bluuebunny/crossref_metadata_2025 huggingface dataset:
Flexible Work Arrangements in the Banking Sector of Bangladesh: A Human Resource Perspective
Authors: Akter Dr. Mansura , Shaheen Shagufta
Published: March 2024

Whilethe developed nations are applying the flexible work arrangements (FWAs) as an alternative sustainable employee retention strategy, possibility of approaching FWAs in many developing nations, particularly in Bangladesh has remained unexplored. The study aims to investigate the Human Resource (HR) perspectives on whether FWAs are possible in banks in Bangladesh. To explore the state of current and possible potential practices of FWAs, the study conducted 9 (nine) in-depth interviews with HR managers of different categories of banks operating in Bangladesh. This study covered three patterns of bank ownership: private commercial, public commercial, and the bank regulator (central bank). The results of this study revealed that currently banks are informally using FWAs to a limited extent due to a lack of formal regulations and guidelines. The results also revealed that banks are thinking to practice FWAs-namely flex time, flex career, flex place, flex leave and job sharing in near future to match customer demand and to adapt to global banking standards. Additionally, the study disclosed thatthere is an urge to introduce standard regulations on FWAs in the banking sector. Theoretically, this study contributed by raising a new dimension of working arrangements in the banking sector ina developing country context and by underlining the importance of further research on FWAs because the implication of FWAs depends on socio-cultural context. For policy-making purpose, this study has identified the need to reform the existing regulations and to re-examine the organizational culture and human resource management practices of banks in Bangladesh to ensure a healthy work environment for work-life balance.
A Journey to Waco
Authors: Doyle Clive
Published: March 2024

Nearly twenty years after they happened, the ATF and FBI assaults on the Branch Davidian residence near Waco, Texas remain the most deadly law enforcement action on American soil. The raid by Bureau of Alcohol, Tobacco, and Firearms agents on February 28, 1993, which resulted in the deaths of four ATF agents and six Branch Davidians, precipitated a 51-day siege conducted by the FBI. The FBI tank and gas assault on the residence at Mount Carmel Center on April 19 culminated in a fire that killed 53 adults and 23 children, with only nine survivors. In A Journey to Waco, survivor Clive Doyle not only takes readers inside the tragic fire and its aftermath, but he also tells the larger story of how and why he joined the Branch Davidians, how the Branch Davidian community developed, and the status of survivors.

While the media and official reports painted one picture of the Branch Davidians and the two assaults, A Journey to Waco shares a much more personal account of the ATF raid, the siege, and the final assault that details events unreported by the media.A Journey to Waco presents what the Branch Davidians believed and introduces readers to the community’s members, including David Koresh. A Journey to Waco is a personal account of one man’s journey with the Branch Davidians, through the tragic fire, and beyond.
Allies at Odds
Authors: Blang Eugenie M.
Published: March 2024

Allies at Odds examines America's Vietnam policy from 1961 to 1968 in an international context by focusing on the United States' relationship with its European partners France, West Germany, and Great Britain. The European response to America's Vietnam policy provides a framework to assess this important chapter in recent American history within the wider perspective of international relations. Equally significant, the respective approaches to the "Vietnam question" by the Europeans and Americans reveal the ongoing challenge for nation-states of transcending narrowly defined state-centered policies for a global perspective pursuant of common goals among the trans-Atlantic allies. Blang explores the failure of France, West Germany, and Great Britain to significantly influence American policy-making.
Land Your Dream Career
Authors: Terhune Tori Randolph , Hays Betsy A.
Published: March 2024

Contrary to what students, and society, are conditioned to think, obtaining a college degree does not automatically result in a job, let alone a dream career. In the last year, alone, half of college graduates are either jobless or underemployed in positions that don’t fully use their skills and knowledge. Authors Tori Randolph Terhune, a gainfully-employed young college graduate herself, and Betsy A. Hays, a college professor, show readers what they can do in college to successfully pave the way for future employment in Land Your Dream Career. The authors provide eleven easy-to-follow strategies for effectively using time on campus to start building a career.

Terhune and Hays leads students through content designed to help students set themselves up for success, without focusing on grades or papers. The 11 steps include tips about how students can become experts in their fields, build their brand, get involved in and outside the classroom, allow for wiggle room, network, follow the 75/25 rule (75% thinking, 25% doing) and use new media, such as social networking and blogging, to launch their career. Any student looking for that connection from college to getting to their dream career needs to read Land Your Dream Career. Terhune and Hays make it known that landing a good job is not impossible!
The Fog of Paranoia
Authors: Rae Sarah
Published: March 2024

Pat and Sarah had long been friends, not just brother and sister. They supported each other, shared music and movies, and confided in each other as they went through the many challenging stages of adolescence. But something began to change in Pat. He was convinced people were watching him, spying on him. Once outgoing and sociable, he began to withdraw into a world of his own, on the inside, where social engagement was not necessary nor desired. He stopped taking care of his personal hygiene. Conversation became increasingly difficult. After a series of visits with psychologists, he was diagnosed at first with bi-polar disorder, and then, more accurately with schizophrenia with paranoid delusions. His world, and that of his sister’s, changed forever.

