bluuebunny/crossref_metadata_2025 huggingface dataset:
Impact of Sea Erosion on Sustainable Coastal Tourism Development in Ghana. The Case of Saltpond Beach Resorts.
Authors: Aikins Eric Kojo Wu
Published: January 2025

Sea erosion forms one of the major negative impacts of climate change on sustainable coastal tourism development worldwide. Generally, this negative impact is more pronounced in developing countries where available beach resorts are struggling to persist.
Principally, the challenge of operating a successful coastal beach resort in Ghana is aggravated by unexpected destruction of beach resort facilities by sea erosion that leave some affected facilities unsafe for public use (e.g. Saltpond @ the Beach resort along Saltpond coast). 
Based on the experiences of Saltpond beach resorts, the study analysed the impact of sea erosion on sustainable urban coastal tourism development in Ghana. Mainly, the study found that climate change and human induced factors contribute to the persistent sea erosion along the coast of Saltpond. Finally, the study recommended the implementation of three principal sea erosion mitigation strategies; Integrated Coastal Development Planning, Building of Sea Defence Wall, and Combined Mitigation Measures.
Deciphering Financial Strength: Evaluating Urban Cooperative Banks in India through the CAMEL Model
Authors: MG Hemantha Kumara , D. Shetty Megha
Published: January 2025

Urban Cooperative Banks (UCBs) are vital to India's banking sector, especially in urban and semi-urban areas. Evaluating their financial performance is essential to understand their economic contribution. This study assesses UCBs' financial performance over a specified period, identifying key indicators and trends influencing their operations. The main objective of this study is to evaluate the financial performance of Urban Cooperative Banks (UCBs) in India from 2020-21 to December 2022. It seeks to identify and quantify key indicators that act as benchmarks for assessing UCB performance. Furthermore, the study utilizes the CAMEL model calculations to analyze these banks' financial frameworks across India.
This research employs a quantitative methodology, drawing on data from the Reserve Bank of India (RBI) and Urban Cooperative Banks (UCBs) financial reports. The CAMEL framework is applied to examine the banks' Capital adequacy, Asset quality, Management efficiency, Earnings potential, Liquidity status, Credit flow to agriculture, and asset expansion to assess their financial progress during the defined timeframe.
Findings and Results: It sheds light on the bank's ability to withstand economic challenges, adapt to market changes, and capitalise on expansion opportunities, thereby highlighting its long-term sustainability and potential for development in the evolving financial landscape
Practical Implications: Here the researchers proposed study offers practical insights for banking associations, policymakers, investors, and stakeholders in the UCB sector. By identifying financial strengths and weaknesses, this research can guide strategic interventions to enhance UCB's stability and growth.
Empowering Identities: Cross Cultural Navigation in Mitali Perkins’ Monsoon Summer
Authors: Rodrigues Jenet Maria , Lourdusamy
Published: January 2025

The paper titled “Empowering Identities: Cross-Cultural Navigation in Mitali Perkins’ Monsoon Summer” explores the intricate ways in which cultural identity is shaped, negotiated, and empowered through cross-cultural experiences. Set against the backdrop of India and the United States, Monsoon Summer delves into the protagonist Jazz Gardner’s journey of self-discovery as she grapples with her dual heritage, familial expectations, and personal ambitions. This paper critically analyses the interplay of native and acquired cultures, examining how Jazz’s experiences in both countries reflect the broader struggles and challenges of bicultural individuals in navigating multiple cultural identities. Through a close reading of the text, the study highlights the tension between native culture and the pressure to assimilate into an acquired culture, emphasizing how this conflict is common in diasporic communities. Jazz’s inner turmoil as she balances her American upbringing with her Indian roots is explored through various lenses, including family dynamics, social expectations, and personal growth. Moreover, the research focuses on how Perkins presents cultural navigation as a pathway to empowerment, where characters like Jazz learn to embrace their multifaceted identities instead of choosing between them. By illustrating the complexities of biculturalism, the paper reveals how cross-cultural navigation can lead to self-empowerment, offering insights into the broader discourse on cultural identity formation in a globalized world. The study concludes that Monsoon Summer serves as a valuable literary piece for understanding the nuanced ways in which young individuals, especially those from diasporic backgrounds, reconcile their intersecting cultural identities while striving for a sense of belonging.
Transforming Student Admissions Data into Insights: A Power BI Analysis of Educational Demographics
Authors: K Praveen , P Naresh Kumar
Published: January 2025

This research investigates the application of Power BI to analyse and visualize student admissions data collected from a higher educational institution for the 2024-2025 academic year, which includes 924 students. By analyzing various demographic, academic, and socioeconomic factors, the analysis provides a comprehensive understanding of the student population and their preferences. To effectively interpret the data and uncover meaningful insights, multiple visual techniques such as bar charts, pie charts, and donut charts were utilized. The report focuses on vital issues that include the distribution of students according to government and management quotas, the diversity of boards of study, academic majors, and the method of instruction. Furthermore, it explores the living arrangements (day scholars versus hostellers), parental education and occupation levels, family income, and admissions based on district. In addition, the examination looks into how families use transportation and how students learn about the institution. The paper highlights the power of data visualization tools like Power BI to transform raw data into actionable insights, which aid educational institutions in making informed decisions. The findings offer valuable insights on student demographics, socio-economic backgrounds, and academic choices, making them a valuable resource for strategic planning, targeted outreach, and enhanced student engagement. By using this approach, we can demonstrate the potential of data-driven decision-making in education management.
Nanosponges : Formulation And Evaluation Of Nanosponges
Authors: Ms. Samiksha S. Shendre  , Ms. Shreya B. Bhale  , Ms. Sakshi R. Shinde  , Ms. Purva A. Daware  , Ms. Bhagyashri P. Devakr  , Ms. Vaishnavi D. Chavan  , Prof. S. W. Gawande  , Dr. M. D. Kitukale
Published: January 2025

