bluuebunny/crossref_metadata_2025 huggingface dataset:
REUTILIZAÇÃO DE ÓLEO RESIDUAL DE FRITURA PARA PRODUÇÃO DE VELAS AROMATIZADAS
Authors: Martinelli Cristina , Da Silva Camila
Published: May 2024

In terms of solid waste, residual frying oil (RFO) represents one of the biggest concerns for its high polluting power. With the intent of environmental preservation, this study shows an experimental design that allows the reuse of RFO to obtain ecological candles composed of vegetable waxes and citronella essence. Furthermore, this work contemplated divulging the results and propagation of the preparation methodology to high school students, teacher training, and recyclers association. Macroscopic properties and burning tests allowed the selection of the best candle composition, which was described as 57% vegetal soy wax, 38 % of RFO, and 5% w/w of citronella essence. The 100 g candles showed burning time greater than 27 h, obtainment at an estimated cost of R$ 1.00, and projected profit close to R$ 39.00.
PLANO DE GESTÃO DE LOGÍSTICA SUSTENTÁVEL: ESTUDO DE CASO SOBRE AS AÇÕES PROPOSTAS PARA A REDUÇÃO DO CONSUMO DE COPOS DESCARTÁVEIS NO IFPR-FOZ
Authors: Alves Luciane Fátima
Published: May 2024

The aim of this study is to analyze the contribution of actions to mitigate the consumption of disposable cups at the Federal Institute of Paraná – Foz do Iguaçu Campus, proposed in the agency's Sustainable Logistics Management Plan, and which target campus employees. The research had as methodological path the bibliographic and documentary research of the case study, which resulted in a survey of quantitative and qualitative data. The results show that, despite the possibilities of improvement of the actions and that even in the face of their discontinuity, there was still a decrease in the consumption of plastic cups on campus, and no new acquisitions of the product were made. In addition, it was found that the financial impact for the acquisition of plastic cups was derisory in relation to the total cost of purchase of consumables in 2017, thus noting that the motivation of the application of the actions is based on the intention of the agency to outline a management focused on sustainability.
The “Other” in Observational Documentary
Authors: Stamati Marina
Published: May 2024

In this case we examine the documentary "The Other". The filmmaker, Loukia Rikaki, developed this documentary by observing the way people live in Patsidero, a region on the island of Crete, for two whole years. Through this documentary we seek to examine the way in which "The Other" is presented in the observational documentary, the way in which the truth is captured behind appearance which help the naturalness, the self, and the objectivity of the "Other" emerge. Consequently, an attempt is made reach certain conclusion regarding the observational documentary.
Trans-Jugular Portosystemic Shunt (TIPSS): A Study of 31 Cases
Authors: Habouchi Amine , Hail Kamel , Benyahia Radia , Benghanem Lounas , Mazouzi Chahira , Nemmar Rachid
Published: May 2024

This scientific report presents a retrospective analysis of 31 cases undergoing Transjugular Intrahepatic Portosystemic Shunt (TIPSS) placement. The study, conducted at a single center, aimed to evaluate the efficacy and safety of TIPSS in managing complications of portal hypertension. The main indications for TIPSS placement included variceal bleeding, refractory ascites, and Budd-Chiari syndrome. The procedural success rate was high, with only a small number of cases requiring re-intervention due to shunt occlusion. Significant improvements were observed in controlling ascites and variceal bleeding, although complications such as hepatic encephalopathy were noted. Despite these challenges, TIPSS emerged as a valuable intervention for patients with advanced liver disease and its associated complications. This study underscores the importance of TIPSS in the management of portal hypertension and highlights the need for further research to optimize patient selection and refine procedural techniques.
Portal Embolization: Algerian Experience
Authors: Habouchi Amine , Hail Kamel , Benyahia Radia , Benghanem Lounas , Mazouzi Chahira , Nemmar Rachid
Published: May 2024

Portal embolization is an interventional radiology technique aimed at occluding the right portal branches to induce hypertrophy of the remaining liver. In this article, we will discuss the experience of the radiology department at Bab el Oued University Hospital.
Effect of Tin Addition on the Mechanical Properties and Microstructure of Aluminium Bronze Alloyed with 4% Nickel
Authors: Oluwadare Benjamin Segun , Okolie Paul Chukwulozie , Adeleye Samson Adedayo
Published: May 2024

The current study investigates the impact of adding tin to aluminium bronze alloyed with 4% nickel on its microstructure and mechanical properties. Sand casting was chosen as the most cost-effective and efficient method of preparing the aluminium bronze alloy. Following their melting points, six distinct samples of aluminium bronze alloyed with 0% to 10% tin were added into the crucible furnace. Nickel with the highest melting point of 1453°C was added into the crucible furnace first, while tin with the lowest melting of 231.9°C was added last into the crucible furnace. The alloying components were mixed well by manually mixing the liquid for around five minutes. After sand casting, the specimens were machined, sectioned, and grounded then tests were carried out to measure their hardness, tensile strength, and impact resistance. The results of the tests indicate that the tensile strength first increases and subsequently declines as the tin addition increases. The hardness of the aluminium bronze alloy increases as the proportion of tin addition increases. The results of the investigations also demonstrate that as the hardness of the specimens increases, their impact resistance decreases and the tensile stress of each specimen increases with strain.
Modalities of valorization of traditional village settlements and their architecture in the villages of the Sredac parish on the Šar mountain
Authors: Gadžić Nebojša
Published: May 2024

