bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effect of Corticosteroids on Sinus Microbiota in Chronic Rhinosinusitis Patients with Nasal Polyposis
Authors: Alammar Yousif , Rousseau Simon , Desrosiers Martin , Tewfik Marc A.
Published: July 2023

Background

Chronic rhinosinusitis with nasal polyposis (CRSwNP) is a multifactorial disease with no known single cause, but it is thought that bacteria play a role in the disease process.

Objective

This pilot study aims to assess the longitudinal effect of corticosteroid therapy on sinus microbiota in chronic rhinosinusitis patients with nasal polyposis (CRSwNP).

Methods

A longitudinal prospective case-control study was done on patients with CRSwNP and healthy controls. Patients with CRSwNP were randomly allocated to a corticosteroids and antibiotics treatment group (CRSwNP-SA) or a corticosteroid-only treatment group (CRSwNP-S). Data were collected at three-time points (before treatment, 1, and 3 months after treatment). Specimens were cultured and matrix-assisted laser desorption ionization-time of flight (MALDI-TOF) mass spectrometry (MS) was used as a bacterial detection method.

Results

Data from 29 patients with CRSwNP (16 CRSwNP-SA and 13 CRSwNP-S) was compared to 15 healthy subjects. Patients reported significant symptom improvement initially (1 month), but not in the long-term (3 months). This result was found in both treatment groups, whether or not antibiotics were used. After 3 months from treatment, the prevalence of Corynebacterium genera tended to increase in the CRSwNP-SA, while Staphylococcus and Gram-negative genera (Pseudomonas) tended to increase in the CRSwNP-S. Smoking, aspirin sensitivity, and previous endoscopic sinus surgery were found to be co-factors significantly associated with the response to systemic corticosteroid therapy.

Conclusion

In this pilot study, both treatment options were effective to improve symptoms in the short-term but not in the long-term, and were not linked to any clear sinus microbiota response. As a result, this study supports the avoidance of systemic antibiotics without evidence of active infection.
Nostalgia Counteracts Social Anxiety and Enhances Interpersonal Competence
Authors: Dai Yuwan , Jiang Tonglin , Wildschut Tim , Sedikides Constantine
Published: July 2023

Socially anxious individuals struggle with establishing and maintaining social relationships. We hypothesized that, when socially anxious, people often turn to nostalgia, which alleviates the interpersonal competence deficits that accompany social anxiety. We tested and supported this hypothesis in six studies ( N = 1,858), three preregistered. In cross-sectional Study 1, higher (compared with lower) social anxiety individuals more frequently identified interpersonal incompetence as a trigger of nostalgia. In cross-sectional Study 2, social anxiety was associated negatively with interpersonal competence, but positively with nostalgia, which in turn predicted higher interpersonal competence. In the final four studies, we tested causation. Although social anxiety reduced interpersonal competence, it also triggered nostalgia (Studies 3–3S), and nostalgia increased interpersonal competence (Studies 4–5).
Dairy products intake and the risk of postpartum depression among mothers: A pilot study
Authors: Almasaudi Arwa S , Alashmali Shoug , Baattaiah Baian A , Zedan Haya S , Alkhalaf Majid , Omran Salma , Alghamdi Aseel , Khodary Aseel
Published: July 2023

Introduction:

Postpartum depression is a prevalent consequence of childbirth experienced by many women. There has been evidence linking dairy intake during pregnancy with a reduction in postpartum depression symptoms. However, there is still a lack of understanding regarding the effects of postpartum dairy consumption on postpartum depression.

Objectives:

To examine whether dairy products intake and calcium in dairy is associated with postpartum depression.

Methods:

A pilot study was conducted ( n = 49 postpartum women). A food frequency questionnaire was used to evaluate the participants’ consumption of calcium and dairy products during pregnancy, and the Edinburgh Postnatal Depression Scale was used to screen for postpartum depression symptoms.

Results:

Of 49 participants, 26 (53%) were at risk for postpartum depression (Edinburgh Postnatal Depression Scale ⩾ 12). Consuming >1 serving of Laban per day is significantly associated with reduced risk of postpartum depression (odds ratio = 0.01, 95% confidence interval [0, 0.3]). Total dairy intake >1 serving per day is significantly associated with reduced risk of postpartum depression (odds ratio = 0.17, 95% confidence interval [0.03, 0.83]). No significant association was found between the postpartum intake of milk, cheese, yogurt, or calcium and postpartum depression.

Conclusion:

Our findings indicate that higher total dairy intake was associated with a lower likelihood of postpartum depression. Further assessment with a larger sample size of participants could provide additional insight into the potential of dietary dairy to mitigate postpartum depression.
Speech Intelligibility in Reverberation is Reduced During Self-Rotation
Authors: Hládek Ľuboš , Seeber Bernhard U.
Published: July 2023

