bluuebunny/crossref_metadata_2025 huggingface dataset:
Prácticas tempranas: aporte a la atención primaria en salud en estudiantes con discapacidad auditiva
Authors: Díaz Corredor Santiago Andrés , Gladwin Bautista Collette , Mesa Hernández Daniel , Rangel Sarchi Andersson Jair , Restrepo Arango Laura , Cataño Montoya Yan Carlos , Ortiz Rendón Milena , Cardona Alzate Laura
Published: June 2024

Introducción: Las instituciones de salud deben buscar estrategias para garantizar la accesibilidad y equidad de tratamiento de diversas comunidades, incluidas las de necesidades particulares como las personas sordas. Esta comunidad enfrenta obstáculos adicionales en la atención médica, derivados de barreras comunicativas y limitaciones en la comprensión de la información relacionada con salud. Objetivo: Promover la participación de estudiantes sordos en programas de promoción de salud y prevención de enfermedad. Metodología: Se llevó a cabo un estudio descriptivo con enfoque de investigación en acción participación (IAP) durante cuatro meses, realizado en cuatro fases: Contacto con estudiantes sordos interesados en participar de la investigación, solicitud de apoyo a la Universidad de Antioquia para contar con intérpretes, elaboración de cronograma de capacitaciones y ejecución de las capacitaciones diseñadas para los estudiantes sordos. Resultados: Se elaboró un video en lengua de señas que se difundió a través de plataformas digitales con el objetivo de atraer la participación de estudiantes sordos. Entre julio y agosto de 2023 se mejoró y refinó el programa de capacitaciones, y se proporcionó capacitación a tres estudiantes sordos (33.4% de la población total de estudiantes sordos de la Universidad para esa fecha). Se realizaron tres sesiones en las que se observó un notorio grado de desconocimiento entre los participantes en aspectos como uso adecuado de anticonceptivos, riesgos, información y elementos que conforman las etiquetas de los medicamentos, prácticas adecuadas de almacenamiento, uso correcto de antibióticos, automedicación responsable y promoción de estilos de vida saludables. Conclusiones: Se deben generar estrategias de educación sobre prácticas seguras de uso y almacenamiento de medicamentos, y medidas de autocuidado en el contexto de la atención médica de personas sordas.
Kłamliwe, udane i błędne metafory sztucznej inteligencji chatbotów
Authors: Kreft Jan , Cyrek Barbara
Published: June 2024

W czasach, gdy tzw. sztuczna inteligencja staje się integralną częścią dużych modeli językowych, osobistych asystentów czy np. tzw. inteligentnego domu, coraz ważniejsze staje się poznanie czynników postaw wobec niej i jej narzędzi. Obserwowany świt nowych możliwości identyfikowanych ze sztuczną inteligencją skłania do lepszego poznania metafor, którymi jest opisywana. Metafory stanowią bowiem nie tylko klucz do wyjaśniania nieznanego, ale mają znaczącą wartość heurystyczną, są fundamentem nowoczesnej racjonalności i mogą wypierać ludzki osąd oraz minimalizować uprzedzenia i krytyczną refleksję.
Celem artykułu jest identyfikacja metafor oraz rozpoznanie ich performatywnej roli w dyskusji o sztucznej inteligencji i jej narzędziach. Przedmiotem badania są występujące w opisach mediów i nowych technologii metafory dominujące oraz mniej znane metafory chatbotów obecne w tekstach dziennikarskich, na przykładzie artykułów opublikowanych w opiniotwórczym The New York Times.
W ramach badania identyfikujemy i analizujemy m.in. metafory „platformy”, „sieci”, „umysłu jako maszyny” oraz ożywione i nieżywione metafory towarzyszące sztucznej inteligencji i jej aktorów. Badamy ich perswazyjny charakter i cele tej perswazji.
Implementation of merdeka curriculum by Islamic religious education teachers at junior high school
Authors: Pratiwi Rizky Indah , Iman Firmansyah Mokh. , Subakti Ganjar Eka
Published: June 2024

This research aims to see firsthand how the implementation of Merdeka Curriculum is carried out by Islamic Religious Education teachers at SMPN 7 Bandung, as one of the driving schools as well as the first school at the junior high school level to implement Merdeka Curriculum. Using a qualitative approach and a case study method at SMPN 7 Bandung, which was explored through interviews with three Islamic Religious Education teachers there, the results of this study were then analyzed through the stages of data reduction, data presentation, and conclusion drawing, so this study resulted So this study resulted in the conclusion that the implementation of the Merdeka Curriculum by Islamic Religious Education teachers at SMPN 7 Bandung is in accordance with the targets and objectives to be achieved, both by the Islamic Religious Education teachers themselves, by the school, and by the government that formulated the Merdeka Curriculum. This research has implications for the importance of planning the implementation of the Independent Curriculum by analyzing various indicators that influence it. From these implications, this research contributes significantly to finding the fact that careful planning in a curriculum implementation will help Islamic Religious Education teachers in carrying out learning better
Competencies and strategies of Al-Qur'an Hadith teachers in developing student potential through LPTQ extracurricular
Authors: Aji Ibrahim Lubis Abdul , Mahariah
Published: June 2024