The traditional rural settlements of Sredačka župa are the result of the creativity of recent centuries and are an integral part of Serbian national culture. Their preservation should not be reduced only to the level of preservation of folk architecture as museum monuments, but they should be integral parts of living elements of modern life and tourist offer. In this direction and with a focus on the regional development of the Šarplanina entity, this potential of rural settlements, expressed through their architecture and natural resources, must be included in programs for the use of traditional settlements in the function of the development of high mountain tourism, with the use of specific modalities that will include and valorize its specific geostrategic position and its environmental and energy self-sustainability. The valorization program should revive and develop some of the typical rural settlements by preserving, restoring and restoring traditional architectural buildings and make them economically independent and strong by using the energy potential that this area possesses.
Analysis of stopping behaviour of cyclists at a traffic light-controlled intersection using trajectory data
Authors: Leschik Claudia , Zhang Meng , Gimm Kay
Published: May 2024

Cyclists have various route options to get to their destination. They can share lanes with vehicles, share lanes with pedestrians, or have their own lane. In Germany there are often marked lanes across intersections and stop lines in front of the crossing, guiding the cyclists their way. However, these markings are not always respected in the way they should be.

This study is intended to examine the stopping behaviour of cyclists at a traffic light-controlled intersection. A distinction was made between single cyclists (n = 1,411) and cyclist groups (more than one cyclist; n = 475). The stopping area was divided into polygons to understand where most people stop before an intersection. Furthermore, it was examined where people continued to ride after stopping (bicycle or pedestrian crossing) and this was compared with cyclists who did not stop.

The aim of this study is to investigate cyclists’ stopping behaviour (e.g. stopping position) at intersections with consideration of the impact of groups, wrong-way cycling and road usage. It is to be investigated whether single cyclists behave differently than cyclist groups and whether there are differences in the two groups for wrong way cyclists. Both - single cyclists (69.38%) and cyclist groups (84.57%) - crossed the intersection more frequently without stopping within the observation period. In all cases, cyclists stopped mostly at the bicycle stopping line or used the bicycle crossing, thereby complying with the law. Most wrong way cyclists on the bicycle crossing were found for single cyclists with stopping (10%, n = 27) and cyclist groups with stopping (8%, n = 12). The speeds between single cyclists and cyclist groups differ slightly, and the stopping behaviour is very similar if the bicycle crossing is used after the stop.

The study shows that cyclists also stop far away from the intersection at unexpected positions that may not be in the field of vision of autonomous vehicles. Nevertheless, the cyclists still cross the intersection, partly also on the footpath, which is not rule compliant and unexpected. The information can be used to improve models of cyclists’ behaviour, for example, in microscopic simulations, in which cyclists only stop at clearly defined locations. Knowledge about the stopping position and the further crossing of the intersection can help to make simulations more realistic, e.g. when planning or changing new infrastructure. Furthermore, the results of this study will provide further knowledge, which helps developing autonomous driving functions to correctly anticipate cycling behaviour at intersections.
A Comprehensive Review of Artificial Intelligence Approaches in Kidney Cancer Medical Images Diagnosis, Datasets, Challenges and Issues and Future Directions
Authors: Abdalredha Kadhim Dhuha , Abed Mohammed Mazin
Published: May 2024

Various diseases are prevalent in global populations and can be attributed to human lifestyles, economic conditions, social factors, genetics, and other country-specific factors. Our study provides a detailed analysis of the current methods and uses of artificial intelligence (AI) in diagnosing kidney cancer. This literature review examines the most recent advancements and uses of AI in diagnosing cancer of the kidneys, emphasizing its significant influence on medical diagnosis and patient treatment. Evaluate their efficacy, explore prospective areas for future study and development, and identify obstacles and constraints, offering a fundamental review of critical advancements in AI, machine learning, and deep learning. AI-powered diagnostic tools expedite the analysis of intricate images and enhance the early identification of diseases, ultimately leading to improved patient results. Furthermore, the utilization of AI-driven image processing enables the customization of treatment regimens, thereby enhancing the efficiency of healthcare provision. This review primarily highlights the importance of conducting additional research and improving AI to transform the detection and treatment of kidney cancer.
ԼԵԳԻՍՏԱԿԱՆ ԻՐԱՎԱՀԱՍԿԱՑՈՒԹՅՈՒՆ
Authors: SHUKURYAN ARMEN
Published: May 2024