This is the story of one sister’s fight to convince her family that her brother needed help, that initial efforts to curtail his symptoms were inadequate, that he needed additional intervention. At the same time, it is the story of her own struggles with anxiety and depression, and coping with the changes in her life as her brother suffered at home. And finally, it is the story of one family’s acceptance of a difficult diagnosis and their embracing of the child and brother they have always known and loved. Schizophrenia, indeed mental illness in general, is often misunderstood and therefore feared by society at large. Here, the author helps to dislodge some long-held assumptions about mental illness and encourages readers to ask questions, to offer help and support, and to advocate for assistance for anyone suffering mental illness before it’s too late. She offers a voice to all the sisters and brothers of the mentally ill, so that they may find comfort in her words and hope for their siblings.
How Nonprofits Work
Authors: Budrys Grace
Published: March 2024

How Nonprofits Work looks at nonprofit organizations through a sociological lens, identifying characteristics that make some nonprofits successful and characteristics that cause challenges, focusing on nonprofts in the health services sector. The book opens with helpful background information about nonprofit organizations, then shares case studies that take readers more deeply into the challenges and successes of various organizations. Given the trials nonprofits face in the current economic climate, this timely book helps readers move beyond the good intentions in nonprofits to find successful practices.
Sermons from the National Cathedral
Authors: Lloyd Samuel T.
Published: March 2024

Washington National Cathedral stands in an unparalleled position at the intersection of religious faith and public life in America, and has been called the “spiritual home for the nation.” Dean Samuel T. Lloyd III occupied its massive Canterbury pulpit as dean during an often- turbulent period in the nation and rapid changes in American religious life.

In Sermons from the National Cathedral, Dean Lloyd provides a compelling vision of an intellectually alive, publicly engaged Christian faith, a vision of the Christian life rooted in ancient teaching. Readers will find the sermonsse engaging and appreciate that Dean Lloyd takes seriously the experiences of doubt and searching that are so much a part of the modern religious experience of our time. He successfully demonstrates the positive role faith can play in public life and addresses the questions and challenges faith must face in the twenty-first century.

These soundings, as Lloyd calls them, illumine the full spectrum of Christian belief while also addressing such issues as the difficulty of faith, the relationship between science and faith, the mystery of suffering, the necessity of forgiveness, the meaning of the cross, the urgency of reconciliation, and the call to care for the earth. These reflections will appeal to traditional Christians seeking spiritual enrichment and are accessible to those seeking answers to how their faith fits into our modern world.
Ireland's Great Famine in Irish-American History
Authors: Kelly Mary
Published: March 2024

Ireland’s Great Famine in Irish-American History: Enshrining a Fateful Memory offers a new, concise interpretation of the history of the Irish in America. Author and distinguished professor Mary Kelly’s book is the first synthesized volume to track Ireland’s Great Famine within America’s immigrant history, and to consider the impact of the Famine on Irish ethnic identity between the mid-1800s and the end of the twentieth century. Moving beyond traditional emphases on Irish-American cornerstones such as church, party, and education, the book maps the Famine’s legacy over a century and a half of settlement and assimilation. This is the first attempt to contextualize a painful memory that has endured fitfully, and unquestionably, throughout Irish-American historical experience.
National Artistic Traditions in the Formation of a Model of Architectural Development of City Limits
Authors: Ulyanova N.B.
Published: March 2024

The study considers the planning of Russian estates from both architectural and social perspectives, as well as their influence on the modern construction of urban outskirts, which is necessary for the development of city limits. The article examines the planning and organization of sociocultural space as exemplified by the Russian estate at the turn of the 18th and 19th centuries. By analyzing the architectural complexes of the Russian estate and developing surroundings in this period, the authors propose a model for organizing the socio-cultural space of city limits. The article dwells on the historical architectural ensembles of Arkhangelskoye and Abramtsevo, as well as various types of Russian estates, whose territories are being developed as city outskirts. The study considers modern opinions and assessments of planning territories bordering historical architectural monuments through various research methods. The obtained results allow the authors to develop a model of a socially sustainable architectural ensemble, including its socio-cultural, artistic, and educational functions.
Study of the characteristics of pavement elements made of reinforced soil with the use of secondary resources
Authors: Sinitsin D.A. , Elrefaei A.E.M.M. , Glazachev A.O. , Kuznetsov D.V. , Parfenova A.A. , Volokitina I.E. , Kayumova E.I. , Nedoseko I.V.
Published: March 2024

