bluuebunny/crossref_metadata_2025 huggingface dataset:
Determination of Operators' Portable X-ray Safety
Authors: Mohammed Ayad Taha  , I. Al-Jobory Ahmed , Y. Mohammed Haitham
Published: October 2024

Objective: Ionizing radiation in the form of rays interacts with matter and has immediate and delayed impacts. Applications in dentistry include extraoral and intraoral X-rays and machines can be portable and fixed. A portable X-ray machine is a mobile X-ray device that is smaller than a stationary one. The radiation dose from portable devices to which exposure is allowed should not be higher than 20 mSv annually. The purpose of this study was to compare three portable dental X-rays to determine the quantity of dispersed radiation that affects radiography operators.
Methods: Three types of portable X-ray devices (portable X-ray system (Clarox, Eightieth, and QiN high-frequency microfocus dental X-ray units) were used. An extracted tooth was used for testing. The tooth was X-rayed laying on a flat surface after pouring it into a stone base. Three different radiation devices of different sorts were positioned in front of the tooth individually, with identical dimensions for each device. More than one radiological image was obtained with each of the radiation devices, and radiation levels were recorded.
Results: It was discovered that as radiological images were being taken, the scattered radiation readings for two devices (Clarox and Eightieth) progressively decreased. The recorded readings for QiN were lower.

Conclusion: Comparing the radiometer results revealed that the portable X-ray equipment emits radiation that has an impact on radiation workers. Therefore, radiation safety precautions must be followed, and radiation shields must be employed.
La résonance de l’histoire dans les écritures romanesque et épistolaire françaises et francophones
Authors: Hazrati Forough
Published: October 2024

Introduction du volume « Postcolonialité, migration et trauma »
Pengaruh Penggunaan Smartphone Terhadap Aktivitas Ibadat Orang Muda Katolik (OMK) di Paroki Maria Ratu Pencinta Damai Lolah
Authors: Kandow Tasya Lucia , Dalia Adrianus , Mua Marianus Muharli
Published: October 2024

Penggunaan smartphone memberikan pengaruh positif dan negatif. Penggunaan yang tidak sesuai fungsinya dapat memberikan pengaruh pada aktivitas ibadat Orang Muda Katolik (OMK) di Paroki Maria Ratu Pencinta Damai Lolah. Penelitian ini bertujuan untuk mengetahui bagaimana penggunaan smartphone OMK, aktivitas ibadat OMK, serta seberapa besar pengaruh penggunaan smartphone terhadap aktivitas ibadat OMK di Paroki Maria Ratu Pencinta Damai Lolah. Metode yang dipakai untuk penelitian ini yaitu penelitian kuantitatif. Respondennya adalah anggota-anggota OMK di Paroki Maria Ratu Pencinta Damai Lolah yang ditentukan dengan rumus Slovin sehingga mendapat jumlah responden sebanyak 175 orang dari jumlah keseluruhan yakni 310 anggota. Instrumen penelitian yang digunakan yaitu dengan membagikan angket atau kuesioner dengan alternatif jawaban pada variabel X (penggunaan smartphone), yakni Sangat Setuju (4), Setuju (3), Kurang Setuju (2), dan Tidak Setuju (1) dan alternatif jawaban pada variabel Y (aktivitas ibadat) yakni Selalu (4), Sering (3), Jarang (2), dan Tidak Pernah (1) Analisis regresi linear sederhana digunakan dalam penelitian ini. Hasil penelitian memperlihatkan bahwa penggunaan smartphone OMK memperoleh hasil koefisien hitung sebesar 0,86 dan berada pada kategori sangat baik, aktivitas ibadat OMK memperoleh hasil koefisien hitung sebesar 0,90 dan berada pada kategori sangat baik serta adanya pengaruh penggunaan smartphone terhadap aktivitas ibadat dengan hasil koefisien determinasi 0,467. Hasil tersebut menunjukkan bahwa smartphone memberikan kontribusi pengaruh sebanyak 46% terhadap aktivitas ibadat OMK di Paroki Maria Ratu Pencinta Damai Lolah. Sisanya, 54% berasal dari faktor-faktor di luar smartphone
France: Which Prospects of Hybridization for the Neo-Weberian State
in the Homeland of the ‘State-in Majesty’?
Authors: Eymeri-Douzans Jean-Michel
Published: October 2024

In this article, after recalling the historicity of the French ‘State-in-Majesty’
and its current politico-administrative regime (section 2), we will assess the
French case against Pollitt and Bouckaert’s model and demonstrate how nowadays
France corresponds to a hybridized Neo-Weberian State (section 3). Then, section
4 will demonstrate how the never-ending triple French State reform develops as a
specific and multilevel interplay of the ‘five Ms’. Turning to the upgraded
definition of the NWS as an ‘omega’ for our turbulent times, section 5 will
defend the thesis that the robust, resilient French Neo-Weberian State is well
equipped to democratically govern poly-crises and master three current ‘great
transformations’, provided it is not captured by illiberal populists (section
6).
The Neo-Weberian State in Italy: Understanding the Influence of Populist Government, EU Administrative Reform Support Policy, and Digitalization
Authors: Ongaro Edoardo , Nasi Greta
Published: October 2024