This review aims that the study of to formulate and evaluate nonosponges as a Novel drug delivery systems, exploiting their potential to improve the biological availability of drug with long half lives. Nanosponges, tiny mesh structure with enhanced ability to encapsulate water and lipid soluble drug, have gained significant attention in the field of pharmaceuticals. These spherical colloidal particles possess a hydrophobic core, allowing for the transport of therapeutic molecules with both hydrophilic and hydrophobic properties composed of 3D network with long -chain polyester backbones and cross -linkers, nonosponges can be synthesized through the treatment of cyclodextrins with appropriate cross-linkers. The study will investigate the physicochemical properties, in-vitro release profile and biological efficiency of nonosponges, providing insights into their potential applications in pharmaceutical technology.
A Hybrid Framework for Securing 5G-Enabled Healthcare Systems
Authors: Mabina Alton , Mbotho Amber
Published: January 2025

The rapid adoption of 5G technology in healthcare introduces significant challenges regarding data privacy and security. This paper proposes a hybrid framework integrating blockchain, zero-trust architecture (ZTA), and AI-driven threat detection to address these challenges. Blockchain ensures secure, tamper-proof data storage, while ZTA strengthens access control by continuously verifying users and devices. AI contributes by providing real-time threat detection and dynamic response capabilities, making the system more resilient to evolving cyber risks. A systematic literature review was conducted to analyze existing frameworks and identify gaps in 5G healthcare security. The findings reveal that while individual technologies such as blockchain and ZTA are well-established, their integration into a cohesive framework remains underexplored. The proposed hybrid solution effectively mitigates the risks associated with 5G networks by offering a multi-layered security approach. This research contributes to the field by proposing a scalable, adaptable security model suitable for 5G-enabled healthcare systems. Future research should focus on empirical validation, scalability testing, and exploring lightweight alternatives to blockchain and AI for resource-constrained environments. Additionally, investigating the integration of emerging technologies like quantum computing and 6G networks will further enhance the framework’s security capabilities. This study provides a foundation for developing secure, privacy-preserving systems for healthcare in the 5G era.
The association between diabetes and migraine: a systematic review and meta-analysis
Authors: Ramadan Heba
Published: January 2025

Introduction
Diabetes and migraine are prevalent conditions that can significantly impact quality of life. Existing review suggests a possible connection between the two, though findings have varied.
Objective
This review aims to assess the prevalence and association between diabetes and migraine through a meta-analysis.
Methods
This approach was applied through searches in Scopus, WOS, PubMed, and Google Scholar. A PRISMA checklist was followed. The quality assessment was checked. The included studies investigated either migraine in diabetes patients or diabetes in migraine patients, with no restriction on age groups or timeframes. The meta-analyses were performed using Jamovi 2.3.28 and SPSS Version 28.
Results 
Two groups of studies were analyzed. Group 1 (n= 8) assessed migraine prevalence in patients with diabetes. The overall migraine prevalence was 12% (95% CI: 6%- 17%). Type 2 diabetes had a migraine prevalence of 8% (95% CI: 1%- 15%), significantly affected by study demographics and duration of diabetes. Type 1 diabetes showed a lower migraine prevalence (1%). Odds ratios indicated a non- significant decrease in migraine prevalence among diabetes patients overall and a significant decrease for type 1 diabetes.
Group 2 (n= 17) examined diabetes prevalence among migraine patients. The overall odds ratio for diabetes prevalence was 0.86 (p< 0.05), indicating a significant decrease. Specific analyses showed a nearly significant reduction in diabetes prevalence for migraine with aura (OR= 0.78, p = 0.05) and no significant difference for migraine without aura (OR≈ 1, p = 0.95).
Conclusions 
The results suggest a generally lower prevalence of migraine among diabetes patients, particularly with type 1 diabetes, while diabetes prevalence is lower among migraine patients, especially those with aura.
Patients´ beliefs and headache-related disability
Authors: Vieira Rebeca Veras de Andrade , Mercante Juliane Prieto Peres , Perboni Talita Souza , Will Walkyria Busato , Zibetti Murilo Ricardo , Gomes William Barbosa , Gauer Gustavo
Published: January 2025

Abstract
There is a lack of studies investigating the associations between modifiable psychological factors in migraine more comprehensively. The present study aimed to investigate the associations between self-efficacy and locus of control beliefs, cognitive distortions, depression, anxiety, psychopathological symptoms, headache headache-related disability, headache frequency, and severity in migraine patients. In addition, we compared study measures between chronic and episodic migraine patients. One hundred forty-seven (147) migraine outpatients from three Brazilian specialized headache hospital services completed measures of self-efficacy, locus of control, psychopathological symptoms, cognitive distortions, depression, anxiety, and headache-related disability. Headache-related cognitive distortions were positively correlated with psychopathological symptoms, depression, anxiety, pain catastrophizing, headache-related disability, headache frequency, and headache intensity. Self-efficacy beliefs correlated negatively with all psychological and clinical measures. Chance locus of control correlated positively with depression, anxiety, psychopathological symptoms, pain catastrophizing, headache-related disability, and headache intensity. Compared to episodic migraine patients, those with chronic migraine showed significantly higher levels of cognitive distortions and chance locus of control but lower levels of self-efficacy in headache management. The results brought evidence that patients' cognitive and emotional responses to their headaches are associated with headache-related disability and chronicity. Furthermore, they reinforce the need to evaluate and treat those modifiable psychological factors in daily clinical practice.
Translation and validation of MIDAS for Brazilians
Authors: Araújo Ana Beatriz Vitor de , Cysneiros Helena , Feitosa Hugo , Maciel Taciana , Wanderley Débora , Oliveira Daniella Araújo de
Published: January 2025