The importance of using secondary resources on the basis of industrial waste is understood by both governments of developed countries and business (production of Portland cement using ground metallurgical slag as a mineral additive at Novotroitsk, Magnitogorsk, Sterlitamak, KatavIvanovsk and other plants in the South Urals). The use of secondary raw materials requires the creation of technological infrastructure for processing of secondary raw materials, the costs of which can be quickly recouped due to the cheapness and availability of industrial secondary raw materials and freeing the territory from environmental pollution. In order to recoup the costs of the infrastructure, it is necessary to guarantee full compliance of the quality of pavement elements with the requirements of GOST R 59120-2021. Secondary raw materials have a great variety and laboratory analysis of the quality of pavement elements is required in order to design compositions with the best quality, satisfying all regulatory requirements. In our work the authors present the results of laboratory research and evaluation of the possibility of using clinker-free lime-slag binder based on the mineral product of soda production and metallurgical slags to strengthen and stabilize soils for their use in pavement structures in the construction of roads for various purposes and climatic zones. It is experimentally shown that the addition of lime-slag binder in the amount of 8-10% of the dry weight of both cohesive (loamy soil, loamy sand) and non-cohesive (fine sand) soil allows to obtain reinforced soil with improved strength and elastic-deformative characteristics, which can be used instead of scarce natural crushed stone and gravel in the construction of underlying layers of pavements in the construction and reconstruction of highways. This technology can be used not only in the Russian Federation, but also in a number of other countries, including those with hot dry climates (e.g., the Republic of Egypt).
Failure criterion for concrete under volumetric stress state conditions
Authors: Agapov V.P. , Markovich A.S.
Published: March 2024

Based on the experiments conducted by the authors, a six-parameter failure criterion for concrete has been developed, which makes it possible to take into account the volumetric stress state in strength calculations of massive concrete and reinforced concrete structures. The developed strength criterion is adapted to a spatial eight-node finite element (solid type) and implemented in the PRINS software. To verify the developed criterion, the work provides a com-parison with both experimental data and calculation results that meet other strength criteria widely used for concrete. Thus, the compression and tension meridians of the developed fracture criterion were compared with experimental data, as well as with the Willam & Warnke criterion and the modified Drucker & Prager criterion with Mohr & Coulomb constants. A comparison of compression meridians shows that in the mode of low hydrostatic stresses , these criteria converge with each other and with experimental data. In the mode of average hydrostatic stresses , the criterion proposed by the authors and the Willam & Warnke criterion show similar results, while the modified Drucker & Prager criterion shows on 20% overestimation of the failure value. In the mode of high hydrostatic stresses , the Willam & Warnke criterion in com-parison with the proposed criterion and experimental data, gives an underestimated value of concrete failure.
Assessment of the quality of the urban environment in the process of construction project management
Authors: Fomichev A.N.
Published: March 2024

Recently, the construction of residential buildings in the Russian Federation has been carried out at an accelerating pace, not only in large cities, but in almost all regions of our country. In the current conditions, the issues of rational planning of residential development within the framework of urban construction development are becoming increasingly relevant. At the same time, an important role is assigned to the methods of assessing the quality of such planning. The analysis of the available methods of this kind carried out by the author indicates that at the moment, there are practically no adequate and objective methods for quantifying the degree of accessibility of critical social infrastruc-ture facilities of the city in relation to newly constructed or already existing residential buildings. Based on the results of the applied research carried out within the framework of writing the pre-sented scientific work, the author proposed an innovative method for quantifying the degree of acces-sibility of socially significant urban objects relative to residential structures. The proposed methodolo-gy is unique in that, thanks to the use of such a universal and statistically accessible indicator as the average level of wages, experts have the opportunity to conduct a comparative assessment of the de-gree of accessibility of social objects, not only located within a walking distance, but also at longer distances, involving the use of public passenger transport. The application of the methodology proposed in the framework of writing this applied scientific work for assessing the quality of the urban environment for the accessibility of socially significant in-frastructure objects relative to the location of residential buildings will allow, on a mathematically ac-curate quantitative basis, not only to assess the effectiveness of the work of regional state authorities and local self-government as qualitatively and objectively as possible, but also to conduct a compara-tive analysis of the quality layouts of newly designed residential neighborhoods. In addition, this tech-nique may be of practical interest to realtors and developers in the development and practical imple-mentation of various types of business processes, both in the field of housing construction and in the sale of residential buildings and premises.
Vernacular architecture in the space of a modern city, based on deep learning methods and three-dimensional structural analysis
Authors: Krestinenko N.V.
Published: March 2024

This research paper describes the process and results of a project to automatically classify historical buildings using aerial photography and satellite imagery. New computational scientific methods and the availability of satellite images have created more opportunities to work on automated recognition of pieces of historical architecture. In this regard, the convolutional neural network (CNN) is the main classification approach within the project. As a result, the trained model is tested using a validation data set and has a roughly 98% accuracy. In addition, being affected by urbanization and other factors, local architectural heritage faces the challenge of introducing innovations for sustainable development, with originality and authenticity being preserved in redesign and planning. Thus, this study uses a visualized quantitative analysis to analyze the research trends in Russian vernacular architecture and study new ways of coexistence between vernacular architecture, object perception and cultural ecology. The most important task of this study is to analyze the theory of coordination between the emotion social and cultural structure and the cultural ecosystem in vernacular architecture. The main contribution of this study is the proposed concept of a subjective-cultural eco-design system for vernacular architecture sustainable development to establish a 3D structural analysis design paradigm and evaluation analysis matrix, and to ensure that vernacular architecture demonstrates the ability to self-renew by continuous exchange and revision in the dynamic cycle of the current design system.
Drugs for Acne
Authors:   Editors from The Medical Letter
Published: March 2024