This article argues that administrative reforms in Italy over the period 2001–2024 provide a case of special significance for investigating key profiles of the Neo-Weberian State (NWS) in relation to three important domains. The first pertains to the relationship of the NWS to politics/party ideology: Italy is a case of populist parties, both right-wing and left-wing, governing either separately or jointly, thereby providing an apt case for studying the impact of populist government on the functioning of a Neo-Weberian administration. Second, the case of Italy allows for the investigation of the implications of the embeddedness of a NWS administrative system into a broader, supranational governance system (the European Union). Third, the NWS characteristics shape and are shaped by digital government. Key findings point to, first, the bureaucracy in NWS very limitedly acting as guardian of liberal democracy and the rule of law, at least in the factual case of Italy, while leaving open the possibility that a pure, ideal-typical NWS might perform such guardianship role. Second, the European Union, itself a Neo-Weberian administration, plays a role in the diffusion and strengthening of the NWS in its Member States. Third, the NWS interplays with digitalization processes, shaping and being shaped by them.
Efficacy of Restraint Wear and Massed Task Specific Practice on Upper Limb Function in Elderly Subjects Following Stroke
Authors: Begum Syeda Mafida , Talukdar Kangkan , Mahanta Sasanka
Published: October 2024

Introduction: Stroke is defined as a sudden, non-convulsive loss of neurologic function due to an ischemic or hemorrhagic intracranial vascular event. Roughly one third of all people who experience a stroke have some residual impairment of upper extremity which affects basic ADL skills such as bathing, dressing, toileting etc. Upper limb impairments are therefore a considerable problem following stroke and maximizing upper limb function is a key factor in motor rehabilitation following stroke. The purpose of the study was to find the effect of restraint wear and massed task-specific practice on improvement of upper limb function such as functional upper limb recovery and specific task function of hand in elderly stroke population.
Materials and Methods: Total 30 subjects were included based on inclusion and exclusion criteria and randomly allocated into Study and Control group, 15 in each. The functional recovery of upper limb was measured using Chedoke Arm and Hand Activity Inventory (CAHAI) and specific task function of the hand was measured using Action Research Arm Test (ARAT) before the intervention. Subjects in the study group received restraint wear and massed task specific practice for 2 hours/day for 5 days in a week for 4 weeks along with conventional treatment. Subjects in the control group received conventional treatment. After the treatments, the outcome measures were reassessed again.
Results: After analyzing the data, the experimental group has shown significantly greater improvement than the control group.
Conclusion: The result of study concluded that 4 weeks of restraint wear and massed task specific practice improved the upper limb function such as functional upper limb recovery and specific task function of hand in elderly stroke population.

Key words: Stroke, Functional Training, Constraint Induced Movement Therapy, Upper Limb, Geriatric Rehabilitation, Arm Training
Effect of Cognitive Rehabilitation Program on Cognitive Function and Sleep Quality in Stroke Patients: Quasi Experimental Study
Authors: Sheokand Reena , Gakhar Megha , Dabla Surekha
Published: October 2024

Introduction: Stroke is one of the leading causes of death and disability worldwide. According to WHO stroke is the second commonest cause of mortality. The most frequent post stroke consequences were found to be cognitive impairment and sleep quality.
Objective: To find the effect of cognitive rehabilitation program on cognitive function and sleep quality in post stroke patients.
Material and Methods: The quasi-experimental study was performed with 25 patients with stroke between October 2022 to October 2023.The patients received 8 weeks cognitive rehabilitation program. Outcome measures include Hindi version of MOCA and PSQI. Outcomes measures were assessed at baseline, after 4 weeks and after 8 weeks of cognitive rehabilitation.
Result: Data from 25 individuals were analysed by using repeated measures of ANOVA. Analysis of data reflected that after eight weeks of cognitive rehabilitation, there was a significant (p<0.01) improvement in cognitive function and depression. Cognitive function improved from 15.76 ± 3.33 to 18.8 ± 3.43 after 4 weeks and 22.72 ± 3.61 after 8 weeks. The sleep problems score decreased from 29.28 ± 6.674 to 21.56 ± 6.178 after 4 weeks of intervention and 17.04 ± 7.027 after 8 weeks of rehabilitation.
Conclusion: This study concluded that cognitive rehabilitation program had significant improvement in the cognitive function and sleep quality after the cognitive rehabilitation program.

Key words: Post stroke rehabilitation, Cognitive function, sleep problems, Cognitive rehabilitation program.
Postnatal Mothers' Knowledge of Domestic Violence Against Women During Pregnancy
Authors: Acharya Tara Kumari , Adhikari Bijaya , Ghimire Ambika
Published: October 2024

