bluuebunny/crossref_metadata_2025 huggingface dataset:
Thoracoscopic parathyroidectomy: a 22-year experience
Authors: Buzanakov D. , Alesina P. F. , Kniazeva P. , Walz M. K.
Published: December 2024

Thoracoscopic parathyroidectomy (TP) is a preferred approach to the treatment of hyperparathyroidism (HPT), caused by hyperfunctioning parathyroid glands located in mediastinum, though the data on its feasibility and safety are scarce, due to the rarity of this condition.
Objective — to assess the safety and feasibility of thoracoscopic parathyroidectomy.
Materials and methods. A retrospective cohort included 25 patients (14 male, 11 female) of primary thoracoscopic parathyroidectomy performed in Kliniken Essen‑Mitte and Wuppertal Helios Hospital from August 2002 to December 2024. Out of the patients included in the study, 15 patients underwent TP as their initial operation for primary HPT (pHPT), 7 patients had persistent pHPT after cervical operations, one — recurrent pHPT, and two — recurrent secondary HPT. Median age was 60 years (range: 27—77 years). The mediastinal location of the parathyroid was suspected by (99m)Tc‑sestamibi (MIBI)‑scintigraphy in 18 cases, five cases were MIBI‑negative, and in two cases, no MIBI‑scintigraphy was performed. In all cases, parathyroid localization was confirmed by 4D Computed tomography (CT) scan (n=17), magnetic resonance imaging (MRI) (n=3) or Positron emission tomography (PET‑CT) (n=5). Pre‑ and postoperative levels of serum calcium and parathormone, histopathological reports, and surgery protocols were analyzed. Intraoperative parathyroid hormone (PTH) level was measured with a rapid assay to confirm the success of the procedure 15 minutes after resection.
Results. During the investigated period, 26 thoracoscopic operations were performed. Overall success rate was 84.6% as in 4 cases no hyperfunctioning parathyroid tissue was thoracoscopically removed. In the first case, a cervical approach was required; in the second one, the patient was reoperated thoracoscopically one year later; in the third case, the operation resulted in the normalization of serum calcium level despite the absence of parathyroid tissue in the pathological specimen. In one more case, the patient demonstrated postoperatively elevated PTH level with normal serum calcium level. Median duration of operations was 80 minutes (range: 20—320 minutes). No perioperative deaths or major complications occurred. No conversion to sternotomy or thoracotomy was performed. A complication rate was 4.2%, including one case of chylothorax, followed by a successful retroperitoneoscopic ligation of the thoracic lymphatic duct, and one case of temporary phrenic palsy. Median postoperative hospital stay was 2 days (range 2—6 days). No readmissions due to any reasons after discharge were registered.
Conclusions. Thoracoscopic parathyroidectomy is safe and feasible, being the optimal treatment option in most cases of mediastinal parathyroid adenomas. However, it requires precise preoperative localization to guarantee the success of the treatment.
Changes in some biochemical indicators in psoriasis patients as a marker of disease activity
Authors: Syzon O.O. , Dashko M.O. , Ceshaplyk­–Chyzho I.O.
Published: December 2024

The elicitation of primary nature of biochemical shifts occurred at psoriatic disease and the prediction of interconnected subsequent changes in metabolic and inflammatory processes are important in predicting the dynamic development of pathological process and the choice of individual treatment.
Objective — to assess disorders and correlations between main indicators of protein, fat, hydrocarbon and pigment metabolism and specifics of inflammatory processes in psoriatic patients against the clinical course of dermatosis.
Materials and methods. We have analysed the results of clinical and laboratory examinations performed in respect of 62 psoriatic patients. All these patients have been analysed per their age, sex, prevalence and the type of skin rash as well as per the clinical disease form. Biochemical examinations have been conducted using appropriate sets of reagents. To establish the possible correlation between the indicators of biochemical blood analysis, we have calculated the correlation coefficient, which determines the nature of correlation between the studied variables.
Results and discussion. The analysis of results received upon examining psoriatic patients indicated that microbial-viral associations, stress factors and genetic predisposition were the most frequent trigger factors of psoriatic disease, which corresponds to the data from literary sources. We have registered that the psoriaric disease of duration up to 5 years was the most common, and relapses manifested in its limited form against the background of the disease advanced stage; the prevalent psoriasis was more common for the hospital stage. Our study justifies that metabolic changes occurred in the overwhelming majority of examined patients of different age groups. At that, abnormalities of a number of indicators of protein, lipid, hydrocarbon and enzyme metabolism have been established. In addition, the expressiveness of corresponding changes correlated with the prevalence of skin psoriatic process and the duration of dermatosis course as well as the presence of pathology of a number of internal organs, in particular of gastrointestinal tract, hepatobiliary and cardiovascular systems, that suggest the presence of systemic disorders at psoriasis.
Conclusions. The establishment of independent mechanisms existing between some changes in metabolic process parameters at psoriasis has a theoretical and practical significance in dermatology, which involves the use of medications to regulate the established disorders, the possibility to restore correlations as it will inevitably contribute to the achievement of clinical and preventive effect.
Clinical signs of skin tuberculosis
Authors: Hrechaniuk Yu.O. , Biehouliev O.E.
Published: December 2024