Acne is common among adolescents and adults. Guidelines for treatment of acne were last published by the American Academy of Dermatology in 2016.
Comparison Table: Some Topical Drugs for Rosacea
Authors:   Editors from The Medical Letter
Published: March 2024

Some Topical Drugs for Rosacea
IV Ferric Carboxymaltose (Injectafer) for Iron Deficiency in Heart Failure
Authors:   Editors from The Medical Letter
Published: March 2024

Ferric carboxymaltose (Injectafer – American Regent) is now FDA-approved for IV treatment of iron deficiency in adults with New York Heart Association (NYHA) class II/III heart failure to improve exercise capacity. Iron deficiency is present in approximately 30% of patients with heart failure; it has been associated with reduced quality of life and increased hospitalization and mortality. Injectafer is the first IV iron preparation to be approved for this indication. It was previously approved for treatment of iron deficiency anemia in children and adults.
Daprodustat (Jesduvroq) for Anemia of Chronic Kidney Disease
Authors:   Editors from The Medical Letter
Published: March 2024

The FDA has approved daprodustat (Jesduvroq – GSK), a hypoxia-inducible factor prolyl hydroxylase inhibitor (HIF-PHI), for oral treatment of anemia due to chronic kidney disease (CKD) in adults who have been on dialysis for at least 4 months. It is the first HIF-PHI and the first oral drug to be approved in the US for this indication.
Cantharidin Topical Solution (Ycanth) for Molluscum Contagiosum
Authors:   Editors from The Medical Letter
Published: March 2024

The FDA has approved cantharidin 0.7% solution (Ycanth – Verrica) for topical treatment of molluscum contagiosum in patients ≥2 years old. Ycanth was the first drug to be approved in the US for this indication. A 10.3% gel formulation of berdazimer (Zelsuvmi), a nitric oxide-releasing agent, has also been approved by the FDA for treatment of molluscum contagiosum (in patients ≥1 year old); it will be reviewed in a future issue.
Balfaxar: Another Four-Factor PCC for Warfarin Reversal
Authors:   Editors from The Medical Letter
Published: March 2024

Balfaxar (Octapharma), a human plasma-derived four-factor prothrombin complex concentrate (PCC), has been approved by the FDA for rapid reversal of warfarin anticoagulation in adults who require an urgent surgical/invasive procedure. It is the second four-factor PCC to become available in the US; Kcentra, which has been available since 2013, is approved for the same indication and for urgent reversal of warfarin anticoagulation in adults with acute major bleeding. Balfaxar is marketed in Canada and Europe as Octaplex.
Penbraya: A Pentavalent Meningococcal Vaccine
Authors:   Editors from The Medical Letter
Published: March 2024

The FDA has licensed Penbraya (Pfizer), a pentavalent polysaccharide conjugate meningococcal vaccine, for prevention of invasive meningococcal disease caused by Neisseria meningitidis serogroups A, B, C, W, or Y (MenABCWY) in persons 10-25 years old. Penbraya is the only meningococcal vaccine that contains all five of these serogroups. Two quadrivalent polysaccharide conjugate meningococcal vaccines containing serogroups A, C, W, and Y (MenACWY; Menveo, MenQuadfi) and two meningococcal serogroup B vaccines (MenB; Bexsero, Trumenba) are available in the US.
Addendum: Bupropion Safety in Pregnancy
Authors:   Editors from The Medical Letter
Published: March 2024

Our December 11, 2023 article on Drugs for Depression1 included a single sentence on the safety of bupropion use during pregnancy: "The safety of bupropion during pregnancy has not been established; data from a bupropion pregnancy registry suggested a possible increase in cardiac malformations." A reader asked us to provide more information.
Modified non-pituitary down regulation protocol for ovulation induction in ART (IVF & ICSI)
Authors: Elmahaishi MS
Published: March 2024

Infertility is a unique medical condition because it involves a couple rather than a single individual. Both the prevalence of infertility and the number of patients seeking the treatment of this disorder are increasing. Although it is not a physically debilitating disease; infertility may severely affect the couples psychological, sexual and social life. From literature we found that agonist protocol has taken long time in treating the patient and not used for polycystic patient because of risk of hyperstimulation while antagonist protocol take less time and less drug cosumed and has advantages in polycystic ovaries patient,. In our study on 241 patients who admitted for ICSI and started their ovarian stimulation by HMG or FSH without pituitary down regulation protocol + single dose orgalutran (GnRH antagonist Ganirelix acetate) we find that pregnancy outcome same as in the other protocols with less side effects, good quality and excellent embryos, with low cost to the patient.
PHENOTYPIC VARIABILITY AND VEGETATIVE PERFORMANCE OF SWEET POTATO CULTIVARS [morning glory potatoes (L.) Lam] IN TIMOR-LESTE: A CASE STUDY IN HERA, DILI (2024).
Authors: Godinho Celina Maria
Published: March 2024