Introduction: Domestic violence against women poses a significant global public health challenge, particularly jeopardizing the well-being of mothers and their children, when occurring during pregnancy. In Nepal, women and girls frequently experience physical, psychological, economic, and sexual abuse within families, communities, and society at large. Such acts are criminal offenses under Nepalese law, with stringent penalties. The Constitution of Nepal explicitly prohibits justification of violence based on religious, social, cultural, or any other grounds. Victims are encouraged to seek support from government health services, women's organizations, and shelters, where they can receive counseling and assistance. This study aimed to identify the postnatal mothers’ knowledge of domestic violence against women during pregnancy.
Methods and materials: Cross-sectional descriptive research was conducted among 302 purposively selected postnatal mothers who attended Patan Hospital. The data were collected through a face-to-face interview schedule after obtaining ethical approval from the Institutional Review Committee of Patan Academy of Health Sciences IRC-PAHS, Lagankhel, Lalitpur. Data were analyzed IBM SPSS Statistics version 20.0 using descriptive statistics.
Results: Out of the 302 respondents surveyed, the highest level of knowledge was found regarding physical violence (96.7%), followed by sexual violence (94.7%) and emotional violence (78.1%). Nearly two-thirds of the respondents (64.3%) indicated knowledge of legal provisions in Nepal to address domestic violence. Almost all respondents (94%) identified mothers-in-law as the primary perpetrators, followed by husbands (46.7%), sisters-in-law (22.2%), and fathers-in-law (17.9%). Only 28.8% of the respondents considered the maternal home a suitable place to report incidents of violence if they occur. Actions such as slapping, twisting arms, pulling hair, punching with fists, kicking, dragging, or beating were commonly mentioned as domestic violence by the mothers surveyed.
Conclusion: This study concludes that postnatal mothers had a high knowledge of physical, sexual, and emotional violence, with significant recognition of mothers-in-law as primary perpetrators. Thus, it is necessary to educate mothers-in-law about respectful behavior and the consequences of domestic violence, aiming to reduce perpetration rates and enhance familial harmony in Nepalese households.

Key words: Domestic Violence, Knowledge, Postnatal mother
Tindakan Ghosting Dalam Keluarga Mahasiswa Boyolali Solo Raya Ditinjau Interaksionisme Simbolik George Herbert Mead
Authors: Kurniawan Hasna , Purwanto Danang , Siregar Riadi Syafutra
Published: October 2024

Artikel ini bertujuan untuk mengetahui motif yang melatarbelakangi seseorang melakukan ghosting sebagai wujud ketidakaktifan berpartisipasi dalam organisasi serta tahapan seseorang melakukan tindakan tersebut. Hal ini akan ditinjau dengan konsep I and Me dan empat tahapan tindakan dari George Herbert Mead. Metode penelitian yang digunakan yaitu kualitatif pendekatan fenomenologi. Hasil menunjukan motif yang datang dari internal individu mencerminkan I atau aku sebagai subjek. Sementara motif yang datang dari internal organisasi mencerminkan konsep Me atau aku sebagai objek. Terdapat variasi dalam proses pengambilan keputusan dan tindakan mereka berdasarkan tahapan-tahapan dari teori George Herbert Mead.
Predictive factors of age-related macular degeneration evolution in response to anti-vascular endothelial growth factor therapy
Authors: Bobescu Nicoale , Cusnir Valeriu , Dumbraveanu Lilia , Ceban Cornelia
Published: October 2024

Age-related macular degeneration (AMD) is an acquired pathology of the retina that causes loss of central vision. There are specific therapeutic methods that are used at different stages of the pathology. Exudative form is treated with inhibitors of the vascular endothelial growth factor (anti-VEGF) used in different therapeutic schemes. This work will be focused more on the effect of bevacizumab. The effect of treatment is determined by different factors like age, gender, genetics, environment, and clinical factors. The complexity of the clinical factors is of particular interest because they can help us to predict the evolution of the pathology from the beginning of the treatment. The aim of this work is to study the predictors of AMD in order to understand the variability of response to anti-VEGF and to develop a mechanism for determining the patients who will not respond to anti-VEGF. This article comes with useful information about the effects of anti-VEGF in different clinical situations intending to bring a real benefit in the practical activity. In this review article were analyzed the scientific portals like PubMed and Google Scholar. Following the study of relevant sources it has been concluded that age, sex, genetics and clinical factors influence to direct the evolution of AMD under anti-VEGF treatment. The analysis of the factors involved in the variability of the pathological process response to anti-VEGF treatment allows the development of an algorithm for the stratification of patients with AMD.
Health-related quality of life in patients with gastric cancer: case-control study
Authors: Raevschi Elena , Negruta Ludmila , Stog Valeria
Published: October 2024

Cancer has a great impact on the quality of life in terms of physical, mental, and social functions and affects the quality of life of patients. The aim of the study was to compare healthrelated quality of life (HRQL) in patients with gastric cancer to that of the general population and to analyze the impact of gastric cancer on quality of life by all subscale components. The matched pair case-control study was performed. The Case group of 50 patients with gastrointestinal cancer was compared with the control group of 50 study participants without cancer, to whom the EORTC QLQ-C30 questionnaire was similarly applied. The results showed a decrease of HRQL in many aspects for patients with cancer compared to those without cancer. According to functional scales, role and emotional functioning were found lower in patients with cancer by more than 20 points, qualified as major clinical interest change (p < .001). According to the symptoms scale, only in the occurrence of pain do we observe major HRQL decline in patients with cancer (p < .001). Financial difficulties were also identified for a major decrease in HRQL in cancer patients (p <.001). It is concluded that patients with cancer report a lower HRQL predominantly related to the social and psychological aspects than to the cancer disease somatic conditions. In clinical care, it should be considered that the majority of cancer patients are quite concerned about their emotional and role functioning. Efforts to reduce these worries should be made in decision-making with clinicians while making care more patient-centered in order to improve their HRQL.
The psychic pathologies and factors associated with tuberculosis
Authors: Lesnic Evelina , Cotelea Eugen
Published: October 2024

