bluuebunny/crossref_metadata_2025 huggingface dataset:
Development and validation of interprofessional health education module for the management of gestational diabetes mellitus
Authors: Shetty Ashwini K. , Reddy Madhavi , Patil Nitin J. , Kumaran Senthil E , Satyanarayana Pradeep Tarikere , Sheela SR , Raveesha A , Reddy Sudha VR , Bajaj Gagan
Published: April 2024

BACKGROUND:

Gestational diabetes mellitus (GDM) is a glucose intolerance that shows its first onset during pregnancy. In India, GDM affects as many as 5 million women annually. The interprofessional collaborative educational intervention is crucial for GDM management. This study illustrates the collaborative effort in developing and validating an interprofessional health education module designed for healthcare professionals during consultation sessions with GDM patients.

MATERIALS AND METHODS:

The investigation involved three stages: 1) needs assessment for module contents and objectives, 2) health education module development by an interprofessional team, and 3) module validation. We received ethics approval from the institution’s ethics committee.

RESULTS:

The interprofessional team developed and validated the evidence-based English-printed module. The module had 27 units and covered six topics: an introduction to GDM and its management, dietary recommendations for GDM, exercise, yoga recommendations for GDM, weight control, and postpartum care.

CONCLUSION:

The interprofessional team developed the educational module, wherein there is an integration of the domains of exercise and yoga along with medicines and nutrition therapy. The module was developed based on local requirements and evidence-based practices. Healthcare professionals can use the interprofessional health education module when advising diabetic pregnant patients.
Clinical and Aesthetic Evaluation of Minimally Invasive Surgical Therapy for the Treatment of Gingival Recession Defects - A Systematic Review of Randomized Clinical Trials
Authors: Sethna Gulnar Dara , Attar Nilofar Badshah , Shinde Sanket Vasant , Machale Priyanka Sambhaji , Fernandes Lynette Custodio
Published: April 2024

Background:

The concept of minimally invasive dentistry has seamlessly blended into the various fields of dentistry including periodontics. The past three decades have witnessed a paradigm shift from conventional surgical procedures to microsurgery in the field of periodontal plastic surgery. This entails the integration of microsurgical principles, refined surgical skills and magnification devices along with microsurgical instruments. This systematic review of the randomized clinical trials attempts to address the clinical question whether the application of minimally invasive surgical procedures for gingival augmentation and root coverage procedures for the treatment of gingival recession translate into superior clinical and patient oriented results as compared to conventional root coverage procedures.

Materials and Methods:

Science Direct and Ovid databases, PubMed, Scopus, and Product literature were accessed to review relevant literature evaluating minimally invasive surgery for treatment of gingival recession defects (GRDs). The search covered 13 studies published in medical and dental journals in English with a relevant impact factor and had a follow up of at least 6 months, up to and including June 2023. The results were based on parameters such as complete root coverage (CRC, expressed as percentage), mean root coverage (MRC, expressed as %) width of keratinized tissue (WKT), and variables such as esthetics and pain postsurgery.

Results and Conclusion:

The 13 studies pooled in 342 patients who underwent root coverage procedures for treatment of GRDs. The test group (microsurgical) and the control group (macrosurgical group) both resulted in overall improvement in parameters like MRC and CRC, WKT etc. at least 6 months postsurgery; however, statistical difference in between both the groups in these parameters was seen in only three studies. There was marked improvement found in the test group after surgery with respect to esthetics (root coverage aesthetic score) and pain scores (Visual Analog Scale score) as compared to the control group. This compels us to infer that although both conventional and microsurgical procedures are successful as root coverage procedures, microsurgical procedures are minimally invasive and produce superior esthetic and comfort parameters for the patient and are therefore highly recommended in surgical procedures.
Clinical Evaluation of Two Different Nanohybrid Composite Restorations Using FDI Criteria – A Randomized Clinical Trial
Authors: Medarametla Renuka , Govula Kiranmayi , Anumula Lavanya , Chinni Suneelkumar , Yendluri Pavan Kumar
Published: April 2024

Background:

Several approaches were introduced in placing the composite resin into the prepared cavity. Some researchers recommend using an incremental technique. The material is gradually placed in 2 mm or less thick layers, resulting in better curing by adequate light penetration and better composite resin polymerization. However, disadvantages like voids and the time taken to complete the procedure are lengthier due to the time consumption in placement and polymerization of each increment. Time-saving restorative materials are an ongoing demand for posterior restorations. A newer resin-based composite, bulk-fill composites, have been introduced to speed up the restoration process by enabling up to 4–5 mm thick increments to be cured in one step, thus skipping the time-consuming layering process.

Materials and Methods:

The randomized clinical trial was conducted on 40 patients with 80 restorations. Randomization was followed by using a random number table. Patients with at least two class I or class II restorations were selected. One tooth is restored with bulk-fill followed by capping with ceram x, and the other with bulk-fill followed by Filtek Z250. All the patients were recalled after 6 months and 12 months. Two examiners evaluated restorations using Federation Dentaire International (FDI) criteria at baseline, 3, 6, and 12 months.

Results:

The collected data from the participants were analyzed using SPSS software. There was no statistically significant difference observed between the two restorations placed with two nanohybrid composites (ceram x and Filtek Z250).