The article thoroughly discusses the essence, concept and substantive features of the legalistic (positivist) concept of law. In the article, the author argues that the basis of the legalistic (positivist) concept of law is a combination of law as an order, as mandatory definitions of the state, and decrees. According to that concept, right and law are effectively identical because they express the sovereign will of the state. The history and theory of legal thought and jurisprudence are penetrated by the struggle of two opposite types of legal understanding. These two types of interpretation of the understanding of law and understanding of law can be conditionally called juridical and legalistic types of legal understanding. Within these two types of legal understanding, there are different concepts of the understanding of law and directions of interpretation. Accounting for the intra-typological features of the inter-typological differences of one or another teaching about law is essential for the specific characterization of their theoretical-legal content.
ՀՀ ՎԵՐԱՔՆՆԻՉ ՔԱՂԱՔԱՑԻԱԿԱՆ ԴԱՏԱՐԱՆԻ ՀԱՅԵՑՈՂՈՒԹՅՈՒՆՆ ԻՐ ԼԻԱԶՈՐՈՒԹՅՈՒՆՆԵՐԸ ԿԻՐԱՌԵԼԻՍ
ՄԱՍ 1. «ԸՆԴՀԱՆՈՒՐ ՆԿԱՐԱԳԻՐ, ՀԱՅԵՑՈՂՈՒԹՅԱՆ ՇՐՋԱՆԱԿՆԵՐԸ ԵՎ ԴՐԱ ԱՌԱՆՁՆԱՀԱՏԿՈՒԹՅՈՒՆՆԵՐԸ»
Authors: MANUKYAN MARIAM
Published: May 2024

Within the framework of scientific research, it was studied whether the discretion of the RA Civil Appellate Court is absolute in the selection of powers, if, taking into account the factual circumstances of the case, it is possible (there is a legal possibility) to choose specific powers, and also the RA Civil Appellate Court should not have a legal obligation to motivate/justify the choice of any of their powers, or does the RA Civil Court of Appeal currently have such a legal obligation? The relevance of the research is determined by the developing legal practice (the decision of the Court of Appeal dated 18.03.22 within the framework of the civil case No. SND/0050/02/20 and the decision of the Court of Appeal dated 31.10.22 in the civil case No. ED/19766/02/18) and the Court of Appeal with the diversity of powers and the complexity of their content.

The main goals of this work are:

• as a result of the legal analysis, highlight the criteria for the selection of powers of the RA Court of Appeals and their peculiarities,

• Conduct a legal analysis, identifying the duty of the Court of Appeals to justify its choice of authority, on the basis of which the judicial act will be subject to appeal.

• Presentation of broad and narrow interpretations of specific articles of RA Legislation, their identification and justification.

• Raising and justifying comments aimed at overcoming legal uncertainty,

• Submission of recommendations aimed at securing the rights of a person to a case investigation and a fair trial within a reasonable period of time.

Problems of the scientific paper answered the following questions:

1. Is the discretion of the Court of Appeals of the Republic of Armenia absolute in the matter of the selection of powers defined by the Civil Procedure Code of the Republic of Armenia, in the event that a specific power may be applied (there is a legal possibility) in the context of the factual circumstances of the case?

2. Shouldn’t the RA Court of Appeals have a legislative duty to justify the choice of its powers to be exercised as a result of the examination of the appeal filed against the judgment defined by the RA Civil Procedure Code and/or does the RA Court of Appeals not currently have such a legislative duty?
ՄԻԳՐԱՆՏԻ ՊԱՏԱՍԽԱՆԱՏՎՈՒԹՅԱՆ ՔՐԵԱԻՐԱՎԱԿԱՆ ՀԻՄՔԵՐԸ ԵՎ ԻՐԱՎԱԿԻՐԱՌ ՊՐԱԿՏԻԿԱՆ
Authors: ASATRYAN ARMEN
Published: May 2024

Combating against irregular and illegal migration in the state management of migration of the Republic of Armenia has always been emphasized, focusing heavily on the reduction of irregular migration originating from Armenia, the requirement to execute the issue to study such phenomenon and make suggestions for its prevention was included in the list of priority issues. The inclusion of the issues regarding irregular migration in the list of priority issues hereby proves the importance of combating against this phenomenon for our State and society. In order to implement this problem, a number of measures promoting legal migration were implemented in Armenia, and in 2014 the organization of illegal migration was criminalized which is considered a criminal offense under the Criminal Codes of most States, especially when along with the increase in immigration flows in Armenia, the risks of illegal and irregular influx, residence and work of foreigners have also increased. This article will refer to the legal grounds for traveling to another country, the existing legislative regulations in the Republic of Armenia in this regard, a number of concepts related to illegal migration, the definitions given by the International Organization for Migration, the grounds of the migrant’s criminal responsibility, the legal assessments given to the migrant’s acts in law enforcement practice, the existing measures aimed at achieving the latter’s criminal responsibility and etc. As a result, the author proposed a new solution among the currently implemented ones regarding the legal assessment of the migrant’s act.
An Integrative Approach for the Treatment of Suspected Fibrocartilaginous Embolism of the Spinal Cord in a Dog
Authors: Medina Carolina
Published: May 2024

An 8 year old, neutered male, Shar Pei dog was presented with a history of acute onset of paraplegia and severe pain after playing in the yard. A suspected fibrocartilaginous embolism (FCE) at the L2-L3 intervertebral disk space was diagnosed using magnetic resonance imaging. During the first 48 hours, he was treated with morphine, methyl prednisone sodium succinate and polyethelene glycol 30%. Then, he was treated with a tapering dose of prednisone, as well as famotidine, diazepam and tramadol. Six acupuncture treatments were performed one week apart. Dry needle acupuncture was used at BL-40, LIV-3, GV-20 and Lui-feng. Electro-acupuncture was used at BL-54 + KID-1, Hua-tuo-jia-ji at T13-L4, GV-14 + Bai-hui at 20Hz for 5 minutes and then 80-120Hz for 25minutes. During the first 6 treatments, the patient also received aqua-acupuncture (vitamin B12, 0.3ml per point) at BL-23, GV-1, LI-10 and Lui-feng. The dog progressively regained strength and function in his pelvic limbs. Then, he continued to receive acupuncture and started underwater treadmill therapy every 2 weeks for a total of 15 treatments. In addition to acupuncture, Tui-na and physical rehabilitation, he was also prescribed a modification of the herbal formula Da Huo Luo Dan called Double P II (2.5 grams PO BID for 6 weeks). Currently at 4 months since the onset of clinical signs, he is ambulatory with slightly decreased conscious proprioception. The purpose of this case report is to demonstrate the use of an integrative approach to successfully treat FCE of the spinal cord.
Detection and Quantification of Neuroexcitatory Alkaloids in Modified Da Huo Luo Dan Prescribed for Paresis or Paralysis in Dogs
Authors: Shmalberg Justin
Published: May 2024