Patients with psychological patologies have an increased risk for tuberculosis. The aim of the study was to identify the types of the psychic pathologies and other factors associated with development of tuberculosis. A selective, analytical and retrospective study was conducted, which included 71 tuberculosis patients diagnosed psychic pathologies registered in the period 2015-2019. The results of the study established that the particularities of the patients were male sex (58 (81.7%) cases), age between 35 and 64 years (48 (67.9%) cases), low socio-economic status (67 (85.9%) cases), poor living conditions - 58 (81.7%) cases. The risk factors for acquiring the disease were the tuberculosis contact - 12 (16.9%) and associated pathologies, including TB/HIV co-infection in 11 (15.5%) cases. Pulmonary localization of tuberculosis predominated in 61 (85.9%) cases. Therapeutic success was established in only 37 (52.1%) cases and death occurred in 20 (28.1%).. The low success rate of tuberculosis treatment has shown that the treatment requires individualized according to the patient’s needs.
Cognitive and neurosensory status as determinants of frailty in the elderly
Authors: Popescu Ana , Lupascu-Volentir Felicia , Soric Gabriela , Negara Anatolie , Popa Ana , Cosciug Elena
Published: October 2024

Cognitive disorders represent an important public health problem due to the high incidence against the background of the aging process and the frailty syndrome, in addition to physical decline, there is a cognitive and neurosensory decline, which causes a decrease of autonomy, limitation of physical performance with impairment of functionality in this group of elderly people. The aim of this study was to evaluate the provisional results of cognitive and neurosensory disorders against the background of the frailty syndrome and to establish some correlations between the determining factors in the elderly. The study, of an epidemiological, descriptive, transversal type, was carried out between November and August 2020 - 2022, on a study group of 400 elderly, average age 72.70±0.30 years, divided into three age groups depending on the Fried frailty screening criteria: group I (frail) – 179 (44,75%) cases, group II (pre-frail) – 115 (28,75%) cases and group III (robust) – 106 (26,5%) cases. Subsequently, all participants were examined according to the complex geriatric assessment (Katz score, Lawton, Tinetti, MMSE, Hamilton), the frailty syndrome was established according to the Fried frailty screening criteria, Gröningen score(GFI), physical performance - The Short Physical Performance Battery(SPPB), sarcopenia - SARC-F, nutritional status - MNA and depression - Geriatric Depression Scale(GDS). The obtained data revealed a high frequency of the frailty syndrome in the elderly, including positive and negative correlations with various geriatric scores, which suggests the type of physical, cognitive and sensory frailty with decreasing autonomy and establishing dependence in the elderly included in the study. This category of population presents a group with increased vulnerability, associated with a physical and cognitive decline.
The role of choregraphic training in the development of artistic skills in 7–8-year-old female gymnasts
Authors: Reaboi Natalia
Published: October 2024

Within rhythmic gymnastics, the choreographic training of 7–8-year-old children is a current issue, but not valued in the theory and practice of sport. Since the choreographic training represents one of the basic links that conditions the aesthetic training of the movement, it offers the maximum possibilities of knowing the school of movements, which positively reflects on the level of technical training of the gymnasts. Choreographic training must be based on elementary technique, a correct outfit, stable motor skills, musical training and a series of requirements of this activity. Well-systematized choreographic training develops muscle elasticity, agility and coordination capabilities of movements, contributes to achieving harmonious and expressive movements. In the choreographic training, exercises from various dance styles are used to develop the qualities that dance execution requires: support force, joint mobility, the formation of body aesthetics and the improvement of artistic execution and rhythmicity. Choreographic training is more easily formed in childhood, when we have to act correctly by applying a scientifically based system, but this is achieved in performance. We propose to form a qualified choreographic training of gymnasts to be able to face the needs imposed by the Scoring Code of the International Federation of Rhythmic Gymnastics.
Doping-free lifestyle and health care trends offered for athletes
Authors: Timercan Tatiana , Jucov Artiom
Published: October 2024

This article is a systematic review of recent publication that identify the peculiarities and potential risks for athletes in sports. The research elucidates the benefits of doping-free healthy lifestyle and mentions the crucial role of family physician in health care trends offered for athletes in order to improve their well-being and prevent the potential negative consequences.
Managerial remarks regarding ensuring the functionality of the pharmaceutical security system
Authors: Buliga Valentina , Safta Vladimir , Brumarel Mihail , Adauji Stela
Published: October 2024

Pharmaceutical security must be a top priority for public authorities, aiming to prevent and eliminate potential threats to the health of the population, by ensuring the accessibility, quality and efficiency of medicines. Based on the theoretical postulates and practical situations in the Republic of Moldova, the general scheme of the functionality of the pharmaceutical security system was developed. A matrix of decisions was constructed to ensure the functionality of the pharmaceutical security system. In order to concretize the matrix of decisions and ensure the possibility of its application in practice, the functions and conditions for ensuring pharmaceutical safety were highlighted, as well as their distribution on the hierarchical levels, including the national, organizational and professional, being divided into compartments. The functions and conditions for ensuring the functionality of the SSF were highlighted, which create the possibility of strengthening pharmaceutical safety management in the Republic of Moldova.
Mechanisms of antimicrobial resistance of Staphylococcus aureus strains: narrative synthesis
Authors: Iunac Dmitri , Galben Lucia , Ferdohleb Alina , Balan Greta
Published: October 2024