Speech intelligibility in cocktail party situations has been traditionally studied for stationary sound sources and stationary participants. Here, speech intelligibility and behavior were investigated during active self-rotation of standing participants in a spatialized speech test. We investigated if people would rotate to improve speech intelligibility, and we asked if knowing the target location would be further beneficial. Target sentences randomly appeared at one of four possible locations: 0°, ± 90°, 180° relative to the participant's initial orientation on each trial, while speech-shaped noise was presented from the front (0°). Participants responded naturally with self-rotating motion. Target sentences were presented either without (Audio-only) or with a picture of an avatar (Audio–Visual). In a baseline (Static) condition, people were standing still without visual location cues. Participants’ self-orientation undershot the target location and orientations were close to acoustically optimal. Participants oriented more often in an acoustically optimal way, and speech intelligibility was higher in the Audio–Visual than in the Audio-only condition for the lateral targets. The intelligibility of the individual words in Audio–Visual and Audio-only increased during self-rotation towards the rear target, but it was reduced for the lateral targets when compared to Static, which could be mostly, but not fully, attributed to changes in spatial unmasking. Speech intelligibility prediction based on a model of static spatial unmasking considering self-rotations overestimated the participant performance by 1.4 dB. The results suggest that speech intelligibility is reduced during self-rotation, and that visual cues of location help to achieve more optimal self-rotations and better speech intelligibility.
The Rabies Free Burkina Faso initiative: an example of how one health-oriented civil society organizations can contribute towards the achievement of the rabies zero by 30 goal
Authors: Savadogo Madi , Dahourou Laibané Dieudonné , Ilboudo Abdoul Kader , Ilboudo Sidwatta Guy , Zangré Hamidou , Tarnagda Grissoum , Souli Zacharia , Combari Alima Hadjia Banyala , Diarra Ramata , Bidima Mémouna , Traoré Marina Gracienne Bintou , Mandé Charles Dieudonné , Sondo Kongnimissom Apoline , de Balogh Katinka
Published: July 2023

While technologies, tools and expertise have proven that countries can be made safe from dog-mediated human rabies, the disease remains a major public health threat in Burkina Faso. The paper reports the experience and success stories of Rabies Free Burkina Faso, an initiative established in 2020 as an example of civil society organization that promotes One Health for integrated rabies control in Africa. As recommended in the Global strategic plan, rabies elimination requires a systematic One Health approach, enhancing pre-exposure and postexposure prophylaxis, dog population management, dog vaccination, awareness raising, diagnosis, surveillance, funding as well as policies and regulations. Rabies Free Burkina Faso was established on 28 September 2020 as not-for-profit organization and aims to strengthen the use of a One Health approach as a non-governmental, multidisciplinary initiative dedicated to promoting rabies elimination. Categories of interventions developed by Rabies Free Burkina Faso cover awareness raising, training and One Health capacity building, dog rabies vaccination, seeking vaccines and providing support, including financial resource to communities to ensure that bite victims are appropriately provided with post-exposure prophylaxis, research, community engagement and joint outbreak investigation in collaboration with competent authorities. Reported success stories confirm the relevance of roles that can be played by Rabies Free Burkina Faso supporting animal health and human health authorities in the fields of rabies control and One Health development in the country.
Determination of the ED90 of Dexmedetomidine Infusion to Prevent Emergence Agitation in Children Undergoing Dental Rehabilitation With Sevoflurane Anesthesia: A Biased-Coin Up-and-Down Sequential Allocation Trial
Authors: Zhou Dan , Yang Xu-Dong , Wu Hai-Yin , Xiong Guo-Li , Wang Li-Kuan
Published: July 2023

BACKGROUND:

Emergence agitation (EA) is an adverse complication during early recovery from sevoflurane anesthesia. Continuous intravenous infusion of dexmedetomidine (DEX) is commonly used for EA prevention. However, a wide dose range is used for preventing EA, and the optimal dose remains unknown. This study was aimed at determining the optimal dose (the 90% effective dose [ED90]) of DEX for continuous intraoperative infusion for EA prevention in children.

METHODS:

We enrolled children aged 3 to 7 years who underwent dental treatment under sevoflurane anesthesia. DEX was continuously infused from the time of the establishment of the intravenous access until 5 minutes before the end of surgery. The initial DEX dose was 0.5 µg/kg/h, and subsequent dose adjustments were determined based on the response of the previous patient by using an up-down sequential allocation with a biased-coin design. The primary outcome was the ED90 for continuous DEX infusion based on the success or failure of the EA-preventing dose.

RESULTS:

Forty-five patients were enrolled in the study. The DEX dose ranged from 0.50 to 0.90 µg/kg/h. The estimated ED90 (95% confidence interval [CI]) for preventing EA was 0.74 µg/kg/h (0.67–1.05 µg/kg/h). The duration of surgery (mean ± standard deviation [SD]) was 113 ± 30 minutes. The times (mean ± SD) for extubation, time to emergence, and recovery time were 5 ± 2 minutes, 27 ± 9 minutes, and 39 ± 7 minutes, respectively.

CONCLUSIONS:

The ED90 for continuous intraoperative DEX infusion for EA prevention in pediatric patients receiving dental treatment under sevoflurane anesthesia was 0.74 µg/kg/h (95% CI, 0.67–1.05 µg/kg/h).
The immediate treatment outcomes and cost estimate for managing clinical measles in children admitted at Mulago Hospital: A retrospective cohort study
Authors: Namugga Barbara , Malande Ombeva , Kitonsa Jonathan , Manirakiza Leonard , Banura Cecily , Mupere Ezekiel
Published: July 2023