Traditional Chinese Veterinary Medicine practitioners commonly prescribe herbal formulas. These plant-based medicines are highly complex with a number of different components sensitive to variable growing environments and processing. The development and optimization of analytical methods to identify ingredients and to assure consistent levels of biologically active molecules in these plant-based formulas is critical. A high pressure liquid chromatography (HPLC)-based method for reliable, cost efficient and consistent analysis of the Chinese herbal medicine Da Huo Luo Dan used in the integrative treatment of paresis or paralysis was developed. The objective of the analysis was to evaluate the levels of the clinically useful neuroexcitatory alkaloids brucine and strychnine, compounds that are also associated with toxicity at high levels. Initial screening using a gas chromatography-mass spectrometry method (GC-MS) at an analytical laboratory was performed to identify the organic plant compounds consistent with the constituent herbs of the formula along with the alkaloids of interest. The HPLC method was then performed for quantification. The samples contained 128 mg/kg as-fed (AF) brucine and 196 mg/ kg AF strychnine in one batch lot, and 143 mg/kg AF brucine and 202 mg/kg AF strychnine in another. This is equivalent to a strychnine dose of 0.02 mg/kg body weight in dogs when the herbal formula is administered at recommended levels, and is well below the suggested toxic dose in dogs of 0.45-0.75 mg/kg body weight.
A Retrospective Study of the Use of Traditional Chinese Veterinary Medicine in the Treatment of Reoccurring Canine Intervertebral Disc Disease
Authors: McCaskill Larry
Published: May 2024

Clinical records of a private referral veterinary hospital were reviewed for cases of dogs affected with reoccurrence of intervertebral disc disease (IVDD) after recovery from a previous IVDD episode. Six cases (3%) were identified that had experienced a reoccurrence of IVDD, with a spinal cord deficit of Grade 3 or higher rear limb non-ambulatory paralysis. All six patients were chondrodystrophic breeds consisting of four Dachshunds and two Pekingese. These patients had been treated with conventional Western medical therapy, including one dog with a history of two previous back surgeries. All animals had received or were receiving traditional Chinese veterinary medicine (TCVM) treatments which included acupuncture, Chinese herbal medicine and Tui-na before the IVDD reoccurrence. All 6 animals went from non-ambulatory to ambulatory by the end of treatment. Three of the animals were able to attain completely normal neurological function while 3 dogs had some residual mild ataxia (Grade 2) by the end of the study. This retrospective case review suggests benefit from the use of TCVM therapy for reoccurrence of IVDD even in animals with severe neurological deficits.
The Sensitivity and Specificity of Auricular Diagnosis in Horses
Authors: Still Jan
Published: May 2024

The author previously observed the presence of localized tender points on the concave surface of the external auricle of horses with clinical signs of localized somatic pain. No similar point sensitivity was detected on the auricles of horses that were free of pain. The objective of this descriptive clinical study was to compare the presence or absence of auricular point pain with conventional physical examination findings to determine the validity of auricular diagnosis to predict when musculoskeletal pain was present or absent in the horse. One hundred performance horses of both sexes and varying ages and breeds, presented for locomotor problems were randomly selected from the author’s clinical practice. All horses first received palpation of the concave surface of the auricle (external ear) with either the medial or lateral edge of the thumb and the results were recorded. After the auricular examination, a complete conventional musculoskeletal and orthopedic examination was performed to detect pain of the head, body and limbs. The results of the auricular and conventional examinations were then compared. Good correlation (> 70% in both sensitivity and specificity) between the auricular diagnosis and the conventional examination was found in the head, low cervical region, shoulder, the upper and lower thoracic regions and lumbar and sacral regions. No conclusions could be drawn regarding the reliability of auricular diagnosis for other regions. The findings of this study indicate that auricular diagnosis may be a useful tool in clinical practice and support the theory that auricular points represent specific reflex connections between the auricle and corresponding somatic areas.
Evaluation of Zirconia Paediatric Crowns and Stainless-steel Crowns using Finite Element Stress Analysis
Authors: Gezgin Onur , Güney Betül , Korkut Emre
Published: May 2024