Introduction: An exploratory study is written on the phenotypic characterization and vegetative performance of several sweet potato cultivars [Morning glory potatoes (L.) Lam] prospected in Timor-Leste. In three municipal markets of Dili, in 2016, 25 cultivars were collected that manifested differences in morphological characteristics observed; These 25 cultivars were propagated in nurseries for 1 month, and 9 did not survive. The remaining 16 were planted on a plot of land in Hera, Dili, in separate rows of 1.5 m, each row associated with a cultivar, with the propagules within the row separated by 1 m and relating to 8 replicates (clones) per cultivar, in a simple experimental design; the propagules consisted essentially of tubers, or, in its absence, sections of branches of about 20 cm. Research Methodology: Morphological characterization data were obtained by direct observation method, performed once a month for three months. For biometric measurement purposes, with only 12 cultivars surviving, the 20 largest branches (20x12 repetition = 240 branches) per cultivar were selected for three consecutive months, measuring branch lengths and others; Longitudinal surf was evaluated after one month in the nursery while lateral break was estimated after two months in the field. Results: A total of 20 forms or parameters were used in the morphoagronomic characterization of the cultivars, carried out and/or reconfirmed throughout the process in the 16 cultivars mentioned above. The biometric measurements, in a total of 10 types, refer to 12 cultivars, in which there were several sequential measurements in time, while the evaluation of the total production of tuberous units, in number and weight, only occurred at the end of the experiment. In the similarity matrix for the 16 cultivars evaluated, it can be seen that there are affinities and differences in a very marked amplitude. Discussion: It can be concluded, in general, that the tendency of production of tuberous units varies inversely with the growth of main branches, thus there is competition between the growth of the main branches. In addition, there is evidence of a positive or increasing linear relationship between the average weight of ‖ and the weight of the largest tubes in each variety, which can be considered relevant (R2 41%) it can be expected that, in the general tendency, a total of 10 grams in the averageweight of the "tu terciles" will be translated into a total ofabout 18 grams in the weight of the largest. Conclusion: In the 16 cultivars coded on a case-by-case basis, it was possible to make an association with technical designations of varieties used in the germplasm conservation center in Triloc a and in the Research Center of the Ministry of Agriculture and Fisheries of Timor-Leste in Dari Sula of the Municipality of Baucau, and also in the scientific literature, the key point in realization of study cited by (Maria C.G & Tilman CB., 2024).
A Perforated Meckel's Diverticulum Simulating Appendicular Peritonitis : Case report
Authors: Amine BACHAR
Published: March 2024

Meckel's diverticulum results from the partial persistence of the omphalomesenteric duct and its complications are rare. Diagnosis is often made intraoperatively. We present the case of a 46-year-old patient admitted to the emergency ward with symptoms suggestive of peritonitis. Clinical examination revealed tenderness in the right iliac fossa. Abdominal and pelvic ultrasound revealed a swollen appendix located laterocecally, measuring 9.2 mm in maximum thickness, with an associated oval collection containing finely echogenic contents measuring 32 × 14 mm, without evidence of effusion.During surgery, a perforated Meckel's diverticulum was discovered as the cause of the peritonitis. The patient underwent segmental bowel resection with ileostomy formation. Postoperative recovery was uneventful, and the patient was discharged on the third postoperative day. Anatomopathological examination of the surgical specimen showed inflammatory changes without signs of malignancy. One month after the operation, the patient underwent ileal continuity restoration.
Role of routine urine culture in diagnoses of asymptomatic bacteriurea& hence decreasing UTI complication during pregnancy
Authors: Elmahaishi MS
Published: March 2024

In order to decrease the complications of urinary tract infection during pregnancy as abortion, preterm labor ,IUGR, stillbirth, and pregnancy induced hypertension and cost effective to decrease hospital admission . prospective controlled study of 300 pregnant patients, were divided to groups according to presence of bacteriurea, and then to presence of symptoms. The age of patients were between 19 &42 years (average=30yr.).and the parity ranged from primigravida up to Para seven .urine examination and culture sensitivity done for all ,the patients who diagnosed and treated according to the results of investigations and before they developed symptoms ,they had less complications during their pregnancies and better outcome after delivery. Conclusion: Our study prove that routine urine examination ,and urine culture &sensitivity at every trimester in pregnant lady will gives cheap ,easy, and non invasive method for diagnosis and subsequent treatment of urinary tract infection.
Desmoplastic small round cell tumor a case report of a rare intra-abdominal tumor of the young adult
Authors: AZHARI ILIAS EL
Published: March 2024

Desmoplastic small round cell tumor is a rare and highly aggressive mesenchymal tumor described as a distinct clinico-pathological entity in 1989 by Gerald . These tumors occur mainly in the peritoneal cavity,although other primary sites, such as testicular, ovarian, thoracic, pulmonary, intracranial and head and neck regions have been reported. Clinical symptoms are non-specific. Diagnosis is based on histological analysis combined with immunohistochemical study. Histological study typically shows small round blue cells in nests separated by abundant desmoplastic stroma associated with a single chromosomal translocation t(11:22) (p 13; q 12) involving the EWSR1 and WT1 genes. The prognosis is particularly poor, with median survival ranging from 17 to 25 months. Management of this tumor remains difficult, and current regimens do not achieve a significant cure rate despite the use of aggressive treatments such as polychemotherapy.
Ileo-sigmoidien knot: Case report
Authors: HAYAL Anas EL
Published: March 2024

