bluuebunny/crossref_metadata_2025 huggingface dataset:
Uso de la ultrasonografía en la detección temprana de lesiones por presión. Revisión de la literatura
Authors: Méndez-Celis Paula , Silva- Jiménez Diego
Published: September 2024

Las lesiones por presión son un evento adverso de gran prevalencia, que en la mayoría de los casos resulta prevenible, por lo que evitar su ocurrencia o detectarlas en etapas primarias en esencial. Objetivo: Determinar la importancia clínica del uso de la ultrasonografía en la detección precoz de las lesiones por presión. Método: Se realizó una revisión de la literatura científica disponible en las bases de datos: SCOPUS, Web of Science, CINHAL y Scielo. Los criterios que limitaron la búsqueda fueron que fueran ensayos clínicos controlados, revisiones sistemáticas y meta-análisis y el idioma inglés y/o español. No se aplicó límite de años de publicación de los artículos. Resultados: se seleccionaron 5 artículos que cumplían con los criterios propuestos de un total de 3829 artículos encontrados. Se establece la importancia clínica del ultrasonido de alta frecuencia para la detección temprana de lesiones por presión, con un alto nivel de precisión en comparación a otras tecnologías similares. Conclusión: Esta revisión permite determinar las implicancias del uso del ultrasonido de alta frecuencia, tanto en al ámbito de la prevención de las LPP, como en el comportamiento de este tipo de lesiones; en cuanto a su evolución y cronicidad. Por ello, el uso de esta tecnología es altamente relevante para la clínica.
Saberes matemáticos e erros cometidos pelos estudantes do 4º ano diante dos problemas de Composição e Transformação
Authors: Fernandes Claudia Kelly Augusto , Martins Priscila Bernardo , Curi Edda
Published: September 2024

Neste texto pretendemos identificar os saberes matemáticos, os erros cometidos e as estratégias de estudantes utilizados por uma turma do 4º ano do Ensino Fundamental ao lidarem com problemas dos significados de Composição e Transformação do Campo Aditivo em uma avaliação diagnóstica. Para tanto, recorremos a uma metodologia de natureza qualitativa, de tipologias, análise documental e de conteúdo, na qual adotamos como corpus de análise o documento "Orientador para sondagem de matemática - Ciclo de Alfabetização e Interdisciplinar-Ensino Fundamental (São Paulo, 2019), da Secretaria Municipal de Educação do Município de São Paulo. Para o desenvolvimento da pesquisa, buscamos aprofundamento teórico nos estudos de Vergnaud (1996; 2009) e de outros pesquisadores que se debruçaram na Teoria Conceitual Aditiva (Magina e Campos, 2004; Nunes, Campos, Magina e Bryant, 2001.). Dentre os resultados, destacamos que a partir dos dados coletados, foi possível identificar que a maioria dos estudantes foram capazes de compreender o cálculo relacional nos problemas que representam a ideia de Composição e Transformação. No entanto, as dificuldades surgiram principalmente na execução do cálculo numérico, especialmente na operação de subtração com reserva. Isso sugere que os alunos podem ter uma compreensão conceitual dos problemas, mas enfrentam obstáculos na aplicação prática dos algoritmos matemáticos.
A faceta integralizadora da disciplina Resolução de Problemas do PROFMAT na Universidade Federal do Oeste da Bahia: Uma análise quantitativa
Authors: De Paula Marcelo , Lima Ferreira Joubert
Published: September 2024

Este artigo apresenta a faceta integralizadora do componente curricular Resolução de Problemas do mestrado PROFMAT da Universidade Federal do Oeste da Bahia em relação aos demais componentes curriculares. Por meio de um estudo do rendimento acadêmico dos estudantes, mensuramos qual a sua relação com os demais componentes, e se há causalidade. Fazemos uma análise descritiva, seguida de uma análise inferencial para comparação dos rendimentos médios e apresentamos uma modelagem estatística por regressão assumindo o componente Resolução de Problemas como variável resposta e os demais componentes como variáveis explicativas, para detectar quais componentes explicam de fato o seu rendimento e o seu caráter integralizador no contexto da matriz curricular. O banco de dados foi obtido via solicitação à PROTIC-UFOB sem a identificação nominal dos estudantes. Em relação aos resultados, a análise descritiva mostrou que o componente curricular Avaliação Educacional apresentou o maior rendimento médio e a menor variabilidade (Coeficiente de Variação: CV=3,2%) e o componente curricular Probabilidade e Estatística apresentou o menor rendimento médio e a maior variabilidade (Coeficiente de Variação: CV=26,3%). Em relação à análise inferencial por meio da análise de variância (ANOVA) constatamos que há diferença significativa entre os rendimentos médios dos componentes curriculares ministrados no PROFMAT-UFOB (Valor-p < 0,05). No âmbito da modelagem estatística por regressão, os componentes curriculares que, de fato, contribuem ou influenciam no rendimento acadêmico do componente Resolução de Problemas são dois (i) Matemática Discreta e (ii) Números e Funções Reais, caracterizando a atual faceta integralizadora do componente.
SCHWANNOMA BENIGNO EM MUCOSA JUGAL:
Authors: Almeida Sperini Beatriz , Pirana Calzavara Daniel , Lambert Bitarello Felipe , Macedo de Oliveira Michelly , Pirana SULENE PIRANA Pirana , Franceschi Saba Yara
Published: September 2024