Introduction: The aim of this study is to perform Finite Element Stress Analysis (FEA) to determine the stress that stainless-steel and zirconium materials apply to the primary teeth while under occlusal and lateral forces, in order to predict possible situations that may occur in restorative materials and dental tissues as a result of their clinical use. Objective: The study groups were as follows: stainless-steel crown cemented by glass ionomer cementand dual cure resin cement; zirconium paediatric crown cemented by glass ionomer cement and dual cure resin cement. The control group was the tooth model without decay.
Pengaruh Struktur Kepemilikan, Risiko Perusahaan Dan Kendala Keuangan Sebagai Pemoderasi Terhadap Penghindaran Pajak Pada Perusahaan Sektor Pertambangan Selama Pandemi Covid-19 Yang Terdaftar Di Bursa Efek Indonesia
Authors: Rahmah Easy Nur
Published: May 2024

Agresivitas pajak merupakan tindakan yang dapat dilakukan oleh suatu perusahaan untuk meminimalisir beban pajak yang harus dibayarkan, dengan cara yang legal yaitu penghindaran pajak atau denagn cara yang ilegal, penggelapan pajak. Penelitian ini dilakukan untuk mengetahui pengaruh kepemilikan institusional, risiko perusahaan, kendala keuangan, dan kepemilikan institusional yang dimoderasi dengan kendala keuangan terhadap penghindaran pajak pada perusahaan pertambangan yang terdaftar di BEI selama periode tahun 2018-2022. Teknik pengambilan sampel dalam penelitian ini yaitu dengan menggunakan purposive sampling, dengan 14 perusahaan sampel dan 68 sampel data. Teknik analisis dalam penelitian ini menggunakan teknik analisis linear berganda. Penelitian ini menunjukkan bahwa Kepemilikan Institusional, Risiko Perusahaan dan Kendala Keuangan tidak memiliki pengaruh terhadap Penghindaran Pajak. Sedangkan Kendala Keuangan memperkuat pengaruh negatif Kepemilikan Institusional terhadap penghindaran pajak.
Analisis Komunikasi Lintas Budaya Antar Wisatawan Asing Dengan Warga Lokal di Jalan Braga Kota Bandung Pengaruhnya terhadap Persepsi Masing-Masing Kelompok Budaya
Authors: Reni Ulva Reni Ulva , Yuliani Yuliani
Published: May 2024

Penelitian ini mengusut kedalaman dan kompleksitas komunikasi lintas budaya yang terjadi antara warga lokal yang beraktivitas sehari-hari di sekitar Jalan Braga, serta wisatawan asing yang mengunjungi destinasi bersejarah ini di Kota Bandung. Dalam rangka menyelami dinamika interaksi antara kedua kelompok ini, studi ini menggabungkan metode observasi partisipatif, wawancara mendalam, dan analisis konten untuk menyoroti faktor-faktor kunci yang membentuk pola komunikasi mereka. Hasil penelitian menunjukkan bahwa dalam interaksi sehari-hari, bahasa menjadi tantangan utama namun bukan satu-satunya aspek yang memengaruhi komunikasi. Ditemukan bahwa bahasa tubuh, ekspresi wajah, dan gestur menjadi alat komunikasi yang sangat penting dalam mengatasi hambatan bahasa verbal. Selain itu, norma-norma sosial, nilai-nilai budaya, serta harapan dan persepsi terhadap perilaku juga memengaruhi kesuksesan komunikasi lintas budaya. Dalam konteks ini, pemahaman dan penyesuaian terhadap budaya setempat merupakan faktor penting yang dapat meningkatkan tingkat keberhasilan interaksi di Jalan Braga. Penelitian ini menekankan pentingnya meningkatkan pemahaman lintas budaya bagi wisatawan asing, sementara juga menekankan perlunya warga lokal untuk meningkatkan kesadaran akan perbedaan budaya serta meningkatkan kemampuan adaptasi dalam mendukung interaksi yang harmonis. Dengan demikian, studi ini memberikan kontribusi bagi pengembangan strategi komunikasi lintas budaya yang lebih baik dan pengelolaan destinasi yang inklusif di Jalan Braga, Kota Bandung
A Case Report of Arrhythmia Caused by Skin Expander Implantation
Authors: Qiong Liu  , Bing Jiang  , Hui Jiang  , Bin Nie
Published: May 2024

A 51-year-old female patient suffered facial burns during her youth. Following the healing of the wound, a skin expander was implanted on 7 December 2021 to address scar contracture. The preoperative electrocardiogram (ECG) indicated sinus rhythm within the normal range. Color Doppler ultrasound revealed no abnormalities. The patient had no history of hypertension, heart disease, diabetes, arrhythmia, or other cardiovascular and cerebrovascular conditions. On 16 June 2022, the skin expander was removed, and facial scar resection was performed. The routine ECG showed ventricular premature beats. During the operation, when the surgeon pulled and compressed the neck dilator, significant arrhythmia was observed, with the heart rate dropping below 50 beats per minute and frequent ventricular premature beats occurring. The surgeon promptly halted the procedure, resulting in immediate relief of the patient's pain. Subsequently, the ventricular premature beats ceased, and normal sinus rhythm was restored. Once the heart rate exceeded 60 beats per minute, the surgeon resumed the operation, but ventricular premature beats persisted. After removing the dilator, the heart rate gradually returned to normal, and no further arrhythmia occurred. The patient recovered smoothly post-operation, with stable vital signs and no reported discomfort. She safely returned to the ward. It was determined that the patient's arrhythmia was caused by the compression of the carotid sinus due to the stretching of the neck dilator.
Effective Strategies for Managing Sudden Hemoptysis Caused by Aorto-Bronchial Fistula during Cardiopulmonary Bypass: A Case Report
Authors: Wu Kui , Yang Siyuan , Hu Xuanyi , Ye Cong , Li Xuejun
Published: May 2024