The ileosigmoid knot, also known as double volvulus, is a surgical emergency characterized by a double obstruction of the small intestine and sigmoid colon, Our patient have 62-year-old, chronic smoker, operated on at age 30 for ulcer perforation peritonitis and pyloric stenosis. Admitted to the emergency department with intestinal obstruction evolving for 3 days prior to admission, vomiting and generalized abdominal pain. Abdominal examination revealed generalized abdominal distension and defense. CT, distension of the colonic frame measuring 64mm at the coecum, producing the coffee-bean sign, with distension of some distal ileal loops measuring 33mm at the ileum, and a transitional level located at the pelvic level, producing the double-beak sign with visualization of the whirlpool sign, aeromesenteria and copious peritoneal effusion, the main treatment is a surgical intervention usually involves bowel resection with or without primary anastomosis.
Effect of low and high doses of vitamin D3 therapy on vitamin D3, antithyroid antibody and thyroid hormone levels in thyroid autoimmunity
Authors: Molnár Ildikó
Published: March 2024

Aims: Vitamin D3 deficiency is more common in autoimmune thyroid diseases (AITD). Vitamin D3 supplementation in AITD is not questioned, but the required doses have been offered differently in several reports. This study attempts to provide a clinical answer as to what doses of vitamin D3 may be effective in AITD. Methods: Ninety-seven patients were included in the study: 44 with Hashimoto’s thyroiditis (HT), 26 with Graves ’disease (GD) and 27 controls. Serum vitamin D3, thyroid hormone and autoantibody levels against thyroid peroxidase (TPO) and TSH receptor were measured before and after treatment. Biochemical data were measured by a fully automated competitive chemiluminescence assay and presented as geometric mean(95% confidence interval). Results: Baseline vitamin D3 deficiency was detected in 22 out of 44 HT, 13 out of 26 GD and 19 out of 27 controls, and improved after vitamin D3 therapy. Vitamin D3 therapy significantly increased serum vitamin D3 levels in all patient groups [46.07(16.55-128.29) vs. 71.05(40.61-124.3) nmol/l, p<0.0001 for HT, 44.27(8.98-218.25) vs. 64.22(38.85-106.16) nmol/l, p<0.0207 for GD, and 39(15.57-97.73) vs. 59.32(27.27-129.03) nmol/l, p<0.0003 for controls]. The increass in vitamin D3 levels was found after low-dose vitamin D3 therapy (<7000 NE/week) in HT (p<0.0001) and controls (p<0.0002), but not in GD. The success of vitamin D3 therapy was dependent on high doses of vitamin D3 (>7000 NE/week) in GD, but levels were lower in Graves’ ophthalmopathy (p<0.0302). Anti-TPO antibody and TSH levels were decreased by low doses of vitamin D3 in HT, but FT4 and FT3 decreased, and TSH levels increased only by high doses in GD. Conclusion: The efficacy of vitamin D3 therapy was demonstrated in all patient groups. The greatest improvement in vitamin D3 status was seen in HT. A dose-dependency of vitamin D3 therapy was rather related to the improvement in GD.
PHILOSOPHIES OF ADMINISTRATIVE ORGANIZATION THE ADMINISTRATIVE INSTITUTION IN TIMOR-LESTE: PAST, PRESENT AND FUTURE (2024)
Authors: Corte-Real de Araújo Alexandre Gentil
Published: March 2024

Introduction : Starting with the foundations of the old Traditional Philosophy of Administration that was in force in a generalized way in the countries, and about the so-called pure modern systems that emerged after the English and French revolutions, it will also be addressed the evolution that has occurred in these philosophiessince their creation, until the present day, and if this evolution tends to separate them more and more or to bring them closer together, evaluating or appreciating how the philosophy of administrative institutionin Timor-Leste has been established and also influenced up to the present time, and what may be its future, of continued development. Objectives: Tofacilitate public or general understanding of the origins and evolution of existing philosophies of administrative institutions and to frame the organizational philosophy in an administrative system of Timor-Leste to aid its assimilation, facilitating communications and discussions related to the process of development and evolution of the present most appropriate system or philosophy in the country. Research of Methodology: It is elaborated or made deductive, and based on literary and legislative research work, whose sources will be cited in the bibliography of the academic study in consistency the theoretic framework in research guide. Conclusion: To be achieved in order to deepen and improve our knowledge of the main philosophies of administrative institutions and their evolution over time. At the same time, analysing the origins of the philosophy of administrative organisation in Timor-Leste, ascertaining the present state of the same and assessing or appreciating where philosophy is heading in the system of administrative organization in Timor-Leste, is grounded in the public and private institution cited by (Corte Real AG & Faria V.S., 2024).
Cochlostoma Jan, 1830 revised: an overview of the subgenus Turritus Westerlund, 1883 and its species (Caenogastropoda, Cochlostomatidae)
Authors: Zallot Enrico , Kamchev Panche , Schilthuizen Menno , Fehér Zoltán , De Mattia Willy , Gittenberger Edmund
Published: March 2024