Conclusion:

The study concludes that bulk-fill resin composites capped with nanohybrid composites show excellent clinical performance equal to conventional composites and are beneficial to the clinician in reducing the time. Smart dentin replacement has a self-leveling capacity, showing better marginal adaptation and thus helping reduce secondary caries.
Impact of Intranasal Splint Removal Time on Postoperative Complications after Septoplasty
Authors: Arslan S , Yıldırım H , Çobanoğlu B , Işık AÜ , Bahadır O
Published: April 2024

ABSTRACT

Background:

Various types of nasal tampons are used for packing after septoplasty. Intranasal splints are widely used as they are more advantageous than other materials regarding the lower complication rates of synechia, and lesser pain during removal. However, there is no consensus on the timing of intranasal splint removal after septoplasty operations.

Aim:

In this study, we aimed to investigate the effects of removal time of intranasal splints on postoperative complications after septoplasty.

Methods:

One hundred patients who had septoplasty were randomly divided into two groups according to splint removal time. In group I, the splints were removed on the third postoperative day and in group II, splints were removed on the seventh postoperative day. Pain during splint removal was evaluated by visual analog scale (VAS). Complications of hemorrhage, septal hematoma, crusting, mucosal injury, and infection were recorded during splint removal and compared. In the first postoperative month, hemorrhage, crusting, mucosal injury, infection, synechia, and in the second postoperative month, synechia and perforation rates were compared between two groups.

Results:

Mucosal crusting was significantly higher in group II during splint removal. There was no statistically significant difference between the two groups regarding the complication rates and pain scores. Our findings showed no significant difference in pain scores during splint removal and postoperative complications between the two groups except for mucosal crusting.

Conclusion:

Based on our findings, although there is no consensus on the optimal time for splint removal, earlier removal of splints can be considered a favorable option after septoplasty operations.
Evaluation of Postoperative Complications Following Modified Coronally Advanced Flap as Root Coverage Procedure − A Prospective Clinical Study
Authors: Nisha S , Das D , Vijay DM. , Karmakar S , Barai S , Shashikumar P
Published: April 2024

ABSTRACT

Background:

Root coverage procedures are very technique sensitive and require patients’ compliance for successful treatment outcomes. Post operative complications can influence patients’ acceptance of treatment and compromise further periodontal maintenance.

Aim:

The aim of this study was to evaluate the frequency and severity of complications after a modified coronally advanced flap procedure.

Methods and Materials:

A total of 78 modified coronally advanced flap procedures were performed in 42 patients for root coverage. Duration of surgical procedure, history of smoking, gender, and age were recorded for each patient. A questionnaire was given to every patient to fill in at first post operative week regarding their experience of postoperative pain, swelling, and bleeding.

Results:

Pain and duration of surgery had a correlation (OR: 1.05, P < 0.05). Post operative bleeding was significantly correlated with duration of surgery (OR: 1.03, P < 0.05). Current smokers experienced post operative swelling (P < 0.05). However, post operative pain in current smokers was not significantly different (P > 0.05) as compared to nonsmokers. Descriptive statistics were expressed as mean and standard deviations. Odd’s ratio was obtained to evaluate risk indicators for moderate to severe types of complications. P < 0.05 was considered as significant.

Conclusions:

The duration of the surgery, long duration, and the presence of smoking can increase the frequency and severity of post operative complications.
The Use of CECT in the Diagnosis of Intestinal Obstruction: A Case of Difficult Diagnosis in a Strangulated Left Femoral Hernia
Authors: Kumar N , Das A , Dhamala I , Basu S
Published: April 2024

ABSTRACT

A femoral hernia is an uncommon and acquired hernia in the groin. Its incidence in adults is 2%–8% of all abdominal wall hernias, and it has a female-to-male ratio of 1.8:1. It is usually found in elderly patients and is associated with increased morbidity due to delays in diagnosis leading to a high incidence of incarceration and strangulation. Accurate preoperative diagnosis of femoral hernia is challenging, especially in obese patients in whom a small femoral hernia can be hidden under the groin fat. Unlike an inguinal hernia, it rarely reduces on its own and if asymptomatic and small, is often unnoticed by the elderly obese patient. Femoral hernia is often unsuspected and overlooked in males as it is predominant among females. Delay in diagnosis can lead to intestinal gangrene and high morbidity. We present a case of an incarcerated left femoral hernia in an elderly obese male who presented with acute intestinal obstruction. He was managed with resection of the gangrenous segment and double barrel ileostomy. Although uncommon in males, a femoral hernia has a high incidence of strangulation, and therefore should always be ruled out as a cause of acute intestinal obstruction in elderly patients. Therefore, never forget to examine the groin in case of intestinal obstruction.
Traditional Eye Practices: Economics and Visual Status of Users in North Central Nigeria
Authors: Oyediji FJ , Ramyil AV
Published: April 2024

ABSTRACT

Background:

Traditional medicine is a constellation of practices, approaches, knowledge, and beliefs, which encompass material-based medicines, spiritual therapies, and manual techniques applied individually or combined.

Aim:

This study seeks to determine the cost and visual status of traditional eye treatments users among new patients at a health facility.

