to clinical confirmation of the wound wet healing theory, expansion of the coatings line focused on different phases of the wound process, as well as the study of growth factor capabilities. The latter can be immobilized in wound coatings, incorporated into various ointments or used in an injection form. The epidermal growth factor (EGF) is the most studied one among the growth factors used to restore skin and soft tissues. It is included in the combination ointment (human recombinant epidermal growth factor + silver sulfadiazine) formulation, which improves tissue trophism and regeneration. This publication is devoted to the features of the use of this drug to treat venous trophic ulcers, with discussion of clinical case reports.
Systemic and local therapy of chronic hemorrhoids: Results of the prospective comparative study “VITA”
Authors: Kostarev I. V. , Rodoman G. V. , Batishev A. K. , Bogormistrov I. S. , Tuktagulov N. V.
Published: November 2024

Introduction. Conservative therapy for hemorrhoids is one of the most discussed and controversial in coloproctology. Considering the high prevalence of this disease, the use of effective pathogenetical and symptoms relieve pharmacotherapy remains especially relevant.Aim. To compare the effectiveness of complex therapy and monotherapy for chronic hemorrhoids. Materials and methods. A prospective observational study was conducted on the effects of different approaches with the use of the Venarus and Venaproct Alium to the treatment of patients with hemorrhoids (“VITA”). The complex therapy group was treated with standardized dosages of systemic bioflavonoids hesperidin 100 mg and diosmin 900 mg, and sodium alginate rectal suppositories for topical use. The monotherapy control group received only therapy with Venarus. The study was conducted from June 20, 2023 to May 31, 2024 and included 80 patients with chronic hemorrhoids. The dynamics of hemorrhoids symptoms, the quality oflife, adherence to the therapy, the frequency of repeated disease exacerbations was compared depending on treatment approaches.Results. Conservative pharmacotherapy was effective in both groups, however, in the complex therapy group, the effect of decreased symptoms of “blood discharge during defecation” and “presence of enlarged external hemorrhoids” was more pronounced. Statistically significant differences between groups recorded at 14 days (p = 0.009) for the symptom “blood discharge during bowel movements” and 85% of patients receiving complex therapy had no complaints about the presence of enlarged external hemorrhoids by the 14th day (p < 0.001) and 87% by the 30th day of treatment (p < 0.001).Discussion. Pharmacotherapy of hemorrhoids, given the prevalence of symptoms of bleeding and prolapse of nodes, should be aimed at their effective elimination. The combination of systemic and topical therapy for hemorrhoids offers an integrative approach that can significantly improve the treatment effect.Conclusion. Considering the absence of differences in patient adherence to the treatment, the effect of complex therapy compared to monotherapy of hemorrhoids symptoms decrease, indicates the advisability of using complex treatment with the Venarus and Venaproct Alium.
Mapping Research Trends In Teaching And Learning Trajectories In Science Learning
Authors: Nugraha Abdurrohman Khotim , Rochman Chaerul
Published: November 2024

One of the success factors of science learning is determined by the teacher's role in designing learning. A good learning design at least contains three aspects that are mutually sustainable, namely teaching trajectory, learning trajectory, teaching and learning trajectory and authentic assessment. This study aims to map research trends related to teaching and learning trajectory and authentic assessment in science learning. The method used was bibliometric analysis. The sample of articles used amounted to 662 Scopus indexed articles within the last five years. The results of the analysis were then mapped using VOSviewer to show the connections, patterns, correlations and density of research on the topics studied. The mapping results show that not much research has been conducted on teaching and learning trajectories and authentic assessment in science learning over the past five years. Thus, the results of this study are expected to provide a comprehensive picture of the development of research on teaching trajectory, learning trajectory, teaching and learning trajectory and authentic assessment and its implications for educators and or future researchers in designing more effective and innovative science learning designs in the future.
Machine learning for real-time reservoir operation simulation: comparing input variables and algorithms for the Sirikit Reservoir, Thailand
Authors: Wannasin C. , Brauer C. C. , Uijlenhoet R. , Torfs P. J. J. F. , Weerts A. H.
Published: November 2024

Machine learning (ML) models offer advantages over process-based models for real-time reservoir operation modelling, yet the impact of input variable selection (IVS) and data pre-processing on model performance remains underexplored. This study investigates various input variables for simulating daily reservoir outflow, using the Sirikit reservoir in Thailand as a case study. The datasets include daily Sirikit storage and inflow, outflow of Bhumibol (neighbouring reservoir), downstream discharge, and temporal factors (month and day of the week). Time series decomposition and correlation analyses were used to assess data relationships. We tested seven ML models: multiple linear regression, support vector machine, K-nearest neighbour, classification and regression tree, random forest, multi-layer perceptron, and recurrent neural network (RNN). The optimal input set comprised the previous day’s storage, inflow from 2 days before to 2 days after, and month. With these inputs, all ML models simulated outflow adequately (KGEtraining = 0.42–1.0 and KGEtesting = 0.46–0.56), with RNN showing the most potential for improvement. Input scaling significantly enhanced model performance, reducing RMSEtraining by 44 m3 s-1 and RMSEtesting by 14 m3 s-1. This study’s novelty lies in its comprehensive insights of IVS and data scaling, highlighting their critical roles in enhancing ML model application for operational reservoir simulations.
Contaminant delineation of a dumpsite using geophysical and hydrochemical data: a case study of Agbado-Oja, Ogun, Nigeria
Authors: Lawal Rasheed S. , Sulaiman Mohammad Bashir , Yusuf Abubakar , Abubakar Abdulrahman , Mohammed Mustapha Adejo
Published: November 2024