Introdução: tumores de nervos periféricos são um grupo heterogêneo majoritariamente benignos e raros na população geral. O Schwannoma é o mais comum e tem sua origem nas células de Schwann. Ocorre com frequência em região de cabeça e pescoço, mas apenas 1% é intraoral. O tratamento de escolha é a excisão cirúrgica. Objetivo: relatar o caso de uma paciente com schwannoma benigno em mucosa jugal. Relato do caso: paciente do sexo feminino, 59 anos, com presença de massa de aspecto cístico em lábio inferior à direita, há 1 ano, indolor e de crescimento progressivo. Realizada cirurgia ambulatorial para exérese da lesão, o estudo anatomopatológico revelou a presença de proliferação fusocelular de baixo grau histológico e o estudo imuno-histoquímica revelou a presença de Schwannoma Benigno (Neurilemoma grau I). Após a remoção da nodulação, paciente não apresentou recidivas. Conclusão: o diagnóstico dessa patologia é um grande desafio, portanto, é importante para avaliar seu impacto e formas de apresentação na população. Isso envolve a identificação de complicações neurológicas associadas ao tumor, além de medidas de suporte e reabilitação para melhorar o bem-estar dos afetados. Sendo relevante para o diagnóstico precoce, a escolha adequada do tratamento, o avanço científico na compreensão do tumor e a melhoria da qualidade de vida dos pacientes afetados.
EXTROFIA DE BEXIGA E EPISPÁDIA EM RECÉM-NASCIDO DO SEXO FEMININO:
Authors: Resler Fernanda Alves , Baptistini Giovanna Pizzorusso , Fiorucci Isadora Barbosa , Santana Regiane Soares , Dos Santos Marcel Farias , Kerche Leandra Ernst
Published: September 2024

Introdução: A extrofia vesical é uma anomalia congênita que compreende a exteriorização da bexiga e uretra, as quais se desenvolvem fora do abdome. O objetivo é ampliar o conhecimento tanto da comunidade médica quanto das famílias que buscam informações sobre esta condição. Relato de Caso: Ao nascer, observou-se na paciente alterações urogenitais, que incluíam bexiga exposta, rotação externa dos ossos pélvicos, diástase púbica ampla, deslocamento anterior do ânus, clitóris bífido, possibilitando o diagnóstico de extrofia clássica de bexiga, associada a epispádia. Devido ao atraso no diagnóstico, somente após 14 dias, foi realizado o primeiro estágio do método Modern Staged Repair (MSR) de correção cirúrgica. Durante o período de internação, a paciente evoluiu com complicações. Após 9 meses da alta hospitalar, retornou para realizar a correção do primeiro estágio com a osteotomia bilateral junto à plástica de colo vesical. Até o presente momento, a criança apresenta bom estado geral, esperando a próxima cirurgia. Conclusão: A paciente foi diagnosticada com extrofia de bexiga associada ao desenvolvimento de epispádia e, portanto, não possui a forma mais grave da doença. Porém, não deixa de ser uma forma rara e de manejo complexo.
LENTES DE CONTATO DENTAL NA CORREÇÃO DE DIASTEMAS MAXILARES ANTERIORES UTILIZANDO PLANEJAMENTO DIGITAL E MOCK-UP
Authors: Maia Neves Garcia Amanda Aparecida , Gurgel Gomes Anna Clara , Tavares Rangel Bianca , Villanacci Pereira Ana Cristina , Campos Sugio Carolina Yoshi , Garcia Peterson Rogério , Neppelenbroek Karin Hermana , Suedam Valdey
Published: September 2024

Objetivo: o uso de ferramentas digitais na odontologia oferece uma nova perspectiva para as atividades clínicas diárias. A informação digital serve como ponto de partida para um enceramento e matriz intraoral, que é amplamente relatada na literatura como uma ferramenta de comunicação objetiva e eficiente entre dentista, paciente e técnico. Este relato de caso demonstra um planejamento estético digital para correção de diastemas maxilares anteriores com lentes de contato dental em dissilicato de lítio. Método: paciente JD, sexo feminino, 22 anos de idade, compareceu a clínica, queixando-se dos diastemas dos dentes anteriores superiores. A paciente relatou que havia realizado diversas restaurações diretas em resina composta, mas ainda estava insatisfeita com seu sorriso. Após o exame clínico, fotográfico e a obtenção dos modelos de estudo, um planejamento digital foi realizado e um novo modelo foi impresso. Nessa técnica, uma matriz de silicone foi realizada sobre o modelo para guiar o preparo vestibular e incisal. Após a confecção dos preparos, a moldagem e a escolha da cor, um mock-up com resina bisacrílica foi confeccionado para facilitar a visualização do resultado pela paciente. As lentes de contato em dissilicato de lítio foram cimentadas com cimento resinoso fotopolimerizável. Resultado: o tratamento mostrou um resultado estético satisfatório, o que foi ao encontro das expectativas da paciente.  Conclusão: a combinação do planejamento digital e mock-up para diagnóstico e planejamento de tratamento apresenta resultados previsíveis e altamente satisfatórios na reabilitação estética dos dentes anteriores.
ОҚЫТУ ПРОЦЕСІНДЕГІ ТАНЫМДЫҚ ІС-ӘРЕКЕТТІҢ ҚҰРЫЛЫМЫ
Authors: Мәулен Э.Қ.
Published: September 2024

Discusses the theoretical basis for improving the cognitive activity of students. If in the educational process to teach children to independent and creative activities, they develop intelligence and activated cognitive interest in knowledge.
ОҚУ САУАТТЫЛЫҒЫ – ИНТЕЛЕКТУАЛДЫ ТҰЛҒАНЫ ҚАЛЫПТАСТЫРУДЫҢ МАҢЫЗДЫ АЛҒЫ ШАРТЫ
Authors: Хасен Б. , Базарқұл Т.
Published: September 2024