Materials and Methods:

This is part of the study titled “Traditional eye practices: A facility-based study in North Central Nigeria.” It is a cross-sectional, facility-based study conducted between July 2013 and June 2014 on new patients seen in the eye unit of Church of Christ in the Nations Rehabilitation Center, Mangu. Interviewer-administered structured questionnaire was used to gather information on patient demographics; cost of traditional eye medication and manipulations and visual status of new patients were recorded.

Results:

The use of traditional eye treatment was reported by 134 (4.3%) of the 3113 new patients. Traditional operative couching of lens was more expensive than using traditional eye medications (P < 0.001). Payment modality varied, and poor visual status was significantly higher among traditional eye treatment users (P < 0.001).

Conclusion:

Since most respondents who had their eyes couched or used traditional eye medicine were able to pay such high price with dissatisfaction and poorer visual status, they should be able to pay for modern cataract surgery with good outcome. There is a need for health education of the general public about the deleterious effects of traditional eye treatment.
Mental Health Burden and Facilitators Among Frontline Healthcare Professionals in Nigeria Amid COVID-19 Pandemic: A Cross-sectional Study
Authors: Abiola T , Yusuf AJ , Ibrahim MG , Fajimolu OO , Hayatudeen N , Ohaeri JU , Udofia O , Jidda MS
Published: April 2024

ABSTRACT

Background:

During the COVID-19 pandemic, the frontline healthcare providers faced significant mental health stressors. Previous pandemics have revealed the need for psychosocial support and healthy coping mechanisms to mitigate mental health risks.

Aim:

The study aimed to assess psychological impact and supportive mechanisms experienced by frontline healthcare workers treating COVID-19 patients in Kaduna State.

Methods:

This study involved 38 frontline healthcare providers mainly from Kaduna State Infectious Disease Treatment Center. Participants’ mental health burden was captured through Hospital Anxiety and Depression Scale. Mental health facilitators were assessed through six tools: Ten-Item Values Inventory, healthy defense section of the Defense Style Questionnaire, Existential Anxiety Questionnaire, Brief Resilience Scale, Oslo Social Support Scale, and the Insomnia Severity Index.

Results:

The mean age of the study participants was 35.5 ± 6.6 years, with the majority being males (68.4%) and doctors (39.5%). More than a quarter of the participants showed appreciable symptoms of depression and anxiety. Psychosocial facilitators such as moral values, openness to change, self-transcendence, sublimation, anticipation, and humor scored above average for more than half of the participants. Most participants demonstrated moderate resilience and social support, with few experiencing sleep challenges. Comparisons of variables indicated “openness to change” was significantly higher among males, whereas symptoms of depression and anxiety were associated with higher levels of existential concerns and sleep challenges.

Conclusion:

Our study finds that Nigerian frontline health workers experienced significant mental health challenges during the COVID-19 pandemic. It identified specific facilitators linked to gender and psychological burdens, informing the need for tailored support interventions.
Outcomes of Operated Cases of Central Nervous System Metastases at a Tertiary Cancer Hospital – An Analysis
Authors: Sundar I. Vijay
Published: April 2024

Background:

Recent advances in the treatment have increased the survival of patients with common cancers. As a result, the incidence of symptomatic central nervous system (CNS) metastases has increased over time. Although systemic therapies remain the mainstay of metastatic cancers, surgical treatment is often required for progressive neurological deficits and to buy time for other modalities to be effective. The present retrospective study aimed to analyze various demographic, neurological, and short-term survival outcomes among operated cases of symptomatic CNS metastases.

Materials and Methods:

All surgically treated symptomatic brain and spine metastasis patients between August 2018 and March 2022 were included in the study. Patients who underwent procedures for primary tumors of the brain and spine were excluded. The details of demographic and clinical profile, neurological data, surgical treatment, and short-term survival data were retrieved from hospital medical records and analyzed. Patients with motor deficits (power grade 3/5 or less) were analyzed to look for improvement in motor deficits after surgery.

Results:

The first 100 operated cases of symptomatic CNS metastases were reviewed. The mean age of presentation was 46.42 years (females – 44.28, males – 49.13). Breast malignancy was the most common source of primary overall (29%) and lung malignancy (15%) was second most common. A total of 53 brain surgeries and 47 spine surgeries were performed. Preoperative motor deficits were seen more commonly among spine metastases (30/47) than brain metastases (17/53) patients. Around 64% of patients who presented with neurological deficits (motor deficits) had improvement postsurgery. Such improvement from deficits was observed more in patients with spine metastases (23/30; 76.7%) than brain metastases (7/17; 41.2%).