This study aims to analyze the process of fostering student potential through LPTQ extracurricular activities. The focus of the study in this research on three things, namely the process of fostering student potential through LPTQ extracurricular activities, the competence of the Al-Qur'an Hadith teacher in fostering student potential through LPTQ extracurricular activities and management strategies. The research method used is qualitative based on case studies with data collection techniques through observation, interviews, and documentation studies. The data collected was then analyzed using the Miles and Huberman technique, namely data reduction, data presentation, and conclusion drawing. The research findings explain that there are several forms of student coaching processes through LPTQ extracurricular activities, namely the tahfidz Qur'an program, syarhil Qur'an, fahmil Qur'an, tilawatil Qur'an, and khat Al-Qur'an. The teacher competence in fostering this LPTQ extracurricular program is personality and pedagogical competence. For the management strategy, there are five strategies used, namely choosing the right time, learning methods, grouping students according to their talents, monitoring, and instilling Islamic values.
Mathematical Problem-Solving Ability in STAD Learning Assisted by Question Cards in Terms of Student Learning Motivation
Authors: Mulyono  , Amira Sulkha Fatika
Published: June 2024

This research aims to determine the effectiveness of Student Teams Achievement Division (STAD) learning model assisted by question cards and description of mathematical problem solving ability in terms of students' learning motivation using STAD learning model assisted by question cards. The method used in this research is mixed method with sequential explanatory design. The subjects in this research were 6 people consisting of 2 students in each learning motivation category, namely high, moderate, and low. The results of this research showed that: (1) the mathematical problem-solving ability of grade VIII students after participating in STAD learning assisted by question cards on Probability material reaches learning completeness; (2) The average mathematical problem-solving ability of grade VIII students after participating in STAD learning assisted by question cards is higher than the average mathematical problem solving ability of grade VIII students who use conventional learning models; (3) The completeness of mathematical problem-solving ability of grade VIII students after participating in STAD learning assisted by question cards is more than the proportion of completeness of mathematical problem solving ability of grade VIII students using conventional learning models; (4) Subjects with high learning motivation fulfil all four indicators of mathematical problem-solving ability well. Subjects with moderate learning motivation fulfilled 3 indicators of mathematical problem-solving ability well.
Şemseddin ed-Dameğânî ve Ehl-i Sünnet’e Yaklaşımı
Authors: Aydın Şeyma , Ümit Mehmet
Published: June 2024

7./13. yüzyılda Irak’ta yaşadığı tahmin edilen Şemseddin ed-Dameğânî, el-Cevheretü’l hâlisa adlı eserinde dönemindeki mezhepleri kendi anlayışı ve müşahede ettikleri çerçevesinde genel olarak tasnif etmiştir. Mezhep mensuplarının, birbirlerini herhangi bir ölçü tanımaksızın tekfir etmelerinden rahatsızlık duymuş ve bunun üzerine söz konusu metnini kaleme aldığını ifade etmiştir. Bu makalede, önce onun hayatı, eseri, bilgi kaynakları, Müslümanlar arasında ortaya çıkan fırkaları tasnifte izlediği yol genel olarak ele alınmıştır. Sonra Ehl-i sünnet mezheplerine yönelttiği eleştiriler ve Ehl-i sünnete yaklaşımı açıklanıp, kısaca değerlendirilmiştir. Yöntem olarak da Dameğânî’nin elimizdeki tek eseri olan el-Cevheretü’l-hâlisa isimli metnini merkeze alarak, tarih biliminin yöntemleri çerçevesinde onun fikirlerinin betimleyici bir şekilde yansıtılmasına gayret edilmiştir. Veri toplama aracı olarak döküman incelemesi, toplanan verileri içerik analiziyle inceleme ve yorumlanmasının da uygun olduğu düşünülmektedir. Fikirleri eleştirilen Ehl-i sünnetin ana kaynaklarına da kimi zaman gidilerek bu fikirlerin sağlaması yapılmaya çalışılmıştır. Netice itibarıyla kendi döneminde mezhep mensuplarının birbirlerine karşı sergiledikleri ölçüsüz tutum ve görüşlerini eleştiren Dameğânî’nin kendisinin de Ehl-i sünnete yaklaşımında içinde yetiştiği geleneğin etkisi altında kalarak bir tavır sergilediği ve şikâyet ettiği husustan kurtulamadığı anlaşılmaktadır. Çalışmamız, Dameğânî’nin kendi eseri esas alınarak araştırma ve yayın etiği ilkeleri çerçevesinde kaleme alınmıştır.
İslam Birliği Düşüncesi ve Siyasal Aklın Yeniden İnşası
Authors: Polat İsmail
Published: June 2024

Günümüzde İslam dünyası pek çok krizle karşı karşıyadır. Bu krizleri aşmak için Müslüman ülkelerin siyasi, ekonomik ve sosyal açılardan iş birliği içinde hareket etmelerinin önemi tartışılmaktadır. Müslümanlar, siyasi, ekonomik ve sosyal açılardan birlikteliklerini sağlamak ve güçlerini birleştirmek için farklı yaklaşımlar üzerinde çalışmaktadırlar. Bu çalışmalarda İslam birliğinin potansiyel faydaları, siyasi istikrar, ekonomik kalkınma ve küresel etkinin artırılması gibi konular öne çıkmaktadır. Ayrıca, bu çalışmalarda İslam birliğinin oluşturulmasında siyasal aklın kaçınılmaz rolü de vurgulanmaktadır. Siyasal aklın bu rolü, İslam toplumlarının bu konudaki güveninin sağlanması için onun hangi temeller üzerine inşa edilmesi gerektiği sorununu gündeme getirmektedir. Bu makale, bu sorunun çözümüne ilişkin yeni bir öneriyi ele almaktadır. Bu çerçevede öncelikle İslam birliği fikri ve teşekkülü ardından İslam dünyasında siyasal aklın gelip dayandığı kör noktaların neler olduğu ve bu bağlamda bu kör noktaların aşılması için sunulan yeni çözüm önerileri tartışılmaktadır. Daha çok son dönem entelektüel ve uluslararası tarih çalışmalarından yararlanılarak hazırlanan bu çalışma, bir makale sınırlılığı içinde İslâm birliği düşüncesi ve hareketi hakkında derinlemesine bir anlayış sunmayı amaçlamaktadır. Bu çalışma, İslam birliği düşüncesinin zihinsel temellerini analiz ederek, bir bütün olarak bu düşüncenin nasıl evirildiğini ve farklı dönemlerdeki kopmaları ve süreklilikleri ortaya koymakla önemli görülmektedir.
Makrîzî’nin İsmâilî Fâtımî Halifelerin Nesebi Hakkındaki Görüşlerine Dair Bir Değerlendirme
Authors: Sever Mehmet
Published: June 2024