Background and objective: The Migraine Disability Assessment (MIDAS) is a widely used tool for evaluating disability associated with migraines. However, although a translated version exists in Brazil, its adaptation did not follow the methodological standards recommended by guidelines. Therefore, this study aimed to translate and validate MIDAS for the Brazilian population. Methods: This is a methodological study conducted in two stages: translation and adaptation, following the recommendations of the Professional Society for Health Economics and Outcomes Research, and measurement properties analysis, including intra-rater reliability using the Intraclass Correlation Coefficient (ICC), internal consistency with Cronbach's alpha, content validity through the Content Validity Index (CVI), criterion validity using Spearman's correlation, and content validity evaluated through the CVI based on the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN). A total of 149 individuals participated, comprising both sexes, with a mean age of 38 ± 12 years, all diagnosed with migraine according to the ICHD-3 criteria. Results: During translation and cultural adaptation, minimal changes were made to the original MIDAS structure. The measurement properties demonstrated moderate intra-rater reliability (ICC = 0.612; 95% Confidence Interval = 0.312–0.803; F (25, 25) = 4.286; p < 0.001), internal consistency with a Cronbach's alpha of 0.655, and a weak positive correlation between MIDAS and HIT-6. The global CVI was 0.78, considered satisfactory for content validity. Conclusion: The MIDAS instrument adapted to Brazilian Portuguese is valid for measuring migraine-related disability.
TRATAMENTO DA MIGRANEA REFRATÁRIA NA EMERGÊNCIA
Authors: Cunha Sara Luiza Ronzani da , Jurno Mauro Eduardo
Published: January 2025

Abstract
One of the primary neurological complaints in emergency care units is headaches, predominantly affecting young women of childbearing age. Among headache subtypes, migraines are highly disabling, significantly impacting quality of life and imposing a substantial burden on healthcare systems. When preventive and acute migraine treatments fail, the condition is classified as refractory, requiring more aggressive approaches.
This study aimed to evaluate the therapeutic response to treatment of refractory migraine in the Emergency Unit of the Barbacena Hospital Complex. It was a prospective observational study involving patients classified as refractory, here defined by failure to respond to at least three adequately dosed medications. After obtaining consent, demographic and medical history data were collected, and patients completed the Visual Analog Scale (VAS) to quantify pain.
The treatment protocol included 5 mg of haloperidol (oral or intravenous) and 4 mg of dexamethasone (oral or intravenous). Pain intensity was reassessed and quantified two hours post-administration. The study was conducted from August 1, 2023, to July 31, 2024, with 16 participants: 15 females and 1 male, with a mean age of 32 years.
The results were favorable, with a reduction of at least 2 points on the pain scale in all patients. This suggests that the combination of haloperidol and dexamethasone is a promising option for treating patients unresponsive to conventional therapies, providing significant pain relief.
Aldi macht in Frankreich erste Fortschritte
Authors: Schulz Hans-Jürgen
Published: January 2025

Aldi-Frankreich-Chef Pascal Hirth bekommt einen neuen Vice-CEO. Hans Pollet steigt auf und kümmert sich im wichtigsten Auslandsmarkt von Aldi Nord um die Finanzen. Der Discounter gewinnt dort erstmals seit langem Marktanteile. Konkurrent Lidl legt allerdings stärker zu.
Kaudewitz und Luncer heuern in China an
Authors: Schulz Hans-Jürgen , Stockburger Manfred
Published: January 2025

Patrick Kaudewitz und Bojan Luncer sind jetzt für den chinesischen Top-Händler Wumart und dessen Digital-Tochter DMall aktiv. Das Duo hatte zuletzt im Auftrag von SCP die Real-Häuser abgewickelt.
Zoff auf offener Bühne bei Grüner Woche
Authors: Deglow Hans-Jürgen
Published: January 2025

BVE-Chef Christian von Boetticher dankt dem Minister, weil dieser nichts aus dem Koalitionsvertrag umgesetzt habe – dieser reagiert harsch auf die Vorhaltungen.
Grenzen der Rabattschlacht
Authors: Biester Silke
Published: January 2025

Beim Nonfood-Verkauf setzt der Handel vor allem auf den Preis. Das bringt Händler und Lieferanten zunehmend in Bedrängnis.
Millionen für Robotik-Firmen
Authors: Giuri Maurizio
Published: January 2025

Zwei deutsche Technologie-Startups machen derzeit von sich Reden. Neura und Sereact haben es geschafft, für ihre Robotik-Lösungen hohe Millionensummen von Investoren zu erhalten.
Zustand der Werbewirtschaft bleibt fragil
Authors: Nusser Bernd , Saal Marco , Bialek Catrin
Published: January 2025

Für 2024 werden die Bilanzen gerade mit Hochdruck erstellt, für 2025 verheißen die Hochrechnungen weiter steigende Werbeausgaben. Die fließen vor allem in die digitalen Kanäle, wie die Branchenexperten führender Marketingagenturen voraussagen.
Landwirte sorgen für freie Straßen
Authors: Schultz Olaf
Published: January 2025

Frankfurt a.M. Das Winterwetter lässt es in diesem Jahr bislang insgesamt relativ ruhig angehen. Aber starker Flockenwirbel innerhalb kurzer Zeit fordert auch den ‚agrarischen‘ Winterdienst heraus.
Teachers’ Professional Development and School Leadership Management
Authors: Esguerra. Rogel A. , Quinito Daryl I.
Published: January 2025

The study evaluates teachers’ professional development and school leadership management in Basud District Elementary Schools. It explores teachers’ perceptions of professional development opportunities in instructional practices, job satisfaction, and professional growth, and assesses the effectiveness of these opportunities in contributing to positive changes. Additionally, the study examines the relationship between professional development and leadership management, identifies significant differences between provided opportunities and actual development, and suggests measures to address these needs while enhancing leadership management in elementary schools. Using a quantitative and descriptive-correlational design, the study involved 256 teachers and 26 school leaders from Basud District. Data were collected through a Modified Philippine Professional Standards for Teachers and Philippine Professional Standards for School Heads Questionnaire. The study reveals that teachers in Basud District Elementary Schools perceive positive professional development opportunities, particularly in instructional practices and job satisfaction, though areas like training for non-major subjects and work-life balance need improvement. The effectiveness of these opportunities is high, contributing positively to instructional practices, job satisfaction, and professional growth. School leadership management is also rated highly, particularly in developing self and others, and focusing on teaching and learning. However, no significant relationship was found between professional development and school leadership management practices, though significant differences exist between provided opportunities and actual development. To address these gaps, the study proposes the “TEACH LEAD” workshop and the implementation of the “Cultivating Excellence” policy, aiming to enhance both professional development and leadership management. These measures are intended to ensure continuous improvement and better educational outcomes across the district.
Eficiencia de filtros de carbón activado a base de capirona, bambú y cáscara de coco en la remoción de contaminantes del agua
Authors: Lozano-Rios Kiara , Mego-Flores Gersson Jair , Ordoñez-Sánchez Luis Alberto , Lozano-Chung Andi
Published: January 2025