Over the recent years, the Ministry of Health in Uganda has reported multiple measles outbreaks in various districts despite the availability of a safe cost effective vaccine. Measles, especially among the unvaccinated can lead to serious complications including death while its management heavily burdens the family and health care system. This study aims to determine the immediate treatment outcomes and estimate the cost of treating a measles case. A retrospective cohort study using records review was conducted among children 0–12 years admitted at Mulago hospital throughout 2018. Demographics, complications, vaccination status, discharge status, duration of hospital stay, type of treatment, supplies and investigations done were abstracted from the patient charts. Treatment costs were obtained from the hospital pharmacy price list while the unit cost of utilities, human resource, food and security were obtained from the hospital accounts department. Patients’ characteristics were summarized descriptively. Cost information, was reported as mean with standard deviation (SD) and range, and was stratified and presented as direct health care (blood test, radiology and treatment) and direct non health care costs. Among 267 reviewed patient charts, the median age was 1.0 ((IQR 0.75–2) years. 63patients (24%) were immunised, 79 (29%) were not immunized, Median length of hospital stay was 4.0 days (IQR 3.0–7.0) with majority (n = 207, 77%) staying < 7 days. 30 patients (11%) died with mortality highest among the unimmunised (n = 13, 44%) and severe pneumonia (39.5%) was the commonest complication. 114.5 USD was estimated to treat a child with measles. Human resource (79.33USD, SD 4.63) and treatment costs (21.98USD, SD 22.77) were the largest expenses. Complications are common in majority of fatal measles cases and these carry a high cost to the healthcare system.
The experience of being a caregiver of patients with digestive cancer, from patients and caregivers’ perception: A mixed study
Authors: Grivel Charlotte , Nizet Pierre , Martin Manon , Pécout Solange , Lepeintre Aurélie , Touchefeu Yann , Prot-Labarthe Sonia , Evin Adrien , Huon Jean-François
Published: July 2023

Backgrounds

Caregivers are essential in the care of a patient with digestive cancer. Considering their experience and needs is crucial.

Objectives

To explore the experience of caregivers of patients with digestive cancer and to compare the perspectives of patients and caregivers.

Methods

A mixed-methods study with a cross-sectional prospective and a comprehensive qualitative dimension was performed in a medical oncology unit in a French tertiary hospital. Dyads made of patients with digestive cancer and their caregiver were recruited. The Caregiver Reaction Assessment (CRA) and the Supportive Care Needs Survey for Partners and Caregivers (SCNS-PC) questionnaires were distributed to caregivers. The CRA was used to measure the caregiver burden and the SCNS-PC was used to identify the unmet supportive care needs of caregivers. Semi-structured interviews with the dyads were conducted. Qualitative interviews addressed various dimensions of the caregiver’s experience from each dyad’s member perspective.

Results

Thirty-two caregivers completed the questionnaires. Responses showed high self-esteem, schedule burden, and a need for care and information services. Ten dyads participated in the interviews. Three themes emerged from the caregiver’s interviews: illness is an upheaval; loneliness and helplessness are experienced; caring is a natural role with positive outcomes. Four themes emerged from patient’s interviews: the caregiver naturally assumes the role and gets closer; he is the patient’s anchor; his life is disrupted; anxiety and guilt accompany the desire to protect him. In comparing patient and caregiver data, the main theme of disagreement was their relationship.

Conclusions

Caregiver care does not appear to be optimal, particularly in terms of their need for information. Patients have a fairly good representation of their experience, but the caregivers’ opinion need to be considered.
HUBUNGAN ANTARA DUKUNGAN SOSIAL TEMAN SEBAYA DAN ADAPTABILITAS KARIR PADA MAHASISWA BIDIKMISI TAHUN PERTAMA, KEDUA, KETIGA, DAN KEEMPAT DI FAKULTAS HUKUM UNIVERSITAS DIPONEGORO
Authors: Barita Christine Dessy , Sawitri Dian Ratna
Published: July 2023

Penelitian ini bertujuan untuk mengetahui hubungan antara dukungan sosial teman sebaya dan adaptabilitas karir pada mahasiswa bidikmisi tahun pertama, kedua, ketiga, dan keempat di Fakultas Hukum Universitas Diponegoro. Dukungan sosial pada penelitian ini merujuk pada perceived support yaitu segala bantuan yang berasal dari teman sebaya dan dirasakan oleh individu, sehingga individu merasa diperhatikan, dihargai, dicintai dan dapat diandalkan. Adaptabilitas karir adalah kemampuan individu dalam mempersiapkan dan mengatasi permasalahan kompleks dan tidak terduga yang muncul sebagai perubahan tugas perkembangan karir, dan kondisi yang terkait pekerjaan. Populasi pada penelitian ini adalah 177 mahasiswa bidikmisi tahun pertama sampai keempat di Fakultas Hukum Universitas Diponegoro. Sampel sebanyak 127 mahasiswa yang diperoleh dengan convenience sampling. Alat ukur dalam penelitian ini adalah Skala Dukungan Sosial Teman Sebaya (36 aitem, α 0,951) dan Skala Adaptabilitas Karir (45 aitem, α 0,961). Hasil uji hipotesis analisis regresi sederhana menunjukkan angka rxy = 0,552 dengan signifikansi p = 0,000 (p<0,05). Hasil penelitian ini menunjukkan bahwa terdapat hubungan positif yang signifikan antara dukungan sosial teman sebaya dan adaptabilitas karir. Dukungan sosial teman sebaya memberi sumbangan efektif sebesar 30,4% terhadap adaptabilitas karir pada mahasiswa bidikmisi tahun pertama sampai keempat di Fakultas Hukum Universitas Diponegoro.
BAJU KURUNG TRADISIONAL: CITRA DIRI PEREMPUAN MELAYU RIAU BERKEARIFAN LOKAL BUDAYA
Authors: Roza Ellya , Pama Sindi Ayudia , Erni Sukma , Pama Violeta Inayah
Published: July 2023