Conclusion:

Neurosurgery has an important role in the management of CNS metastases, and timely surgical intervention in a selected group of symptomatic CNS metastases can improve the quality of life of the patients.
Revisiting the utility of identifying nuclear grooves as unique nuclear changes by an object detector model
Authors: Rende Pedro R. F. , Pires Joel Machado , Nakadaira Kátia Sakimi , Lopes Sara , Vale João , Hecht Fabio , Beltrão Fabyan E. L. , Machado Gabriel J. R. , Kimura Edna T. , Eloy Catarina , Ramos Helton E.
Published: April 2024

Background: Among other structures, nuclear grooves are vastly found in papillary thyroid carcinoma (PTC). Considering that the application of artificial intelligence in thyroid cytology has potential for diagnostic routine, our goal was to develop a new supervised convolutional neural network capable of identifying nuclear grooves in Diff-Quik stained whole-slide images (WSI) obtained from thyroid fineneedle aspiration. Methods: We selected 22 Diff-Quik stained cytological slides with cytological diagnosis of PTC and concordant histological diagnosis. Each of the slides was scanned, forming a WSI. Images that contained the region of interest were obtained, followed by pre-formatting, annotation of the nuclear grooves and data augmentation techniques. The final dataset was divided into training and validation groups in a 7:3 ratio. Results: This is the first artificial intelligence model based on object detection applied to nuclear structures in thyroid cytopathology. A total of 7,255 images were obtained from 22 WSI, totaling 7,242 annotated nuclear grooves. The best model was obtained after it was submitted 15 times with the train dataset (14th epoch), with 67% true positives, 49.8% for sensitivity and 43.1% for predictive positive value. Conclusions: The model was able to develop a structure predictor rule, indicating that the application of an artificial intelligence model based on object detection in the identification of nuclear grooves is feasible. Associated with a reduction in interobserver variability and in time per slide, this demonstrates that nuclear evaluation constitutes one of the possibilities for refining the diagnosis through computational models.
Morfologia de sementes, plântulas e tirodendros em espécies de Fabaceae ocorrentes no bioma Caatinga
Authors: Leitão Jessica Rodrigues , Cunha Maria do Carmo Learth , Ferreira Thiago Costa
Published: April 2024

Estudos sobre a morfologia de espécies de Fabaceae presentes no bioma Caatinga são escassos, sendo estes importantes para reconhecimento das espécies. Esse trabalho teve como objetivo descrever as diferenças morfológicas entre sementes, plântulas e triodendross de Piptadenia retusa, Mimosa tenuiflora e Mimosa ophthalmocentra ocorrentes no bioma Caatinga. Foram analisadas as características externas e internas, a biometria, o peso de mil sementes e três fases de desenvolvimento: germinação, plântulas e tirodendro. A posição do pleurograma na semente diferiu entre as espécies. As três espécies têm sementes eurispérmicas e albuminosas, assim como germinação epígea/fanerocotiledonar com cotilédones foliáceos. As plântulas das três espécies são aculeadas, com presença de nectário extrafloral apenas em P. retusa, tricomas glandulares e foliólulos com glândulas translúcidas apenas em M. tenuiflora e folhas alternas dísticas em M. ophthalmocentra, diferindo das demais, que são alternas espiraladas.
Towards efficient and reliable utilization of automated data collection: Media scrapers applied to news on climate change
Authors: Mervaala Erkki , Lyytimäki Jari
Published: April 2024

Abstract: Automated data collection provides tempting opportunities for social sciences and humanities studies. Abundant data accumulating in various digital archives allows more comprehensive, timely and cost-efficient ways of harvesting and processing information. While easing or even removing some of the key problems, such as laborious and time-consuming data collection and potential errors and biases related to subjective coding of materials and distortions caused by focus on small samples, automated methods also bring in new risks such as poor understanding of contexts of the data or non-recognition of underlying systematic errors or missing information. Results from testing different methods to collect data describing newspaper coverage of climate change in Finland emphasize that fully relying on automatable tools such as media scrapers has its limitations and can provide comprehensive but incomplete document acquisition for research. Many of these limitations can, however, be addressed and not all of them rely on manual control.
A Study on the Effect of Contact with Foreigners through Mass Media on Multicultural Awareness
Authors:   The Korean Association for Terrorism Studies, Lee Mi-Kyoung , Kang Young-Sook , Lim You-Seok
Published: April 2024

In Korea, the perception of foreigners is dualistic with acceptance and exclusivity where a multicultural society has emerged. Indirect contact with foreigners through mass media can have a significant impact on everyday multicultural awareness. Accordingly, it is time to support the functions of mass media and policies that can cause negative conflicts in multicultural awareness. Based on this awareness of the problem, the results of a survey and analysis on the effect of contact with foreigners through mass media on multicultural awareness are as follows. There were differences in multicultural awareness depending on gender, age, education, marital status, and occupational status among sociodemographic characteristics, Gender, age, and experience and awareness factors corresponding to the sub-variables of contact with foreigners through mass media were found to have a significant impact on multicultural awareness. Therefore, such as community change, exclusivity, and risk, a policy is needed to minimize negative issues and exposure of foreigners through the mass media because contact with foreigners through the mass media affects negative perceptions of multiculturalism
Dinâmica Espacial de Desastres Naturais com Vinculações Climáticas em Mato Grosso entre 2013 e 2022
Authors: Verges João Vitor Gobis , Lima Silva de Góis Rômulo
Published: April 2024