Open dumping is a common solid waste disposal method in major cities in Nigeria. The habit of open dumping has a detrimental effect on the surrounding environment, as it discharges leachate from the dumpsites into the aquifers, leading to several waterborne diseases. This study was designed to examine the extent of leachate contamination at open dumpsites in the Agbado-Oja (Oju Irin) metropolis of Ogun, Nigeria. The geophysical properties were determined by electrical resistivity tomography (ERT). The 2D resistivity imaging data were processed using DIPROFWIN software. The results show that part of the dumpsite with low resistivity (3 Ωm) at a depth of 27.4 m was characterized as substrate materials, indicating decomposed organic materials known as leachate that penetrated up to a depth of 27.4 m. The leachate was also observed to have infiltrated the subsurface to a depth of roughly 30 m in some parts of the profile. The hydrochemical data were analyzed by geochemical analysis, and the results were observed to decline in the order of EC > TS > TDS > COD > Cl > TSS > BOD > pH > Fe >Zn > Cu > Cr > Cd. The investigated geochemical parameters were below the WHO permissible limits, except for pH, EC, BOD, and Fe. Elevated BOD levels in the samples revealed a high organic influence of the dumpsite, exceeding the drinking water standard.
Upgrading the eastern wastewater treatment plant effluent quality in Egypt for reuse by means of in-line coagulation followed by ultrafiltration
Authors: Neama Mennat-Allah A. M. , Elbarki Walid A. , Fayed Mai , Aly Samia
Published: November 2024

Providing clean water to Egyptian citizens is one target of the 2030 sustainable development goals. Ultrafiltration (UF) has been investigated as an advanced treatment of the largest treatment plant in Alexandria. Although UF membranes have been widely used to treat secondary effluent, fouling remains a major challenge. The effects of green and conventional coagulants on controlling ultrafiltration fouling were examined. Two different dosages of each coagulant and a combination of ferric chloride and sodium ferrate were studied in a bench-scale setup that was built and operated under identical circumstances. The results showed that the combined ferrate and ferric chloride pretreatment had the highest performance in terms of the removal of organics and turbidity as well as the reduction of membrane fouling. Fouling can be managed in terms of the normalized flux drop with only 0.5 mg/L of ferrate, which performs similarly to 2.5 mg/L of ferric chloride. The higher the dosage of alum used, the lesser the fouling control observed. The green coagulant, when used as an in-line coagulant aid/oxidant with ferric chloride at very low doses, has a favorable potential to reduce membrane fouling and improve permeated wastewater quality, making it suitable for Grade A for reuse purposes.
Microplastic pollution – a rising threat along an urban lake in the Vellore district of Tamil Nadu, India: abundance and risk exposure
Authors: Ramakrishnan Devananth , Loganathan Sankar , Sathiyamoorthy Mahenthiran , Azamathulla Hazi Mohammad
Published: November 2024

Lake ecosystems provide vital services, but face escalating threats from synthetic microplastic (MP) pollution driven by human activities, necessitating urgent action. This study investigates MP contamination in Dharapadavedu Lake, Tamil Nadu, India, characterizing its presence and distribution. MPs in water and sediment were assessed using NOAA's standardized protocol. The results indicate that mean concentration of MPs in lakeshore sediment and water was 2.46 ± 1.06 particles/kg and 1.26 ± 0.88 particles/L, respectively. Significantly, medium-sized MPs (500–1,000 μm) were most abundant, comprising predominantly white, red, and green colors with fragments and fiber morphotypes. Attenuated total reflection Fourier transform infrared spectroscopy revealed valuable insights into the polymer composition of MPs in the lake, identifying four primary types: nylon (polyamide), high-density polyethylene, low-density polyethylene, and polypropylene. Pollution load index data reveals that MP pollution levels of 2.26 in sediment and 1.46 in water indicate a moderate to high level of risk. These findings reveal that the repercussions of recreational activities, anthropogenic activities, and fishing practices around the lake contributed to the accumulation of MPs in the lake. This study fills a research gap by investigating MP pollution in Dharapadavedu Lake for the first time, establishing a baseline contamination estimate.
Questões habermasianas sobre a integridade da informação
Authors: Lima Clóvis Ricardo Montenegro de , Angiolis Cássia , Ferreira Ana Gabriela Clipes , Souza Letícia
Published: November 2024