Artikel ini bertujuan mengkaji baju kurung tradisional sebagai citra diri perempuan Melayu Riau dan bukti bahwa perempuan Melayu Riau memiliki kearifan lokal budaya yang masih bertahan hingga kini. Hal ini disebabkan oleh visi Riau yang termaktub dalam Peraturan Daerah (Perda) Provinsi Riau Nomor 36 Tahun 2001 dan Perda Kota Pekanbaru Nomor 12 Tahun 2001 tentang pemakaian busana Melayu dilingkungan pendidikan, pegawai negeri sipil, swasta, badan usaha milik daerah, siswa yang ada di Riau. Metode yang digunakan adalah metode kualitatif dengan pendekatan etnografi. Kajian ini menemukan bahwa (1) baju kurung tradisional merupakan ekspresi dari identitas perempuan Melayu Riau yang berlandaskan syariat Islam dan dinyatakan dalam Visi Riau yakni Riau sebagai pusat kebudayaan Melayu di Asia Tenggara. Adanya landasan hukum tersebut, maka baju kurung tradisional menjadi kokoh sebagai citra diri perempuan Melayu Riau; (2) Model dan bentuk baju kurung tradisional adalah dengan menutup seluruh tubuh sebagaimana syariat Islam yang menjadi keyakinan masyarakat Riau. Desain baju kurung tradisional yang digunakan oleh masyarakat Melayu sekarang merupakan warisan dari kearifan lokal dalam bentuk budaya masyarakat masa lalu. Kesimpulannya rancangan pola baju kurung tradisional terlihat unsur pengaruh agama Islam dari segala aspek, baik pada baju bagian atas maupun baju bagian bawah atau yang dikenal dengan sebutan rok.
Age, sex and first language for the forensic linguistic profiling of teenagers in Catalan
Authors: Giménez García Roser
Published: July 2023

Margarita Salas Postdoctoral Research FellowUniversity of BarcelonaBarcelonaSpain
OS EFEITOS DA PANDEMIA DA COVID-19 NOS CUSTOS DE PRODUÇÃO DE SOJA TRANSGÊNICA EM MUNICÍPIOS BRASILEIROS
Authors: Menezes Beatriz Maria Barroso de , Franco Cleiton , Melo Sonia Beato Ximenes de , Andrade Mario Geraldo Ferreira de
Published: July 2023

As projeções do Banco Mundial (2020) demonstram os reflexos da pandemia da Covid-19 sobre o crescimento econômico mundial, gerando uma redução em 5,2% em 2020. A eclosão da pandemia de Covid-19 (coronavírus SARS-CoV-2), a partir da China em dezembro de 2019, provocou a necessidade de isolamento social, diante do elevado número de infectados, mortes e do iminente colapso dos sistemas de saúde. As repercussões econômicas provocadas pela Covid-19 geraram queda abrupta da oferta e demanda na maioria das atividades econômicas e sinais de recessão em nível mundial. O agronegócio por meio das exportações de commodities afeta positivamente a balança comercial brasileira. O objetivo deste trabalho é identificar os impactos da pandemia da covid-19 nos custos de produção de soja transgênica nos municípios brasileiros no período de 2018 a 2021. A metodologia consiste em realizar um levantamento dos custos fixos e variáveis de dados disponíveis no endereço eletrônico da Conab para os municípios brasileiros produtores de soja transgênica gerando um painel de dados para depois aplicar a técnica conhecida como regressão de diferenças em diferenças. Os resultados apontam para uma alta nos custos fixos de 31%. Quanto aos custos variáveis, houve um registro de 24% no grupo geral. Dentre os custos variáveis, as sementes se destacaram, com alta de 29%. Estes aumentos são reflexos da dos preços das commodities, desvalorização da moeda frente ao dólar e a crise gerada pela Covid-19 na oferta e demanda de alimentos global.
Arithmetic-Logic Single-Electron Nanocircuits
Authors: Melnyk Oleksandr , Kozarevych Viktoriia
Published: July 2023

Computer–added design of single-electron nanoelectronic circuits on quantum majority components has been implemented. Proposed methods of building logic-arithmetic computing devices of the combinational type, which implement an almost complete system of logical functions in both the majority and Boolean bases. Quantum cellular automata is a technology that emerged two decades ago, in which the values of logical states correspond to the positions of individual electrons. Quantum cells are used to construct logic nanoelements and arithmetic nanodevices. The work is dedicated to the computer design of modern logic and arithmetic devices, which include universal majority elements. In the work, quantum nano-devices are modeled using QCADesiner automated design system.
Проблемы связанные с предотвращением девиантного поведения у несовершеннолетних
Authors: Брюханова Е.А. , Мамоев Д.Д.
Published: July 2023

Написание научной статьи предполагает собой рассмотрение проблемы, связанные с предотвращением девиантного поведения несовершеннолетних и путь еѐ решения. Автор анализируют основные факторы, влияющие на возникновение девиантного поведения у подростков, такие как неблагоприятные социально-экономические условия, негативное влияние окружения, отсутствие родительского контроля и т.д. Рассматриваются меры, принимаемые государством и обществом для предотвращения девиантного поведения несовершеннолетних, в том числе социально-педагогические программы, профилактические мероприятия, реабилитационные программы и т.д. В заключении автор подводят итоги и делает выводы о необходимости комплексного подхода к проблеме.
Ятрогенные преступления, совершаемые в сфере родовспоможения
Authors: Виноградова Е.В.
Published: July 2023