In this article the pupil analyses the level of development of functional literacy in the secondary education system according the research of PISA and TIMSS in the Republic of Kazakhstan. The concept of functional literacy is revealed and its varieties are considered. She searched the theme deeply and written the varieties of the functional literacy. She describes it as real competent student. She also analyzes the influence of functional reading on reader literacy. According on the world experience, it is clearly stated about the problems of developing functional literacy in the education system of Kazakhstan. The formation of functional literacy is the main condition for improving the quality of teaching the state language in schools where the Kazakh language is studied as a second language. Specific conclusions based on several positions are recommended.
МӘТІНДІ ЕСЕПТЕР, ҚОЗҒАЛЫСҚА БАЙЛАНЫСТЫ МӘТІНДІ ЕСЕПТЕР ЖӘНЕ ОСЫ МӘСЕЛЕЛЕРДІ ОҚЫТУДЫҢТЕОРИЯЛЫҚ НЕГІЗІ
Authors: Эльвира Амантаева
Published: September 2024

The article is devoted to three issues: firstly, the general text problem, its functions, the role in teaching mathematics, analytical and synthetic methods for solving text problems, schemes of text problems, stagesof solving text problems, ideas of scientists in this field. Secondly, the most common text tasks for movements in the general education school curriculum, types of text tasks for movements, methods for solving them, solving problems related to movement using equations, using inequalities, as well as movement on water. Thirdly, examples related to the most common types of problems associated with movement, more precisely, complex problems in this direction and ways to solve them. The article is intended for specialists involved in the methodology of teaching mathematics, school teachers of mathematics, undergraduates.
The Effects of Exchange Rate Dynamics on Tax Revenues Collection: Evidence from Malawi Between 1990 and 2022
Authors: Chavula Khumbolane George
Published: September 2024

Exchange rate dynamics play a critical role in the determination of tax revenue collection yet remain underexplored in the literature for both Malawi and other sub-Saharan countries. This study addresses this gap by examining the impact of exchange rate dynamics, including devaluation policies and changes in exchange rate regimes on tax revenue collection in Malawi. Using time series secondary data from 1990 to 2022 and employing vector autoregressive (VAR) estimation techniques, the study finds that changes in factors such as exchange rates and the exchange rate regime Granger cause variations in Malawi’s tax revenues. The findings suggest that aligning tax reforms with the recognition of foreign exchange gains or losses could enhance domestic revenue mobilisation efforts, particularly through effectively taxing external currency-denominated assets and broadening the tax base.
The Effect of Regional Electronic Cargo Tracking Systems on Cargo Safety at the Kenya Revenue Authority
Authors: Wakuka Carolyn Gitegi
Published: September 2024

The Regional Electronic Cargo Tracking System (RECTS) was adopted by the Kenya Revenue Authority (KRA) to enhance cargo security and boost revenue collection. RECTS is aimed at addressing inefficiencies in vendor-operated Electronic Cargo Tracking Systems (ECTs) whose geo-fence routes can be manipulated, making it challenging to determine the exact location of the cargo. Their failure to send alerts on seal tampering and diversions has resulted in a substantial loss of revenue. This study sought to assess the impact of RECTS on cargo security with a focus on KRA customs operations. The study addressed the impact of RECTS cargo tracking on cargo security, the impact of RECTS cargo monitoring on cargo security, and the measurement of the impact of RECTS real-time response on cargo security at KRA. The research adopted a descriptive research design. The target population for this study was the 140 Rapid Response Units (RRU) and the Cargo Monitoring Unit (CMU) staff working at the five designated RRU stations along the Northern Corridor. Stratified simple random sampling was used to select 104 KRA staff to participate in the study. The primary data was collected by means of a self-administered questionnaire provided to the staff working at the five designated stations. Secondary data was collected from the records of the Cargo Monitoring Unit on incidents of theft, tampering and damage of cargo. The data was analysed using SPSS to compute descriptive and inferential statistics. The study established that the independent variables of cargo tracking, cargo monitoring and real-time response, significantly influence the dependent variable as they account for an 82.90 per cent variation in cargo security. The results of a multiple regression analysis established that cargo tracking has a positive and significant effect on cargo security (β1=0.873, p=0.000); that cargo monitoring has a positive and significant effect cargo security (β2=0.175, p=0.015); and that real-time response has a positive and significant effect cargo security (β3=0.222, P=0.000). The findings of the study revealed that cargo tracking enhances the security of the cargo by deterring cases of cargo diversion and by providing the exact location of the stolen, damaged or tampered cargo enabling the Rapid Response Unit to locate the cargo and resolve the situation immediately. Cargo monitoring enhances cargo security by providing real-time alerts in respect of cargo seal tampering which minimises the tampering that previously occurred during changeover of seals at border points. Additionally, real-time response enhances the security of cargo by reducing the time taken by the Rapid Response Unit to respond to and resolve cases of theft, tampering and cargo accidents during transit.
Analysis of Mining Rent Sharing : Case of the Kamoa-Kakula Project
Authors: Akabuele P Mukoko
Published: September 2024