Neste artigo faz-se uma revisão sistemática da abordagem crítica a partir do filósofo alemão Jurgen Habermas do processo social atual da desinformação, em especial com as teorias do agir comunicativo e do Discurso. Faz-se uma breve apresentação das teorias do agir comunicativo e do Discurso de Habermas, e sua guinada pragmática. O método principal de investigação é uma revisão sistemática nas bases de dados Scopus e Web of Science. São usados como estratégia de busca os termos "Habermas" AND "disinformation OR misinformation OR mis(information)". São apresentados os resultados da busca, após a limpeza dos dados dos artigos duplicados e refinamento para aqueles que abordam a Teoria do Agir Comunicativo. A discussão é realizada em torno dos artigos a partir das teorias de Habermas, da ideia de desinformação e dos meios de combatê-la. Entre os resultados observou-se pontos em comum nos artigos, como o uso dos termos fake news e desinformação como sinônimos, a preocupação com a democracia e como solução adotar medidas para controle e regulação. Conclui-se que a desinformação é movida a interesses, geralmente políticos.
Origem dos conflitos sociais
Authors: Cardoso Martha Vanessa Lima do Nascimento , Menezes Anderson de Alencar
Published: November 2024

O presente artigo tem por objetivo compreender a origem dos conflitos sociais a partir da Teoria do Reconhecimento, do sociólogo e filósofo alemão Axel Honneth (2009), e as suas importantes contribuições para os estudos sobre o Sistema Socioeducativo, partindo do primado que, o desreconhecimento dos direitos dos adolescentes e jovens que se encontram em situação de vulnerabilidade e marginalização, muitas vezes, desde a mais tenra idade, é um fator importante e que dá origem a conflitos sociais. Para tanto, fundamentamos a falta de reconhecimento dos direitos dos jovens a partir das três dimensões do Reconhecimento desenvolvidas pelo referido autor, a saber: o amor, o direito e a solidariedade. O nosso estudo, busca trabalhar o conceito de Socioeducação partindo da concepção de educação social analisando as possíveis raízes da violência que levam os jovens a delinquir, abordando o tema sob um paradigma neoliberal que visa à manutenção das desigualdades sociais e a valorização da estima meritocrática e compreende que a redistribuição surge como alternativa capaz de romper com tal exclusão tendo o seu alcance por meio da luta por Reconhecimento.
A Lipoma of Large Proportion in the Oral Cavity: A Case Report
Authors: Gonçalves Vanessa Branco , Kalinin Yuri , Bordalo Sumaya , Gaspar Marcelo , Sendyk Wilson , Roman-Torres Caio
Published: November 2024

Background

Lipoma is a benign neoplasm that can affect the whole body and rarely occurs in the oral cavity. It is slow-growing and asymptomatic, and conservative surgical treatment with total removal of the lesion is the treatment of choice. It originates from epithelial cells of mature adipose tissue.

Case Presentation

The aim of this study was to report a clinical case of a large lipoma in a 21-year-old male patient with melanoderma who presented a nodule in the region of the buccal vestibule extending from the region of the second molar to the ipsilateral canine, with an approximate size of 40 mm in its largest diameter in the anteroposterior direction and approximately 20 mm in diameter in the buccolingual direction. The initial diagnostic hypothesis was based on an ultrasound of the face, which detected a solid, circumscribed, echogenic nodule compatible with a lipoma of the face. Surgical treatment with excisional biopsy was chosen. The histopathological examination revealed fragments with the presence of discrete acanthosis and clear hyperkeratosis in the epithelium, along with the proliferation of mature adipocytes constituting a neoplastic parenchyma surrounded by a stroma.

Conclusion

The findings have confirmed the diagnosis of oral lipoma. The patient has evolved with a good prognosis and remained under follow-up without recurrence or sequelae. The present report has corroborated what has been observed in similar cases described in the literature regarding recurrence and excellent prognosis.
About improving regulation of the procedural order and the limits of changing the charges by the court
Authors: Karpov A. S.
Published: November 2024

Relevance. The article is devoted to the analysis of the problems of law enforcement in the field of changing the charge by the court of first instance. The article examines a number of issues: the possibility of changing the charge if a criminal case is terminated on non-rehabilitating grounds; granting the court a power to initiate a change in the charge; establishing the obligation of the public prosecutor to change the charge; changing the charge by the court if crime is reclassifying as a private prosecution crime; the limits of changing the charge by the court; changing the charge if a crime is committed in complicity; eliminating a technical error in the charge by the court. The proposals by the criminal procedure scientists are studied. Assessment of the possibility of implementing the provisions provided for by the legislation of a number of foreign countries (Lithuania, Norway, Canada, Brazil) governing the procedure and limits for changing the charge by the court.

 The purpose of the study is to analyze the problems that arise when the first instance court change the charges and formulate solutions.

 Research objectives: study of possible ways to improve the regulation of changing charges by the court; analysis of the legislation of foreign countries (Lithuania, Norway, Canada, Brazil, Malta, Azerbaijan) and the judicial practice of the ECHR in this area; developing solutions to problematic issues of changing charges by the court.

 Methodology. The methodological basis of the study was formed by comparative legal and historical methods of legal science, as well as analysis and synthesis.

The results of the study consist in the development of theoretical proposals and practical recommendations for improving the procedural order and the limits of changing charges by the court in domestic legal proceedings.