В статье рассмотрены ятрогенные преступления, совершаемые в сфере родовспоможения в РФ. Описаны законодательные акты, регулирующие такие преступления, а также приведен пример из юридической практики РФ. Обсуждаются методы расследования ятрогенных преступлений, включая сбор доказательств, экспертизы, допросы и криминалистические исследования.
Авторское право, как гарант результатов интеллектуальной деятельности в современной цифровой среде.
Authors: Гармашев М.А. , Загрийчук Т.Г.
Published: July 2023

В данной статье дается определение понятию авторского права, так же рассматриваются особенности взаимосвязи между результатами интеллектуальной собственности и объектами авторского права, приподносятся анализу определенные функции авторского права в гражданском праве Российской Федерации с учетом специфики цифровизации объектов интеллектуальной собственности.»
Историко-правовая и экономическая характеристика транзита в Центральной Азии в эпохи Великого Шелкового пути
Authors: Жусупбаев К.К.
Published: July 2023

В статье рассмотрены история транзита в Великом Шелковом пути, проходившей через Центральную Азию. Исследованы появления транзита и транзитной торговли, этапы их развития в контексте функционирования Великого шелкового пути. На основе изученных историко-теоретических материалов сделано попытка формулировать представления о транзитной системе, ее характерных чертах и роль в экономико-социальной среде стран Центральной Азии, находящихся вдоль маршрута Великого Шелкового пути. Анализировано история регулирования транзита в трех этапах развития Великого Шелкового пути. В исследовании были использованы исторический и системно-структурный методы.
Актуальные вопросы коррупции на территории Дании и России
Authors: Кильметова Р.Р. , Агузарова А.Р. , Акоева Е.К. , Цопбоева В.Х.
Published: July 2023

В статье рассматриваются основные вопросы коррупции в Дании и России, еѐ причины и борьба с нею. Также приводятся сведения международных антикоррупционных движений.
PERTIMBANGAN HAKIM DALAM PENJATUHAN PIDANA DI BAWAH MINIMUM KHUSUS PERKARA NARKOTIKA: PUTUSAN NOMOR 215/PID.SUS/2020/PN.JTH
Authors: Fitri Nurul Aulia , Rustamaji Muhammad
Published: July 2023

This article aims to analyze the judge's considerations in imposing a sentence below the special minimum for narcotics crime cases by studying the decision of the Jantho District Court Number 215/Pid.Sus/2020/Jth which violates the special minimum criminal provisions in Law No.35 of 2009 concerning Narcotics. This research method is a prescriptive normative legal research with a case approach. Based on the research conducted by the author, it was found that in imposing a sentence below the special minimum in the narcotics crime case committed by T. Irfan, the judge made juridical and non-juridical considerations accompanied by the application of combined sentencing theory. This consideration is based on the fulfillment of the elements of the second alternative indictment, the fact that the purpose of possession of narcotics is for self-consumption, the provisions of the SEMA which accommodate the doubts of judges to then be able to commit deviations, and are based on the ability to be responsible, mitigating and aggravating things. The considerations in imposing the sentence are in accordance with legal objectives which are based on legal justice, legal benefits and legal certainty. From the results of this study it can be concluded that the use of articles regarding the possession and control of narcotics is irrelevant because they are always associated with the purpose of use and distribution which are regulated in different provisions so that these provisions seem ambiguous and need to be corrected.

Keyword: Judge’s Consideration; Narcotics Crime; Special Minimum Punishment
Evaluation of Transgender Healthcare in Medical School Curriculum: A Dual-Campus Study
Authors: Valente Eleza , Zueger Morgan , Moffett Elizabeth , Nunna Nitya
Published: July 2023

Background
It is currently estimated that 1.2 million adults identify as transgender in the United States. Current research reveals, compared to the general population, Transgender patients face significant discrimination in healthcare. Transgender individuals have reported higher negative experiences, some of which have led to avoiding healthcare settings. Healthcare education in medical schools is necessary to assess the lack of knowledge and competency among physicians treating transgender patients. The objective of this study was to identify if a 2-hour didactic session increased medical students' knowledge and comfort regarding the treatment of transgender patients.
Methods
A 2-hour didactic lecture regarding gender-affirming healthcare for transgender patients was held for first- and second-year medical students at Rocky Vista College of Osteopathic Medicine. The lecture was presented on Zoom by a board-certified family physician who specializes in Transgender Healthcare. Students had the option of completing pre-didactic and post-didactic surveys to measure their beliefs, comfort, and knowledge in treating transgender patients. Responses to survey questions were scored on a five-point Likert Scale. Relationships of questionnaire responses to demographics were assessed with independent t-tests or ANOVA. Categorical variables were compared using contingency tables and chi-square tests.
Results
Students’ confidence in caring for, comfort with, and knowledge about transgender patients increased significantly between pre- and post-session surveys.
Conclusions
A 2-hour didactic session significantly increased self-reported confidence, comfort, and knowledge regarding gender-affirming care. This study revealed that even small interventions such as a 2-hour lecture can impact medical students' overall competency when treating transgender patients. Educational interventions in medical school curriculum focusing on Transgender Health reduce gaps in education and ensure safe and adequate care that diminishes disparities for this at-risk group.
Thirukkural - AVeritable Treatise on Leadership Nostrums
Authors: Aravamudhan N.R. , Supkar Avinash   Chandra
Published: July 2023