Aorto-bronchial fistula (ABF) is a rare but life-threatening complication that can occur after thoracic endovascular aortic repair (TEVAR). The ABF clinical diagnosis can be challenging due to its insidious symptoms and potential for misdiagnosis. Managing endobronchial hemoptysis caused by ABF during cardiopulmonary bypass (CPB) is challenging due to limited clinical experience. We present a case of a patient who was previously treated with TEVAR for a thoracic aortic dissection and endovascular abdominal aortic aneurysm repair for an abdominal aortic aneurysm. The patient was admitted with intermittent hemoptysis over 1 year and chest pain for 3 days. Aortic computed tomography angiography (CTA) showed a recurrent dissection of the aortic arch. We encountered endotracheal hemoptysis during total arch replacement combined with a stented frozen elephant trunk under CPB. Due to the patient's prior history of TEVAR, the ABF was eventually diagnosed during the procedure; however, with the implementation of a series of measures, we were able to successfully resuscitate the patient. The literature suggests that this may be an exceedingly rare case of ABF successfully treated during CPB. Currently, there are no established clinical guidelines or consensus for the diagnosis and treatment of ABF after TEVAR due to the lack of case reports with extensive data. Timely identification of the bleeding bronchus, early activation of blood cell salvage, early neutralization of heparin activity, and timely resection of the diseased lobe are key to treating patients with ABF during CPB.
Determinant of the Job Impact on the Efficiency of Employees in the Saudi Telecommunications Company (STC)
Authors: Alrutayq Haya , Anazi Salman , Khalaf Wedyan , Sadek Walid , Abdul Hamid Al-Faisal
Published: May 2024

Focusing on the feasibility study using the descriptive analytical approach by creating employees in the Saudi Telecom Company and the largest percentage of the company’s customers, where 200 items were reached, in which exceptions for the study were distributed, in which the most important results of the study: - There are reports among executives from several sectors regarding career growth, motivation, work environment, and job functions on job performance in the Saudi Telecommunications Company (STC). - There is a relationship closely linked to effective performance and diversity in the types of work and the amount of work performed by the executive directors of the key officials in the Saudi Telecommunications Company (STC). - There is a correlation between the need for a job and then the performance of Saudi Telecommunications Company (STC) employees. The study recommended important tips to mention. - Using the precise specialization of the staff and their satisfaction with the work direction. - Employees leave in discussions and meetings related to higher levels. - Reformulating promotion criteria so that they are more efficient for working employees. - Recognizing the employee’s efforts and discussing his development. - Preparing various incentives to ensure that they are distributed fairly among employees.
Overtourism: Potential Short- and Long-term Solutions
Authors: Wong Alan
Published: May 2024

Tourist numbers are rising postpandemic. While a needed boost for the travel/hospitality sector, accompanying overcrowding can be daunting for tourists and locals alike. In his P-Insights report, Dr. Alan Wong, Founder of G&D Hospitality, Tourism & Educational Consulting, gives short- and long-term practical advice with examples on avoiding overtourism based on 11 strategies adopted by the UN World Tourist Organization and four from his own long experience focused on ecotourism, tourism taxes, technology, and, most importantly, education.
Uso de Localizadores de Venas 3d Fdm por Médicos Internos de Pregrado
Authors: Nieto Merino Jean-Carlo , Pérez Gómez Lucero Stephania , Allbarán Flores Raúl , Villanueva Azotea Francisco Jesiel
Published: May 2024

La sobresaturación y escasez de personal en hospitales mexicanos de segundo y tercer nivel dificultan la obtención de muestras sanguíneas, tarea fundamental para los médicos internos de pregrado(3). Este estudio propone generalizar el uso de un localizador de venas de bajo costo fabricado mediante impresión 3D FDM (Figura 1) para mejorar la eficacia de la toma de muestras(2). Se difundirá información sobre estos dispositivos y se capacitará a los médicos internos en su uso para lograr una localización venosa más precisa y rápida(1)(5), reduciendo la necesidad de múltiples punciones y mejorando la calidad de las muestras(4). Se espera que la implementación de esta tecnología beneficie a los pacientes al reducir la invasividad y el dolor, y al personal médico al mejorar su confianza y habilidades prácticas. Además, los hospitales podrían experimentar ahorros en costos y una mejora en la precisión de los diagnósticos. La normalización de la implementación de localizadores de venas impresos en 3D FDM es necesaria para superar las limitaciones actuales y mejorar la calidad de la atención médica en México.
Comparing the Vocabulary Learning Strategies of High School and University Students: A Pilot Study
Authors: Dóczi Brigitta
Published: May 2024

The pilot study described in this paper aims to investigate the role of Vocabulary Learning Strategies (VLS) in Hungarian secondary and tertiary educational institutions. It intended to explore the strategies students apply in the final year of high school and 3 different years of university. The first part of the paper summarizes the most significant issues and research studies in the field of VLS. Following this, it describes the study itself, for the purpose of which a questionnaire was devised, based on Schmitt’s (1997) taxonomy. As the findings show, social and metacognitive strategies are less frequently used by the participants. The higher the number of years of study, the less students pratise on a regular basis or use active strategies. However, they are more likely to skip a new word and they pay more attention to pronunciation. As regards the number of strategies used, it increases with time spent studying the language.
Methodological Considerations in Constructing a Theoretical Framework of Terminological Awareness in Healthcare Communication
Authors: Bakó Alexandra Vivien
Published: May 2024