Kuzey Afrika, Mısır ve Suriye’de 909-1171 yılları arasında hüküm süren İsmâîlî Fâtımîler, Sünnî Abbâsî hilâfetinin en büyük siyasal rakibi olmuştur. Hâkim oldukları coğrafya üzerinde tesis ettikleri iktidarın temel dayanaklarından biri de şüphesiz Ehl-i Beyt mensubu oldukları yönündeki iddialarıdır. Buna rağmen imâmetlerinin meşrûiyet zeminini oluşturan Hz. Fâtıma soyundan olmaları yönündeki tezleri dönemin birçok tarihçisi tarafından kabul edilmemiştir. Nesebî aidiyetin toplumun zihin dünyasını şekillendirme ve meşrûiyeti temellendirmedeki etkisi muhâlif Abbâsî iktidarının da dikkatinden kaçmamış, Fâtımîler’in soy ağacında uydurma ve tahrifin olduğunu ileri sürmüşlerdir. Bu bağlamda tarihçilerin mezhebi aidiyetlerinin de etkisi altında kalmalarıyla tarihsel süreçte bazı tartışmalar yaşanmıştır.
Orta Çağ İslam tarihçiliğinde en önemli yazarlardan biri ve tarihin farklı dallarında birçok eser kaleme almış olan Makrîzî, bu tartışmaya ışık tutacak hacimli bir eser de yazmıştır. Alışılagelmiş Sünnî tarih tasavvurunun dışında olaylara farklı yönlerden bakabilmeyi başarabilmiş olan Makrîzî İttiʿâẓu’l-Ḥunefâ adlı eserinde Fâtımîler tarihini bütün yönleri ile incelemiştir. Makrîzî, objektif olma anlayışını yansıtmaya çalıştığı eserinde dönemin hâkim anlayışına göre “öteki” durumunda olan Fâtımîlerin neseplerinin sahih olduğunu ispatlamaya çalışması, onun Şiîlikle ithâm edilmesine de sebebiyet vermiştir. Bu noktada Abbâsî halifesinin varlığı üzerine inşâ edilmiş Memlükler döneminde Fâtımîler’in tarihini farklı bir tarzda yazabilmek, Memlük tarihçiliğinin farklı yönlerini görebilmek adına çarpıcı bir örnektir. Çalışmamız Makrîzî'nin temel eserleri merkezinde araştırma ve yayın etiğine uygun olarak yapılmıştır.
Environmental Scanning Model in Health System and Implementation Steps: A Scoping Review
Authors: Kalavani Khalil , Mehrolhassani Mohammad Hossein , Pedram Abdurrahim , Vosoogh-Moghaddam Abbas , Dehnavieh Reza
Published: June 2024

Background: Various studies have highlighted the usefulness of environmental scanning in assessing community needs and developing programs and policies. We aimed to find the most practical model of using such scanning in the healthcare literature.
Methods: We conducted a scoping review based on the PRISMA guideline to ensure a comprehensive and systematic approach in 2023. To develop a comprehensive search strategy, we worked with experienced librarians and the research team. We then completed a search of five electronic databases, including Web of Science, PubMed, Scopus, Cochrane, and Embase databases. Two independent reviewers screened titles, abstracts, and full-text articles to select studies that met our inclusion criteria. The data was then analyzed and presented in a tabular format to facilitate easy interpretation and understanding.
Results: We retrieved 7243 articles from various databases and sources. After removing 2755 articles due to duplication, we excluded 4380 more articles during the title and abstract screening phase. In the full-text review process, we ruled out an additional 103 articles. Finally, only 5 articles that were directly relevant to the study were included. The model that Bednar and colleagues have in their article is the latest model. Most studies propose six main steps to conduct an environmental survey in the healthcare system.
Conclusion: Since the most important task of managers and policy makers of the health system is to make decisions, they can use our proposed model to collect, analyze and interpret data, identify important patterns and trends so that they can make evidence-based decisions.
Investigating the Causes of Neonatal Mortality: An Umbrella Review
Authors: Amini Elham , Heidarzadeh Mohammad , Ahmadian Leila , Ariafar Shahram , Amiresmaili Mohammadreza
Published: June 2024