Conclusions. As a result of the study, the following main conclusions were formulated: it is necessary to establish a power of the court to change the charge if a criminal case are terminated, grounding by articles 75, 76, 76.2 of the Criminal Code of the Russian Federation; granting to the court a right to raise the issue of changing the charge are violating the principles of impartiality of the court and the adversarial nature of the criminal process; the limits of the change of charge by the court need to be clarified.
Challenging (appealing) decisions, actions (inaction) of state bodies (their officials) and other persons (organizations) involved in the process of state registration of a legal entity. Part 2
Authors: Gabov A. V.
Published: November 2024

Relevance. A legal entity is a popular legal tool for citizens of the Russian Federation to implement their economic and other interests, as evidenced by the statistical data of the Federal Tax Service of Russia in terms of state registration of legal entities. The scale of interaction between applicants and authorized bodies, as well as persons (organizations) involved in the state registration process, the current (far from optimal) state of legislation on state registration, which creates a favorable basis for the emergence of conflicts and disputes, suggests the need to develop effective forms and means of protecting the rights and legally protected interests of applicants, which, unfortunately, does not exist yet.

The purpose is to identify key problems and trends in the development of legislation in terms of appealing (challenging) decisions, actions (inaction) of state bodies (their officials) and other persons (organizations) involved in the process of state registration of a legal entity.

Objectives of the study: to analyze the development of legislation in terms of appealing (contesting) decisions, actions (inaction) of state bodies (their officials) and other persons (organizations) involved in the process of state registration of a legal entity; to identify the directions of such development, to understand the reasons for their formation; to identify the main problems and formulate ways to overcome them.

 Methodology. The article is written on the basis of traditional methods for legal research; the study is based on a systems analysis.

 Results. It has been established that the existing regulations were formed to a greater extent "spontaneously", in the absence of a special political and legal basis; inconsistency in the provisions of the main regulatory documents has been revealed; problems arising with pre-trial appeal of decisions (actions / inaction) of authorized bodies, actions of the MFC and its employees have been identified; problems with appealing / challenging the actions / inaction of notaries are indicated.

 Conclusion. The study shows the need for a systemic reform of the rules governing issues of appealing (challenging) decisions, actions (inaction) of state bodies (their officials) and other persons (organizations) involved in the state registration process; directions for appropriate changes are proposed.
Developing an App for Real-Time Daily Life Observations in a Nursing Home Setting: Qualitative User-Centered Co-Design Approach
Authors: Hacking Coen , de Boer Bram , Verbeek Hilde , Hamers Jan , Aarts Sil
Published: November 2024

Background

Assessing the daily lives of older adults, including their activities, social interactions, and well-being is essential, particularly in nursing homes, as it gains insights into their quality of life. Methods such as the Microsoft Excel-based Maastricht Electronic Daily Life Observation (MEDLO) tool are time-consuming and require extensive manual input, making them difficult to use.

Objective

This study aimed to develop an app-based version of the MEDLO using a user-centered design (UCD) and co-design approach to enhance efficiency and usability. We looked to actively involve researchers and care professionals who have used the MEDLO before, throughout the development process.

Methods

Participants included a diverse group of researchers and care professionals experienced in using the MEDLO tool. The UCD approach involved multiple iterative phases including semistructured interviews, user research sessions, and application development. Data were analyzed using a qualitative (thematic) approach of UCD and user research sessions. The app, which was preferred to the traditional Excel-based MEDLO, underwent multiple iterations. This method primed the continuous iterative development of the app, aimed for a minimum viable product (MVP).

Results

This study included 14 participants, primarily female, from diverse professional backgrounds. Their feedback highlighted the need for efficiency improvements in tool preparation and data management. Key improvements included automated data handling, an intuitive tablet interface, and functionalities such as randomization and offline data syncing.

Conclusions

The iterative development process led to an app that aligns with end-user needs, indicating potential for improved usability. Early and continuous user involvement was key in enhancing the application’s usability, demonstrating the importance of user feedback in the development process.
On the Necessity of Multidisciplinarity in the Development of at-Home Health Monitoring Platforms for Older Adults: Systematic Review
Authors: Lochhead Chris , Fisher Robert B
Published: November 2024

Background

The growth of aging populations globally has increased the demand for new models of care. At-home, computerized health care monitoring is a growing paradigm, which explores the possibility of reducing workloads, lowering the demand for resource-intensive secondary care, and providing more precise and personalized care. Despite the potential societal benefit of autonomous monitoring systems when implemented properly, uptake in health care institutions is slow, and a great volume of research across disciplines encounters similar common barriers to real-world implementation.

Objective

The goal of this systematic review was to construct an evaluation framework that can assess research in terms of how well it addresses already identified barriers to application and then use that framework to analyze the literature across disciplines and identify trends between multidisciplinarity and the likelihood of research being developed robustly.

Methods

This paper introduces a scoring framework for evaluating how well individual pieces of research address key development considerations using 10 identified common barriers to uptake found during meta-review from different disciplines across the domain of health care monitoring. A scoping review is then conducted using this framework to identify the impact that multidisciplinarity involvement has on the effective development of new monitoring technologies. Specifically, we use this framework to measure the relationship between the use of multidisciplinarity in research and the likelihood that a piece of research will be developed in a way that gives it genuine practical application.

Results

We show that viewpoints of multidisciplinarity; namely across computer science and medicine alongside public and patient involvement (PPI) have a significant positive impact in addressing commonly encountered barriers to application research and development according to the evaluation criteria. Using our evaluation metric, multidisciplinary teams score on average 54.3% compared with 35% for teams made up of medical experts and social scientists, and 2.68 for technical-based teams, encompassing computer science and engineering. Also identified is the significant effect that involving either caregivers or end users in the research in a co-design or PPI-based capacity has on the evaluation score (29.3% without any input and between 48.3% and 36.7% for end user or caregiver input respectively, on average).