When constructing a theoretical framework, one necessarily raises the question how it can be ensured that the theory emerging will be internally valid and robust. While there are meticulous ways of validating an empirical research instrument, theoretical validation is less elaborated in language pedagogy research. Therefore, this paper attempts to explore systematic ways of building a theoretical framework and to set certain criteria for evaluating it. The thus established analytical framework is then applied to a theoretical framework of terminological awareness in healthcare communication. Since this framework is still under construction, the systematic evaluation is used to suggest ways of improvement.
Emotions, Learning-Autonomy and Gender-Specific Attitudes in the ESL Classroom
Authors: Komlosi-Ferdinand Flora
Published: May 2024

In the ESL classroom, students’ attitudes and learning success are largely influenced by a variety of emotions experienced. The present research aims to investigate how emotions and perceptions on learning- autonomy shape Hungarian high school students’ and educators’ attitudes in the ESL classrooms. Results indicate that female students, as opposed to their male peers, have considerably lower confidence in their own capability of learning and using English, yet they are less dependent on the teachers’ perceived likeability and more autonomous in their learning processes. Teachers reveal that they are aware of the differences in emotions between male and female students; however, they do not encourage students sufficiently to develop learner-autonomy. Implications from this study indicate that teachers should explore and implement more psychological content- based strategies to meet students’ gender specific emotional needs and to avoid learning-dependence on the educator’s person.
Environmental Accounting and Sustainability: Bibliometric Analysis and Documentary Review of Scientific Production, Period 2015-2024
Authors: Romero-Carazas Rafael , Tafur Juan Britman Vallejos , Vizcarra-Quiñonez Alberto Miguel , Melgarejo-Quijandria Miguel Ángel , Ochoa-Santos Freddy Christopher , Gutiérrez-Monzón Sonia Gladys
Published: May 2024

The purpose was to describe global scientific and literary outputs, on different aspects around environmental accounting (EA) and sustainability in environmental, business and policy domains, between 2015 and 2024. This was achieved through a quantitative characterization of publications. The methodology used took as referent aspects for the analysis: focus, units, topics, country, authorship, citations and journals, these a descriptive and reflexive documentary study of the scientific literature, based on the collection of papers in Scopus and the use of VOSviewer. The materials were selected according to various criteria, including keywords such as "environmental accounting" and "sustainability", limited to fields such as: business, management and accounting, during the period from 2015 to 2024. The result included the identification of 54 texts, with the years with the highest number of publications being 2015 with 25.8% and 2018 with 19.7% of the total number of documents. Regarding the approaches, a predominant orientation towards the qualitative paradigm was observed, with 70%, compared to the quantitative one, with 32%. The most common types were exploratory (65%), descriptive (20%) and correlational (3%). As for the units, the majority focused on inquiries in companies with 52%, divided between large companies (57%) and MSMEs (11%). In turn, the sectors most frequently observed were tertiary (48%), followed by secondary (34%) and primary (2%). The origin of most of the studies was the United States, the United Kingdom, Australia and Italy. Finally, the limitations found were mainly related to the methodological approach, the inclusion of only one database, which could have excluded relevant studies not indexed in this one.
A Proposed Educational Program Based on Project-Based Learning (PBL) for Teaching Home Economics and its Impact on Developing Creative Thinking and Problem-solving Skills of Third-grade Intermediate Female Students
Authors: Albahiri Mohamed H. , Mohammed Ali Albashir , Alhareth Meznah  M.Al
Published: May 2024

This study examined the effectiveness of using project-based learning (PBL) for the teaching of home economics and determine its impact on the development of students’ creative thinking and problem-solving skills. To achieve the objectives of the study, the researchers used the quasi-experimental approach. Pre- and post-intervention tests were conducted with two (experimental and control) groups of third-grade intermediate female students. Two tests were administered: one to test the students’ creative thinking skills, and the other to test their problem-solving skills. The control group were taught a home economics unit by conventional teaching methods; the experimental group were taught using the PBL approach. The following materials and tools have been prepared by the researchers: a proposed educational program based on project-based learning (PBL), a test of creative thinking skills, and a test of problem-solving skills. The findings revealed that there were statistical differences (0.05) between the mean scores for the pre-PBL and post-PBL tests, indicating that PBL significantly improved the students’ creative thinking and problem-solving skills. Several recommendations and suggestions are offered based on the findings.
Climate Change Policy: The Critical Role of Legal Scholarship in Shaping Sustainable Futures
Authors: Mohamed Yusuf
Published: May 2024