El crecimiento demográfico continuo y la inadecuada gestión de aguas residuales domésticas y municipales han provocado la contaminación de la quebrada Shitariyacu ubicada en el distrito de Zapatero, región San Martín, Perú. La presente investigación tuvo como objetivo evaluar la eficiencia de filtros elaborados con carbones de capirona, bambú y cáscara de coco en la remoción de parámetros físico-químicos y microbiológicos del agua de la quebrada. La metodología aplicada siguió un enfoque cuantitativo y un diseño cuasi experimental. Los parámetros analizados incluyen temperatura, turbidez, conductividad eléctrica, color, pH, demanda bioquímica de oxígeno (DBO), demanda química de oxígeno (DQO), metales pesados ​​(plomo y cadmio) y contaminantes microbiológicos como coliformes totales, coliformes fecales y Escherichia coli. Los resultados indicaron que, aunque no se observaron diferencias significativas en temperatura y pH (valores de p > 0,05), el filtro 1, compuesto por 800 g de carbón de capirona, presentó la mayor eficiencia en la remoción de contaminantes, seguido por el filtro 3, elaborado con 800 g de carbón de cáscara de coco. Se concluye que los filtros estudiados son efectivos para mejorar la calidad físico-química y microbiológica del agua, con especial destaque para el carbón de capirona como material adsorbente de alta eficiencia.
KẾT QUẢ XA PHỤC HỒI VẬN ĐỘNG CƠ THON TRÊN BỆNH NHÂN GHÉP CƠ THON MỘT THÌ ĐIỀU TRỊ LIỆT MẶT MẠN TÍNH
Authors: Bùi Mai Anh , Nguyễn Văn Bình , Dương Mạnh Chiến , Lê Thành Phát
Published: January 2025

TÓM TẮT[1]
Đặt vấn đề: Điều trị liệt mặt mạn tính nhằm mục đích phục hồi sự cân xứng của nụ cười vẫn là những thách thức của bác sỹ phẫu thuậttạo hình. Đã có những báo cáo về phẫu thuật chuyển cơ chức năng hai thì, tuy nhiên, với việc tìm ra nguồn Thần kinh cơ cắn (TKCC) đã đưa ra một hướng mới cho phẫu thuật điều trị liệt mặt mạn tính với một thì phẫu thuật. Đối tượng và Phương pháp nghiên cứu: Nghiên cứu mô tả lâm sàng cắt ngang đánh giá kết quả xa của phẫu thuật chuyển cơ thon một thì với nguồn cho là TKCC từ 2020 – 2023. Hiệu quả của phương pháp phẫu thuật được đánh giá trên ba nội dung: (1) Phân loại nụ cười theo Chuang’s, (2) Thời gian cười tự phát và (3) Đánh giá mức độ sẹo phẫu thuật dựa trên thang điểm VSS. Kết quả: Nghiên cứu trên 31 bệnh nhân được phẫu thuật chuyển cơ thon vi phẫu một thì, phân loại nụ cười theo Chuang’s có 12/31 đối tượng 4 điểm, 14/31 đạt 3 điểm và 5/31 đạt 2 điểm. 14/31 bệnh nhân có cười tự phát với thời gian xuất hiện trung bình là 19,3±11,3 tháng. Điểm trung bình tình trạng sẹo theo thang điểm VSS là 2,94±1,34. Kết luận: Phẫu thuậtchuyển cơ thon vi phẫu một thì điều trị liệt mặt mạn tính cho mức độ cải thiện cao thể hiện ở nụ cười cân xứng của đối tượng và ít để lại các di chứng tại vị trí cho thần kinh và tại vị trí cho cơ thon
XÁC ĐỊNH ĐỘT BIẾN CẤU TRÚC NHIỄM SẮC THỂ TRÊN MỘT SỐ CẶP VỢ CHỒNG HIẾM MUỘN
Authors: Vũ Ngọc Ánh , Trần Vân Khánh , Nguyễn Hoàng Việt , Phạm Lê Anh Tuấn
Published: January 2025

Bất thường về cấu trúc nhiễm sắc thể là nguyên nhân phổ biến gây ra các khiếm khuyết di truyền và được biết đến như một nguyên nhân quan trọng gây ra các vấn đề về sinh sản. Vì vậy, xét nghiệm và phân tích NST là công cụ đơn giản và hiệu quả trong việc tìm ra nguyên nhân di truyền gây thất bại sinh sản ở những cặp vợ chồng hiếm muộn, đồng thời giúp đưa ra lời khuyên di truyền góp phần chăm sóc sức khỏe sinh sản ở cộng đồng và xã hội. Đối tượng và phương pháp nghiên cứu: 250 cặp vợ chồng được chẩn đoán là hiếm muộn được thực hiện xét nghiệm NST tại Trung tâm nghiên cứu Gen và Protein - Trường Đại học Y Hà Nội. Phương pháp lấy mẫu thuận tiện và thiết kế mô tả cắt ngang. Kết quả: 7,2% các cặp vợ chồng hiếm muộn mang đột biến cấu trúc NST, trong đó chuyển đoạn NST được tìm thấy với tỷ lệ 2,4%, chuyển đoạn tương hỗ được ghi nhận xảy ra giữa các NST (1;18), (1;14), (4;12), (5;9), (3;21), (1;5) và chuyển đoạn hòa hợp tâm xảy ra giữa các NST (13;14), (14;22), (15;21). Tính đa hình NST chiếm tỷ lệ 4,8% ở các cặp vợ chồng hiếm muộn, trong đó biến thể inv(9) (2,4%), 1qh+ (2,2%) và 16qh+ (0,2%). Kết luận: 7,2% các cặp vợ chồng hiếm muộn mang đột biến cấu trúc NST, trong đó chuyển đoạn NST được tìm thấy với tỷ lệ 2,4% và đa hình NST chiếm tỷ lệ 4,8%.
ĐẶC ĐIỂM THOÁT VỊ HOÀNH TRÊN BỆNH NHÂN CÓ BỆNH TRÀO NGƯỢC DẠ DÀY THỰC QUẢN
Authors: Bùi Hoàng Nghĩa , Thái Doãn Kỳ , Trần Ngọc Ánh , Dương Thị Tuyết
Published: January 2025