This article aims at analyzing the rent sharing within the framework of the Kamoa-Kakula project which consists of the exploitation of a copper mine, located in the DRC. Based on data from the Integrated Development Plan of this project, published in October 2020, we used the FARI model approach to analyze the tax regime of the 2018 mining code and estimate the share falling to the State and the investors. Analysis of the results of our estimates shows, on the one hand, that the tax burden is close to observed international trends. Expected state revenues are USD 7.3 billion, according to the base scenario, while the Average effective tax rate (AETR) would be between 40.6 and 53.1%. On the other hand, although the innovations introduced increase the AETR, the latter tends to increase with the profitability of the project. Which allows us to conclude that this tax regime remains progressive, despite the increase in tax rates. Although theoretically, this new code seems advantageous for the State, its implementation should be accompanied by measures aimed at strengthening tax administration and control techniques, with the aim of confronting tax optimization practices.
Optimum Use of Recycled Waste Materials as Partial Replacement of Fine Aggregate in Portland Cement Concrete Mixes
Authors:   Professor of Civil Engineering, University of West Florida (UWF),11000 University Parkway, Pensacola, FL 32514, United States, Karim M A
Published: September 2024

This study explored the independent utilization of five common waste materials - rubber, plastic, glass, slag, and sewage sludge ash (SSA) - as partial replacement of fine aggregate in Portland cement concrete (PCC) mixes. The main objective was to determine an optimum substitution range for each waste material that would offer well performing concrete in terms of workability, compressive strength, and durability. To this end, multiple concrete batches were prepared, incorporating each waste material at four different levels: 5%, 10%, 15%, and 20% by weight of fine aggregate. Then, concrete samples (100-mm diameter × 200-mm tall cylinders) were cast from each batch and were moisture-cured for 7, 14, and 28 days prior to testing. Also, the chemical composition of each waste material was identified using FTIR spectroscopy to understand its impact on the development of concrete strength. While most waste led to the diminished strength gains at all substitution rates, the addition of glass, slag, and SSA contributed positively to the strength development at specific replacement levels: 5% for glass, 10 - 15% for slag, and 5 – 15% for SSA. Furthermore, these additions of glass and slag exhibited comparable workability and durability although SSA did not exhibit comparable workability and durability. The findings of this study can hold significant implications for environmental sustainability and cost effectiveness in construction projects.
THE IMAGE OF SILENCE IN THE PERCEPTUAL CODE OF RUSSIAN LINGUISTIC CULTURE
Authors: PEREDRIENKO T.Yu.
Published: September 2024

The article aims to examine the image of silence in the perceptual code of Russian linguistic culture. The materials of Russian National Corpus are used for determining the verbally expressed characteristics of the concept and its implicit meanings. The analysis of the material allows to characterize silence as an acoustic phenomenon, a situation of human quietness, an emotional and mental state of a person or society and background for other sounds. The image of silence is often personified, its infinity in time and space is emphasized, the connection with the divine principle is actualized, and the power of silence over man is noted. The ambivalence of the image leads to the appearance of both positive and negative assessments of silence, with the latter prevailing
LINGUISTIC AND SEMIOTIC SPECIFICS OF COMMERCIAL ADVERTISING OF BANKING SERVICES
Authors: SAVKO P.V.
Published: September 2024

Text in the science of the beginning of the XXI century is considered the transmission of not only verbal, but also non-verbal code of communication, actualizing the cognitive-discursive approach. Within the framework of this approach, the advertising text, like any other type of text, can be studied from the point of view of proxemics and kinesics. Isolating the means of data transmission of nonverbal codes representing space and movement, the theory of the use of proxemas and kinemas as direct components of the linguosemiotic code in the texts of promotional discourse is being developed. In this paper the functioning of the above lexemes is analyzed from the standpoint of broadcasting the linguosemiotic code through promotional videos of banking services that reveal the world-modeling potential of commercial advertising. Thus, among the speech techniques of transmitting proximal markers, appellatives indicating distance and pointing to other people, metaphorical representations, occasionalisms and rhetorical questions are highlighted. Non-speech techniques, in turn, are vertical movements and zooming the camera. Kinemas are transmitted using tokens indicating the ease of use of banking services. The obtained research results allow us to conclude that proxemas are used in order to save time, since they allow to verbally convey the space around the main character of the commercial through a single phrase or sentence. Kinemas together with proximal markers constitute a multimodal world-modeling code and are responsible for indicating the ease of use of banking services.
Labor-Saving in Order Picking- A Real Time Study Advancing Lean Operations
Authors: Rajesh Adithya Narayanan
Published: September 2024

Purpose: Efficient warehouse operations rely heavily on optimizing order picking processes, which are known to constitute a significant portion of overall operational costs. The aim is to enhance operational efficiency and cost-effectiveness by minimizing non-value-added tasks in warehouse operations.
Materials and Methods: This study investigates the transition from an Assisted-Picker model to a Solo-Picker model at a prominent 3PL service provider in India. The analysis compares two approaches for picking orders—pairing laborers versus employing a Solo-Picker—using metrics such as travel time and picking time.
Findings: Results reveal that while the Assisted-Picker model may initially show faster completion times for individual orders, the Solo-Picker model proves more efficient overall. This is attributed to the elimination of idle time associated with helpers and enhanced labor utilization efficiency. Real-time productivity data collected during the study period demonstrate a remarkable 44% increase in productivity with the Solo-Picker model, resulting in substantial Labor-Savings and significant reductions in operational costs.
Implications to Theory, Practice and Policy: This study highlights the critical importance of reevaluating traditional labor allocation strategies in warehouse environments. By identifying and eliminating non-value-added work, warehouses can move closer to lean and efficient supply chain management practices, ultimately enhancing overall productivity and cost-efficiency.
A Comprehensive Review and Evaluation of Duchenne Muscular Dystrophy (DMD) in a Specific Medical Center: Neurological and Cardiac Implications with a Focus on Retrospective Analysis of 16 Cases
Authors: AlQassmi Amal , Khaleel Huda
Published: September 2024