Thirukkural is one of the most consequential works in the realm of Tamil literature. Awashed in blistering insight and an unremitting fount of wisdom, Thirukkural is the most celebrated literature in Tamil. It wouldn’t be an exaggeration to consider Thirukkural as a scripture that governs and guides people to lead a worthy life. Strung together as 1330 Couplets, Thirukkural contains 133 chapters each comprising 10 couplets. Each couplet of this classic is steeped in profound meaning and holds rich lessons for all aspects of life. Every chapter deals with a specific topic that expounds on the various facets of life. Undoubtedly, Thirukkural has stood the test of time for over 2000 years and serves as a moral compass for mankind to this day. There is hardly any area of human life that remains untouched by Thirukkural. Admittedly, Leadership themes are no exception. Many couplets in Thirukkural bristle with deep meaning that resonate with the modern-day concept of leadership. Thus, this paper shines more light on how the pithy aphorisms of Thirukkural can be applied to the context of leadership that will leave one rich with granular clarity and a profound understanding.
Analysis of Accredited Higher Education Institutions in Karnataka with Respect to Location and Source of Finance
Authors: Kuri Mahantesh M , Jain Vishal Chenraj
Published: July 2023

India is a developing country and in ordered to achieve our goals we have to strengthen our higher education system. The continuing growth of the middle class in India (approximately 200 million people) has led to increased demand for higher education and we know that this demand cannot be met very easily by the Indian Higher Education system. Although the Indian government is planning to establish new universities and colleges in the near future, these will not be enough to provide places for all students who seek higher education. If we think that what India will be like 25 years from now, we can estimate quantitatively with a fair degree of confidence in some areas.Ever since the establishment of National Assessment and Accreditation Council (NAAC) it has been involved in evaluating the performance of the Universities and Colleges in the Country. The main philosophy of NAAC is based on objective and continuous improvement rather than being punitive or judgmental, so that all institutions of higher learning are empowered to maximize their resources, opportunities and capabilities. Across India there are few states who have taken up initiatives to go for Accreditation with the support of the government and higher education Council. Among these states Karnataka is one such state where more number of higher education Institutions have been accredited across different cycles. There are many factors which contributes for the institutions to have high cumulative grade point average and also grades. In this paper an attempt is being made to find out how location and source of funding influences on the accreditation status of higher education Institutions in Karnataka.
Using Structured Compassion Focused Formulations Towards Change in Couples and Organisations
Authors: Lennox Tammy , kennedy Angela
Published: July 2023

The current article describes the application of the Compassion Focussed (CF) formulation to the interaction between individuals and their social context. The standard CF formulation [1] would see the person’s fears as inadvertently reinforced by their attempts to cope with the underlying issue. However, sometimes such attempts to cope can also reinforce the fears of another person or party. Interpersonal CF formulations could provide a compassionate, non-blaming way of enlightening people in their interactions to remove blame and focus intervention plans on what is helpful for each party, in the context of their difficulties. This article describes two examples of intersubjective Compassion Focussed formulation. The first application is to two individuals in a relationship. The second application is in understanding the hermeneutics between an individual and an organisation or system.
Procedural issues of closing the proceedings in the case due to the absence of the subject of the dispute
Authors: Zabzaliuk D.
Published: July 2023

This text examines the problem of latent abuse of procedural rights by a party to a court proceeding. Such abuse is carried out in the form of violation of the requirements of the law regarding the procedure for submitting a motion to close the proceedings in the case due to the absence of the subject of the dispute. As a result of such a situation, the proceedings in the case are closed without resolving the dispute on the merits. Filing a corresponding motion during the case review essentially deprives other participants of the proceedings of the opportunity to apply for a return to the preparatory proceedings in order to change the subject of the lawsuit. The author emphasizes that in such cases, not only procedural norms are violated, but also general legal principles, including good faith, reasonableness and fairness of the trial, as well as the legitimate expectations of the participants in the proceedings. The current procedural legislation does not directly provide for the possibility of correcting this situation - returning to the preparatory session after the start of the substantive consideration of the case in order to change the subject of the claim. However, this possibility to some extent follows from actual judicial practice. The investigation expresses the opinion that the legitimate expectations of the parties in the proceedings are an important object of legal protection, therefore the participants in the legal process can apply to the court with requests to return to the stage of preparatory proceedings with reference to the legitimate expectations regarding the proper consideration of the case in court. Returning to preparatory proceedings in case of violation of the procedural order is a complex procedure that is not clearly regulated in the procedural legislation, but largely depends on the detailed argumentation of the party. A participant in the legal process who wishes to return to the preliminary proceedings must take measures to establish the fact of abuse of rights by the opposite party to the dispute. In the event that it is impossible to establish the fact of abuse, the participants in the case may in some cases rely on the fact that they have legitimate expectations regarding the proper consideration of the dispute, as well as demand the establishment in the court order of the presence of procedural violations and/or the reasons for raising the issue of the absence of the subject of the dispute by the participant of the proceedings even at the stage of consideration matters in substance.
Problems of assigning and recalculating the pension of IDPs during martial law
Authors: Rusak H.
Published: July 2023