Mục tiêu: Khảo sát đặc điểm lâm sàng, hình ảnh nội soi và một số yếu tố nguy cơ thoát vị hoành ở bệnh nhân có bệnh trào ngược dạ dày thực quản (GERD). Đối tượng và phương pháp: Nghiên cứu mô tả tiến hành ở bệnh nhân GERD có và không có thoát vị hoành tại khoa Điều trị bệnh ống tiêu hóa Bệnh viện Trung ương quân đội 108 và khoa Nội tổng hợp Bệnh viện đại học Y Hà Nội, từ tháng 09/2023 đến tháng 10/2024. Kết quả: 175 bệnh nhân GERD thoả mãn tiêu chuẩn lựa chọn. Tỷ lệ thoát vị hoành ở bệnh nhân GERD là 22.3%, và đều là thoát vị type I (thoát vị trượt). Các triệu chứng lâm sàng của GERD có thoát vị hoành hay gặp là ợ chua và nóng rát sau xương ức (74.4%), vướng nghẹn ở cổ (35.9%), đau thượng vị (33.3%) và ho khan kéo dài (20.5%). Điểm GerdQ trung bình ở các bệnh nhân có thoát vị là 10.3 ± 1.82. 92.3% bệnh nhân thoát vị hoành có viêm thực quản trên nội soi. Phân tích hồi qui đa biến cho thấy tuổi, điểm GerdQ và thời gian mắc bệnh là các yếu tố nguy cơ của thoát vị hoành ở bệnh nhân GERD. Kết luận: Tỷ lệ thoát vị hoành ở bệnh nhân GERD là 22.3%; tuổi, điểm GerdQ và thời gian mắc bệnh có mối liên quan đến thoát vị hoành ở bệnh nhân GERD trong nghiên cứu của chúng tôi.
Մանկական գրականության թարգմանության առանձնահատկությունների մասին / About the Pecularities of Translation of Children's Literature
Authors: MOVSISYAN ANAIDA
Published: January 2025

Many children's books are being translated today, and there arises a need to
address specific challenges in the translation process. Children's literature
possesses unique characteristics that can create difficulties or demand
particular attention during translation.
This article explores key principles in translating children's literature,
including the handling of character names, the conveyance of emotionality,
artistry, and humor in the text. The analysis focuses on the Armenian and
Russian translations of A.A. Milne's Winnie-the-Pooh and All, All, All.
A comparative analysis of these translations reveals that prioritizing artistry
over strict accuracy often results in translations that resonate more effectively
with children.
Сопоставительный анализ ассоциативного семантического поля китайско-русского концептуального слова «风(ветер)» / Comparative Analysis of the Associative-Semantic Field of the Concept“风(Wind)”in Chinese and Russian
Authors: DONG LING , ZHOU SHIQI , KESAREVA OLGA
Published: January 2025

The article presents an analysis of the results of an associative experiment
conducted among Chinese and Russian participants in response to the
stimulus word “wind.” The authors identify both similarities and differences
in the associative fields of the concept “wind (风)” in the two languages,
enabling an exploration of the distinctive features of the national worldviews
and thought patterns of the Chinese and Russian cultures.
The findings suggest that the differences in the associative fields of the
concept “wind (风)” stem from the cultural and psychological characteristics
of the two nations. Chinese participants demonstrate a more static and
abstract approach to the concept, whereas Russian participants tend to
exhibit a more dynamic and realistic perception.
The results of this study have practical applications in the field of foreign
language teaching and provide a foundation for further research into the
comparative analysis of conceptual systems in Russian and Chinese.
Տարատարիք ուսումնական խմբերում ուսուցման գործընթացի կազմակերպման հիմնահարցը / Тhe Basic Issueof Organizingthe Learning Processin Mixed-Age Educational Groups
Authors: HARUTYUNYAN ARAKS
Published: January 2025

The problem of the quality improvement of the education has always
been and remains in the spotlight of the representatives of the educational
sector. This is due to the reforms implemented in the field of education at
different times: new curricula, state standards of general education,
textbooks, etc. However, the problems of formation and development of the
final results of knowledge and abilities presented in the standards are up to
date.
In the article we present the necessity and possibilities of organizing the
teaching process of cross-generational educational groups in a non-class
system for the realization of the goals and general education.
Toraks Embriyolojisi
Authors:   İstanbul Üniversitesi-Cerrahpaşa, Tıp Fakültesi, Göğüs Cerrahisi Ana Bilim Dalı, İstanbul, Türkiye, Chikvaidze Levani , Sağlam Ömer Faruk ,   Tokat Devlet Hastanesi, Göğüs Cerrahisi Bölümü, Tokat, Türkiye
Published: January 2025