As dinâmicas climáticas (globais e regionais) estão em processo de constantes verificações científicas, sobretudo pelos seus desdobramentos para atividades humanas em diferentes ordens. Nesse sentido, preocupações recaem sobre os desastres naturais associados, especialmente pela possibilidade de interferências nos contextos econômicos, sociais, culturais - dentre outros - de determinada localidade. Assim sendo, esta pesquisa procurou dimensionar uma abordagem sobre os desastres naturais vinculados aos regimentos do clima, compreendendo o número de ocorrências e suas espacializações no estado de Mato Grosso - Brasil. Para isso, selecionaram-se seis desastres naturais a partir de bibliografia prévia, sendo eles: a) estiagem; b) seca; c) enxurrada; d) inundação; e) ondas de calor; f) ondas de frio (Friagem/Geadas). Os dados secundários foram obtidos através do Sistema Integrado de Informações sobre Desastres (S2iD), do IBGE, IPEA e da SEPLAN-MT. Organizaram-se as informações em quadros, gráficos e mapas, permitindo suas interpretações. O mapeamento se deu através do software livre QGIS. Conclui-se que as estiagens, as enxurradas, as secas e as inundações foram os desastres naturais elencados que mais afetaram o estado e que há uma distribuição espacial no contexto Sudoeste - Nordeste, não demarcando grandes diferenças para o número de acontecimentos nessas segmentações.
Kadızâde el-Kerehrûdî’nin Haşiye ala Risâleti İsbati’l-Vacib li’d-Devvânî Adlı Eseri Üzerine Bir İnceleme
Authors: Toksöz Hatice
Published: April 2024

Bu çalışmada, henüz hakkında herhangi bir çalışma yapılmamış olan Kadızâde el-Kerehrûdî (ö. 988/1580) ve onun Hâşiye ‘alâ İsbâti’l-vâcib adlı eseri üzerine bir inceleme yapılması amaçlanmıştır. 16. yüzyılda yaşamış olan Kadızâde el-Kerehrûdî, döneminde muhakkik derecesinde edebî, kelâmî, hikemî ve riyâzî ilimlerde mahir bir bilgin olarak bilinmektedir. İslam düşüncesinin önemli klasik metinlerine yazdığı hâşiyeleri ile meşhur olan Kadızâde, Celâleddin Devvânî’nin (ö. 908/1502) Risâle fî İsbâti’l-vâcibi’l-kadîme’si üzerine Muhyiddin el-Karabâğî’nin (ö. 942/1535) yazdığı şerh de dikkate alarak Hâşiye ‘alâ İsbâti’l-vâcib başlıklı bu hâşiyeyi yazmıştır. Çalışmada eserin yöntemi, kaynakları ve muhtevasındaki meselelerin analizi suretiyle incelemesinin yapılması hedeflenmiştir. Kadızâde’nin hâşiyede genel olarak Devvânî ve Karabâğî’nin metinlerinde tartışılan meseleleri herhangi bir başlık koymaksızın tenkitçi ve açıklayıcı bir üslupla tahlil ettiği görülmektedir. Müellif hâşiyede genel olarak imkân delilinin farklı yöntemlerini ve tatbîk burhanını inceler. O, imkân delilini mümkün varlığın kendi kendine yeterli olmadığı ve illete muhtaç olduğu, bu illetin zâtı gereği Zorunlu (Vâcib) Varlık olması gerektiği ilkesinden hareketle ele almaktadır. Kadızâde’nin hâşiyede zorunlu ve mümkün terimleriyle ilişkili illet-ma’lûl, tam illet, fâil illet, varlık (vücûd), mahiyet, devr ve teselsül gibi kavramlara ilişkin mukayeseli yorumlar yaptığı görülmektedir. Dolayısıyla yorum ve katkılarıyla Kadızâde’nin hâşiyesi isbât-ı vâcib literatüründe oldukça kıymetlidir.
Mythological thinking and logical thinking: a comparative study from a semiotic and educational perspective
Authors: CUȘCĂ Valentin
Published: April 2024

The article highlights the fact that the mythological age is, historically, inevitable, as a semantic polysemy of the language, as a metaphor, an allegory, a paranomy, i.e. a “disease” of the soul and “language”. The idea is argued that mythological thinking as a symbolic form, awakens the cognitive and aesthetic fantasy of man, the allegorical, empirical perception of reality. Later, philosophy, oriented towards theoretical knowledge, appropriate to objective reality, will reorganize thinking by applying logical structures to language and, thus, will make it possible to know scientific truth. Comparatively, the specifics and stages of the evolution of mythological thinking and logical thinking, their historical role in the evolution of knowledge, education and self-knowledge of man as a social, rational and moral being are examined.
Pluri-, inter- and transdisciplinary approaches from the perspective of modern education
Authors: MOKAN-VOZIAN Ludmila , PASCALOVA Cristina
Published: April 2024

Education is the cornerstone of society. The present and future of generations depends on its quality. At the current stage, the education system, as well as society, is in a constant state of change. The time in which technologies, techniques and concepts in education appear and evolve, influencing the educational process as a whole, is an alert one. The new generations of students have easier access to information, they know and operate efficiently with technologies, they are flexible and original in their way of approaching things, they have different and innovative visions, perceptions, and they are often one-step ahead of those who educate them. In this context, new paradigms of education appear, in which learning is centering on the student and his needs, and in which it is important that the learner not only acquires knowledge in certain subjects, but also can use it in certain situations, problems in life. This aspect can only be achieved through an integrated approach to curricular contents, capitalizing not only on the concept of pluridisciplinarity, but also inter- and transdisciplinarity. These approaches help the student to form an integrated view of aspects of life, applying connections between disciplines. Content integration is relevant to all curriculum areas, including Arts and Technologies. The training-educational process in the mentioned fields cannot be a rigid, template-type and monodisciplinary one, since the realities and needs of the present are different from one day to the next and require adaptability and flexibility on the part of teaching staff. This requires effort, appropriate conditions, resources, and an appropriate level of training and constitutes a "sine-qua-non" condition of modern education. From this perspective resides the relevance and actuality of the topic addressed.
Implementing creative writing skills in the English classroom
Authors: BUREA Svetlana
Published: April 2024