Purpose: The study aimed to investigate the effectiveness of various diagnostic and treatment strategies for Duchenne Muscular Dystrophy (DMD) in a cohort of 16 patients, focusing on their long-term outcomes.
Material and Methods:   A retrospective analysis was conducted using SPSS tools, including descriptive statistics, correlation analysis, and regression analysis. The study explored the relationship between initial diagnostic findings (CK levels, genetic mutations, ECHO, ECG) and patient outcomes, such as mobility and cardiac health.
Findings: The study's findings revealed significant outcomes in the management of Duchenne Muscular Dystrophy (DMD). Notably, 85% of patients treated with corticosteroids experienced a 60% improvement in mobility, while 50% of those receiving physiotherapy were able to maintain ambulation. Regarding cardiac health, the mean age of onset for cardiomyopathy was 12.5 years, with a prevalence rate of 25%, which is lower than in previous studies, suggesting that earlier and more effective interventions were implemented in this cohort. Additionally, the study found that higher CK levels and specific genetic mutations were predictive of more severe disease progression. A comparative analysis with prior research indicated lower rates of wheelchair dependency and cardiomyopathy in this cohort, potentially due to differences in patient demographics and treatment protocols.
Implications to Theory, Practice and Policy: This study supports the use of a multidisciplinary approach in DMD management, incorporating early diagnosis, personalized treatment plans, and innovative therapies such as plasmapheresis and gene therapy. It contributes new insights into optimizing care strategies for DMD and underscores the need for further research to validate these findings and explore new treatment avenues.
Investigating Factors that Influence Job Performance of Junior High School Teachers in Gomoa East District, Central Region
Authors: Ankrah Bismark Nii Ayi , Koomson Anthony
Published: September 2024

The study adopted a descriptive survey to investigate factors that influence job performance of junior high school teachers in Gomoa East District in the Central Region of Ghana. The population of the study was 60 junior high school teachers. Samples of 50 trained teachers were selected purposively. Data were gathered through the use of questionnaire. It was found that teachers were not regular in school, head teachers did not delegate responsibilities to teachers and students have learning difficulties. The study recommends that government reviews teachers’ condition of service and incorporate certain elements of incentives to boost their morale to work effectively. Again, school authorities must mobilize funds internally to help support teachers whose performance happened to be extremely good. Head teachers must involve teachers in decision making process through dialogues and frequent organization of staff meetings for them to air their views on what is bordering them and ways of improving the school system as such. Students must be made to adhere to rules and regulations through proper orientation and induction during their first day in the school and periodically, a meeting between school management and the students to throw more light on ways to adhere to such rules.
Physical Susceptibility As A Result of Psychological Trauma: A Study On A Doll’s House And Look Back In Anger
Authors: Ferdouse MST. Farhana
Published: September 2024

This article explores the theory that the psyche has inevitable ties connected to the state of the body. We live how we think, or, we think, therefore we are. Whatever a person goes through psychologically affects him/her physically, so whenever a person is in distress or mental pressure, it makes him/her physically vulnerable. This paper explores how the characters, Nora and Jimmy from the plays A Doll’s House and Look Back in Anger are significant characters who live under mental pressure/ trauma which causes them to obtain mental illnesses. As a result of their mental diseases, they are mentally and physically susceptible. The main body of the paper analyzes these two characters, prescribing them psychological disorders depending on trauma or stress. The paper also includes detailed information about Nora and Jimmy’s respective mental illnesses. This is achieved by observing these two characters’ gestures accurately and analyzing their mental diseases based on their symptoms. Some parts of the paper talk about how it is important not only to check on our physical health but also our mental health. In the end, the paper thoroughly analyzes the causes and symptoms of Nora and Jimmy’s mental illnesses, as well as their repercussions on their family life.
An energy-efficient cloud data center architectural model for the national data center of Bangladesh
Authors: Rongon Rabab Khan , Das Krishna
Published: September 2024

This study presents an energy-efficient cloud data center architecture concept for Bangladesh’s National Data Center. To reduce energy consumption and operational expenses, the model employs virtualization and load-balancing techniques, as well as renewable energy sources. The simulation results demon- strate that the model may drastically cut energy usage while maintaining high levels of performance and dependability. This research contributes to the worldwide challenge of climate change by offering a long-term solution for reducing the environmental effect of cloud data centers while maintaining the quality of cloud computing services.
A Study to Assess the Knowledge on Fire Safety at Work Place among the Health Care Workers at a Tertiary Care Hospital
Authors: Kavitha Rajendran Rangasamy , Gunaseelan Karunanithi , Madhumitha Sundaresan , Kesavarthini Devanandam , Kirthika Rajendran , Lavanya Datchanamoorthy , Merina Martin
Published: September 2024

Fire safety is a crucial set of precautions and practices designed to prevent the outbreak of fires, minimise their destructive potential, and ensure the safety of individuals and property. It also helps early detection, and effective response strategy in the event of a fire emergency. This study employed a descriptive cross-sectional analytical design, with 384 participants selected using a proportional quota sampling technique. A self-structured questionnaire was used to assess the knowledge of fire safety. This questionnaire covered various aspects of fire safety, including fire prevention strategies, early detection methods, and effective response strategies. The primary objective was represented by frequency and percentage, while the secondary objective was analysed using a chi-square test. This rigorous methodology ensures the reliability and validity of the study's findings. The results showed that most participants (77.1%) had good to very good knowledge, with 48.2 percent having good knowledge and 28.9 percent having average knowledge. Only 13.3 percent needed improvement. The study also found a statistically significant association between the level of understanding of fire safety and certain demographic variables. The fire safety interventions implemented at JIPMER, including periodic fire drills and comprehensive training, have been proved highly effective. Additionally, the annual fire safety training for healthcare workers, which covers fire safety regulations, evacuation procedures, and fire extinguishers, has contributed to the high level of knowledge among most healthcare workers at JIPMER, Puducherry.
Effect of Simulation-Based Ventilator Alarm Management Training on Nurse’s Knowledge and Practices in a Tertiary Care Hospital
Authors: Presannan Anjali , Riju Sibi , TK Ajesh , Dube Surya Kumar , Kumar Amandeep
Published: September 2024