İnsan gelişimi bir dişi oositinin, bir erkeğin spermi tarafından döllenmesiyle başlayan ve kesintisiz devam eden bir süreçtir. Majör organların embriyolojik gelişimi, sekizinci gestasyonel haftanın sonunda sona erer. Gebeliğin geri kalanı, esas olarak organ sistemlerinin olgunlaşmasına ve
büyümeye ayrılan fetal dönemi oluşturur. Doğumsal hastalıkları anlamak için insan embriyolojisi
hakkında temel bilgilere sahip olmak şarttır. Göğüs kafesinin kendisi pek çok farklı parçadan
oluşur; Deri, kaslar, kemik, kıkırdak dokusu vs. Bu yapıların her birinin farklı kökenleri vardır. Bu bölümde toraks duvarının embriyolojik gelişimini tartışacağız ve gözden geçireceğiz.
Pektus Ekskavatum (Kunduracı Göğsü)
Authors:   İstanbul Üniversitesi-Cerrahpaşa, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Göğüs Cerrahisi Ana Bilim Dalı, İstanbul, Türkiye, Kılıç Burcu , Kaynak Kamil ,   İstanbul Üniversitesi-Cerrahpaşa, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Göğüs Cerrahisi Ana Bilim Dalı, İstanbul, Türkiye
Published: January 2025

Pektus ekskavatum (PE) sternumun, anormal büyüme gösteren kostal kıkırdaklarla birlikte posteriora çökmesi sonucu oluşan göğüs duvarı deformitesidir .En sık görülen göğüs duvarı deformitesidir ve canlı doğumların 1/400?ünde görülmektedir. 1987?de Nuss ve ark. tarafından osteotomiye gerek duyulmayan minimal invazif bir teknik olan Nuss yöntemi tanımlanmıştır. Bu yöntem
kısa ameliyat süresi, kozmetik avantajı, hastanede kalış süresinin kısalığı ve hasta memnuniyeti
nedeniyle PE cerrahisine yeni bir bakış kazandırmış ve çoğu vakada tercih edilmektedir. Kısa
ameliyat süresi, minimum kan kaybı, günlük aktiviteye erken başlayabilme ve kısa hastane-de
kalış süresi ise önemli avantajlarıdır. Aynı zamanda minimal invazif yöntemde, klasik yöntemden
farklı olarak pektoral kas flebi kaldırılmasına, hastalıklı kıkırdak rezeksiyonu yapılmasına veya
sternal osteotomiye gereksinim olmadığı için uzun dönem estetik sonuç mükemmel olmaktadır.
Konjenital Göğüs Duvarı Deformitesinde Preoperatif Değerlendirme ve Ağrı Yönetimi
Authors:   İstanbul Üniversitesi–Cerrahpaşa, Cerrahpaşa Tıp Fakültesi, Göğüs Cerrahisi Ana Bilim Dalı, İstanbul, Türkiye, Ağkoç Melek , Yıldız Armanç ,   İstanbul Üniversitesi–Cerrahpaşa, Cerrahpaşa Tıp Fakültesi, Göğüs Cerrahisi Ana Bilim Dalı, İstanbul, Türkiye
Published: January 2025

Doğumsal göğüs duvarı deformiteleri olan hastaların yönetiminde, kapsamlı bir anamnez alınması büyük önem taşımaktadır. Bu deformiteler, özellikle Marfan sendromu, skolyoz ve ‘prune-belly’ sendromu gibi hastalıklarla sıkça ilişkilidir ve myopati ile vertebral anomalilerle birlikte
daha yüksek sıklıkta görülmektedir. Cerrahi müdahale öncesinde, akciğer grafisi ve gerekli durumlarda toraks bilgisayarlı tomografisi kullanılarak deformitenin şiddeti ve cerrahi planlama
için değerlendirme yapılmalıdır. Pektus karinatumlu hastalarda Abramson prosedürü endikasyonu için kompresyon testi uygulanırken, nikel alerjisi olan hastalar için titanyum bar tercih edilebilir. Eforla ilişkili semptomları olan hastalarda solunum fonksiyon testleri, elektrokardiyografi
ve ekokardiyografi gibi ileri tetkikler gereklidir. Nuss prosedürü sonrası solunum fonksiyonlarında belirgin artış kaydedilebilmektedir. Ameliyat sonrasında, kardiyovasküler performansın iyileşmesi ve hastaların fiziksel kapasitelerinde artış gözlemlenmiştir. Ayrıca uygulanan prosedürlerin
uzun vadede başarılı olabilmesi için dikkat edilmesi gereken bir diğer husus operasyon sonrası
ağrı yönetimidir. Uygun analjezik seçimi ve ağrı yönetimi ile hastanede kalış süresi kısaltılarak
hastaların tedavi sürecinin başarılı şekilde yürütülmesi sağlanır.
Suça Sürüklenen Çocuğa Yaklaşım ve Adli Psikiyatrik Değerlendirme
Authors:   Hacettepe Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları A.B.D., Ankara, Türkiye, Evinç Şükran Gülin , Demiray Emirhan ,   Hacettepe Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Adli Tıp A.B.D., Ankara, Türkiye, Özdemir Dilşad Foto ,   Hacettepe Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları A.B.D., Ankara, Türkiye, Balseven Odabaşı Aysun ,   Hacettepe Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Adli Tıp A.B.D., Ankara, Türkiye
Published: January 2025