The taxa of the subgenus Turritus of Cochlostoma (Cochlostomatidae) are analysed based on molecular and morphological data. The phylogenetic trees, based on ribosomal (16S) and nuclear (H3) DNA, indicate that the currently accepted taxonomy should be revised. Based on our data, there are 37 species in Turritus of which 5 are new to science: Cochlostoma (Turritus) pallgergelyi sp. nov., C. (T. ) muranyii sp. nov., C. (T. ) hallgassi sp. nov., C. (T. ) kontschani sp. nov. and C. (T. ) lacazei sp. nov. Of these, we describe the shells and the female genitalia and summarize the distributional data. Some samples (or set of samples) will remain undetermined for lack of data and these are reported in the appendix.
Revolutionizing Education:Cutting-Edge Innovations Shaping the Future of Learning
Authors: Jain Prof. Mamta , Rathore Dr. Chitra
Published: March 2024

This paper explores the dynamic intersection of technology, pedagogy, and creativity. This abstract promises a journey into the forefront of educational advancements, showcasing groundbreaking approaches that are redefining the educational experience. In the rapidly evolving landscape of education, the quest for innovation has become paramount in shaping a future where learning transcends traditional boundaries. From immersive technologies like virtual and augmented reality to adaptive learning platforms and artificial intelligence, this exploration delves into the transformative tools that are fostering engagement and personalization, the role of collaboration and interdisciplinary initiatives in fostering a culture of innovation within educational institutions by examining real-world examples and success stories. This study provides insights into how schools and universities are leveraging innovation to prepare students for the challenges of a rapidly changing world. The global education scenario is changing rapidly and in such circumstances the education system has to keep the pace and rhythm with the employers and the Industries. In an era marked by unprecedented technological advancements, societal transformations, and an evolving global landscape, the realm of education stands at the forefront of change. The urgency to prepare learners for a future characterized by complexity, uncertainty, and rapid innovation has propelled the education sector into a dynamic phase of reevaluation and transformation. This research paper embarks on a journey to explore the multifaceted dimensions of innovation that are reshaping traditional paradigms and catalyzing a revolution in the way knowledge is imparted and acquired.
3D printing for the reinterpretation of architectural heritage: Proposal of a model
Authors: Çubuk Gencay
Published: March 2024

3D printing for the reinterpretation of architectural heritage stands out as one of the most efficient ways of using contemporary printing technologies in terms of architecture. The aim of the study is to present a comprehensive methodology on how to use 3D printing techniques for reinterpretation of architectural heritage. In this context, the scope of the study consists of pioneering information obtained from literature studies focusing on the details of the use of three-dimensional printing techniques in the promotion, preservation and remodeling of cultural heritage and architectural heritage components. The method of the study was determined as identifying leading themes through literature research and presenting a method proposal by grouping conceptually related themes. The unique value of the study is important in that the model to be created offers a potential to affect mass production tools, offices and local governments by incorporating contemporary architectural heritage products into a modeling process that can produce more innovative and faster solutions. The findings of the study show that the different techniques used can respond to different detail scales and different contextual challenges. Each modeling method and strategy creates different feedback mechanisms, mediating the recognition of the architectural heritage element by larger user groups or the more effective protection of the architectural heritage element. In the model presented as a result of the study, which mediates the gathering of the techniques used in different sample projects on a common working ground with a series of successive strategies, a comprehensive basis for which 3D printing solution will be used for which problem is presented and solution suggestions are offered for a case-oriented 3D printing strategy.
Prevalence of Nosocomial Venous Thromboembolic Complications in New Tuberculosis Patients and Relapses: Data from the Moscow City Registry (A Multicenter Study)
Authors: Plotkin D. V. , Titomer A. I. , Lobastov K. V. , Reshetnikov M. N. , Sinitsyn M. V. , Maltsev R. V. , Demchenkov N. O. , Abdurakhmanov A. M. , Sterlikov S. A. , Bogorodskaya E. M.
Published: March 2024

The objective: to evaluate VTEC in new tuberculosis patients and relapses, to determine main factors influencing its development (according to data of the patients admitted to Moscow tuberculosis hospitals)

Subjects and Methods. Based on the data of epidemiological tuberculosis monitoring system of Moscow, treatment outcomes of 4609 tuberculosis patients admitted to tuberculosis hospitals from 2020 to 2022 were retrospectively analyzed. The incidence of VTEC was estimated.

Results. Totally 214/4609 cases of VTEC were identified (4.6%; 95% CI 4.1-5.3%), among which the incidence of DVT made 3.5% (95% CI 3.0-4.1%), SVP 1.5% (95% CI 1.2-1.9%), and PATE 0.6% (95% CI 0.4-0.8%). The most significant risk factors of thrombotic complications in tuberculosis patients were identified, those factors included HIV infection (RR 3.8; 95% CI 2.7-4.5) and fibrous cavernous form of pulmonary tuberculosis (RR 9.1; 95% CI 4.7-17.6). The overall prevalence of VTEC in tuberculosis hospitals was 3 or more times higher than in general clinics (according to the published data).