Conclusions

This review recommends that, to limit the volume of novel research arbitrarily re-encountering the same issues in the limitations of their work and hence improve the efficiency and effectiveness of research, multidisciplinarity should be promoted as a priority to accelerate the rate of advancement in this field and encourage the development of more technology in this domain that can be of tangible societal benefit.
The Willingness of Doctors to Adopt Artificial Intelligence–Driven Clinical Decision Support Systems at Different Hospitals in China: Fuzzy Set Qualitative Comparative Analysis of Survey Data
Authors: Yu Zhongguang , Hu Ning , Zhao Qiuyi , Hu Xiang , Jia Cunbo , Zhang Chunyu , Liu Bing , Li Yanping
Published: November 2024

Background

Artificial intelligence–driven clinical decision support systems (AI-CDSSs) are pivotal tools for doctors to improve diagnostic and treatment processes, as well as improve the efficiency and quality of health care services. However, not all doctors trust artificial intelligence (AI) technology, and many remain skeptical and unwilling to adopt these systems.

Objective

This study aimed to explore in depth the factors influencing doctors’ willingness to adopt AI-CDSSs and assess the causal relationships among these factors to gain a better understanding for promoting the clinical application and widespread implementation of these systems.

Methods

Based on the unified theory of acceptance and use of technology (UTAUT) and the technology-organization-environment (TOE) framework, we have proposed and designed a framework for doctors’ willingness to adopt AI-CDSSs. We conducted a nationwide questionnaire survey in China and performed fuzzy set qualitative comparative analysis to explore the willingness of doctors to adopt AI-CDSSs in different types of medical institutions and assess the factors influencing their willingness.

Results

The survey was administered to doctors working in tertiary hospitals and primary/secondary hospitals across China. We received 450 valid responses out of 578 questionnaires distributed, indicating a robust response rate of 77.9%. Our analysis of the influencing factors and adoption pathways revealed that doctors in tertiary hospitals exhibited 6 distinct pathways for AI-CDSS adoption, which were centered on technology-driven pathways, individual-driven pathways, and technology-individual dual-driven pathways. Doctors in primary/secondary hospitals demonstrated 3 adoption pathways, which were centered on technology-individual and organization-individual dual-driven pathways. There were commonalities in the factors influencing adoption across different medical institutions, such as the positive perception of AI technology’s utility and individual readiness to try new technologies. There were also variations in the influence of facilitating conditions among doctors at different medical institutions, especially primary/secondary hospitals.

Conclusions

From the perspective of the 6 pathways for doctors at tertiary hospitals and the 3 pathways for doctors at primary/secondary hospitals, performance expectancy and personal innovativeness were 2 indispensable and core conditions in the pathways to achieving favorable willingness to adopt AI-CDSSs.
Indigenous Parents’ Perspectives of Factors That Facilitate or Impede Engagement in Internet-Based Parenting Support Programs: Interpretive Description Study (Preprint)
Authors: Butt Michelle L , Willett Ysabella Jayne , Miller Vicky , Jacobs Brenda , Ferron Era Mae , Wright Amy L
Published: November 2024

BACKGROUND

Parenting support programs enhance parents’ health and their child’s development. The COVID-19 pandemic necessitated the delivery of these programs over the internet. After the pandemic, internet-based programs are still preferred by some.

OBJECTIVE

We aimed to understand Indigenous parents’ experiences engaging in internet-based parenting support programs; thus, an interpretive description study was conducted.

METHODS

A total of 20 Indigenous (female, male, and Two-Spirit) parents of children aged <5 years participated in semistructured interviews; data underwent collaborative thematic analysis with Indigenous community partners informed by the Two-Eyed Seeing framework and ethical space.

RESULTS

Parents’ experiences were classified into five themes: (1) Purpose: Program Delivery and Content, (2) Belonging: Building Relationships and Connections, (3) Hope: Cultural Connection, (4) Meaning: New or Improved Parenting Skills and Mental Wellness, and (5) Recommendations for Organizations.

CONCLUSIONS

The study findings can inform internet-based parenting program delivery to enhance engagement for Indigenous families.
Optimization of A Dynamic Program for Water Resources Utilization in the Mambal Irrigation Area
Authors: Yekti Mawiti Infantri , Putera I Gusti Agung Adnyana , Adnyana Made Mahat Budhi
Published: November 2024