Background: Neonatal mortality remains a critical global challenge, with preventable instances prevailing. The initial stride in mitigating neonatal mortality involves elucidating its underlying causes.
Methods: This study utilized an umbrella review approach to discern factors associated with neonatal mortality. Five international databases, namely Pub Med, Web of Science, Scopus, CINAHL, and EMBASE, were meticulously searched to achieve this.
Results: The initial search yielded 12,631 articles using a search strategy centered on keywords related to factors contributing to neonatal mortality. Ultimately, 95 articles met the criteria incorporated into this study.
Conclusion: This study endeavors to identify the primary risk factors contributing to neonatal mortality. The discerned risk factors have been systematically categorized into four groups: maternal factors, neonatal factors, aspects linked to healthcare systems, and socio-economic factors. As such, it is imperative for policymakers to take heed of these identified risk factors and formulate comprehensive strategies encompassing both long-term and short-term initiatives. Effective interventions spanning various sectors are crucial for the prevention of neonatal mortality.
Effect of an Intervention Based on the Health Action Process Approach Model on Mobile Phone Addiction in Adolescents
Authors: Zhang Li , Chen Xu , Zhu Liang
Published: June 2024

Background: Mobile phone addiction in adolescents is a serious social problem that not only negatively affects physical and mental health but also hinders social stability and development. However, studies on interventions for mobile phone addiction in adolescents are still few. Therefore, exploring interventions for mobile phone addiction in adolescents and scrutinizing the corresponding mechanism of action are crucial.
Methods: A questionnaire survey was conducted on 800 adolescents who were recruited using random sampling from communities in Hubei Province, China in 2023, and 232 of them were identified to have mobile phone addiction. Then, they were randomly divided into the experiment group, comprising 119 members, and the control group, composed of 113 members. The experiment group was given a 3-month intervention under the Health Action Process Approach (HAPA) model, whereas the control group was given no intervention.
Results: This intervention significantly reduced the level of mobile phone addiction in adolescents (P<0.05). It also significantly improved self-efficacy in adolescents with mobile phone addiction (P<0.05). The intervention can significantly improved life satisfaction in adolescents with mobile phone addiction (P<0.05). Self-efficacy and life satisfaction had a chain mediating effect (P<0.001).
Conclusion: The HAPA model is conducive to alleviating mobile phone addiction. It further enhances the intervention effect by improving self-efficacy and life satisfaction in adolescents.
A Bioinformatics-Based Approach to Discover Novel Biomarkers in Hepatocellular Carcinoma
Authors: Shourideh Amir , Maddah Reza , Shateri Amiri Bahareh , Basharat Zarrin , Shadpirouz Marzieh
Published: June 2024

Background: Liver hepatocellular carcinoma (LIHC) is a common cancer with a poor prognosis and high recurrence rate. We aimed to identify potential biomarkers for LIHC by investigating the involvement of hub genes, microRNAs (miRNAs), transcription factors (TFs), and protein kinases (PKs) in its occurrence.
Methods: we conducted a bioinformatics analysis using microarray datasets, the TCGA-LIHC dataset, and text mining to identify differentially expressed genes (DEGs) associated with LIHC. They then performed functional enrichment analysis and gene-disease association analysis. The protein-protein interaction network of the genes was established, and hub genes were identified. The expression levels and survival analysis of these hub genes were evaluated, and their association with miRNAs, TFs, and PKs was assessed.
Results: The analysis identified 122 common genes involved in LIHC pathogenesis. Ten hub genes were filtered out, including CDK1, CCNB1, CCNB2, CCNA2, ASPM, NCAPG, BIRC5, RRM2, KIF20A, and CENPF. The expression level of all hub genes was confirmed, and high expression levels of all hub genes were correlated with poor overall survival of LIHC patients.
Conclusion: Identifying potential biomarkers for LIHC can aid in the design of targeted treatments and improve the survival of LIHC patients. The findings of this study provide a basis for further research in the field of LIHC and contribute to the understanding of its molecular pathogenesis.
Gender-Specific Differences in Prevalence and Association of Cardio-Metabolic Parameters and Hyperuricemia: A Population-Based Cross-Sectional Study, Nakhon Nayok, Thailand
Authors: Suwanchatchai Chawin , Khuancharee Kitsarawut , Tanunyutthawongse Chantra , Wannaiampikul Sivaporn , Haetanurak Photsathorn
Published: June 2024

Background: Although the prevalence of HUA is increasing, epidemiologic studies on HUA in the middle-aged and elderly population are limited. The present study aimed to calculate the prevalence and evaluate the sex-related associations between metabolic parameters and hyperuricemia (HUA) among middle-aged and elderly adults.
Methods: This was a population-based cross-sectional study from 2018 to 2019 in rural areas of Nakhon Nayok Province, Thailand. We enrolled 780 subjects aged 40 yr and over for health check-ups and examination surveys. The age-standardized prevalence of HUA was estimated by the direct method. A multiple logistic regression was performed to identify the potential risk factors associated with HUA.
Results: The prevalence of HUA were 30.9% (42% in males vs. 20% in females). Elderly adults were associated with a 35% increase in the risk of HUA. Obesity was found to be strongly associated with an increased prevalence of HUA in both sexes. Hypertriglyceridemia (51% increase in males vs. 23% increase in females), and high fasting glucose (90% increase in males vs. 49% increase in females) were also associated risk factors for HUA in both sexes. However, low high-density lipoprotein was only associated with a 67% increase in the risk of HUA in females.
Conclusion: The age-standardized prevalence of HUA among females is relatively lower than in males. This study also revealed that obesity is strongly associated with HUA in both sexes.
Factors Related to Hospital Inpatients among the Poor in Indonesia
Authors: Laksono Agung Dwi , Wulandari Ratna Dwi , Zuardin Zuardin , Ashar Hadi , Ipa Mara , Kesuma Agung Puja
Published: June 2024