Suça sürüklenen çocukların değerlendirilmesi adli psikiyatrinin ilgilendiği en önemli konuların
başında yer almaktadır. Bu değerlendirmeyi hemen her zaman adli tıp uzmanları ile çocuk
ve ergen ruh sağlığı ve uzmanları yapmaktadır. Adalet sistemin doğru bir şekilde işlemesi ve
toplumsal huzurun sürdürülmesi için bu değerlendirmeler oldukça titiz ve bilimsel standartlar
çerçevesinde yapılmalıdır. Bu değerlendirmenin mümkün olan en doğru şekilde yapılabilmesi
için bu alanda çalışan profesyoneller yasal mevzuata hakim olmalı, çocuğun fiziksel, bilişsel,
sosyal, psikolojik ve duygusal gelişimini bilmeli, çocukları suça sürükleyen risk faktörlerini
iyi bilmeli, eksiksiz bir muayene yapabilmeli, zeka testleri başta olmak üzere adli psikiyatri/
psikoloji alanında kullanılan testleri uygulayabilmeli ya da çocuğu bu testleri uygulayabilecek
uzmanlara yönlendirmeli, değerlendirme sürecinde multidisipliner bir şekilde çalışıp rehber
öğretmenler ve sosyal çalışmacılar başta olmak üzere diğer uzmanlık alanlarının görüşlerini
de almalı ve değerlendirme sürecinin sonunda kanaatini eksiksiz ve objektif bir şekilde yargısal
alanda kullanılabilmek üzere raporlayabilmelidir.
Bu alanda çalışan uzmanlardan beklenen bir diğer yaklaşım ise kanunların ve alınan tedbirlerin yeterliliğini her fırsatta ve ortamda tartışmaları, kamuoyu oluşturarak bir yandan çocukların suça karışmasının önlenmesi yönünde çalışmalar yapmaları bir yandan da suça karışan
çocuğun rehabilitasyonu için yeni gerekli önlemleri almalarıdır.
Kitabın bu bölümünde yukarıda bahsedilen konuların ayrıntılı şekilde tartışılması ve bu özel
alanda çalışan profesyonellere ve çalışmaya başlayacak uzmanlara katkı sunulması amaçlanmıştır.
Beden veya Ruh Bakımından Kendisini Savunma Kavramı ve Değerlendirilmesi
Authors:   Ankara Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Adli Tıp AD, Ankara, Türkiye, Cantürk Gürol , Cantürk Nergis ,   Ankara Üniversitesi, Adli Bilimler Enstitüsü, Kriminalistik Anabilim Dalı, Ankara, Türkiye, Sevgili Rüveyda ,   Ankara Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Adli Tıp AD, Ankara, Türkiye
Published: January 2025

Ceza Kanunumuzda çocuklar ile beden ve ruh bakımından kendisini savunamayacak durumda bulunan kişilere karşı işlenen bazı suçlarda nitelikli hal olarak değerlendirilerek ceza artırımına gidilmiştir. Beden, canlının maddi bölümü, ruh ise bedene canlılık veren güç olarak tanımlanmaktadır.
Beden bakımından kendisini savunamayacak durumda bulunan kişiden anlaşılması gereken; fiziki gelişimini
tamamlamayan veya yaşlılık, felç, koma gibi bedensel engeli bulunan veya bedeni güçten yoksun olup bu
engelin kendisini savunmasına mani olan kişidir. Ruh bakımından kendisini savunamayacak kişi denildiğinde
ise akıl hastalığının kendisini savunmasına engel olması durumu anlaşılır.
Türk Ceza Kanununun 82. Maddesi, 86. Maddesi, 94. Maddesi, 96. Maddesi, 102. Maddesi ve 109. Maddesinde
beden veya ruh bakımından kendisini savunamama nitelikli hal olarak düzenlenmiştir.
Bedensel engel, Yaş küçüklüğü, Yaşlılık, Hamilelik, Sağır ve Dilsizlik ve Akıl Hastalığı veya Akıl Zayıflığı kişinin
beden veya ruh bakımından kendisini savunamayacağı durumlar olarak kabul edilmektedir. Akıl hastalığı veya
akıl zayıflığı değerlendirilirken orta veya ağır derecedeki zeka gerilikleri düzeyindeki akıl zayıflıkları ile psikoz
gibi akıl hastalıklarının ruh bakımından kişinin kendisini savunmasına engel oluşturacağı kabul edilmektedir.
Yargıtay Ceza Genel Kurulu 2013/1-154E. Sayılı kararında uyku halinin kişinin beden veya ruh bakımından
kendisini savunmasına engel oluşturmayacağı yönünde karar vermiştir. Hakim, bilirkişi raporu ile suçun türü
ve işleniş şekli sanığın fiziksel durumuna ve somut olaydaki diğer faktörleri de göz önüne alarak hukuki
değerlendirmede bulunacaktır.
Recommendation of Heinrich Tilesius, the Rector of the Tilsit Provincial School, to His Pupil Johann Schultz
Authors: Triškaitė Birutė , Dilytė-Čiurinskienė Ona
Published: January 2025

The article discusses and presents, along with its translation into Lithuanian and commentaries, a document kept at the Secret State Archives Prussian Cultural Heritage Foundation (Ger. Geheimes Staatsarchiv Preußischer Kulturbesitz) in Berlin (shelf mark: GStA PK: I. HA GR, Rep. 7 Preußen, No. 191 [1685–1703]). It is a copy of the recommendation written on 30 April 1695 by Heinrich Tilesius (1666–1732), the rector of the Tilsit provincial school, to the pupil Johann Schultz (Jonas Šulcas, ~1678–1709), a future theology student at the University of Königsberg, a priest in Prussian Lithuania, and the translator of the first Lithuanian book of literary fiction, Die Fabeln Aesopi (Aesop’s Fables, Königsberg, 1706). Tilesius’s recommendation is important for several reasons.
This archival source provides information about the Tilsit provincial school: the name of Johann Schultz extends the list of the school’s well-known pupils, evidences the most important subjects included in the curriculum of the time, and reveals some of the competences of the schoolmaster.
Tilesius’s Latin text is an example of a recommendation written in a high or almost Ciceronian style of eloquence; it is a distinctive rhetorical piece demonstrating the excellent classical education of the rector of the provincial school of Tilsit.
The recommendation also adds new details to the biographical information on Johann Schultz, the pupil of this school, a future creator of Lithuanian literature, or, more precisely, provides some facts about his education prior to his studies at the University of Königsberg: not only did he go to the provincial school in Tilsit, but he also attended the Latin school in Insterburg, where, besides learning Latin, he also studied Greek and acquired knowledge of poetry, philosophy, and, in particular, rhetoric. Schultz’s teachers included not only Heinrich Tilesius, but also Johann Picker (~1640–1693), a well-known pedagogue of the time, a follower of Philipp Jacob Spener (1635–1705) and a promoter of his ideas in Prussia.
I Wrote to the Quandt Family and Their Descendants in 1756. Genealogy of the Family Published in the Obituary for Quandt (1772)
Authors: Strockis Mindaugas , Citavičiūtė Liucija
Published: January 2025