The Irrigation Area (D. I.) Mambal, which passes through Badung Regency, Denpasar City, and Tabanan Regency, is the largest irrigation water supplied by the Ayung River, covering an area of 5.963 Ha. Despite the Ayung River’s substantial water potential, the D. I. Mambal experiences water shortages during certain months. This research aims to improve the effectiveness and efficiency of irrigation water use based on the Global Planting Management Plan (RTTG) using simulation methods and dynamic program optimization. Simulations were carried out under low conditions, normal and sufficient dependable discharges, using both existing and alternative RTTG. The objective function of the dynamic optimization seeks to maximize revenue gain from the applied RTTG. The existing cropping pattern at the beginning of planting in October showed an average proportion of fulfillment of water irrigation needs at 85%. Under the Alternative I condition, with planting beginning in November, the average proportion of fulfillment of irrigation water needs was 89%. In Alternative II conditions, with planting beginning in December, the average proportion of fulfillment of irrigation water needs was 87%. By optimizing the water discharge using the dynamic program, the irrigation profit for the existing cropping pattern (October) amounted to IDR 491,816,154,938. The highest profit was obtained using the Alternative II cropping pattern (December), totaling IDR 606,675,369,830. Meanwhile, the lowest profit was obtained in the Alternative I cropping pattern (November), which was IDR 360,767,292,361. The analysis showed that the Alternative II cropping pattern, starting with the first rice planting period in December, yields the most optimal results. The analysis considers the optimized air allocation and irrigation benefits obtained from the third cropping pattern.
Culture and Tourism Integration Strategy of Zhanjiang Folk Music: Double Wheel Drive of Inheritance and Innovation
Authors: Luo Jia
Published: November 2024

The Zhanjiang folk music, a precious intangible cultural heritage in Zhanjiang City, Guangdong Province, is imbued with a rich historical legacy and a unique cultural charm. From the fishermen’s songs of Leizhou Peninsula to the mountain songs of Lianjiang, and to the lion dance drums of Wuchuan, each genre of music is imbued with the life sentiments and cultural memories of the people of Zhanjiang. As the integration of cultural and tourism continues to evolve, the pressing question arises: how to organically combine Zhanjiang’s folk music with tourism, preserving its traditional essence while infusing it with new vitality. This article aims to explore the strategies for integrating Zhanjiang’s folk music into cultural tourism, analyzing its dual role in both and innovation, with the hope of providing novel insights and directions for the cultural tourism development of Zhanjiang City.
Estimation of Ataturk Dam Evaporation Amount Using Fuzzy Logic Method
Authors: Gül Ahmet , Üneş Fatih , Taşar Bestami
Published: November 2024

Accurate prediction of evaporation is important for various purposes such as dam structure design, operation, and the development and management of water resources. Determining water evaporation from the reservoir volume is an important parameter for reservoir operation studies, based on hydrological and meteorological data. In this study, daily average relative humidity, air temperature, wind speed, and sunshine duration parameters were used for evaporation estimation. In the study, daily evaporation estimation was performed using the methods of Multiple Linear Regression (MLR), Adaptive Neuro-Fuzzy Inference System (ANFIS) and Fuzzy Logic - Simple Membership Functions and Fuzzy Rule Generation Technique (Fuzzy -SMRGT). As the study area, the Atatürk Dam, located between the provinces of Adıyaman and Şanlıurfa, has been chosen. In the study, the model results were evaluated according to statistical criteria such as Mean Absolute Error (MAE), Root Mean Square Error (RMSE) and Coefficient of Determination. When evaluating the model results, it was determined that the MLR, ANFIS and Fuzzy-SMRGT models yielded similar results in daily evaporation estimation and that the Fuzzy Logic (ANFIS and Fuzzy SMRGT) models were applicable.
GASTROCUTANEOUS FISTULA: A CHALLENGE FOR THE GASTROINTESTINAL SURGEON
Authors: Ignjatović Nebojša S. , Vuković Natalija , Stokanović Vesna , Djordjević Miodrag , Stevanović Goran , Nestorović Milica , Stojanović Marko , Damnjanović Zoran , Živadinović Jelena
Published: November 2024

Gastrocutaneous fistulae can occur spontaneously or in the postoperative period. Postoperative fistulae represent more than 90% of all intestinal fistulae and they are always related to some of the main complications of surgery of the alimentary tract. We report a case of GF following a major operative procedure treated at our hospital. We emphasize the diagnostic tools and treatment options for this surgical complication, which, if left unaddressed, could pose life-threatening risks. Conservative management of patients with gastrocutaneous fistula is a crucial period during which careful individual control of each patient's nutritional status and replacement of fluid and electrolyte losses through high-output fistula, as well as prevention of sepsis and exclusion of the stomach from the digestive passage, can result in reduced morbidity and mortality from this complex problem. The decision regarding the timing of surgical intervention must be aligned with achieving optimal results of conservative management, which is a winning approach combination.
Derecho de objeción de conciencia del personal médico y de enfermería en México: revisión narrativa
Authors: Velázquez-Tamez L.E.
Published: November 2024

Introducción: La objeción de conciencia (ODC) es la negación del profesional a realizar una actividad específica; en ella se materializa el derecho a la libertad de conciencia, cuyo objetivo es respetar las convicciones personales relevantes (religiosas, filosóficas, éticas o morales). No obstante, cuando el personal sanitario es objetor, el panorama jurídico es difuso. La ODC es un derecho que debe estar regulado plenamente en su ejercicio con el fin de no transgredir el derecho a la salud de las personas.
Objetivo: Identificar el estado de la cuestión de la ODC, así como los enfoques teóricos y metodológicos que instrumentan su aplicación.
Desarrollo: Revisión narrativa que explora la ODC en el contexto mexicano, desde el enfoque del derecho del personal médico y de enfermería para ser objetor. Se identificaron algunas dimensiones que abordan aspectos como el ejercicio del derecho de ODC y su relación con el marco jurídico aplicable, también dimensiones asociadas al conflicto o compatibilidad entre el derecho de ODC y el derecho a la salud.
Conclusiones: La ODC se contextualiza al aborto y no a otros temas relacionados que también conflictúan con los derechos del paciente. Son escasas las publicaciones en revistas científicas sobre el derecho a objetar del personal sanitario. El reconocimiento pleno del derecho a la ODC requiere de enfoques basados en los derechos humanos, los cuales buscan reconciliar en un punto intermedio y reconocer que el personal de salud, al igual que los pacientes, tienen derechos e integridad moral, guiados por convicciones éticas y morales.
Representaciones sociales sobre salud mental del pueblo nahua en la Huasteca Potosina sur
Authors: Bautista-Valdivia J. , Palacios-Rodríguez O.A. , Van ´t-Hooft A. , Estrada-Aranda B.D.
Published: November 2024