Conclusion. The data obtained indicate that patients hospitalized for pulmonary tuberculosis face a high risk of VTEC development that requires prediction and prevention.
Subtotal Thrombosis of the Left Pulmonary Artery Trunk as a Complication of COVID-19: a Clinical Case
Authors: Kalenchits T. I. , Kabak S. L. , Korenevskaya I. V.
Published: March 2024

The article describes a clinical case of a 62-year-old patient infected with SARS-CoV-2, in whom, 15 days after the onset of symptoms of COVID-19 with lung damage, chest computed tomography with contrast revealed concurrent subtotal obstruction of the pulmonary artery trunk and defects of its branches filling due to blood clots formed in situ. Against the background of anticoagulant therapy for 13 days, blood clots resolved in both central and peripheral parts of the lung venous bed.
DIFFERENTIATE LEARNING ACHIEVEMENT BY ETHNICITY IN SMAN 5 KUPANG
Authors: Jehanu Hadrianus , Tabun Marthen
Published: March 2024

The aim of this research is to determine differences in student learning achievement based on ethnicity at SMA Negeri 5 Kupang. The approach used in this research is qualitative. The research subjects using purposive sampling technique consisted of school principals, teachers and students at SMA Negeri 5 Kupang. Research data was collected through interviews and documentation. This research data was analyzed using the interactive analysis technique of the Milles and Huberman model. This research found several findings. First, support factors from teachers, environmental factors, economic factors, cultural factors related to differences in student learning achievement based on ethnicity at SMA Negeri 5 Kupang have not been optimized properly and there are still several obstacles, namely from several ethnic groups at SMA Negeri 5 Kupang, like the ethnicities of Sumba, Timor, Rote, Sabu, Alor, Java, Sundanese, Timor Leste and Maluku, needs special attention from the school, considering that there are still many things that need to be paid attention to in terms of children's learning facilities such as books and the internet. , and other school supplies, support from teachers such as providing motivation, the school environment and attention from parents, the teacher's monotonous way of teaching to certain students, students' learning styles, social environmental factors inside the school and outside the school and Attention from the family needs to be increased.
APPLICATION OF CROSSWORD PUZZLE LEARNING MEDIA TO INCREASE STUDENTS' LEARNING INTEREST IN SOCIOLOGY LEARNING AT SMA MUHAMMADIYAH LAMAHALA
Authors: Binti Zakaria Tsaniyah
Published: March 2024

The purpose of this study was to determine whether there was an increase in students' interest in learning in the application of crossword learning media in sociology learning at SMA Muhammadiyah Lamahala. The type of research used is a class action research. The research subjects were taken from class XII IIS 3 as many as 20 students. This research was conducted at Muhammadiyah Lamahala High School for the 2022/2023 academic year, which is located in East Adonara District, Lamahala Jaya Village. The data in this study are data obtained from tests and scores of interest in learning questionnaires. This research is motivated by the problem, namely the low interest in learning students in learning sociology. To overcome this problem, apply crossword puzzle media to increase students' learning interest. Based on the results of observations, the average percentage of students' learning interest indicators in the pre-cycle had not reached the KKM score percentage, which was 40% before the crossword puzzle media was applied. in cycle 1 has not reached the success criteria. The average percentage of students' learning interest indicators in cycle 1 is 65%. The average percentage of indicators of interest in learning has not yet reached the criteria for success in action because it has only reached 65%, so it is continued with cycle 2. Based on observations, the average percentage of indicators of interest in learning students in cycle 2 has reached the criteria for success. The average percentage of students' learning interest indicators in cycle 2 is 92.7%.
Inclusión educativa y social: Avances y retos en el contexto universitari
Authors: Ramos Estrada Dora Yolanda , Sotelo Castillo Mirsha Alicia , Echeverría Castro Sonia Beatriz
Published: March 2024

En la actualidad, uno de los temas principales en el ámbito educativo es el relacionado con la inclusión e igualdad de oportunidades a una educación de calidad; por ello, el propósito de esta obra es dar conocer las diferentes aportaciones teóricas y empíricas en el contexto universitario para contribuir al desarrollo y generación de conocimiento que impacte en la implementación de acciones para la inclusión educativa y social en la educación superior. El presente texto se compone de doce capítulos organizados en cuatro áreas temáticas, las cuales brindan información de la situación actual de la educación inclusiva, así como de avances y retos en el contexto universitario.
Comparative Study of Lactomax Gold on Growth Performance of Broilers
Authors: Krishna Bolla , Sravani Bommireddy , Kumar Velpuri Pavan
Published: March 2024

A study was conducted in Cobb 430 broilers in western India. One thousand birds were allocated to four different treatments: Control, Competitor 1, Competitor 2, and the one supplemented with Lactomax Gold. After the completion of the trial, growth parameters like average body weight, feed intake, FCR, mortality, and EEF were analysed, and Lactomax Gold showed significantly better performance when compared to all the other treatments.