Skin tuberculosis is a form of extrapulmonary tuberculosis, which is rare and differs from other well-known forms of tuberculosis in skin manifestations. Family doctors, even phthisiatricians and sometimes pulmonologists (to whom persons with pulmonary pathology of tuberculous genesis will turn) in their practice will see them perhaps several times a year since pulmonary forms are often accompanied by the presence of extra-pulmonary forms. Today, this is an important issue, especially given the increase in the detection rate of extrapulmonary forms, which is also caused by the growing rate of co-infection with TB and HIV/AIDS or HIV/AIDS alone, the frequency of which is constantly increasing. The above-mentioned specialists should be able to identify and confirm such a diagnosis in a patient. Still, there are difficulties in diagnosing skin tuberculosis, since often the manifestations of the disease are atypical, and it is mostly impossible to detect mycobacteria of tuberculosis using available methods. In addition, there are no clear histological and morphological signs of skin tuberculosis, and a certain role is also played by the lack of awareness of general practitioners regarding the manifestations of this pathology. Therefore, to help general practitioners, the review we offer covers the most common forms.The authors hope that the presented review of clinical manifestations of skin tuberculosis forms will help general practitioners (and specialists) to study this rather rare pathology better, detect it in patients in a timely manner and, consequently, start treatment earlier, which will contribute to achieving a faster and more effective result.
Studi Etnofarmakognosi Dan Etnomedisin Masyarakat Lereng Selatan Gunung Slamet Kabupaten Banyumas Jawa Tengah
Authors: Rachmani Eka Prasasti Nur , Suhesti Tuti Sri
Published: December 2024

Salah satu pemanfaatan tanaman yaitu untuk tujuan pengobatan. Pemanfaatan tanaman untuk pengobatan berdasarkan pengalaman turun-temurun yang bersifat lisan, rentan terjadi kesalahan informasi. Penelitian ini bertujuan untuk mendokumentasikan pemanfaatan tanaman obat berdasarkan pengetahuan dan kearifan lokal masyarakat di lereng selatan Gunung Slamet yang meliputi Kecamatan Baturraden, Kedungbanteng, Sumbang dan Purwokerto Utara. Penelitian dilakukan dengan menggunakan pendekatan kualitatif dan kuantitatif. Metode penelitian dilakukan dengan wawancara dan observasi yang melibatkan informan yang memiliki kriteria pelaku dan pengobat tradisional. Data profil informan dianalisis secara deskriptif. Analisis kuantitatif meliputi penetapan nilai dan pentingnya tanaman bagi masyarakat dilakukan secara kuantitatif dengan menghitung nilai guna tanaman untuk pengobatan (Use Value/UV),  nilai guna famili (Family Use Value/FUV), frekuensi kutipan relatif (Relative Frekuensi Citation/RFC), tingkat fidelitas (Fidelity Level/FL) serta data mengenai bagian tanaman, cara penyiapan, dan cara penggunaan tanaman. Hasil penelitian menunjukkan bahwa 12 responden menyebutkan 56 jenis tumbuhan yang termasuk dalam 27 famili. Famili yang paling banyak digunakan berdasarkan nilai FUV adalah zingiberaceae, terdapat 9 spesies yang memiliki 17 kegunaan (khasiat). Tanaman yang paling penting untuk pengobatan berdasarkan nilai RFC tertinggi berturut-turut yaitu kunyit (1,00), jahe (0,92), dan  temulawak (0,92). Terdapat 13 jenis tanaman yang memiliki nilai FL 100% yang terdapat dalam famili acanthaceae, araliaceae, asteraceae, campanuiaceae, cupresaceae, euphorbiaceae, fabaceae, liliaceae, myrtaceae, dan zingiberaceae. Hal ini menunjukkan bahwa tanaman tersebut sangat dipercaya untuk tujuan pengobatan tertentu. Bagian tanaman yang paling sering digunakan adalah daun (39%), cara penyiapan bahan tanaman untuk obat yang paling sering dilakukan adalah direbus (56%), cara penggunaan yang sering dilakukan adalah secara per oral (69%) dan sebagian besar bahan tanaman yang digunakan adalah bahan segar (91%). Temuan ini menguatkan data bahwa tanaman pada famili zingiberaceae merupakan tanaman utama yang banyak digunakan untuk pengobatan pada masyarakat lereng selatan Gunung Slamet.
Assistência Interprofissional na Pré-habilitação, Reabilitação e Telereabilitação Cirúrgica Oncológica de Crianças e Adolescentes: Revisão Integrativa
Authors: Prates Pedro Emílio Gomes , Correa Júnior Antonio Jorge Silva , Russo Tatiana Mara da Silva , Paraizo-Horvath Camila Maria Silva , Teles André Aparecido da Silva , Sonobe Helena Megumi
Published: December 2024