Introducción: Los pueblos originarios refieren que no perciben la salud mental como la define el mundo occidental. Su atención y estudio es escaso. Al reconocer cómo la interpretan los pueblos, se busca ejecutar políticas de salud pública en favor de esta sociedad.
Objetivo: Explorar las representaciones sociales (RS) sobre la salud mental en adultos del pueblo originario nahua de la Huasteca sur de San Luis Potosí, México.
Metodología: Estudio exploratorio basado en el enfoque de las RS. Muestra intencionada de 100 participantes. Tras la aplicación de un formulario, se empleó la técnica asociativa de listados libres. Se realizó un análisis prototípico para identificar el núcleo central y los núcleos periféricos, y un análisis de similitudes para explorar los nodos representacionales.
Resultados: Los conceptos con mayor asociación a la salud mental fueron paz, tranquilidad, respeto y felicidad. Entre los menos frecuentes estuvieron seguridad y bienestar. A través de las RS se presentaron tres nodos que permitieron agrupar atributos, alternativas de atención y beneficios en relación con la salud mental.
Discusión y Conclusiones: Para los nahuas de la Huasteca Potosina, la salud mental se asocia a un estado de tranquilidad relacionado con estados pacíficos en familia, en un contexto donde el respeto al prójimo y al entorno natural puede verse fragmentado por conflictos sociales, económicos, políticos o de salud. Con el fin de garantizar una mejor efectividad del estado psicológico y emocional, este puede ser atendido mediante el apoyo de profesionales en psicología, psiquiatría y psicoterapia, siempre desde un marco intercultural.
Comparative Study of Separation of Power in India, Pakistan, and South Africa and its Impact on Judicial Independence
Authors: Amrit Amritash Kumar
Published: November 2024

In this paper the separation of powers and its impact on judicial impact is discussed in the country of India, Pakistan,
and South Africa. The goal of this research paper is to examine the division of powers between the different organs of the
government which is necessary for the good governance. Various aspects are focused in this paper including political, historical,
and legal aspects. The paper includes the historical development in all the three countries and the conditions which affect
doctrine in these countries. This paper includes the provisions of constitution both written and unwritten and judicial precedents
that establishes the said doctrine. This paper also discusses that how the doctrine of separation of power affects the judicial
independence in all the three countries.
Alt Gömülü 20 Yaş Diş Çekimlerinde Konsantre Büyüme Faktörü ve Trombositten Zengin Fibrinin Postoperatif Ağrı, Ödem ve İyileşme Üzerine Etkilerinin Araştırılması
Authors: Kara Şükrü Buğra , Çına Müge
Published: November 2024

Gömülü alt 20 yaş dişlerinin çekimi ağız, diş ve çene cerrahisinde en sık uygulanan cerrahi işlemlerdendir. Bu cerrahi işlemde genellikle; bir dizi fizyolojik, hücresel yanıtı uyaran bir travma oluşur. Bu durum trismus, ödem ve ağrı gibi postoperatif semptomların ortaya çıkışını sağlar. Bu komplikasyonların azaltılmasına yönelik çeşitli yöntemler uygulanmaktadır. TZF-KBF gibi otolog kan ürünleri bu etkilerin azaltılması amacı ile kullanılan yöntemlerdendir. Çalışmamızda TZF’ye göre daha zengin büyüme faktörleri içeren ve daha yoğun fibrin yapısı olan KBF’nin, postoperatif ağrı, ödem ve yara iyileşmesi üzerindeki etkilerinin, TZF’ye göre farkını incelemek amaçlanmıştır. Çalışmamızda 2021 Aralık– 2022 Aralık tarihleri arası XXX, Anabilim Dalı’nda kayıt altına alınan bilateral gömülü alt yirmi yaş dişi cerrahisi yapılmış, 18 yaş üstü 30 hastanın bilgileri, formları ve röntgenleri kullanılmıştır. Çalışmamızda ağrının değerlendirilmesi, postoperatif 2. ve 7.günlerde VAS ile ödemin değerlendirilmesi postoperatif 2. ve 7. Günlerde; hastaların, tragus-ağız köşesi, tragus-pogonion ve lateral göz köşesi-angulus mandibula arası mesafelerin ölçülmesiyle, yara iyileşmesinin değerlendirilmesi postoperatif 7. günde LTH yara iyileşme indeksiyle yapılmıştır. Sonuçlar istatistiksel olarak değerlendirilmiştir. Çalışmamızda KBF ve TZF uygulamasının yara iyileşmesine, postoperatif ödeme ve postoperatif ağrıya olan etkileri incelendiğinde; istatistiksel olarak KBF’nin, TZF’den yara iyileşmesinde daha iyi sonuçlar verdiği ve ağrıyı daha fazla azalttığı saptanmıştır. Postoperatif ödem üzerinde ise KBF’nin TZF’ den istatistiksel olarak farklı olmadığı saptanmıştır.
El laureado pintor Asterio Mañanós y su galería de personajes ilustres (1922-1929), aproximación a un conjunto pictórico parcialmente desaparecido
Authors: HOYOS ALONSO Julián
Published: November 2024