This study aimed to evaluate the effectiveness of simulation-based ventilator alarm management training on knowledge and practice among nurses. It was conducted among 50 nurses of neurosurgery department AIIMS, New Delhi. Assessment of knowledge and practice regarding ventilator alarm management was done using researcher-developed knowledge questionnaire and observational checklist. Didactic teaching of 15- 20 minutes was done regarding various ventilator alarms following the baseline assessment. Hence, simulationbased teaching on managing ventilator alarm was conducted in a group of 3-4 participants which consisted of pre-brief (3-5 min explanation regarding the situation the participant was to experience), scenario run (7-10 min where the response and measures of managing different ventilator alarms are performed) and debrief (15-20 min of discussing the positive and right performance of participants followed by different areas requiring improvement). A low tech manikin (half body Laerdal manikin) was used for the simulation and the simulation was conducted in neuro ward of AIIMS, New Delhi. The entire intervention lasts for 40-45 min after which immediate post-test was done for knowledge and skill. Retention of knowledge was assessed 7 days after the intervention. Nurse’s knowledge range regarding mechanical ventilator alarm management in pre-test was 11 (8, 15) MED (IQR), post-test 1 was 15 (13, 17) MED (IQR), post-test 2 range was 15 (13.16) MED (IQR). Thus, there was significant improvement in the knowledge level of nurses regarding the ventilator alarm management after the intervention (p <0.001). The pre-practice score of nurse’s skill in managing mechanical ventilator alarm management was 3.5 (2, 5) MED (IQR) and postpractice score minimum maximum range was 10.5 (2, 14) MED (IQR). There was significant improvement in the skill level of nurses regarding the ventilator alarm management after the intervention (p <0.01). Simulation-based education improves nurse’s knowledge and practice in recognising and managing the ventilator alarms.
Hereditary hemochromatosis as an independent predictor of portal vein thrombosis: national inpatient sample (2016-2020) analysis
Authors: Kharel H , Bhandari Samikchhya Keshary , Pokhrel NB , Kharel Z , Jain T , Sanjeevi A , Niu C
Published: September 2024

Hereditary hemochromatosis is a common inherited metabolic disorder of iron metabolism with variable penetrance. Portal vein thrombosis has several well-known causes including cirrhosis, myeloproliferative neoplasm, inflammatory conditions of the abdomen, intra-abdominal malignancy, intra-abdominal surgery, and thrombophilia. It is unknown whether hereditary hemochromatosis is associated with portal vein thrombosis. Material and methodology. A retrospective analysis of the National Inpatient Sample database from 2016 to 2020 was conducted using International Classification of Diseases-10 codes to identify hospitalizations with portal vein thrombosis. We used multivariate regression analysis to calculate the adjusted odds ratio after controlling for age, gender, insurance type, Charlson Comorbidity Index, cirrhosis, myeloproliferative neoplasm, inflammatory conditions of the abdomen, intra-abdominal malignancy, intra-abdominal surgery, history of past thrombosis, thrombophilia, end-stage renal disease, obesity,smoking, and hyperlipidemia. Results. There were 25805 hospitalizations with primary diagnosis of portal vein thrombosis. Multivariate logistic regression showed that hereditary hemochromatosis was independently associated with portal vein thrombosis (Odds ratio= 4.7, 95% CI=1.15 to 19.35, p-value=0.03) when cirrhosis, myeloproliferative neoplasm, inflammatory conditions of the abdomen, intra-abdominal malignancy, history of thrombosis, history of abdominal surgery, history of thrombophilia, and end-stage renal disease among other factors were controlled.
თიმომა (ლიტერატურის მიმოხილვა)
Authors: Lagvilava A.
Published: September 2024

The work discusses the data of modern literature on thymoma, classification of the disease, epidemiological aspects, clinical picture, features of diagnosis and treatment. The collection of information and material retrieval was carried out using the systems of amniocentesis, and amniocentesis. This study includes data from both retrospective and prospectus clinical trials. The experience of both our and other modern clinics is used. The paper discusses and presents concepts of classification systems, forecast factors, specific paraneoplastic syndromes characteristic of thymomas. Important diagnostic studies such as computed tomography, magnetic resonance imaging, positron emission tomography and morphological verification are discussed.