Background: The poor are vulnerable when they fall seriously ill and require hospitalization. The study aimed to analyze the factors related to hospital inpatients among the poor in Indonesia.
Methods: We analysed the 2018 Indonesian Basic Health Survey data. This cross-sectional study examined 233778 respondents through stratification and multistage random sampling. We used seven independent variables age, gender, marital status, education, employment, and health insurance, in addition to the hospital inpatient, as a dependent variable. We employed binary logistic regression to evaluate the data.
Results: The poor in urban areas were 1.315 times more likely to be hospital inpatients than those in rural areas (95%CI 1.249-1.385). Age, gender, and marital status were related to the hospital inpatients. The better the education level, the higher the hospital inpatient proportion. Meanwhile, the employed were 40% less likely than the unemployed to be hospital inpatients (95%CI 0.565-0.634). Furthermore, the insured were 3.513 times more likely than the uninsured to be hospital inpatients (95%CI 3.264-3.780).
Conclusion: Seven variables were related to hospital inpatients among the poor in Indonesia: residence, age, gender, marital status, education, employment, and health insurance. Health insurance was the main factor associated with hospital inpatients among low-income people. The government must increase the subsidy quota for the poor's participation in National Health Insurance.
Clinical Presentation and WES Analysis of a Large Iranian Pedigree in Five Successive Generation Affected to Sever Multiple Synostosis 2 (SYNS2, Farhud Type)
Authors: Farhud Dariush D. , Zarif-Yeganeh Marjan , Arian Hajar , Kashi Majid , Rezaee Tayebeh
Published: June 2024

Background: Bone Morphogenetic Proteins and the related Growth and Differentiation Factors (GDFs) are much conserved signaling proteins. GDF5 is pivotal for skeletal development. Several skeletal dysplasia and malformation syndromes are known as a result of mutations in GDF5. Multiple Synostosis Syndrome2 (SYNS2) is characterized by tarsal-carpal coalition, humeroradial synostosis, brachydactyly, and proximal symphalangism. In this study, we analyzed a large Iranian pedigree affected with a new type of SYNS2 (Farhud Type) in ﬁve successive generations.
Methods: In this family-based study (1982-2022), Genetic linkage analysis of the pedigree (58affected, 62healthy) excluded the locus on chromosome 17q21-q22 in our previous study. Thus, we focused on 20q11.22 locus and GDF5 gene. Genetic investigations were performed on 16 patients with SYNS2 and 40 healthy individuals.
Results: Whole-exome-sequencing results identified a heterozygote missense mutation in exon2 of GDF5 (NG_008076.1:g.9239G>A, NM_000557.2:c.1424G>A, S475N, rs121909347). This mutation was found in all patients but not in the unaffected individuals. This missense mutation is notable because S475 is strictly conserved among different species, and it is located in a highly conserved and active mature domain of GDF5 (phyloP100way=7.64). The corresponding defect in GDF5 may have unknown interaction with normal active 3rd and 4th structure of the product. Further bioinformatics study (amino acid multiple alignments) showed that the S475 is a much-conserved residue in many different species.
Conclusion: These results introduce a new role of GDF5 in pathogenesis of a SYNS2 (Farhud Type), considered in genetic counseling, prenatal diagnosis, and as a potential target for molecular therapy, if possible.
Trend Analysis of Unintentional Fall Mortality and Years of Life Lost in the Fars Province of Iran, 2004-2019
Authors: Azarbakhsh Habibollah , Jafari Fatemeh , Dehghani Seyed Sina , Hassanzadeh Jafar , Janfada Maryam , Mirahmadizadeh Alireza
Published: June 2024

Background: Unintentional falls are one of the main causes of death and a significant burden on victims, families, and communities. This study aimed to determine the trend analysis of mortality rate and years of life lost (YLL) due to unintentional falls in Fars Province, Iran.
Methods: All deaths due to unintentional fall in Fars Province, central Iran from the electronic population-based death registration system (EDRS) were obtained. Crude and age-standardized mortality rate, YLL and YLL rate data were calculated and to examine the trend, joinpoint regression was used.
Results: During the 16-year study period (2004-2019), 1816 deaths due to falls occurred in Fars Province. Crude mortality rate had stable trend in men and increasing trend in women. The total years of life lost due to falls, were 25,437 in men and 5,720 in women. According to the joinpoint regression analysis, the 16-year trend of YLL rate due to premature mortality was decreasing in males. The annual percent change (APC) was -2.8% (95% CI -4.5 to -1.0, P=0.005). However, there were stable trends for females, APC was 3.5% (95% CI -1.8 to 9.1, P=0.181).
Conclusion: Due to the increase in mortality caused by falls in women and stable trend in men, there is an urgent need to plan and implement preventive strategies to reduce the incidence of injuries caused by falls. Home and behavioral modifications such as increasing home lighting, providing handrails on stairs and bathrooms, and educating the people may play an important role in reducing fall deaths.
Evaluating an Integrated Approach to Improve the Couple Sexual Desire Disorders: A Randomized Clinical Trial Study
Authors: Samadi Parisa , Alipour Zahra , Maasoumi Raziyeh
Published: June 2024

Background: Treating and changing patterns of low sexual desire and dysfunctions can be done in various ways. However, it is important to recognize the value of integrated approaches when it comes to addressing these issues. To this end, we conducted a randomized clinical trial study to compare the effectiveness of an integrated approach with that of Masters-Johnson Sex Therapy (MJST) for treating hypoactive sexual desire disorder (HSDD) in Iranian couples from Mar 2016 to May 2018.
Methods: We conducted a clinical trial on 24 couples who were experiencing HSDD. The couples were randomly divided into two groups. The intervention group was given an integrative approach, while the control group received MJST for ten sessions. We collected data using standard questionnaires before, immediately after, and eight weeks after the intervention.
Results: There was no significant difference in sexual desire and function among men between the MJST and integrative approach groups. However, women in the integrative approach group showed more improvement in sexual desire and dysfunction compared to those in the MJST group. The improvement in sexual function for women and sexual desire for both men and women were maintained at the eight-week follow-up in the integrative approach.
Conclusion: Our study found that using an integrative approach effectively treated HSDD in couples.
Assessment of traffic-related PAH in various environmental components and its associated health risk at a highway Toll Plaza
Authors: Charly Theres , Manu Basavaraju , Mulangi Raviraj
Published: June 2024