One of the causes of the increasing incidence in recent years, worldwide, of bacterial infections resulting in therapeutic failure is the unjustified use of antimicrobials and the dissemination of antibiotic resistance factors. Currently, infections, caused by Staphylococcus aureus appear to be caused by a pathogen multiresistant to a very wide range of antimicrobials used in medical practice. A narrative synthesis study was conducted. The analysis of publications between 2012-2022 was carried out regarding the theoretical aspects of the antimicrobial resistance mechanisms characteristic of Staphylococcus aureus strains, by using the terms "Resistance mechanisms", "Resistance genes", "Staphylococcus aureus", "Antimicrobial preparations". The initial search yielded 44 articles, from which 27 eligible papers were selected and analyzed. S. aureus is one of the most important pathogens in terms of antimicrobial resistance, as it has been able to develop resistance mechanisms to almost all preparations used against it. This species can easily exemplify adaptive evolution to antimicrobials, as it has demonstrated a unique ability to rapidly respond to each new antibiotic by developing a resistance mechanism, starting with penicillin and methicillin, and ending with the newer ones, linezolid and daptomycin. The main mechanisms of S. aureus resistance to antimicrobials are enzymatic inactivation of the antibiotic, modification of the attack target, antibiotic uptake and efflux pumps. Antimicrobial resistance mechanisms are very diverse and can be intrinsic or acquired, therefore understanding them can create new treatment alternatives for infectious pathology and facilitate the development of new antimicrobials that will counteract the attempts of microorganisms to become resistant.
Correlation analysis between patient safety culture factors and patient safety in neurosurgery departments
Authors: Danu Silvia
Published: October 2024

Reducing errors and adverse events associated with healthcare and guaranteeing high-quality care for patients must be considered the number one priority in any medical institution. The results of the correlations of patient safety culture factors that reflects the process of voluntary reflect events reporting with the degree of patient safety in neurosurgical departments in the Republic of Moldova are presented in the study. An international questionnaire developed in the USA and implemented in 107 countries was used. Questionnaires of 345 respondents collected in 6 hospitals were processed. The results of the influence of 12 variables of patient safety culture on the degree of patient safety are presented. The determining factors of the patient safety culture that positively or negatively influence the perception of the degree of patient safety in the hospital service were elucidated. The implementation of a system for reporting adverse events associated with medical care and the development of a culture of learning from errors would favourably influence patient safety.
Syntropy - gastroesophageal reflux disease and ischemic heart disease - diagnostic methods and treatment tactics
Authors: Stoica Mihaela , Caliga Ecaterina , Sirbu Oxana , Sasu Diana , Gavriliuc Svetlana , Scorpan Anatolie , Istrati Valeriu
Published: October 2024

Introduction. Studies describe chest pain as the common symptom for the association of gastroesophageal reflux disease (GERD) and coronary artery disease (ICD). Among the patients evaluated at the emergency department for chest pain >50% do not show signs of coronary ischemia and require further investigation. Materials and methods. The study was carried out by searching the articles that were published in the period 2016-2023, using the PubMed, NCIB, Medscape, Mendeley databases, using the keywords: „GERD”, „coronary artery disease”, „diagnosis” , „treatment”, as well as their association. Results. Both nosologies are clinically manifested by chest pain caused by gastrointestinal acid irritation, which activates the vagal reflex, and endothelial dysfunction, which causes ischemia and coronary vasoconstriction. Paraclinical findings are characterized by increased levels of IL1,6,8 and NO metabolites involved in disease pathogenesis. ECG and pH measurement for 24 h are sufficient at the first stage to determine the cause of attacks of recurrent chest pain. PPIs are the first line of treatment for chest pain relief in these patients. Conclusions. GERD and BCI represent diseases with a global impact, and the interdisciplinary therapeutic approach of these diseases, culminating in a targeted treatment program, determines the improvement of symptoms with an improvement of the patient’s quality of life.
Alcohol consumption and bacterial infection – severe precipitating factors in liver cirrhosis
Authors: Bugai Rodica , Gorita Adriana
Published: October 2024

Introduction. Liver cirrhosis caused or associated with alcohol consumption represents a severe risk for infections, which significantly increase the hospitalization and mortality rate of these patients. The purpose of the research was to study the correlation between alcohol and bacterial infections as precipitating factors in patients with liver cirrhosis. Materials and methods. An analysis of bibliographic sources on the given topic was performed using the following databases: PubMed, Cohrane Library Register of RCT, ResearchGate, MedLine, EMBASE, Index Medicus. Conclusions. Patients with cirrhosis associated with alcohol consumption represent a major risk of infections, which worsen the course of the disease and increase the number of deaths. The clinic of infections in people with cirrhosis can often be subtle, so complex evaluation, primary and secondary prevention and timely and complex treatment are necessary, which are key points to reduce serious negative consequences, improve quality of life, increase survival rate, reduce the frequency of hospitalizations and additional costs.
Impact of preoperative diaphragmatic breathing exercise on postoperative oxygenation and hospital length of stay in patients with elective coronary artery bypass graft: A narrative review
Authors:   Lincoln University College Malaysia., Sahar Wajeeha , Elengoe Asita ,   Lincoln University College Malaysia.
Published: October 2024