ნაშრომში განხილულია თანამედროვე ლიტერატურის მონაცემები თიმომის შესახებ, დაავადების კლასიფიკაცია, ეპიდემიოლოგიური ასპექტები, კლინიკური სურათი, დიაგნოსტიკის და მკურნალობის თავისებურებები. ინფორმაციის შეგროვება და მასალის მოძიება განხორციელდა Elibray, და Medline სისტემების გამოყენებით. აღნიშნულ კვლევაში შეტანილია როგორც რეტროსპექტული, ასევე პროსპექტული კლინიკური კვლევების მონაცემები. გამოყენებულია როგორც ჩვენი, ასევე სხვა თანამედროვე კლინიკების გამოცდილება. ნაშრომში განხილულია და წარმოდგენილია კლასიფიკაციის სისტემების კონცეფციები, საპროგნოზო ფაქტორები, თიმომებისთვის სახასიათო სპეციფიკური პარანეოპლაზიური სინდრომები. განხილულია მნიშვნელოვანი სადიაგნოსტიკო კვლევები, როგორებიცაა: კომპიუტერული ტომოგრაფია, მაგნიტურ-რეზონანსული ტომოგრაფია, პოზიტრონულ-ემისიური ტომოგრაფია და მორფოლოგიური ვერიფიკაცია. ლიტერატურის მიმოხილვისას, განსაკუთრებულ ყურადღებას იპყრობს ქირურგიული მკურნალობის და ინტრაოპერაციული ტაქტიკის საკითხები, კომბინირებული მკურნალობის სტრატეგია. თიმომა იშვიათი ავთვისებიანი სიმსივნეა. დაავადების გრძელვადიანი დაკვირვების პირობებში, მოხდა სადიაგნოსტიკო მიდგომების და მკურნალობის მეთოდების გადაფასება. დაავადებას, ჩატარებული რადიკალური ქირურგიული მკურნალობის მიუხედავად, ახასიათებს გვიანი ადგილობრივი რეციდივები, რაც განაპირობებს კომბინირებული მკურნალობის სტრატეგიის განხილვის აუცილებლობას.
მსხვილი ნაწლავის სტენტირება ურგენტულად ნაწლავის რეზექციისა და პირველადი ანასტომოზის ფორმირების წინააღმდეგ მსხვილი ნაწლავის ავთვისებიანი გაუვალობების დროს: პროსპექტული კოჰორტული კვლევა
Authors: Merabishvili G. , Mosidze B. , Demetrashvili Z. , Agdgomelashvili Ia.
Published: September 2024

The goal of our study was to determine whether colon stenting and later managing these patients through ERAS guidelines affected on hospital stay days and on other complication rates in case of acute left sided malignant colon obstruction compared to traditional care method - with colon resection and primary anastomosis formation. In traditional care group of emergency colorectal surgeries (resection and primary anastomosis) we included 36 patients (Group A). In this group we observed that postoperative hospital stay days were 8-10. Infection complications high rate - 22.2%, 30-day readmission rate - 19.4%, PONV - 41.6%, respiratory complications - 16.6%, deep vein thrombosis - 5.5%, prolonged postoperative ileus - 19.4%, anastomosis leak - 11.1%. In the second group of colon stenting and ERAS we included 12 patients. Our study demonstrates that hospital stay days was significantlly decreased and it was average 5 days. Compared to traditional care group (Group B) respiratory complications number was 0, PONV - 8,3%, postoperative prolonged ileus 0, deep vein thrombosis 0, urine retention 0, 30-day readmission rate 0, surgical site infection 0, anastomosis leak 0.

კვლევის მიზანი იყო, რომ განგვესაზღვრა თუ რამდენად ახდენდა გავლენას მსხვილი ნაწლავის სტენტირება და შემდეგში უკვე ERAS გაიდლაინების მიხედვით პაციენტების მართვა საწოლდღეების რაოდენობასა და სხვა გართულებების რიცხვზე მსხვილი ნაწლავის ობტურაციული გაუვალობების დროს ტრადიციული მკურნალობის მეთოდებთან შედარებით - ნაწლავის რეზექციითა და პირველადი ანასტომოზის ფორმირებით. ურგენტულად ჩატარებული კოლორექტული ქირურგიის (ნაწლავის რეზექცია და პირველადი ანასტომოზის ფორმირება) ტრადიციული მკურნალობის ჯგუფში ჩვენ ჩავრთეთ 36 პაციენტი. აღნიშნულ ჯგუფში საწოლდღეების რიცხვი იყო 8-10 დღე. დაფიქსირდა ინფექციების მაღალი რიცხვი - 22.2%, 30 დღის განმავლობაში რეჰოსპიტალიზაციების რიცხვი - 19.4%, PONV - 41.6%, რესპირატორული გართულებები - 16.6%, ღრმა ვენების თრომბოზი - 5.5%, გახანგრძლივებული პოსტოპერაციული ილეუსი - 19.4%, ანასტომოზის უკმარისობა - 11.1%. მსხვილი ნაწლავის სტენტირებისა და ERAS-ის ჯგუფში ჩავრთეთ 12 პაციენტი. ჩვენმა კვლევამ აჩვენა, რომ ამ ჯგუფში საწოლდღეების რიცხვი მნიშვნელოვნად იყო შემცირებული და ის იყო საშუალოდ 5 დღე. ტრადიციული მკურნალობის ჯგუფთან შედარებით რესპირატორული გართულებების რიცხვი იყო 0, პოსტოპერაციული PONV - 8.3%, პოსტოპერაციული ილეუსი 0, ღრმა ვენების თრომბოზი 0, შარდის შეკავება 0, 30 დღის განმავლობაში რეჰოსპიტალიზაციების რიცხვი - 0, ქირურგიული მიდამოს ჭრილობის ინფექცია - 0, ანასტომოზის უკმარისობა - 0.
25 წელი ლილოს რადიოლოგიური ინციდენტიდან: მიმოხილვა და გახანგრძლივებული დაკვირვების შედეგები
Authors: Jikia D. , Chkhikvadze T.
Published: September 2024

In 1996-1997, a radiological accident occurred in the territory of the training center of the former Soviet troops in Lilo, a suburb of Tbilisi, Georgia, as a result of which 11 military personnel received acute radiation trauma. Today, this incident is known as "The Radiological Accident in Lilo". We are conducting extended monitoring and treatment of the victims of this accident. It should be noted that such long-term observation is very rare around the world, and the patients affected by the radiological accident in Lilo are still under the attention of experts of the World Health Organization and the International Atomic Energy Agency, as well as foreign colleagues (France, Germany, Russia). The paper presents the prolonged obser- vation of two victims (1AN II and 3CG II), the complications identified during this period, and the results of their treatment.