Social security and protection of citizens of Ukraine is one of the separate directions of state activity. The state is responsible for the material support of its citizens, creates conditions for the full exercise of the right to work by citizens, ensures the level of opportunities in choosing a profession and labor activity, implements vocational education and training programs in accordance with public needs.The right to social protection is enshrined in Ukrainian legislation, in particular, Article 46 of the Constitution of Ukraine provides: “Citizens have the right to social protection, which includes the right to support them in the event of total, partial or temporary disability, loss of a breadwinner, unemployment due to circumstances beyond their control, as well as in old age and in other cases provided for by law.This right is guaranteed by mandatory state social insurance at the expense of insurance contributions of citizens, enterprises, institutions and organizations, as well as budgetary and other sources of social security; creation of networks of state, communal, and private institutions for the care of the disabled.With the beginning of the full-scale armed aggression that led to the mass migration of Ukrainians from the temporarily occupied territories and the appearance of more and more people with the status of internally displaced persons, the problem of the constitutional legal protection of internally displaced persons became even more acute and urgent, especially in the issue of their pension provision as a form of implementation of guaranteeing sufficient standard of living The most active internal displacement of the population from the territory of Luhansk, Donetsk, and Zaporizhzhia regions began immediately after the start of hostilities in certain districts and cities of these territories.The article examines the specifics of the right of an internally displaced person and the specifics of their pension provision, examines judicial  practice, the subject of which is the confirmation of the work experience of an internally displaced person. International practice in similar disputes is considered.Special attention is paid to the study of the legal status of an internally displaced person.
Language-based discrimination: case law of the UN Human Rights Committee
Authors: Podorozhna T.S.
Published: July 2023

The article examines the case law of the UN Human Rights Committee in the field of language based discrimination. It is noted that discrimination is a situation where someone is treated unfairly or cruelly because of who they are. It means that the person is not given the same opportunities, rights or treatment as others because of their race, religion, gender, age or other characteristics that make them who they are. Discrimination can take many forms, such as bullying, mocking or persecution. Discrimination is a problem because it can lead to negative consequences for those who experience it, and consequently affect a person’s mental health, self-esteem and well-being. Discrimination has a major impact on society as well, preserving inequality and reinforcing harmful stereotypes and prejudices. It is emphasized that language-based discrimination is a violation of the civil or economic rights of an individual or an ethnic group due to lack of knowledge or poor knowledge of the language of an ethnic group quantitatively or socially dominant in a certain territory, restrictions on linguistic rights, as well as injustice or prejudice against a person or an ethnic group based on language. Language-based discrimination is expressed in limiting the freedom of population groups that are not represented much or have their own special language, culture and traditions. It is concluded that the issue of the right to use minority languages cannot be resolved abstractly, it must be considered in a certain context. The current activities of the Human Rights Committee do not sufficiently demonstrate the development of case law, especially regarding language-based discrimination. Attention is drawn to the fact that no international body for conflict prevention and resolution, such as the European Court of Human Rights, the UN Human Rights Committee, makes its mission to replace national justice in states parties to treaties. Moreover, the system of combating language-based, racial, national and other forms of discrimination must be built and work harmoniously within the states themselves. It is necessary to raise the question of enhancing and improving the national mechanisms for the protection of human rights, and this is the way that will make it possible to solve all problems, in particular, in the field of combating violation of the right to equality and non-discrimination.
Machine learning based churn analysis for sellers on the e-commerce marketplace
Authors: Öztürk Mehmet Emin , Tunç Akasya Akyüz , Akay Mehmet Fatih
Published: July 2023

The goal of this study is to develop churn models for sellers on the e-commerce marketplace by using machine learning methods. In order to develop these models, three approaches are applied for developing the models. The dataset used in this study includes ten features, which are maturity type, maturity interval, city of the seller, total revenue of the seller, total transaction of the seller, sector type of the seller, business type of the seller, sales channel, installment option and discount type. Random Forest (RF) and Logistic Regression (LR) are used for churn analysis in all of the approaches. In the first approach, models are developed without applying preprocessing operations on the dataset. In the second and third approaches, under sampling and oversampling methods are used respectively to balance the data set. By using stratified cross validation on the dataset, F-Scores of the churn models are obtained. The results show that F-Scores were 0.76, 0.71 and 0.92 for the three approaches developed with RF, and 0.84, 0.68 and 0.69 for the three approaches developed with LR, respectively.
ALIMENTAÇÃO COMPLEMENTAR
Authors: Rocha Karen Heloísa Xavier , Girard Cláudia Cristina Pinto , Teixeira Elizabeth , Cerqueira Liliane Souza Soares , Lisboa Luciane Shirley Silva , Miranda Etely do Socorro da Silva , Moreira Elisângela Claudia de Medeiros , Oliveira Andressa Torres , Barbosa Lis Ferreira , Sobral Raphaely Freire de Amorim , Oliveira José Irlailson Alves , Martins Thamyres da Silva , Rodrigues Elaine Valéria , Sobrinho Edgar de Brito , Pereira Ana Trindade
Published: July 2023