Introduction: This study investigated Polycyclic Aromatic Hydrocarbon (PAH) emissions from road traffic at the Surathkal toll plaza, in Karnataka, India. It focuses on two phases: when the toll station operated (Phase 1: January 2020 – March 2020) and when it was inactive (Phase 2: January 2023 – March 2023).
Materials and methods: The research examines Suspended Particulate Matter (SPM) concentration, its elemental analysis, and various PAH concentrations in it during both phases. Ultrasonic extraction and Gas Chromatography (GC) analysis were used to study 16 priority PAHs recommended by the United States Environmental Protection Agency (US-EPA), identifying eight in samples like SPM, soot, and green leaves. Inductively Coupled Plasma Optical Emission Spectrophotometer (ICPOES) analysed 14 elements in SPM.
Results: Results revealed higher PAH concentration during Phase 2, indicating that the presence of toll structure negatively affects air quality even when inactive. In contrast, SPM and its elements had higher mean concentrations during Phase 1, suggesting an inverse relationship between SPM and PAH levels. PAH diagnostic ratios showed different sources for each phase, including gasoline, diesel, fossil fuel, coal/biomass, and pyrogenic sources. Comprehensive health risk assessment using BaP equivalent concentration (BaPeq) to estimate Inhalation Life-time Cancer Risk (ILCR), revealed an
Conclusion: This research underscores the toll plaza's significant influence on air quality and calls for the development of mitigation measures.
The Effect of a Short Training Course of Hysteroscopic Myoma Resection on the Non-Technical Skills of Gynecologic Surgeons
Authors: Jafarabadi Mina , Gorginzadeh Mansoureh , Rezayof Elahe
Published: June 2024

Objective: To assess the impact of a hysteroscopic myoma resection (HMR) two-day training course on non-technical (cognitive) surgical skills among gynecologists.
Materials and methods: A 2-day educational course was held in which 95 consultant gynecologic surgeons and beginner infertility fellowship residents took part. Among all 80 participants (84.2%) had ever performed diagnostic hysteroscopy and 30 (31.3%) had performed non-resectoscopic operative hysteroscopy. The training program included instructive speeches, simulated surgical presentations, and a live hands-on myomectomy workshop. Non-technical skills were assessed two times, once before and the other after the course through two written tests with 10 multiple-choice questions for each.
Results: Concerning the 95 participants, 43 (47.3%) took the pre-course test and all of them (100%) took the post-course one. The mean score improved significantly from 3 (interquartile range [IQR], 0–4.0) to 7 (IQR, 5.0– 8.0) [bootstrap p<0.0001] for each of the randomly chosen pairings. The majority of candidates showed significantly improved cognitive skills after the HMR course despite their poor cognitive skills before the course. According to further analysis, there were significant enhancements in grades for all topics, especially regarding the basic principles of the procedure and management of complications (bootstrap p<0.0001). The odds ratio for the pre- versus post-course mean test results was 5.23. Due to the confidentiality stipulation, the pre- and post-course scores were not matched.
Conclusion: A two-day continuing medical educational course could be efficient in improving the non-technical (cognitive) skills for HMR.
Prevalence and Risk Factors of Child Marriage among Madhesi Women in Nepal's Terai Region
Authors: Karki Rajesh , Gupta Mohini , Kaphle Maheshor
Published: June 2024

Objective: Child marriage is a detrimental practice with negative consequences for girls' health and well-being. This study aims to identify the prevalence of child marriage and associated risk factors within the Madhesi community.
Materials and methods: A cross-sectional study was conducted in a sub-metropolitan city of Lumbini Province, Nepal, in 2023. A total of 352 married women were randomly selected using simple random sampling and interviewed using a structured questionnaire between March 28th and April 17th. Descriptive categorical variables were expressed as proportions. Risk factors associated with child marriage were measured using the Chi-square test and multivariate logistic regression analysis. All statistical analyses were performed using SPSS version 26.
Results: The majority of respondents (36.1%) were in the age group 21-25, with a mean age of 25.90 years ± 4.6 years.  Most respondents (48.9%) received only basic-level education, with the majority (72.4%) reporting their parents as having no formal education. The primary family occupation was farming (40.1%). The prevalence of child marriage was high (77.0%), with a median marriage age of 18 years. Logistic regression analysis revealed significant risk factors including lower education levels of respondents and their parents, husband's occupation, lack of awareness about the legal marriage age, limited decision-making power regarding marriage, belief in the dowry system, discussions with friends about child marriage, and occurrence of child marriage among friends.
Conclusion: Despite legal prohibition, child marriage remains prevalent in the Madhesi community. Educational interventions targeting women and parents, empowering women with decision-making authority, and addressing the dowry system are crucial for reducing this harmful practice.
Women’s Experiences Following Peripartum Hysterectomy: A Qualitative Study
Authors: Gahlawat Sheenu , Dutta Monika , Varatharajaperumal Venkadalakshmi , Saha Pradip Kumar
Published: June 2024