Entre 1922 y 1929 Asterio Mañanós pintó los retratos de cuatro palentinos ilustres: Jorge Manrique, Alonso Berruguete, Íñigo López de Mendoza y Modesto Lafuente; quienes habían destacado, en diferentes momentos de la historia, por sus contribuciones en los campos de las artes, de las letras y de los estudios históricos. Aquellas pinturas fueron presentadas, en años sucesivos, a las Exposiciones Nacionales de Bellas Artes y Universal de Barcelona. En el presente trabajo se analiza el origen del encargo, las obras y sus posibles fuentes de inspiración, la valoración crítica por parte de sus contemporáneos y la fortuna posterior.
La llegada del Descendimiento de Pedro de Campaña a la catedral de Sevilla (1797-1856)
Authors: REGALADO GONZÁLEZ-SERNA Víctor Daniel
Published: November 2024

El Descendimiento de Pedro de Campaña es una de las principales obras pictóricas conservadas en la catedral de Sevilla. Por esta razón ha concentrado históricamente el interés de diversos investigadores que han podido aportar numerosa información sobre la pintura. Sin embargo, una de las cuestiones aún poco conocidas era el contexto histórico sobre la llegada de la pintura a la catedral de Sevilla y las circunstancias que rodearon la controversia desencadenada sobre la propiedad legítima de la pieza. El objetivo de este trabajo es aportar y analizar datos inéditos al respecto.
WEBER PELO CRIVO DA CRÍTICA ANTICOLONIAL
Authors: Da Silva Lucas Trindade
Published: November 2024

O propósito deste ensaio é inquirir Weber a partir da perspectiva da crítica anticolonial em três aspectos centrais e interrelacionados de sua obra: 1) os impasses de uma compreensão purista da formação de tipos ideais; 2) as consequências desse purismo na compreensão do capitalismo moderno; 3) as implicações eurocêntricas da tipologia das formas de racionalismo em sua sociologia da religião. A partir de pesquisa teórica que busca aliar o inquirimento externo (crítica anticolonial) a uma abordagem imanente da obra de Weber, o texto sugere que mesmo quando acatamos a ideia de um eurocentrismo puramente analítico (e não normativo) em Weber, isto não o isenta de limitações fundamentais quando lido por um crivo decolonial: a) a imagem da modernidade como um processo de difusão que nasce na Europa e se espalha pelo mundo; b) a ausência ou secundarização da problemática da conquista e da violência colonial, em suas dimensões material e simbólica, para pensar a modernidade; c) uma abordagem tipológica purista na compreensão dos fenômenos socio-históricos; d) uma apreciação, intrínseca ao eurocentrismo (heurístico ou normativo), do Outro sociocultural pelo lado da falta ou ausência de atributos presentes no Mesmo, a despeito da importante ressalva de que esse Outro também seja tomado sob o signo da razão (racionalismos e racionalidades diversas).
Experimental studies in plate heat exchanger using therminol-55/Al2O3 & glycerol/Al2O3 nanofluids
Authors: Srinivasan Periasamy , Dharmakkan Nesakumar
Published: November 2024

The experiment aimed to compare the heat transfer performance of two base
fluids, Therminol-55 and Glycerol, both mixed with aluminium oxide
nanoparticle. The investigation focused on assessing how the addition of
aluminium oxide nanoparticles (at concentrations of 0.1%, 0.2%, and 0.25% by
volume) affected heat transfer in a plate heat exchanger using a mixture of
Therminol-55/water and Glycerol/water. Results demonstrated a significant
enhancement in heat transfer efficiency for both hot and cold sides of the
exchanger when using these nanoparticle-infused base fluid mixtures.
Specifically, the study observed notably improved heat transfer coefficients
for the Therminol-55/water mixture with a 0.25% nanoparticle concentration,
achieving 3858.77 W/m?K (23% higher) for the hot fluid coefficient, 4194.54
W/m?K (31% higher) for the cold fluid coefficient, and an overall
coefficient of 2310 W/m?K (23% higher). Similarly, the Glycerol/water
mixture with a 0.25% nanoparticle concentration exhibited superior
performance, reaching 4491.23 W/m?K (30% higher) for the hot fluid
coefficient, 4394.54 W/m?K (35.5% higher)for the cold fluid coefficient, and
an overall coefficient of 2508 W/m?K (27.8% higher). These findings indicate
that the Glycerol/water mixture with aluminium oxide nanoparticles
outperforms the Therminol-55/water counterpart, suggesting its potential to
minimize temperature differentials within the heat exchanger and enhance
operational effectiveness.