Introdução: A pandemia da COVID-19 ocasionou um represamento nos atendimentos cirúrgicos destinados a pacientes pediátricos oncológicos. Essa problemática se manifestou mediante elevadas taxas de incidência, diagnósticos tardios e escassez de recursos materiais e humanos. Objetivo: Analisar na literatura as evidências científicas acerca da assistência interprofissional para a pré-habilitação, reabilitação e telereabilitação cirúrgica oncológica infantojuvenil. Método: Trata-se de Revisão Integrativa da Literatura (RIL), realizada em seis etapas e conduzida pela estratégia de pesquisa PICo. As buscas foram realizadas nas bases de dados LILACS, CINAHL, Scopus, Web of Science e PUBMED, mediante critérios de inclusão e exclusão, com recorte temporal de 2018 a 2024. Os dados da amostra foram utilizados para a identificação do estudo, das características metodológicas, avaliação do rigor metodológico e síntese da amostragem. Resultados: Elegeu-se 22 artigos. Quanto ao nível de evidência, a maioria foram de nível (IV) (n=13 / 59.1%). Quanto à topografia tumoral, as maiores incidências foram de Leucemia Linfoide (CICI – Ia) e Leucemia Aguda (CICI – Ib), ambas com (n= 3 / 13.6%). Construíram-se 4 categorias quanto às fases de direcionamento dos artigos: “pré-habilitação cirúrgica”, “perioperatório cirúrgico”, subdividida em abordagem assistencial e educacional, e “telereabilitação”. O predomínio dos estudos focou em uma abordagem combinada dos elementos assistenciais e educacionais (n= 11 / 50.0%). Conclusão: A RIL gerou evidências que endossam a importância da equipe interprofissional para a reabilitação do paciente pediátrico cirúrgico oncológico, pois promovem melhor deambulação, alimentação oral, aptidão cardiopulmonar, melhora das taxas de saturação de oxigênio, encurtamento do tempo de hospitalização e autossatisfação emocional.
Investigating the Moisture Susceptibility Resistance of Asphalt Mixes Modified with Silica Fume Additive
Authors: Mohammed Wasnaa J. , Ismael Mohammed Q.
Published: December 2024

Moisture induced damage is a prevalent pavement distress commonly observed by road agencies. The damage caused by moisture significantly affects the pavement's lifespan and performance. This research investigated the influence of silica fume (SF) on the susceptibility to moisture. Three concentrations of silica fume were used 3%, 6%, and 9% by weight of the binder. A thermal camera has been used to detect variations in homogeneity in the modified asphalt during the mixing process. The optimal asphalt content was 4.92, 5.02, 5.16, and 5.22 for the control and modified mixtures. The moisture susceptibility was evaluated by measuring the tensile strength ratio (TSR) and index of retained strength (IRS). The thermal images showed that the silica fume particles in the mixture were uniformly distributed, as indicated by the convergence of colors at 160°C. The findings showed that the inclusion of SF at 6% decreased sensitivity to moisture, corresponding to an increase in TSR and IRS of 12.49% and 13%, respectively.
Effect of Crushed Concrete on Some Properties of Modified Reactive Powder Concrete Reinforced With Micro Steel Fibers
Authors: Saeed Rusul Hussain , Fawzi Nada Mahdi
Published: December 2024

Conventional RPC does not contain coarse content aggregate, but some researchers incorporate coarse aggregate. Those researchers used coarse aggregate to produce RPC, the new RPC known as modified reactive powder concrete (MRPC). This paper shows the findings of a study that looked into using crushed concrete as aggregates. The crushed concrete was taken from examined cube spacemen of a road project in the city of Baghdad and then crushed until they were no bigger than 10 mm. Micro steel fibres (1% by volume of the concrete) and crushed concrete (25% and 100%) of the original reactive powder concrete were added to the mix instead of fine sand and micro steel fibres before the casting. Look into several properties of the standard and reactive powder concrete, including their density, compressive Strength and flexural Strength. Compressive Strength of modified reactive powder concrete with 25% crushed concrete  increased by 16.86% and 10.57 and  slightly increasing  by 4.81% Moreover, 3.84% at age 7 days and   28 days of testing, respectively, when 100% crushed concrete was used instead of sand when compared with the reference mixture. When 25% crushed concrete was incorporated, Flexural Strength increased by 44.33% and 29.85 and when 100% crushed concrete was incorporated, Flexural Strength decreased by 14.15% and 12.68%% at age 7 days and 28 days, respectively, when compared with the reference mixture
Contribución al conocimiento de la vegetación de la Sierra de Velasco en La Rioja, Argentina
Authors: Garcia Massini Juan L. , Demaio Pablo H. , Reinoso Franchino Gabriel , Mirabelli Sebastián L.
Published: December 2024

Background and aims: The vascular flora of Sierra de Velasco from La Rioja Province (northwestern Argentina), belonging to the extra-Andean range Sierras Pampeanas, has not been systematically studied. The goal of this work was to describe the plant diversity of the Sierra de Velasco along its altitudinal gradient (1500-4300 m).
M&M: Plant collections from 2021 to 2024 in the Costa Riojana zone of the Sierra de Velasco, were carried out. Specimens were processed and determined, and then deposited in the UNCAT herbarium and at the Centro Regional de Investigaciones y Transferencia Tecnológica de La Rioja.
Results: Two hundred and sixty-nine species grouped in 199 genera and 81 families were recorded. Asteraceae had the greatest richness of species, followed by Fabaceae, Cactaceae, Solanaceae, Poaceae, and Verbenaceae. Forty-two taxa were recorded for the first time for La Rioja Province. Species of the Monte, Chaco, Yungas, Comechingones, Puna, and High Andes phytogeographic regions are distributed in altitudinal ranges comparable with neighboring mountains. Species that inhabit the highlands of the Sierra de Velasco suggest a biogeographic connection to the Puna Húmeda.
Conclusions: This first systematic record of the vegetation of the Sierra de Velasco allows understanding its biogeographic relationships and provides key data for its conservation in face of climate change and environmental degradation.
ANALISIS FAKTOR YANG BERPENGARUH TERHADAP PROBABILITY KEPUTUSAN KEBERATAN DI BIDANG KEPABEANAN
Authors: Purwana Aditya Subur , Rachman Mirza Chaidir , Pahlevi Yonathan Agung , Syamsuddin Muhammad Anshar
Published: December 2024