The imperative to address climate change has never been more urgent. As the world grapples with increasing temperatures, rising sea levels, and extreme weather events, the role of legal scholarship in shaping policies for a sustainable future is increasingly critical. This letter aims to address the vital contribution of legal scholarship to climate change policy, emphasizing its unique position to bridge theory and practice, advocate for environmental justice, and facilitate the transition towards sustainable futures. By analyzing and proposing legal frameworks that prioritize adaptive capacity and social equity, legal scholars ensure that climate policies do not merely respond to environmental challenges but also contribute to building stronger, more just communities. In conclusion, the critical role of legal scholarship in shaping climate change policy cannot be overstated. As we navigate the complexities of global environmental challenges, the insights, analysis, and advocacy provided by legal scholars are indispensable in guiding our collective efforts towards a sustainable and equitable future. It is imperative that the legal community continues to engage with and contribute to the climate change discourse, ensuring that laws and policies not only address current environmental issues but also anticipate and mitigate future challenges. Let this letter serve as a call to action for legal scholars, policymakers, and society at large to recognize and leverage the unique contributions of legal scholarship in our global fight against climate change.
Rethinking Intellectual Property Rights in the Era of Open Science
Authors: Kumar Nishant
Published: May 2024

The evolving landscape of knowledge creation and dissemination, particularly through the lens of open science, prompts a critical reevaluation of our current intellectual property (IP) rights framework. As we navigate the complexities of the digital age, the traditional paradigms of intellectual property management are increasingly at odds with the ethos of open innovation and the accelerating demand for accessible knowledge. This letter aims to explore the tensions between intellectual property rights and open science, drawing on recent scholarship to advocate for a more nuanced approach to IP in the era of open science. It is clear that the current IP framework requires a thoughtful reassessment to better accommodate the principles of open science. Such a reassessment could involve exploring flexible IP models that encourage innovation and knowledge sharing, such as licensing agreements that permit the use of intellectual property in ways that advance scientific research and public health objectives. Additionally, policies that support the creation of public knowledge commons could further the goals of open science by ensuring that scientific data and research outputs are accessible to all. In conclusion, the era of open science calls for a redefined approach to intellectual property rights—one that not only protects the interests of creators but also promotes the collective advancement of knowledge and innovation. By embracing the principles of openness, collaboration, and accessibility, we can forge a path towards a future where scientific research and innovation are driven by the shared goal of advancing human knowledge and well-being.
Early and late implant loss in a university-based periodontal setting: A retrospective analysis on 1’821 patients and 2’639 implants over a period of 18 years
Authors: Budmiger Raffael , Peku Emir , Imber Jean-Claude , Salvi Giovanni E. , Staehli Alexandra , Roccuzzo Andrea
Published: May 2024

The aim of this study was to retrospectively analyze the implant failure rate, not due to peri-implantitis, in periodontally compromised patients rehabilitated with at least one dental implant placed in a specialist university setting over the last 18 years. Records of patients receiving dental implants at the Department of Periodontology, University of Bern, Switzerland, between 2005 and 2022 were analyzed. Data on 1’821 patients with 2’639 implants were retrieved. Fifty-nine patients experienced implant loss (rate at patient level: 3.2%) out of which 2.1% were early and 1.1% late implant losses, respectively. The majority of the 59 patients were males (68%) and 27.1% were smokers. Eight mm implants were lost with the highest rate (42.4%) followed by 10 mm implants (31.8%). The rate of lost maxillary implants was more than twice as high compared with that of mandibular implants (69.7 vs. 30.3%). Within the study limitations, the implant failure rate in this cohort of patients enrolled in regular supportive periodontal and peri-implant care, was low.
Management of Gingival Hyperpigmentation – A Case Report
Authors: R Dharshana , S Sangeetha , PT Priyangha , G Sandhya
Published: May 2024

Gingival hyperpigmentation, characterized by darkening of the gums due to melanin deposition, can affect the aesthetic appearance of the smile, particularly in patients with excessive gingival display. Various techniques, including scalpel surgery, have been employed for cosmetic depigmentation. This case report describes a simple and cost-effective scalpel depigmentation procedure performed on a 23-year-old female patient with Dummet's score 3 pigmentation. The procedure involved meticulous removal of pigmented epithelium and a thin layer of connective tissue, followed by post-operative care and monitoring. While initial results are promising, repigmentation remains a potential challenge, necessitating long-term follow-up. Scalpel depigmentation offers reliable results, enhances smile aesthetics, and can be a preferred choice considering equipment constraints and healing times.
Efficacy of Interpersonal Psychotherapy on Major Depressive Disorder, Alexithymia and Emotional Disclosure
Authors: *Musfirah Nasr Chaudhry  , Urooj Sadiq
Published: May 2024

The aim of the study was to investigate the effectiveness of Interpersonal Psychotherapy in dealing with issues of alexithymia and emotional disclosure in individuals with MajorDepressive Disorder (MDD). Experimental research design was used. The sample for the current study was comprised of 40 participantsdiagnosed with MDD with age range of 18-35 years (M=29.18, SD=8.90) from different hospitals of Lahore city who were divided into experimental and control groups with 20 participantsin each group. Patient Health Questionnaire (PHQ-9) (Kroenke et al., 2001), Bermond-Vorst AlexithymiaQuestionnaire (BVAQ) (Vorst & Bermond, 2001) and Distress Disclosure Index (DDI) (Kahn & Hessling, 2001) were used to measure MDD, alexithymia and emotional disclosure, respectively. In order to analyze results, descriptive analysis, linear regression analysis, and paired sample t-test were used for the current study. The summary of results showed that alexithymia is significantly predicting lack of emotional disclosure in individuals with MDD. There was a significant post testdifferencebetween experimental and control group on studies variables. It was also indicated that both groups are likely to have significant difference on the studied variables on post testing.