Objective: Peripartum hysterectomy is a major operation and is inevitably performed where certain indications require removal of the uterus at the time of delivery or in the immediate postpartum period. It is a traumatic birth event that affects women’s physical, physiological, psychological, social, and sexual health. This study aimed to explore the lived experiences of women undergone peripartum hysterectomy.
Materials and methods: Qualitative phenomenological design was adopted to explore the lived experiences of women undergone peripartum hysterectomy. Purposive sampling technique was adopted to enroll the participants and 19 women were interviewed before saturation of responses was reached. All interviews were audio recorded and then transcribed into verbatims. Colaizzi’s thematic analysis method was used to analyze the data.
Results: Based on participants’ verbatims eight major themes emerged: Awareness status regarding peripartum hysterectomy; Body’s response to peripartum hysterectomy; Perceived need of support; Facilitators in overcoming post-hysterectomy challenges; Relational turbulence; financial burden; Perceived psychological adaptation; Disturbed body image and low self-esteem.
Conclusion: Derived themes in the present study highlighted the multidimensional effects of peripartum hysterectomy. Peripartum hysterectomy affected physical, psychological, sexual and financial health of the women. Increased dependence and changes in the self concept are the other problems faced by peripartum hysterectomy women. Need based individualized psychological therapeutic interventions will facilitate the successful adaptation to the traumatic situation by the reinforcement of positive coping mechanisms.
THE LEGAL NATURE OF THE EXCLUSIVE RIGHT TO INTELLECTUAL DELIVERABLES AND MEANS OF IDENTIFICATION
Authors:   Associate Professor of the Department of Civil Law of the Kutafin Moscow State Law University (MSAL), Frolova Natalya M.
Published: June 2024

This article examines the legal nature of the exclusive right, its content and main features, and considers approaches to determining the essence of the exclusive right. Special attention is paid to the analysis of the competence to use the results of intellectual activity. This category is considered both as a legal fact and as the right of the copyright holder.
Special Aspects of the Structural Content and Functioning of the Administrative Law Mechanism of Ensuring Legality in the Environmental Sphere
Authors:   Head of the Department of Administrative Procedure of the Directorate of State Environmental Control (Supervision) of the Ministry of Natural Resources and the Environment of the Rostov Region, Schitova Natalya V.
Published: June 2024

The article is devoted to the analysis of the essential content and structural features of the administrative and legal mechanism for ensuring legality in relation to the field of environmental protection. It is proved that the effectiveness of the functioning of this mechanism is ensured by the stable interaction of its legal and law enforcement components, supplemented by the implementation of the supervisory function. The specifics of the object and subjects of administrative offenses in the area under consideration, as well as responsibility for their commission, are considered. Problematic points are noted that reduce the effectiveness of the functioning of the administrative and legal mechanism for ensuring legality in the environmental sphere.
Relevant Issues of the Application of Antimonopoly Compliance in the Subsoil Use Sphere
Authors:   Associate Professor of the Department of International and Public Law of the Financial University under the Government of the Russian Federation, PhD (Law), Elbaeva Natalya A. , Kryukov Aleksey S. ,   Senior Lecturer of the Basic Department of Federal Antimonopoly Service of the Law Faculty of the Financial University under the Government of the Russian Federation, Moskvitin Oleg A. ,   Partner, Head of the Antimonopoly and Tariff Practices of Muranov, Chernyakov and Partners Moscow Bar Association, Member of the General Council of the Antimonopoly Experts Association
Published: June 2024

The market economy, which gives a certain freedom for entrepreneurial activity, at the same time dictates compliance with the established rules of competition, which are fraught with the risk of competition restrictions associated with antimonopoly violations, first of all, we are talking about the monopolization of the market, the creation of discriminatory conditions, etc. in the field of subsoil use. Antimonopoly risks mostly arise due to subjective reasons (human factor), less often under the influence of external factors (emergency situations). The adoption of preventive measures in the activities of companies is an effective measure in the control, regulation, and elimination of risks. Such an institution of preventive measures is the antimonopoly compliance system. The purpose of the study is to develop proposals for the application of antimonopoly compliance procedures in the field of subsoil use. The authors analyzed the regulatory legal acts in the field of antimonopoly legislation and the practice of their application, concluded that it is advisable to apply compliance procedures in the field of subsoil use.
The Principle of Good Faith in Performance of Transactions and Its Role in the Acknowledgment of Transactions Invalid
Authors:   Associate Professor of the Department of Civil Law of the Ural Branch of the Russian State University of Justice, PhD (Law), Associate Professor, Malyavina Natalya B.
Published: June 2024

This paper examines current and important problems of the institution of good faith of participants in civil legal relations when making transactions. The importance and determination of the institution of good faith in concluding various types of contracts, as well as in their termination and invalidation, is shown.
The Legal Regulation of the Use of Standards of Deductions of Incomes from the Budget of a Constituent Entity of the Russian Federation to the Local Budget as a Method of Regulation of Inter-Budget Relations
Authors:   Postgraduate Student of the Department of Financial Law of the Kutafin Moscow State Law University (MSAL), Shtern Semen M.
Published: June 2024

local budgets is used as one of the methods for regulating interbudgetary relations, but is not used actively enough by the regions. To expand the practice of using this method, one should take into account options for establishing such standards, which are enshrined in the Budget Code of the Russian Federation, and the capabilities of government authorities of the constituent entities of the Russian Federation to legally regulate the transfer of such revenues to local budgets. Methodology: general scientific methods (analysis, synthesis, description), as well as specific scientific methods (comparative legal and formal legal). Conclusions. It is necessary to expand the legal regulation and practice of using the constituent entities of the Russian Federation to transfer part of the revenues of regional budgets to lower budgets in order to increase the budgetary independence of municipalities. In this case, one should take into account the specifics of establishing deduction standards, as well as the positive aspects and risks of their use. Scientific and practical significance. The article analyzes the main options for establishing standards for deductions of regional budget revenues to local budgets, enshrined in budget legislation, as well as their differences from interbudgetary transfers as a method of regulating interbudgetary relations.
Triangular (Three-Angled) Situations in International Taxation and Challenges of Their Resolution
Authors:   Associate Professor of the Department of Taxes and Tax Administration of the Faculty of Taxes, Ryabova Elena V. , Kireeva Darya E. ,   Junior Taxation Assistant at FERRERO RUSSIA, CJSC
Published: June 2024