To determine import and export duties, goods are grouped based on the goods classification system, namely the Harmonized System (HS). ASEAN is required to use the ASEAN Harmonized Tariff Nomenclature (AHTN). The principles of the AHTN protocol include legal remedies for classification decisions. The study aims to determine the factors that influence the probability of an Objection Decision and its value as well as the efforts of the Directorate General of Customs and Excise (DGCE) in dealing with objection disputes. The scope is the determination of Customs and Excise Officials that cause underpayment of import duties, export duties, import taxes, and/or administrative sanctions in the Customs sector (SPP, SPPBK, SPSA, and SPTNP) to which Objections are submitted. The methods used are descriptive statistics and nominal logistic regression. Use secondary data from January 2021 to May 2024 and primary data from Customs and Excise officials and importers who object. The results of the study are (i) the factors that influence: the value of the invoice, the decision office of the Customs and Excise official, and the subject of the dispute, (ii) The probability of the objection decision granting all: the decision-issuing office of the Customs and Excise official Prime Customs and Excise Office type A Tanjung Priok is 0.246 times compared to Other Offices, and the decision-issuing office of the Customs and Excise official Customs and Excise Office Belawan is 0.531 times compared to Other Offices, (iii) The probability of the objection decision being determined differently: the decision-issuing office of the Customs and Excise official Prime Customs and Excise Office type C Soekarno Hatta is 0.430 times compared to Other Offices, the decision-issuing office of the Customs and Excise official Customs and Excise Office Tanjung Perak is 0.025 times compared to Other Offices, and the decision-issuing office of the Customs and Excise official Customs and Excise Office Belawan is 0.315 times compared to Other Offices, (iv) DGCE can provide an understanding to importers/exporters that the objection decision is made based on the authority to resolve objections so that importers/exporters can optimize the objection process.
Sustainable Entrepreneurship and Circularity: Stakeholder Collaboration in Textile SMEs in Indonesia
Authors: Istiyani Ambar , Surya Putra Yanuar , Dian Pramesti Novita
Published: December 2024

The textile industry is a significant contributor to environmental degradation, leading to an increasing emphasis on sustainable entrepreneurship and circular supply chains. This qualitative case study examines the experiences of textile-based SMEs in Indonesia who use shredded fabric from larger textile industries to create new fashion products. The urgency of this study lies in understanding the challenges faced by small- and medium-sized enterprises (SMEs) in textile-based circular supply chains, particularly in their collaboration with stakeholders. The in-depth interviews with five SME owners, two consumers, a supplier, a government official, and a CSO activist uncovered several critical challenges, including limited availability and access to shredded-fabric and inconsistent quality and quantity of the raw material, transforming the shredded-fabric into finished fashion products, reaching SMEs’ target market and promoting their products effectively, and the management of small leftover fabric pieces from production, referred to as “tatal.” The study proposes the following strategies to address the challenges: foster trust and transparency with suppliers, reactivate the joint business cooperative, work with government agencies and policymakers to establish customized support and regulatory structures, collaborate with government agencies and academic institutions, expand the market for tatal waste beyond the arts, and partner with the Department of the Environment to manage tatal waste. The findings contribute to the academic literature on sustainable entrepreneurship and provide practical insights for SMEs, policymakers, and industry stakeholders to enhance the circularity of textile supply chains.
Acceptability of Mango Seed Kernel (Mangifera Indica) as Potential Tea Source
Authors: Alican Reynald P.
Published: December 2024

This study determined the acceptability and phytochemical properties of mango seed kernel (Mangifera Indica) as a tea source. Kernels from Carabao, Apple, and Indian Mango seeds were used in the study, which involved four drying processes: 7, 14, 21, and 28 days. The hedonic scale method was used to determine the mean level of acceptability of the tea, which was evaluated by the panelists. The presence of DPPH scavenging activity, total flavonoids, phenols, tannins, and anthocyanins was analyzed for phytochemical analysis. Statistical analysis, including mean and standard deviation, was used to evaluate acceptability levels, and ANOVA was used to determine significant differences. The results revealed that tea derived from Carabao mango kernels dried for 7 days had the highest acceptability. The phytochemical analyses of Carabao mango powder showed DPPH scavenging activity, flavonoids, phenols, and tannins; however, anthocyanins were not detected. The findings indicate that there were no significant differences in the mean sensory evaluation of the Carabao Mango kernel tea samples in terms of color, odor, taste, and general acceptability. In contrast, significant differences were observed among Apple Mango kernel tea samples for color and odor, while no significant differences were found for taste and general acceptability. Similarly, significant differences were noted among the samples of Indian Mango kernel tea for color but not for odor, taste, and general acceptability. The study highlights the potential of using mango seed kernels for tea production, thereby contributing to waste reduction and promoting health-conscious food production and consumption practices.
Evaluating the Impact of Immunotherapy on Long-term Survival Rates in Lung Cancer Patients in Sub-urban Areas in Bangladesh
Authors: Alam Md Khorshed , Hasan S M Nazmul , Ahmed Sharif , Kumar Soumittra
Published: December 2024