This research paper investigates the use of different writing approaches in English as a Foreign Language classroom activity. Specifically, the paper explores freewriting, controlled written activities, and guided written activities, and their potential to enhance writing skills, language proficiency, and soft skills, depending on the objectives and needs of the students. Additionally, the paper suggests strategies and techniques to encourage creativity and enjoyment in writing activities. A focus is put on the development of creative writing that is seen as a booster of skills. The study finds that students are more engaged and motivated when specific writing steps are followed, and they learn to use both convergent and divergent thinking strategies. The results indicate that writing promotes communication skills, increases confidence, and provides a permanent record of progress. However, it is recommended that writing should be combined with speaking, listening, and reading activities for a more comprehensive learning experience. Finally, the primary goal of this study is to empower students to express their thoughts and emotions through writing. By implementing the recommended methodologies, students can develop their writing abilities and build their confidence, which will be useful in more advanced writing tasks in the future.
Copper toxicity in juvenile largemouth bass (Micropterus salmoides): acute toxicity bioassay and oxidative stress response in gut and kidney
Authors: Zhang Junhao , Zhao Na , Meng Zihao , You Mengkang , Wang Ke , Dai Songlin , Zhang Zhenyang , Huang Yuchao , Chen Weijun , Gao Shiyang
Published: April 2024

Aquaculture intensification has resulted in serious disease outbreaks in largemouth bass production. Compounds containing copper (Cu) are widely used as therapeutic agents in aquaculture. Currently, Cu misuse has been a severe issue in largemouth bass farming. However, few investigations have been performed on Cu toxicity in largemouth bass so far. In this study, an acute and a chronic toxicity test was carried out to determine the toxicity and the recommended dose of waterborne Cu in largemouth bass. In the acute toxicity bioassay, fish (2.58 ± 0.03 g) were exposed to 0 (control), 3, 6, 9, 18, or 30 mg/L Cu, and the results showed that the 96-h LC50 of waterborne Cu was 12.78 mg/L. Then a 30-day chronic toxicity test containing six treatments (i.e., 0, 51.3, 164, 513, 1640, and 5130 μg/L Cu) was conducted to investigate the influence of Cu on intestinal and renal health in terms of oxidative stress in juvenile largemouth bass (2.69 ± 0.02 g). The results showed that Cu concentrations at and above 51.3 μg/L significantly increased the malondialdehyde contents (in the intestine) and simultaneously decreased total superoxide dismutase activity levels (in the intestine and kidney), glutathione peroxidase activity levels (in the kidney), and reduced glutathione contents (in the kidney), compared to control. In contrast to control, fish exposed to high Cu concentrations (at and above 1640 μg/L) demonstrated lower catalase activity levels in the intestine and kidney. Based on the findings in the study, waterborne Cu content for largemouth bass farming was recommended to be less than 51.3 μg/L.
NEW WAVE SOLUTIONS OF TIME FRACTIONAL CHAFEE-INFANTE EQUATION WITH BETA DERIVATIVE
Authors: Alakuş Sena , Kurt Ali
Published: April 2024

In this article, we discuss the exact solutions forthe Chafee-Infante equation involving beta fractional derivative. Beta fractional derivative which is a local derivative, is a modification of conformable fractional derivative. Using the Modified Kudryashov Method, we obtain the general solution of the time fractional Chafee-Infante equation with the help of Wolfram Mathematica. We use chain rule and wave transform to convert the equation into integer order nonlinear ordinary differential equation. Hence, we don’t need any discretization, normalization, or reduction. Moreover, 3D graphical representations are given. With the help of these representations, we can have an idea on the physical and geometrical behavior of the solutions.
Global Research on Bluetongue: A Bibliometric Analysis
Authors: Serin Hakan , Körez Muslu Kazım , Siren Sinan
Published: April 2024

Bluetongue (BT) is a viral disease characterized by swelling and cyanosis of the tongue, capable of infecting both domestic and wild animal species. Bluetongue virus (BTV) can cause an outbreak in any region of the world where favorable temperature and vector presence conditions exist. For this reason, BTV studies remain an active field in the literature and the research network of this field continues to develop. This paper aims to identify the most influential research elements and collaborations in the BTV field, with a discussion of results based on existing literature. To discover the current literature on BTV, the Web of Science database was employed. The dataset consisted of 1315 articles. The “Bibliometrix” R package and the VOSviewer program were utilized for data analysis. The number of BT studies rose dramatically between 2005 and 2016 with the appearance of BTV in Europe. The USA and England were determined as the most influential countries. The Veterinary Microbiology and Medical and Veterinary Entomology journals were identified as the most prominent journals of the field. It has been determined that serological studies have been a focal point and collaborations have been strengthened in the field of BTV. Conversely, financing sources and collaboration levels regarding BTV studies were found to be inadequate in African and Asian countries. This paper is expected to provide information to researchers interested in BTV studies about the intellectual structure of the field.
Subcapsular Intrahepatic Hematoma As A Rare Complication of ERCP Secondary to Choledocholithiasis Case Report
Authors:   Universidad de Monterrey, González Jaime Cruz , Guerrero Monica Maria Ramirez ,   Universidad del Noreste, Tamaulipas, González Marcos Andreas Garcia ,   Instituto Mexicano del Seguro Social
Published: April 2024