Background: Patients undergoing heart surgery experienced postoperative pulmonary problems which can result in increased hospital stay. This literature analysis aims to ascertain whether breathing exercise training before surgery improves postoperative outcomes for patients having heart surgery. Methodology: Cochrane Clinical Answers and Cochrane Database are all extensively searched. Studies that looked at adult patients censured for elective procedures are considered. Heart surgery patients participated in a preoperative breathing exercise program designed to enhance their breathing abilities, avoid pulmonary issues after surgery, and shorten their hospital stay. Results: For heart surgery patients, a preoperative breathing intervention may assist shorten hospital stays. And with intervention preoperative breathing exercises can reduce this to 5 to 7 days, potentially shortening hospital stays by 2 to 3 days., minimize postoperative pulmonary problems without intervention postoperative pulmonary complications can affect 15-30% of patients, with reductions of 20-30% while with intervention the decline in FEV1 and FVC can be minimized to 10-15%, indicating better preservation of lung function following surgery. Conclusions: Patients who received preoperative diaphragmatic breathing exercises considerably improved respiratory function and reduced length of hospital stay, which are more effective in (CABG) surgery. Keywords: breathing exercise; coronary artery disease; hospital length of stay; hospital recovery time; oxygenation
Comparing the effects of functional electrical stimulation with different frequencies and time duration to improve lower extremity muscle strength, gait, balance, posture control and quality of life among stroke patients
Authors:   Foundation University College of Physical Therapy, Foundation University Islamabad, Pakistan., Khushnood Kiran , Waqar Saira ,   Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto (FADEUP) and Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal., Ali Ikram ,   Institute of Physical Medicine and Rehabilitation Khyber Medical University Peshawar,Pakistan.
Published: October 2024

Background: Sufficient literature is available regarding Functional Electrical stimulation (FES) for its effects on the function of both the upper limb and lower limb. However, there is still a lack of literature that describes accurate frequency and time duration of FES in improving lower limb functions. Therefore, this review aimed to report the effects of FES regarding its various frequencies, duration, and intensity in improving lower limb muscle strength, gait, posture, and quality of life in patients with stroke. Methods: We included all those individuals with stroke (Hemiplegia) both acute and chronic irrespective of its type ischemic and hemorrhagic. All patients were well-oriented without cognitive impairments aged between 45 and 80 years old. Randomized controlled trials in which patients were provided FES either four channels or bi-channels on various muscles of the lower limb only were selected. In addition, we only included those RCTs, where FES was applied with specific frequencies and durations on the lower limb only. Results: The participants in the included studies ranged from 16 to 61 years of age. The majority of the studies were conducted with a population with post-stroke duration of ≥ 6 months. It was evident that functional electrical stimulation with low frequencies is effective in improving various outcomes related to function in the stroke population (P < 0.05). Conclusion: Functional electrical stimulation with low frequency improves activities of daily living, balance, gait, mobility, postural control, and range of motion, and reduces spasticity and foot drop. For rehabilitation, it would be important to replicate the findings by conducting highly randomized control trials with high quality and a larger number of samples.
1.1 Basics and Definitions of ScholComm
Authors: Bolick Josh , Cross Will
Published: October 2024

Join authors Josh Bolick and Will Cross as they discuss Chapter 1.1: Basics and Definitions ScholComm exploring key concepts of scholarly communication, including the creation, evaluation, dissemination, and preservation of scholarly work through both formal and informal channels.
The Role of Writing in English for Specific Purposes Classes
Authors:   National University of Science and Technology, POLITEHNICA Bucharest, University Center Pitești, Mirela Elena Costeleanu
Published: October 2024

The significance of writing skills cannot be overstated, as they are crucial for achieving success in professional settings and personal relationships. In our fast-paced world, written communication has become the primary avenue for obtaining information and interacting with other people. From writing emails, reports, CVs, and letters of application to preparing presentations, writing is an everyday task in most professions. The present paper is a review article which discusses approaches to the learning/teaching of writing, the main challenges that students are faced with while trying to develop their writing skills in English for Specific Purposes classes as well as ways to motivate them to develop their writing skills.
Memory, Trauma, and Healing in the Works of Sanchita Islam
Authors:   University of Rome Tor Vergata, Elisabetta Marino
Published: October 2024

Following a brief biographical introduction, this essay investigates the pivotal function played by memory in the narratives and artistic works of Sanchita Islam, a British multimedia artist of mixed descent who passed away in 2023. Three distinct phases will be distinguished in the artist’s engagement with memory, each corresponding to a different stage of her journey toward self-awareness.
Places and Non-Places, Being and Non-Being: Main Ideas Developed from the German Idealism
Authors:   The Faculty of Foreign Languages and Literatures, University of Bucharest, Bianca Voinea
Published: October 2024

German Idealism profoundly impacted various fields, including philosophy, politics, and aesthetics. Its ideas influenced subsequent philosophical movements, such as existentialism and phenomenology. In philosophical discourse, one finds many perspectives that delve into the intricate relationship between human existence and the spaces we inhabit. Among these renowned thinkers, two voices emerge: Martin Heidegger and Marc Augé’s who share parallel ideas concerning the absence of meaning, disorientation, loss of authenticity, and the impact of modernity on human experience. Both perspectives invite us to reflect on our existence, our spaces, and the deeper connections we seek in a rapidly changing world.
COMPARISON OF GUSTAFSON‒KESSEL AND C-SHELL ALGORITHMS FOR FUZZY CLUSTERING OF COMPLEX-VALUED DATA
Authors:   Lipetsk State Technical University, SEDYKH I.A. , MAKAROV K.N. ,   Lipetsk State Technical University
Published: October 2024