Lung cancer is a leading cause of cancer mortality worldwide, with an exceptionallyhigh incidence and poor outcomes in the suburban areas of Bangladesh due to limited healthcare infrastructure. Immunotherapy is a promising treatment modality for non-small-cell lung cancer (NSCLC), but its impact on resource-limited settings underexplored. This study evaluated the effect of immunotherapy on long-term survival rates among patients with lung cancer in the sub-urban districts of Cumilla and Feni, Bangladesh. A mixed-methods approach was used, involving 22 patients with NSCLC who were divided equally into the immunotherapy group and control group receiving conventional chemotherapy. Quantitative data on survival outcomes were analyzed using Kaplan–Meier estimates and Cox proportional hazard models to adjust for confounders. Qualitative data were collected through semi-structured interviews with patients in the immunotherapy group, focusing on access barriers, perceptions, side effects, and support systems. The immunotherapy group had a median overall survival of 18 months compared with 12 months in the control group (p = 0.03), with an adjusted hazard ratio of 0.55 (95% CI: 0.32–0.95, p = 0.033), indicating a 45% reduction in the risk of death. Qualitative findings revealed significant financial and geographical barriers to receiving immunotherapy. Patients reported a mix of hope and anxiety regarding treatment efficacy and side effects, with support systems playing a crucial role in treatment adherence and coping mechanisms. Immunotherapy significantly improves long-term survival rates among patients with lung cancer in sub-urban Bangladesh. Addressing financial constraints, enhancing healthcare infrastructure, and strengthening support systems are essential to maximize the therapeutic potential of immunotherapy in resource-limited settings.
Generalized Linear Mixed-Model Tree for Modeling Dengue Fever Cases
Authors: Setiawan Erwan , Notodiputro Khairil Anwar , Sartono Bagus
Published: December 2024

The GLMM tree demonstrates flexibility when applied to complex dataset structures such as multilevel and longitudinal data. However, there has been no assessment of the performance of GLMM trees on panel data structures. This study aims to assess the performance of the GLMM tree on a panel data structure using a case study of dengue fever cases in West Java. The performance evaluation focuses on the accuracy of the model. The dataset includes cross-sectional data from 27 regencies/cities in West Jawa, covering different regions at a single point in time, and time-series data from 2014 to 2022, tracking dengue fever cases over the years. The results of this study show that the GLMM tree model is suitable for panel data that exhibit nuanced or intricate variability unrelated to temporal effects. When developing the incidence rate of the dengue fever model, the GLMM tree separates into two submodels depending on a GRDP growth rate threshold of 5.5%. The GLMM tree model shows significant differences in the incidence rate of dengue fever between regencies/cities. However, the differences in the incidence rate of dengue fever from year to year between the regencies/cities are not significant. It indicates that local factors, such as research predictor variables, are more dominant in influencing the incidence rate than global factors.
0n Fuzzy Soft (α,β)-class(Q)operator
Authors: Khalid Hanan
Published: December 2024

this paper present a new type of operator , referred to as the fuzzy soft class (Q) operator , which operator on a complex Hilbert space . we examin several advantageous properties that are exclusive this operator class.
Additionally , we explore an extended version of several fuzzy soft class Q operator in this work , introduce fuzzy soft (a,b)class (Q) and fuzzy soft (a,b)normal operator. we also provide some theorems of operations related to these notions.
Hybrid Deep Learning Techniques for Improved Anomaly Detection in IoT Environments
Authors: Abbas Mohammad Hanan
Published: December 2024

The Internet of Things (IoT) is no longer limited to single personalities, but rather, it is a perceptions that has widely increased and spread in some applications or fields. The mechanism for communicating between IoT devices similarity works as traditional communication between hosts. However, the growing use of IoT has been gaining the interest of a growing number of attackers. Hence, a number of researchers are attempting to build an intrusion detection system utilizing machine learning and deep learning algorithms. In this work, a novel attack detection model is proposed by superimposing Whale Optimization Algorithm and Bidirectional Long Short-Term Memory (WB-LSTM) together. There are numerous deep learning competencies, but LSTM is one of the ones used to interpret big data or time series data. But, it is not easy to find what is the best weights for LSTMs in order to directly achieve performance. The LSTM results were 99.1%. Hence, in this work, we introduce the WOA-LSTM hybrid model, that utilizes WOA for finding the optimal weights for a network based on LSTM, and is used to detect the IoT attacks. The 99.98% was obtained from the WOA-LSTM hybrid model.
Kurumsuzlaştırma – Aşırı Kurumsallaşma Sarmalında Planlama Kültürünün Oluşumu
Authors: Şanlı Tuğçe
Published: December 2024