Subcapsular Intrahepatic Hematoma represents a challenging clinical entity in the field of endoscopy. We present an interesting and rare case report and a bibliographic review to provide a comprehensive overview of this condition. The article delves into this condition, including its definition, risk factors, incidence, and management strategies. The discussion section highlights emerging approaches and future directions in managing subcapsular liver hematoma. In conclusion, the importance of evidence-based practices in addressing this rare complication of ERCP.
Loss of Data Control Scenarios and Best Data Loss Prevention (DLP) Practices
Authors:   Information Technology, Managed File Transfer Engineer, PragmaEdge LLC, Alpharetta, USA, Kodurupati Prashanth
Published: April 2024

Humans (employees in an organizational context) still remain the weakest link in cybersecurity and data loss. Employees can become a data vulnerability for an organization in a number of ways, i.e., copying data on physical media that can be lost or maliciously used, using the internet to intentionally send sensitive data to the wrong entities, unintentionally letting malware in or sending company data to malicious individuals/entities, and a number of other scenarios. Good Data Loss Prevention (DLP) practices like strict device use policies and access control can mitigate (if not eliminate) these security vulnerabilities.
Investigation of Firmware Securing IoT Devices at the Chip Level Using AI and ML Approaches: A Concise Systematic Literature Review
Authors:   Senior Director, Business Development, L&T Technology Services, USA, Das Rajat Suvra
Published: April 2024

System-on-Chip (SoC) designs are becoming increasingly intricate as they integrate various components and functionalities onto a single chip. This intricacy brings forth new vulnerabilities and attack surfaces, presenting a challenging task to ensure robust cybersecurity. Although previous studies have explored different AI approaches, there is a need to delve into the complexities of modern SoCs and propose practical methods to secure these systems, thereby aiding researchers in mitigating potential threats. The primary objective of this paper is to uncover the opportunities that emerge from utilizing AI techniques in SoC designs to fortify cybersecurity defenses. Subsequently, the study aims to deliberate on the complexities involved in integrating AI with SoC and provide appropriate recommendations to address these intricacies. This review paper will identify and discuss the technical, architectural, and implementation challenges faced by researchers and practitioners when incorporating AI into SoC designs for cybersecurity purposes. Moreover, it will suggest with potential solutions and strategies to effectively tackle these challenges. Furthermore, it aims to aid future researchers by offering potential research directions to enhance security in AI-SoC through innovative solutions. By identifying gaps in current literature and highlighting areas that require further exploration, this paper will guide future researchers in developing advanced and secure AI-SoC systems for cybersecurity applications. Overall, this review paper will contribute to the existing body of knowledge by providing a comprehensive analysis of the impact that integrating AI and SoC has on cybersecurity and foster advancements in AI-SoC systems that effectively enhance cybersecurity measures.
Streamlining Data Archiving for Enhanced Historical Insight and Trend Analysis
Authors:   Senior Data Engineer, USA, Badgujar Pooja
Published: April 2024

Efficient data archiving is crucial for organizations aiming to derive valuable insights from historical data for trend analysis and decision-making. This paper explores various approaches and strategies for optimizing data archiving processes to facilitate historical analysis. It delves into the challenges associated with managing large volumes of historical data and proposes solutions to address these challenges. Additionally, the paper highlights the importance of efficient data retrieval techniques and discusses emerging trends and technologies shaping the future of data archiving for historical analysis n 2023, Throughout my tenure up to 2023 as a Senior Big Data Engineer at Wells Fargo, I have been at the forefront of navigating and resolving complex data challenges. This paper reflects the culmination of insights and experiences gained during this period, focusing on optimizing data archiving processes for historical analysis. The financial sector, known for its stringent regulatory requirements and the critical importance of data integrity and security, offered a unique set of challenges, particularly in the realm of data archiving and historical data analysis.
Harnessing AI for Advanced Cybersecurity in System on Chip Design a Compendious Study
Authors:   Senior Director, Business Development, L&T Technology Services, USA, Das Rajat Suvra
Published: April 2024