The article discusses the Gustafson‒Kessel and C-Shell fuzzy clustering algorithms for complex-valued data, presents the study results using graphs and makes a conclusion about the work done.
SMOOTH CONJUGATION OF TWO FLAT BEZIER CURVES
Authors:   All-Russian Research Institute of Experimental Physics – Russian Federal Nuclear Center., GANCHUK S.N. , MAVRIN S.V. ,   All-Russian Research Institute of Experimental Physics – Russian Federal Nuclear Center., SEMINA V.V. ,   Lipetsk State Technical University, STARKOVA A.S. ,   Lipetsk State Technical University
Published: October 2024

In this paper we consider a mathematical method which solves the problem of conjugating a Bézier curve with two given curves at boundary points. At the conjugation points, a smoothness (continuity) order must be preserved corresponding to the degree of the given curves. To solve the problem, a system of linear equations is composed in which the equations are conditions of equality of derivatives of the conjugated curves up to the order equal to the degree of the given Bézier curves. The solution of this system is the coordinates of the vertices of the defining polygon of the conjugated curve. Numerical calculations are performed in the Python programming language.
The influence of brand image, price, foreign branding, brand ambassador, family, and peer group on repurchase decisions in the fashion industry
Authors: Firmansah Hafiz Gusti , Jatmiko Jatmiko
Published: October 2024

The industrial sector has heightened competitiveness as the economy progresses, especially among companies producing similar products. These conditions require companies to adapt to changes in both the social and cultural landscape. This study aims to determine the impact of brand image, price, foreign branding, brand ambassadors, family, and peers on repurchase decisions and to identify which variables wield the most influence among brand image, price, foreign branding, and brand ambassadors. Sampling was conducted using non-probability methods employing purposive sampling techniques, yielding 245 respondents who purchased Geoff Max products at least twice a year. Based on the test, the brand image positively affected repurchase decisions, while price exhibited a negative effect. Similarly, foreign branding showed a negative effect, whereas brand ambassadors, family, and peers all displayed positive effects on repurchase decisions. Other test results show that brand image, price, foreign branding, brand ambassador, family, and peer group collectively positively affect repurchase decisions.
HEMOGLOBINAS VARIANTES RARAS DETECTADAS PELA DOSAGEM DE A1C: INTERFERÊNCIAS SOB A CROMATOGRAFIA LÍQUIDA DE ALTA EFICIÊNCIA E ELETROFORESE CAPILAR
Authors: Ribeiro NR , Viviani NM , Sumita NM , Mendes ME , Duarte NJC
Published: October 2024

Objetivo: Demonstrar a interferência de hemoglobinas variantes raras nas metodologias de cromatografia líquida de alta eficiência e eletroforese capilar para hemoglobina glicada. Método: A hemoglobina glicada (A1c) é o principal marcador bioquímico de controle glicêmico de longo prazo utilizado na clínica médica; é aplicada no diagnóstico e no monitoramento do diabetes mellitus. No entanto, um dos principais interferentes na determinação da A1c é a presença de hemoglobinas variantes. O método empenhado para a determinação de A1c na rotina laboratorial de um hospital terciário é a cromatografia líquida de alta eficiência (HPLC) de troca iônica, tendo, como alternativa, a eletroforese capilar. Em duas ocasiões, amostras distintas de pacientes diferentes e sem parentesco apresentaram pico de A1c de 50%. Elas foram submetidas a nova análise por eletroforese capilar; não houve separação entre HbA e A1c. Posteriormente, as amostras foram submetidas a nova HPLC de troca iônica, na plataforma Variant II, para investigação de hemoglobinas variantes. Os resultados obtidos foram novamente similares, havendo um pico de 43% na região de P2. Conclusão: Os resultados sugeriram a existência de hemoglobinas variantes desconhecidas. Eletroforese de hemoglobinas em gel de agarose em pH ácido e básico foi realizada, seguindo as orientações de triagem para hemoglobinopatias. Evidenciaram-se bandas mais rápidas do que HbA na eletroforese ácida. Diante dos resultados obtidos e analisando os dados da anamnese dos pacientes observados, conclui-se que ambos os pacientes são portadores heterozigotos assintomáticos de hemoglobinas desconhecidas, carecendo ainda de identificação por sequenciamento genético. Com base em uma biblioteca virtual para hemoglobinas atípicas, de acordo com o tempo de retenção das hemoglobinas observadas, pode-se suspeitar de algumas hemoglobinas descritas na literatura, como Hb-hope e Hb-Camperdown, entre outras.
CORRELAÇÃO ENTRE A DOSAGEM DE ÁCIDO ÚRICO NO SORO E A PRESENÇA DE CRISTAIS DE ÁCIDO ÚRICO NA URINA
Authors: Souza LA , Dias MP , Felix Júnior HWO , Moura IO , Barreto BO , Araújo CM , Nery LFA
Published: October 2024