1996-1997 წლებში საქართველოში, თბილისის გარეუბანში - ლილოში, ყოფილი საბჭოთა ჯარების სასწავლო ცენტრის ტერიტორიაზეგანვითარდარადიოლოგიურიინციდენტი,რომლისშედეგადაცმწვავესხივურიტრავმამიიღო11სამხედრო მოსამსახურემ. დღეს ეს ინციდენტი ცნობილია, როგორც "ლილოს რადიოლოგიური ინციდენტი". ჩვენ ვახორციელებთ ამ ინციდენტის დროს დაზარალებულთა გახანგრძლივებულ მონიტორინგს და მკურნალობას. აღსანიშნავია, რომ მსგავსი გახანგრძლივებული დაკვირვება ძალზე დიდი იშვიათობაა მთელს მსოფლიოში და ლილოს რადიოლოგიური ინციდენტის დროს დაზარალებული პაციენტები დღემდე იმყოფებიან ჯანდაცვის მსოფლიო ორგანიზაციის და ატომური ენერგიის საერთაშორისო სააგენტოს ექსპერტების, უცხოელი კოლეგების (საფრანგეთი, გერმანია, რუსეთი) ყურადღების ქვეშ. ნაშრომში წარმოდგენლია ორი დაზარალებულის (1AN II და 3CG II) გახანგრძლივებული დაკვირვება, ამ პერიოდში გამოვლენილი გართულებები და მათი მკურნალობის შედეგები.
Spread of Shintoism in Korea During the Colonial Period
Authors: Шуплецова К.В.
Published: September 2024

В данной статье рассматривается религиозная политика Японской империи в Корее в колониальный период 1910—1945 гг. Целью японского правительства являлась ассимиляция корейского населения и укрепление культа императора, что было необходимо для сохранения контроля над населением. С этой целью генерал-губернаторство начало проводить политику подчинения религиозных организаций и установления контроля над ними, и затем повышать роль синтоизма — “исконно японской религии” — в корейском обществе. Постепенно синто утратил свою религиозную значимость и стал играть идеологическую роль как на территории Японии, так и в колониальной Корее. С 1930-х годов начинается активное строительство синтоистских храмов; школьников привлекают к проведению церемоний. Политика сопровождалась достаточно жесткими мерами и не была принята корейской молодежью так, как ожидалось.

This article examines the religious policy of the Japanese Empire in Korea during the colonial period 1910—1945. The goal of the Japanese government was to assimilate the Korean population and strengthen the cult of the emperor, which was necessary to maintain control over the population. To this end, the General-Government began to pursue a policy of subordinating and establishing control over religious organizations in order to increase the role of Shintoism (the “original Japanese religion”) in the Korean society. Gradually, Shinto lost its religious significance and began to play an ideological role both in Japan and in colonial Korea. Since the 1930s construction of Shinto shrines begun, schoolchildren got involved in ceremonies. The policy was accompanied by quite harsh measures and was not accepted by Korean youth as expected.
Toepassing van data-analyse om de steekproef te rationaliseren
Authors: Derks Koen , Mensink Lotte , de Swart Jacques , Wetzels Ruud
Published: September 2024

Data-analyse wordt steeds belangrijker in de audit. Hoewel het potentieel om de audit efficiënter te maken groot is, worstelen veel auditors met het integreren van de resultaten van deze analyses om daarmee de vervolgwerkzaamheden te verlichten. Dit artikel bespreekt de integratie van de resultaten van data-analyse in de steekproeffase middels Bayesiaanse statistiek, en beargumenteert dat dit kan leiden tot een verbetering van de efficiëntie en transparantie. Drie voorbeelden van regressie, classificatie en clustering illustreren deze aanpak. Het artikel sluit af met aanbevelingen voor de praktische toepassing van deze methodiek.
DROUGHT STRESS ALLEVIATION: THE CONTRIBUTION OF A SOIL BACTERIUM AND AN ARBUSCULAR MYCORRHIZAL FUNGUS IN SCALLION
Authors: Chakravarty Paris , Zhang Charles
Published: September 2024

Recent climate change and global warming have caused extreme heat and low rainfall which negatively affected soil nutrient, fertility status, decreased water content, and changed physiochemical properties of agricultural soils in many parts of the globe. As a result of drought, crop production is seriously reduced. The beneficial effects of soil microorganisms including arbuscular mycorrhizal fungi and rhizospheric bacteria on crop production and soil health are vital for the sustainable management of stressed agricultural practices. The present study evaluated the effects of an arbuscular mycorrhizal fungus, Rhizophagus irregularis, and a rhizospheric bacterium, Pseudomonas flourescens, alone and in dual inoculation on the survival, growth, mycorrhizal colonization, nutrient uptake, glomalin production, and soil aggregation of Allium fistulosum plants. In water-stressed soil, seedling survival, growth, total biomass, nutrient uptake, glomalin production, and soil aggregation were significantly increased when inoculated with R. irregularis and P. flourescens. Dual inoculation with R. irregularis and P. flourescens produced vigorous seedlings which contained higher amount of nitrogen, phosphorus, potassium contents, glomalin production, and soil aggregation compared to single inoculation. The present results indicate that arbuscular mycorrhizal fungi and beneficial rhizospheric bacteria offer potential for biofertilizers and mitigating drought in A. fistulosum plants.