System-on-Chip (SoC) designs are becoming increasingly intricate as they integrate various components and functionalities onto a single chip. This intricacy brings forth new vulnerabilities and attack surfaces, presenting a challenging task to ensure robust cybersecurity. Although previous studies have explored different AI approaches, there is a need to delve into the complexities of modern SoCs and propose practical methods to secure these systems, thereby aiding researchers in mitigating potential threats. The primary objective of this paper is to uncover the opportunities that emerge from utilizing AI techniques in SoC designs to fortify cybersecurity defenses. Subsequently, the study aims to deliberate on the complexities involved in integrating AI with SoC and provide appropriate recommendations to address these intricacies. This review paper will identify and discuss the technical, architectural, and implementation challenges faced by researchers and practitioners when incorporating AI into SoC designs for cybersecurity purposes. Moreover, it will suggest with potential solutions and strategies to effectively tackle these challenges. Furthermore, it aims to aid future researchers by offering potential research directions to enhance security in AI-SoC through innovative solutions. By identifying gaps in current literature and highlighting areas that require further exploration, this paper will guide future researchers in developing advanced and secure AI-SoC systems for cybersecurity applications. Overall, this review paper will contribute to the existing body of knowledge by providing a comprehensive analysis of the impact that integrating AI and SoC has on cybersecurity and foster advancements in AI-SoC systems that effectively enhance cybersecurity measures.
Rethinking Alzheimer’s Disease Peculiarities: Brain Information Processing Point of View and Approach
Authors:   Independent Research Engineer, Israel, Diamant Emanuel
Published: April 2024

Alzheimer’s disease (AD) is a dangerous degenerative disease that affects the central nervous system of elderly people. In recent years, it has become a serious problem facing the modern society. Since the causes of the occurrence and spread of AD are still unknown, scientific research in these matters is of exceptional importance.
Determining a Blood Transfusion Treatment Plan in a Jehovah’s Witness with Coronavirus: Navigating Religious Choice vs Medical Philosophy
Authors:   University of California Irvine Medical Center, California 92868, USA, Brazel Danielle
Published: April 2024

Introduction: The refusal of blood products by Jehovah’s Witnesses (JW) is one of the most frequent cases of refusal of medical treatment. Blood consents enable patients to express their preferences but critically ill patients often do not have the capacity to make these decisions. The general practice is for JWs to carry a specific wallet-sized advanced directive (AD) blood refusal card on their person which lists specific fractionated blood products that are, or are not, acceptable to them. We review the medical, ethical, and legal considerations for transfusing these patients and also discuss some of the challenges in treating a patient without the blood AD for both emergent and routine transfusions that may save his or her life.
COVID-19: The Importance of the Renaissance of Hirudotherapy to Overcome the Pandemic in Russia and in the World
Authors:   Academy of Hirudotherapy, St.-Petersburg, Russia, AI Krashenyuk
Published: April 2024

It’s been 19 months since the pandemic began in Wuhan, China. The number of cases worldwide exceeded the mark of 238,100,805 people. 4,854,666 people died. This is WHO data with a delay of 24 hours on 10.10.2021. In the list of countries with the most affected coronavirus population, Russia ranks 5-th. Since then, the global medical community has become much better at understanding the pathogenesis of the new COVID-19 virus. Based on many years of research on the properties of leeches (hirudotherapy), treatment and rehabilitation of patients and those who have had the disease COVID-19 coronavirus are proposed.
Optimizing Last-Mile Delivery Operations: Leveraging Predictive Analytics, Technology Integration, and Sustainable Practices
Authors:   USA, Chandramouli Arun
Published: April 2024

In the contemporary landscape of e-commerce and retail industries, the optimization of last-mile delivery operations emerges as a pivotal element for sustaining customer satisfaction and operational efficiency. This study delves into a comprehensive exploration of various strategies aimed at refining the last-mile delivery process, a segment known for its significant challenges, including high costs, inefficiencies, and environmental concerns. By integrating predictive analytics, this research goes beyond traditional logistics methods to forecast delivery needs and driver performance accurately, allowing for pre-emptive adjustments that enhance reliability and efficiency. Furthermore, the investigation into technology integration sheds light on how advanced software solutions, such as route optimization algorithms and real-time tracking systems, can drastically reduce delivery times and operational costs while simultaneously increasing customer satisfaction levels. Additionally, the paper emphasizes sustainable practices within last-mile delivery operations, exploring eco-friendly approaches that not only mitigate environmental impact but also potentially lower delivery costs through fuel savings and efficiency gains. Through the analysis of real-world data and illustrative case studies, this research articulates a holistic framework aimed at improving last-mile delivery. Such a framework is indispensable for companies seeking to maintain a competitive edge in the fast-paced and ever-evolving retail sector. The findings of this study underscore the importance of embracing technological advancements and sustainable practices to address the multifaceted challenges of last-mile delivery, ultimately leading to improved service levels and operational excellence.
Gaps between Healthcare in the United States and other Nations
Authors:   Sr IT Business Systems Analyst Florida Blue, USA, Nadakuditi Swapna
Published: April 2024

The United States is consistently seen as one of, if not the top nation in terms of economic, military, and technological prowess. In these three areas, it faces minimal competition. However, there is one certain trait of a prosperous country in which it lags behind: healthcare. The United States healthcare system, despite its high costs, falls to other developed countries. This paper seeks to analyze the differences between the United States healthcare system and that of other nations, both better (such as the leader in life expectancy Monaco) and worse (Afghanistan). The paper shows how facets of Monaco’s healthcare system, among other nations’, can serve as examples for the US to follow, as well as illustrate some pros and cons between the two systems. It also shows the immense progress the nation has already made when compared to lower-ranked countries such as Afghanistan. However, any comments made in this paper are purely for analysis and do not show support or dissent against any such party.