Siyasal kültüre paralel olarak farklı kültürel bağlamlar ekonomik, siyasal ve toplumsal küresel yeniden yapılanma süreçlerini farklı şekilde yaşamaktadır. Özellikle planlama alanında kültürel faktörler, zamanla gelişerek yazılı ve yazılı olmayan uygulama gelenekleri haline gelen kurumsal yapılar, hakim kodlar, aktörler ve operasyonel gelenekler aracılığıyla yansıtılmaktadır. Zaman içinde bu unsurlar birbiri üzerine biriken bir tecrübe alanı oluştururken, farklılaşan aktörler ve rolleri, güç ilişkileri, davranışlar, temsil ve politika normları gibi faktörler tarafından şekillendirilen benzersiz planlama kültürlerine de yol açar. Araştırma, politik-kültürel bağlam içinde özgün koşullar oluşturan planlama uygulamalarını kurumsallaşma- aşırı kurumsallaşma sarmalında bir araç olarak ortaya çıkan planlama uygulamaları ile öncelikle genel hatlarıyla planlama ve kültür üzerine yapılan çalışmalar üzerinden, detayda ise Otherngrafen’in ‘Planlama Kültürü’ modeli üzerinden incelemektedir. Ardından, devlet eliyle kentsel mekâna müdahalenin doğrudan aracı olarak planlamanın Türkiye’deki tarihsel gelişimi, kurumsallaşan gücün kurumsuzlaşmaya işaret eden yeniden dağıtımı süreçlerini, farklı yönetim düzeyleri arasında yaşanan kurumsallaştırılmış güç çatışmaları eşliğinde ortaya koyacaktır. Çalışma ortaya çıkan değerlendirme sonuçları ile Türkiye planlama pratiğinin birikimli tecrübeleri ile gelişerek oluşturduğu kendine has planlama kültürünün oluşumu üzerinden planlama kültürünün çok yönlü doğasını ve daha geniş toplumsal-siyasi dönüşümlerle olan ilişkisini ortaya koyarak, belirli bir coğrafyanin ürünü kısıtlılığında kalan planlama ve kültür ilişkisine yönelik çalışmaların daha evrensel bir zemine oturtulması gerekliliği vurgulamaktadır.
L-Band Radiometric Measurement of Liquid Water in Greenland's Firn: Comparative Analysis with In Situ Measurements and Modeling
Authors: Moon Taylor , Harper Joel , Colliander Andreas , Hossan Alamgir , Humphrey Neil
Published: December 2024

The addition and refreezing of liquid water to Greenland's accumulation area are increasingly important processes for assessing the ice sheet’s present and future mass balance, but uncertain initial conditions, complex infiltration physics, and limited field data pose challenges. Satellite-based L-band radiometry offers a promising new tool for observing liquid water in the firn layer, although further validation is needed. This paper compares time series of liquid water amount (LWA) from three percolation zone sites generated by two model-based and two observation-based methods. LWA is a useful metric for quantifying firn evolution, offering insights into meltwater processes and model performance. LWA integrates the interplay of liquid water generation and refreezing, which often occur simultaneously and repeatedly within firn layers on diurnal, episodic, and seasonal scales. The four LWA records showed average discrepancies of up to 62% nRMSE, reflecting shortcomings inherent to each method. Better agreement between series occurred after excluding the regional climate model record, lowering nRMSE to 8%-13%. The agreement between L-band radiometry and other LWA records inspires confidence in this observational tool for advancing understanding of firn meltwater processes and serving as a validation target for simulations of water generation, infiltration, and refreezing in Greenland’s melting firn layer.
Racial Differences in the Income-Well-Being Gradient
Authors: Teeselink Bouke Klein , Kim Jin , Zauberman Gal
Published: December 2024

Extent past research documented a robust non-linear relationship between income and subjective well-being (i.e., income-well-being gradient). Utilizing data from millions of Americans, mainly from the Gallup Daily Poll, we find significant differences in the income-well-being gradient between racial groups. Whites experience a steeper gradient, gaining more well-being per dollar than Blacks and Asians. These results cannot be explained by lower optimism regarding future well-being among minorities, as Whites are actually the least optimistic about their future well-being at every observed income level. Policymakers seeking to maximize societal well-being would need to consider the moral and practical implications of this heterogeneity.
Assessing central auditory processing in bilinguals’ native language yields more accurate results
Authors: Price Caitlin , Miller Ana , Hall Charia
Published: December 2024

Purpose: While central auditory processing disorder (CAPD) evaluations assess specific auditory skills necessary for efficient processing and understanding of complex auditory signals, many tests included in these evaluations rely heavily on language. This poses an issue for non-native English speakers, and it remains unclear whether testing these individuals in a secondary language produces an accurate clinical assessment and diagnosis. Our study aimed to determine the most appropriate language for CAPD assessment in bilingual speakers.Method: Twenty-five Spanish-English bilingual speakers participated in this repeated measures study to assess binaural processing performance when evaluated using test materials in their native (Spanish) and secondary (English) languages. Binaural integration and separation were assessed using dichotic digits, competing words, and competing sentences. Participants completed these assessments twice—once in Spanish, once in English. Performance on the binaural tasks was compared between languages to determine if the language used for instruction and assessment impacted auditory processing performance.Results: Performance varied by language for more challenging auditory tasks (i.e., dichotic digits, competing words) with participants performing poorer when materials were administered in English. Increasing age emphasized these language differences and revealed interaural asymmetries.Conclusions: These findings suggest testing Spanish-English bilinguals with English materials may provide inaccurate representations of their binaural processing abilities, even when they are considered to be proficient in English. Impaired performance may more likely be attributed to language differences rather than true auditory processing deficits. Therefore, non-native English speakers should be assessed for CAPD using test materials in their native language whenever possible.
Esgotamento Emocional e Psicológico dos Funcionários nos Presídios do Rio Grande do Norte
Authors: DE CARVALHO MADSON FARIAS
Published: December 2024

O esgotamento emocional e psicológico é uma problemática crescente entre os trabalhadores de presídios, especialmente no Rio Grande do Norte (RN), onde as condições de trabalho são frequentemente desafiadoras. Este artigo busca compreender os fatores que contribuem para o desgaste mental desses profissionais, as consequências para sua saúde e qualidade de vida, e as possíveis intervenções para mitigar os impactos negativos.
Musicoterapia na Atenção Primária à Saúde
Authors: DE CARVALHO MADSON FARIAS
Published: December 2024