Objetivo: Correlacionar o resultado da dosagem sérica de ácido úrico com a presença de cristais de ácido úrico na urina de pacientes atendidos em um laboratório de análises clínicas localizado em Boa Vista, Roraima. Método: Avaliaram-se os resultados de pacientes de ambos os sexos, com idade superior a 18 anos, que realizaram a dosagem de ácido úrico em soro, além do exame de urina rotina, durante o ano de 2022. Os resultados foram obtidos de um banco de dados sem identificação individual, com dispensa de tramitação no sistema CEP/CONEP. Conclusão: Dos 2501 resultados obtidos dos pacientes que realizaram a dosagem de ácido úrico no soro e o exame de urina rotina, 46% eram do sexo feminino e 54%, do masculino. No sexo feminino, 69% tiveram a dosagem de ácido úrico no soro acima do intervalo de referência (IR). Desses, apenas 0,8% apresentaram cristais de ácido úrico na urina (IR 2,6 a 6 mg/dl). Já no sexo masculino, 11% tiveram a dosagem de ácido úrico no soro acima do IR (3,5 a 7,2 mg/dl). Desse total, 10% apresentaram cristais de ácido úrico na urina. Os resultados demonstraram que a correlação entre os dois exames foi baixa, já que nem sempre o aumento de ácido úrico no soro acompanha a presença de cristais de ácido úrico na urina, sendo necessário melhor avaliação com exames complementares.
PRÉ-ECLÂMPSIA E RISCOS LATENTES APÓS O PARTO – ESTUDO PERLA: AVALIAÇÃO DE MARCADORES DE DISFUNÇÃO ENDOTELIAL
Authors: Silva LG , Silva TEM , Costa IM , Ferreira APS , Dusse LMS , Novais JSM , Alpoim PN
Published: October 2024

Objetivo: Estudos têm demonstrado que a pré-eclâmpsia está associada ao desenvolvimento de doença cardiovascular a longo prazo. A disfunção endotelial desempenha um papel central na fisiopatologia da pré-eclâmpsia e mostra-se como um novo marcador promissor de risco cardiovascular. Nossa hipótese é que a disfunção endotelial está relacionada diretamente à patogênese das doenças cardiovasculares de início tardio após a pré-eclâmpsia. Nesse contexto, objetivou-se investigar os níveis séricos de marcadores de disfunção endotelial em mulheres com histórico de pré-eclâmpsia, comparando-os com mulheres que tiveram gestações saudáveis no mesmo período. Método: Trata-se de uma coorte retrospectiva em uma população de mulheres seis a 14 anos após o parto. Das 95 participantes, 43 tiveram pré-eclâmpsia e 52, gestações totalmente saudáveis. Os níveis plasmáticos dos marcadores foram quantificados por Elisa. Os valores das medianas de ADMA e trombomodulina estavam aumentados nas mulheres com histórico de pré-eclâmpsia em relação às mulheres sem histórico de pré-eclâmpsia [93,5 (67,3) vs. 64 (39,8) ng/ml (p = 0,012); 2474 (710) vs. 2047 (799) pg/ml (p = 0,002), respectivamente. Conclusão: Os achados sugerem que a disfunção endotelial está relacionada ao risco aumentado de desenvolvimento futuro de doenças cardiovasculares em mulheres que tiveram pré-eclâmpsia. A identificação precoce de danos consequentes da doença reforça a necessidade de intervenção profilática. Dessa forma, os marcadores poderiam ser usados para predizer o risco cardiovascular após a pré-eclâmpsia, contribuindo para evitar desfechos mais graves.
DESEMPENHO DE MARCADORES IMUNOHISTOQUÍMICOS DE ANATOMIA PATOLÓGICA E MARCADORES TUMORAIS SÉRICOS NO CÂNCER DE PRÓSTATA
Authors: Silva ICC , Carvalho GC , Vilaca FA , Ramadan DR , Tufik S , Feres MC
Published: October 2024

Objetivo: Exames de marcadores tumorais séricos (PSA, PSA livre e testosterona) e imuno-histoquímicos complementam o diagnóstico do câncer de próstata. No entanto, resultados após a prostatectomia podem variar significativamente. O estudo teve como objetivo analisar o desempenho dos marcadores séricos em relação aos marcadores imuno-histoquímicos 34ßE12, p63 e AMACR das biópsias para neoplasias prostáticas, bem como seus indicadores de valores preditivos positivos e negativos (VPP e VPN) para neoplasias prostáticas. Método: Este é um estudo retrospectivo no qual foram analisados resultados anatomopatológicos de 1403 pacientes do sexo masculino, com idades entre 40 e 69 anos, diagnosticados com câncer de próstata entre agosto de 2021 e dezembro de 2022. O estudo utilizou marcadores combinados IHQ, como 34ßE12, p63 e AMACR, e marcadores séricos prostáticos combinados (PSA total, PSA livre e testosterona) em um total de 144 análises. Todas as análises foram realizadas utilizando o software R versão 4.1.0 (R CORE TEAM, 2021), e um nível de significância (α) de 5% foi considerado. Conclusão: Não houve diferença estatisticamente significativa na distribuição da variável PSA (ng/dl) ou do marcador PSA livre (ng/dl) em relação aos grupos 34ßE12, p63 e AMACR. A curva ROC indicou que o PSA (ng/dl) é um preditor moderado para o resultado da biópsia, usando os marcadores 34ßE12, p63 e AMACR com valores preditivos positivos médios (MPVP) de 0,623, 0,635 e 0,615, respectivamente. Quando analisamos o PSA livre (ng/dl) em relação a esses mesmos marcadores, os valores preditivos positivos médios (VPPM) foram de 0,743, 0,750 e 0,455, respectivamente. Entretanto, a nossa amostra de testosterona foi muito pequena para fornecer resultados significativos. Nossos resultados indicam que todos os marcadores avaliados são importantes para o diagnóstico o acompanhamento do câncer de próstata. O PSA livre demonstrou um bom valor preditivo positivo para os marcadores 34ßE12 e p63, mas um baixo valor preditivo positivo para o marcador AMACR.