-
Analisis Kebijakan Pemilu Presiden 2029: Tantangan dan Peluang Pasca Penghapusan Syarat Ambang Batas Minimal
Authors: Sawir Muhammad , Andry Andry , Sumardi Sumardi , Kahar Kahar , Lestari Juli
Published: January 2025

Tulisan ini menganalisis kebijakan Pemilu Presiden 2029 dengan fokus pada tantangan dan peluang pasca penghapusan syarat ambang batas minimal. Urgensi penelitian ini terletak pada perubahan signifikan dalam regulasi pemilu yang berpotensi mempengaruhi dinamika politik nasional. Penelitian ini bertujuan untuk mengeksplorasi dampak kebijakan tersebut terhadap partisipasi politik, representasi, dan stabilitas pemerintahan. Metode penelitian yang digunakan adalah analisis kualitatif dengan pendekatan studi kasus, memanfaatkan data primer dan sekunder dari sumber legislasi, wawancara, dan literatur terkait. Hasil penelitian menunjukkan bahwa penghapusan syarat ambang batas minimal dapat meningkatkan inklusivitas partisipasi politik, namun juga menghadirkan risiko fragmentasi politik yang lebih besar. Kesimpulan dari penelitian ini menekankan perlunya strategi mitigasi untuk mengoptimalkan peluang dan mengatasi tantangan yang muncul dari kebijakan baru ini.
СЕРЕБРЯНЫЕ УНИВЕРСИТЕТЫ В КОНТЕКСТЕ НЕПРЕРЫВНОГО ОБРАЗОВАНИЯ
Authors: Исалиева С.Т. , Каймулдинова К.Д.
Published: January 2025

В статье рассматриваются тенденции и перспективы развития серебряных университетов в контексте образования в течение жизни. Цель исследования –обзор мирового опыта интеграции людей старшего возраста в новые условия, в котором авторы приводят интересные примеры привлечения пенсионеров в сферу услуг, творческие профессии, в образование и др. Обучение медиа и финансовой грамотности, изучение языков и развитие компьютерных навыков позволяют пенсионерам избежать одиночества, расширять коммуникации и участвовать в общественной жизни. Разнообразные программы дополнительного образования способствуют дальнейшей самореализации и повышению качества жизни и в целом влияют на их психологическое благополучие. Результаты проведенного исследования подтверждают выдвинутую авторами гипотезу о необходимости расширения форм и содержания обучения в связи с готовностью пожилых людей продолжать активную жизнь и желанием совершенствоваться. Наряду с этим выявлена неуверенность в качестве образовательных программ и возможности дальнейшего трудоустройства, в т.ч. у респондентов в возрасте 20-30 лет, а также обоснована необходимость дальнейшего изучения потенциала «поколения 45+» в современных условиях.
Supplier Relationship Management in the Digital Age: Enhancing Supply Chain Resilience Through Blockchain Technology
Authors: Susanto Edy , Sulartopo  , Holili Mohammad Hidayatul , Manalu Gibson
Published: January 2025

Digital transformation has driven companies to enhance supply chain efficiency and resilience through innovative technologies. However, challenges such as a lack of transparency, low efficiency, and risks of operational disruptions remain significant barriers in Supplier Relationship Management (SRM). This study aims to explore the role of blockchain technology in improving transparency, trust, and supply chain resilience. Using a qualitative case study approach, data were collected through in-depth interviews with supply chain managers from three companies in Indonesia and supporting document analysis. The findings reveal that blockchain implementation enhances operational efficiency by up to 35%, reducing the average process cycle time from 10 days to 6 days. Additionally, transparency levels increased by 40%, reflected in the ability of supply chain participants to monitor information flow in real time. Trust among stakeholders also improved by 25%, attributed to encrypted data security and immutable transaction records. These findings confirm that blockchain strengthens supply chain resilience through three main dimensions: response, recovery, and adaptation. The contribution of this research lies in enriching the literature on the role of blockchain in SRM, particularly in the context of supply chain resilience. Furthermore, the results provide practical guidance for companies in designing blockchain implementation strategies to mitigate operational risks and enhance stakeholder collaboration
Behavioral Biases in Investment Decisions: A Mixed-Methods Study on Retail Investors in Emerging Markets
Authors: Aqham Ahmad Ashifuddin , Endaryati Eny , Subroto Vivi Kumalasari , Kusumajaya Robby Andika
Published: January 2025

Retail investment in emerging markets has experienced rapid growth, driven by technological advancements and increasing public awareness of financial management. However, behavioral biases often influence retail investment decision-making, such as overconfidence and herding, which can undermine portfolio performance. This study aims to identify the key behavioral biases affecting retail investors' decision-making in emerging markets and analyze their impact on investment performance. A mixed-methods approach was employed, combining a quantitative survey of 200 retail investors with in-depth interviews to gain qualitative insights. The results reveal that overconfidence bias dominates, with a prevalence of 70%, followed by herding bias at 50%, anchoring at 40%, and loss aversion at 60%. Overconfidence bias showed a significant positive correlation with investment returns (r = 0.65, p < 0.01), while herding (r = -0.48, p < 0.03), anchoring (r = -0.35, p < 0.05), and loss aversion (r = -0.60, p < 0.02) had negative impacts on portfolio performance. This research contributes to the behavioral finance literature by highlighting the unique conditions of emerging markets, such as low financial literacy and limited access to information, which exacerbate the effects of behavioral biases. As a practical implication, the development of behavioral finance-based educational programs is recommended to help investors understand and manage these biases. Furthermore, future research is encouraged to explore the use of alternative data, such as social media, to monitor behavioral trends in real-time