A musicoterapia é uma prática terapêutica que utiliza elementos musicais para promover saúde e bem-estar. Na Atenção Primária à Saúde (APS), essa abordagem tem mostrado potencial significativo para a melhoria da qualidade de vida dos pacientes, especialmente em contextos de saúde mental, reabilitação e promoção da saúde. Este artigo discute a relevância da musicoterapia na APS, com ênfase nos benefícios, desafios e possibilidades de integração dessa prática no cuidado integral à saúde.
A Importância da Psicologia na Atenção Primária de Saúde nos Municípios do Rio Grande do Norte
Authors: DE CARVALHO MADSON FARIAS
Published: December 2024

A Psicologia desempenha um papel crucial na Atenção Primária à Saúde (APS), especialmente nos municípios do Rio Grande do Norte (RN), onde os desafios sociais e econômicos impactam diretamente a saúde mental da população. Este artigo busca destacar a relevância da atuação psicológica na APS, enfatizando sua contribuição para a promoção da saúde, prevenção de transtornos mentais e fortalecimento da atenção integral e humanizada.
Members’ Perceived Performance of an Agriculture Cooperative in Nepal: A Case of the Devisthan Agriculture Cooperative Limited in Pokhara, Nepal
Authors: Pasa Rajan Binayek , Regmi Bhawana , Adhikari Devendra
Published: December 2024

Cooperatives are associations of people who voluntarily cooperate for mutual socio-economic and cultural benefits. It is important to understand the performance of cooperatives as perceived by their members, which would be crucial to sustaining a cooperative in the future. However, there is limited research that unpacks members' perceived performance of the cooperatives in the Nepalese context. This study (a) assesses the perceived performance of the board members and general members of the Devisthan Agriculture Cooperative Limited (DACL), and (b) examines if the perceived performance varies by members’ characteristics. We used a self-administered questionnaire to collect data from 138 randomly sampled respondents who were members of the DACL. The survey included five indicators to measure performance: relevancy, efficiency, effectiveness, impact, and sustainability. Both descriptive and inferential statistical tools were used for analysis. Findings showed that the perceived performance of the members on various indicators of performance significantly varied. The characteristics -respondents' category, sex group, caste/ethnicity, involvement in business, formal education, and participation in capacity and skill development training — were among the significant predictors influencing performance. Implications for enhancing the performance of agriculture cooperatives have been discussed.
Interrogation of Female Bread-Winning, Parenting and Childcare among Market Women in Ibadan Metropolis, Nigeria
Authors: Dagunduro Adebukola O. , Adenugba Adebimpe A. , Omolawal Samuel
Published: December 2024

The global rise in female breadwinning has led to changes within the family structure, especially in terms of household chores and childcare. In Nigeria, striking a balance between childcare and work career is a big difficulty for female bread winners, and also puts a strain on them. This study, therefore, investigated female breadwinning, parenting and childcare among market women in Ibadan, Nigeria. The study employed a cross-sectional research design. The Role strain theory guided the study. Study locations were the three major markets largely populated by women in the Ibadan metropolis. Both qualitative and quantitative methods were used to generate data from female breadwinners using a structured questionnaire administered to 903 respondents and ten in-depth interview methods. The study revealed that the male role in the family is gradually being taken over by women especially when such women are the breadwinners in the families. Also, the study indicated that children of female breadwinners among market women in the Ibadan metropolis spend more time with their mothers in the marketplace, regardless of whether the father is available or not. Despite this, younger children of the household rarely enjoy intimacy with their mothers as these breadwinners stay away from the home for more than ten hours daily. There was a statistically significant relationship between categories of women sampled in the markets and their relationship with children (x2 = 425.791, p<0.05), implying that there is a lower likelihood that female breadwinners would have cordial relationships with their children when compared to their non-breadwinning counterparts. Female breadwinners are encouraged to pay more attention to the cordial relationship with their children so as to protect the stability of their marriage and society.
Answering Research Questions Using Survey Data: An Example from Maryland Agritourism
Authors: Bhandari Prem
Published: December 2024

This brief paper discusses the concept, the sources, and the types of research questions that can be answered with survey data. In addition, I provided an example of answering a specific question using survey data with step-wise results from univariate (descriptive statistics), bivariate, and multivariate (e.g., binary logistic regression) analysis. I believe this paper will be useful to the young scholars.
Interview with Professor Laya Prasad Uprety
Authors: Khattri Man Bahadur , Subedi Madhusudan
Published: December 2024

Prof. Dr. Laya Prasad Uprety.
Structural Barriers to Intergovernmental Relationships in Nepal
Authors: Acharya Keshav K. , Kandel Resham , Upadhyay Parshuram
Published: December 2024

This paper examines the role of Intergovernmental Relations (IGR) in shaping interactions among Nepal's different levels of government. This article examines how IGR has evolved, its functionality, and its challenges, focusing on the structural and systemic barriers to its effectiveness. Using qualitative research, data was collected through interviews with 28 key informants, including members of the National Coordination Council, chief ministers, LG Associations, and federal ministries from April to October 2022. Findings show that, despite constitutional and legal mechanisms like the Constitutional Bench, Interprovincial Council, and National Coordination Council, IGR remains inefficient. Key barriers include a lack of willpower, self-interest, and a failure to innovate. These issues hinder the constitutional bench, with over 300 pending cases, and the IPC struggles due to the Prime Minister’s reluctance to devolve power. The NCC faces internal political conflicts, and the Intergovernmental Fiscal Council deals with grant distribution, tax collection, and fiscal federalism challenges. Other challenges include weak participatory practices, complex procurement, and a rigid resource distribution system. As a result, the paper demonstrates that federalism implementation still faces significant challenges despite federal, provincial, and local cooperation. The issues include ambiguous jurisdictions, political disagreements, inefficient bureaucracies, and unclear fiscal mechanisms. It is essential for Nepal's federalism to be effectively implemented that there is strong political commitment, supportive institutions, and a culture of governance emphasizing policy coherence and public service delivery.
Assessment of end products of Ashwagandha (Withania somnifera) and their marketing channel in Bharatpur, Chitwan, Nepal
Authors: K.C. Binita , Kafle Gandhiv
Published: December 2024