Prezados leitores, esta obra visa compreender a percepção das mães com crianças na idade de 6 a 12 meses, sobre o conteúdo e aplicação de uma cartilha-tecnologia sobre alimentação complementar, processo também conhecido como introdução alimentar, que se inicia gradualmente com alimentos sólidos na dieta de um bebê, enquanto mantém a amamentação ou a fórmula láctea. Essa fase ocorre geralmente a partir dos 6 meses de idade e é fundamental para atender às necessidades nutricionais em constante evolução da criança.
A Organização Mundial da Saúde (OMS) e a Academia Americana de Pediatria recomendam que a amamentação exclusiva seja mantida até os 6 meses de idade. Após esse período, os alimentos complementares são apresentados, mas o aleitamento materno deve continuar até, pelo menos, os 2 anos de idade, ou mais, se mãe e bebê desejarem. A introdução adequada de alimentos complementares deve seguir algumas orientações importantes, como a introdução gradual, a consistência dos alimentos, variedade de alimentos, evite açúcar e sal, respeitar a saciedade, manter a amamentação, a higiene, dentre outros processos.
É essencial lembrar que cada bebê é único e pode apresentar reações diferentes à introdução de novos alimentos. Se houver alguma preocupação ou histórico familiar de alergias alimentares, é recomendável consultar um profissional de saúde, como um pediatra ou nutricionista, antes de iniciar uma alimentação complementar. Em resumo, a alimentação complementar é uma fase importante no desenvolvimento do bebê, fornecendo nutrientes adicionais à medida que ele cresce e começa a explorar novos sabores e texturas. Atenção, amor e cuidado são fundamentais durante esse processo para garantir que o bebê receba a nutrição necessária para um crescimento saudável.
THE ROLE OF AIRCRAFT MAINTENANCE LEADERSHIP IN SAFETY AND ORGANIZATIONAL CHANGES
Authors: Beck Renan
Published: July 2023

ABSTRACT

Organizational change requires special care, as it mainly involves culture and its transmission to all members. Therefore, this research aims to analyze the overall perception of aircraft maintenance changes process. The specific objectives are to describe the merger process that led to the change, identify leaders` activities before and after the change, and assess the leader`s responsibility with a focus on the safety of an aircraft maintenance company. This study is characterized as descriptive and qualitative research, employing a case study design, and data was collected from company documents and interviews with managers. The data were analyzed using content analysis. The results indicate that the merging companies had similar cultures, and managers led the process by prioritizing the principle of safety, recognizing its importance in the leadership context. The respondents consider themselves strategic agents in disseminating culture and highlight that leader behavior server as an example for group learning.

Keywords: Organizational change. Organizational principles. Organizational culture. Team leadership. Job security.
PENGELOLAAN SARANA PRASARANA SEKOLAH SERTA PEMBELAJARAN GURU DI UPT SD NEGERI 066657 Jl. KAMPUNG BAHARI KEC. MEDAN LABUHAN
Authors: Miranda Nisa , Hilwana Rasidah , Chaliana Annisa , Mushliha Fitri , Dalimunthe Nur Halija , Nasution Inom
Published: July 2023

UPT SD Negeri 066657 Jl. Kampung Bahari, Kec. Medan Labuhan, Kota Medan Provinsi Sumatera Utara merupakan salah satu pendidikan dengan jenjang SD negeri yang beralamat di Jl. Kampung Bahari Lk. X Griya Martubung, Medan Labuhan. Yang memiliki akreditas A dengan No. Sk. Akreditas 789/BANSM/PROVSU/LL/X/2018. UPT SD Negeri 066657 berada di bawah naungan Kementerian Pendidikan dan Kebudayaan. Sekolah ini menyediakan beberapa fasilitas untuk membantu kegiatan belajar mengajar. Salah satunya adalah aliran listrik serta sambungan internet. Pembelajaran di UPT SD Negeri 066657 dilakukan Double Shift. Dalam seminggu pembelajaran dilakukan selama 6 hari. UPT SD Negeri 066657 berada di koordinat Garis lintang: 3.7017 dan Garis bujur: 98.6828. Dari tahun ke tahun UPT SD Negeri 066657 mengalami peningkatan dan penataan baik dibidang fisik maupun kurikulum pembelajaran. Kondisi sekolah dapat dikatakan dalam kondisi yang lumayan baik tetapi memiliki beberapa kekurangan dikarenakan covid19 seperti tidak terpakai lagi ruang UKS sehingga menjadi gudang, kantin sekolah yang tidak berfungsi lagi, daerah sekolah yang rendah mengakibatan seringnya terkena banjir.
Perlindungan Hukum Terhadap Wisatawan Oleh Biro Perjalanan Airlangga Tour and Travel di Kota Serang
Authors: Asma Tuan Ali Kharamollah
Published: July 2023

The city government of Serang, in collaboration with the tourism business world, including the Airlangga Tour and Travel agency and the community, has an obligation to provide support for tourism activities so that they run safely and must always refer to legal aspects as a form of protection in the tourism sector for tourists.  This is because in Article 26 letter (d) of Law no.  10 of 2009 regarding tourism, it is clearly stated that tourism entrepreneurs have an obligation to provide comfort, friendliness, and provide a sense of security to tourists.  The type of research used in this research is empirical legal research, which is legal research that starts from the gap between das solen and das sein, where there is a gap between theoretical conditions and legal facts that occur in society.  The approach used is the sociology of law which also studies the interrelationships between law and other social phenomena.  Regarding the form of legal protection for tourists, travel agents Airlangga tour and travel in that is by providing legal protection, comfort and a sense of security to tourists, including providing facilities for elderly and disabled tourists, and obtaining safety guarantees in the form of insurance for activities that have a high risk.  As a form of the responsibility of a travel agency if there is a problem with the comfort of tourists, the travel party usually always anticipates it by improving service and accelerating to business standard certification for travel agents.