The article describes the classical types of triangular cases in international taxation and outlines possible ways to eliminate multiple juridical taxation in each triangular case. The authors provide arguments in favour of the thesis that bilateral tax treaties do not effectively resolve double juridical taxation in triangular cases. The article presents relevant provisions of the OECD Model Tax Convention as amended in 2017, aimed at preventing the abuse of tax agreement benefits by a taxpayer in a triangular case.
A Potential Pathogenic SRD5A2 Mutation and rs632148, rs523349 and rs522638 Polymorphisms in Increasing the Risk of Syndromic Hypospadias in Indonesian Population
Authors: Diposarosa Rizki , Pamela Yunisa , Herman Herry , Sribudiani Yunia
Published: June 2024

BACKGROUND: Hypospadias, a congenital birth defect in male, is the opening of the urethra located on the ventral side of the penis. Several mutations in SRD5A2 encoding steroid 5 alpha-reductase type 2 protein have been identified in hypospadias and polymorphisms in this gene have been known to be associated with an increased risk of hypospadias. In this study, several crucial molecular analyses of the SRD5A2 gene and the association of the identified variants to the risk of syndromic hypospadias in Indonesian population were conducted.METHODS: Thirty-two isolated and 29 syndromic hypospadias patients were enrolled in this study. DNA was isolated from whole blood for the amplification of all exons and exon-intron boundaries of SRD5A2 by polymerase chain reaction (PCR), followed by Sanger sequencing. In silico analysis was performed using PolyPhen-2, Sorting Intolerant from Tolerant (SIFT) and Align GVGD. Statistical analysis was performed using Chi-squared test.RESULTS: A novel missense mutation c.32T>C/p.Leu11Pro was identified in one isolated hypospadias patient and the in silico analysis predicted the mutation to be pathogenic. Three polymorphisms were identified, two in the non-coding region (c.-62G>C/rs632148 and c.281+15T>C/rs522638) and one in exon-1 (c.265C>G/p.Val89Leu/rs523349). Mutant alleles of these polymorphisms were significantly associated with syndromic hypospadias with odds ratios (OR) of 3.4, 3.13 and 2.54 respectively.CONCLUSION: This study suggests that SRD5A2 mutation is one of the causes of hypospadias in Indonesian population and rs632148, rs523349 and rs522638 polymorphisms are significantly associated with an increased risk of syndromic hypospadias.KEYWORDS: mutation, polymorphism, SRD5A2, syndromic hypospadias
Colombia-Venezuela border: Securitisation of migration and Venezuela’s political crisis
Authors: Haughton Suzette A. , Sewell Lewis Cush
Published: June 2024

Colombia and Venezuela share a geographi­cal border of 1,274 miles. Although both countries have historically had contentious border crossings, the antagonistic nature of migration across the borderlands has increased following Venezuela’s current in­ternal political crisis. The article argues that Venezuela’s political climate has led to further securitisation of migration across the Colombian-Venezuelan border. It sup­ports this argument in three ways. First, the article discusses the border as both a geo­graphical and a man-made border. It also examines the similarities and differences that exist across the Colombian-Venezuelan border. The countries share the same lan­guage, Spanish, which unites the region and its diverse peoples with a shared history. Nevertheless, socio-economic, environmen­tal and cultural differences widen the divid­ing lines between these two nations.
Second, the article explores the bor­der crossing (migration) trends. The article further discusses the effects and reasons for such border crossings. Third, it explains the securitisation theory and uses it to discuss how the border has become increasingly se­curitised by local and international actors. Finally, the article calls for a de-securitised approach to cross-border migration. In this regard, the article supports greater bilateral, regional and international cooperation to address the plight of people crossing the border and living in border regions
Melting sea ice, changing naval geopolitics: The impacts of climate change in the maritime delimitations in the Arctic and the challenges to the UNCLOS
Authors: Filippi Eduardo Ernesto , Deiró de Mello Neto Milton José
Published: June 2024

El Ártico, afectado profundamente por el cambio climático, experimenta una disminución de la criosfera en el Círculo Polar Ártico, vista por los Estados polares como una oportunidad económica y estratégica. Aunque esta “normalidad” ha generado desafíos geopolíticos en la región, marcada por la cooperación desde la Guerra Fría, ahora se transforma en conflicto. Rusia y los Estados occidentales intensifican operaciones militares, acusándose mutuamente de intensificación militar. No obstante, un aspecto subestimado es la evaluación geopolítica del deshielo y el aumento del nivel del mar, especialmente su impacto en la línea de marea baja y las regulaciones de la Convención de las Naciones Unidas sobre el Derecho del Mar (Convemar). Este artículo discute los resultados del aumento del nivel del mar en los aspectos territoriales y geopolíticos del océano Ártico.