This study was conducted for six month from February-July in 2019 to evaluate the end products, end uses, ingredients and marketing channel associated with Ashwagandha (Withania somnifera) in Bharatpur, Chitwan, Nepal. A 100% sampling intensity was employed encompassing all medicinal/herbal retailer shops and processing industries/companies identified within the study area. Data were collected through complete surveys of herbal/medicinal shops and industries located at Bharatpur city by using structured questionnaire which offered 41 end products containing W. somnifera as an ingredient. Additionally, two herbal industries were found, producing six types of Ayurvedic medicines using W. somnifera as a key ingredient. The major uses of these Ayurvedic medicines were found to treat illness of physical weakness (n=20), nervous system (n=18) and reproductive system (17). Of total end products 31.7% were solely made only from Ashwagandha and remaining were prepared by using other 187 medicinal plants/minerals or its extract as ingredient out of which Kurilo (Asparagus racemosus) was the most used medicinal plant as ingredient with it. Most of products were Classical Ayurvedic Medicine (51.22%) and sold without prescription (65.85%) also. Most of them were manufactured within Nepal (75.61%) but depends on Indian market for raw material of Ashwagandha. These products from manufacturing industries reached to medicinal/herbal retailer shops through stockiest and super stockiest and sometimes directly from Nepalese company via courier and marketing agents. Major challenges of W. somnifera processing industries is lack of cultivation of this species in Nepal leading their dependency on India for raw material, lack of incentives, difficult bureaucracy and political instability.
Design and Implementation of the Attitude, Ethics and Communication Module -Working in a Healthcare Team in a Medical Institute
Authors: Shetty Archana , Sandeepa Surpiya , Minal Jessica , Murali Nirupama
Published: December 2024

Background Communication and inter-personal skills are an imperative requirement in undergraduate medical curriculum. Incorporation of Attitude, Ethics and Communication module (AETCOM) was a major change in the new curriculum implemented by National Medical Commission (NMC) of India in 2019. Implementing modules related to soft skills like “Working in a healthcare team” come with challenges and novel learning experiences for the medical faculties.MethodsThis prospective cross-sectional study was conducted in the department of Pathology at a medical college institute over a period of four months. AETCOM module “Working in a healthcare team” was to be taken over a duration of six hours on every Saturday 8:00 to 9:00 am consecutively for six weeks. Two hours were taken as small group discussions and four hours as class room based planned interview sessions with under recognized personnel of healthcare team – billing, housekeeping staff, junior residents, and techniciansResultsA brief outline of the entire module was conveyed in the first small group session. Subsequent interview sessions were divided into icebreaking, interview and concluding sessions. In the last small group session, students were asked to give feedback and write the narrative reflective writing in their log books as a formative assessment. The students liked interview session of housekeeping personnel the most.Conclusions We wish to share our experience of designing and implementing this module which not only gave students a preview into contribution of various personnel in daily patient care but also stressed upon the need for developing an attitude of respect and good communication.
Dental Anxiety Levels and Implementing Anxiety-Reduction Techniques in Pre-and Post-Operative Dental Patients
Authors: Majanta Swagat Kumar , Aashwini Shrestha  , Baidya Sneha , Ashma Rijal  , Ghosh Snehashish , Prajapati Dilip
Published: December 2024

Background Dental anxiety significantly impacts patient comfort and treatment outcomes in dental practice. Evaluating pre-operative anxiety-reduction interventions among adult dental patients undergoing routine procedures is crucial. This study aims to explore effective strategies to alleviate dental anxiety, potentially revolutionizing its management and enhancing patient comfort.MethodsSeventy adult participants undergoing routine dental procedures were included. Demographics were recorded, and pre-operative dental anxiety levels were assessed using the Index of Dental Anxiety and Fear (IDAF-4C+). Participants received two anxiety-reduction techniques during procedures, and anxiety was reassessed post-operatively.ResultsSignificant reductions in anxiety scores were observed post-intervention. Female participants' anxiety decreased from 2.5 ± 0.76 to 1.56 ± 0.46, and male participants' anxiety decreased from 1.70 ± 0.57 to 1.13 ± 0.17. Both low education (2.22 ± 0.77 to 1.40 ± 0.43) and high education groups (1.64 ± 0.70 to 1.14 ± 0.19) exhibited decreased anxiety. Both intervention techniques, rest and breaks (2.01 ± 0.78 to 1.31 ± 0.36) and distraction (2.27 ± 0.77 to 1.42 ± 0.46) were effective.Conclusions This study demonstrates that pre-operative anxiety-reduction interventions effectively reduce dental anxiety in routine procedures. Both rest and breaks and distraction techniques significantly lowered anxiety levels across participant demographics, suggesting potential benefits for patient comfort and dental care outcomes.