bluuebunny/crossref_metadata_2025 huggingface dataset:
New 200° Single-Capture Color Red-Green-Blue Ultra-Widefield Retinal Imaging Technology: First Clinical Experience
Authors: Stanga Paulo Eduardo , Bravo Francisco Javier Valentin , Reinstein Ursula Inge , Stanga Sebastian Francis Eduardo
Published: December 2023

Background and Objective:

We investigated the additive clinical benefits of a new ultra-widefield (UWF) red-green-blue (RGB) imaging technology.

Patients and Methods:

This was a retrospective, observational, single-center study of 86 consecutive patients (172 eyes). UWF red-green (RG) and RGB images were taken using a new Optos California (Optos Plc). This scanning laser ophthalmoscope uses wavelengths of 635 nm, 532 nm, and 488 nm for the red (R), green (G), and blue laser (B), respectively. The same device can image both in UWF RG and RGB simultaneously.

Results:

The new Optos California provides a well-balanced, three-channel color image that is clinically useful in imaging and identifying vitreoretinal, retinal, and chorioretinal pathologies. The combination of the images captured by each laser source produces a final composite image that more accurately reflects the natural colors of the fundus. The addition of blue light provides additional detail to visualize the vitreoretinal interface and superficial retina, both within the posterior pole and in the periphery.

Conclusions:

This new device allows for both RG and RGB imaging of the retina, providing valuable information on the anatomy of the vitreoretinal interface, retina, retinal pigment epithelium, and their abnormalities. Both techniques complement each other and can be useful in daily practice, allowing clinicians to choose the preferred imaging technique depending on specific findings and conditions.

[
Ophthalmic Surg Lasers Imaging Retina
2023;54:714–718.]
Stationary distribution and probability density function analysis of a stochastic Microcystins degradation model with distributed delay
Authors: He Ying , Wei Yuting , Tao Junlong , Bi Bo
Published: December 2023

A stochastic Microcystins degradation model with distributed delay is studied in this paper. We first demonstrate the existence and uniqueness of a global positive solution to the stochastic system. Second, we derive a stochastic critical value $ R_0^s $ related to the basic reproduction number $ R_0 $. By constructing suitable Lyapunov function types, we obtain the existence of an ergodic stationary distribution of the stochastic system if $ R_0^s > 1. $ Next, by means of the method developed to solve the general four-dimensional Fokker-Planck equation, the exact expression of the probability density function of the stochastic model around the quasi-endemic equilibrium is derived, which is the key aim of the present paper. In the analysis of statistical significance, the explicit density function can reflect all dynamical properties of a chemostat model. To validate our theoretical conclusions, we present examples and numerical simulations.
Study of Hole Cylindricity and Surface Roughness in Drilling Application on Aircraft Wings
Authors: Ibrahim Mohd Rasidi , binti Radzali Nurul Ashikin , Mustapa Mohammad Sukri , Mohid Zazuli , Chong Bin Hong , Cheng Kai
Published: December 2023

This study aimed to determine the effect of drilling parameters on hole cylindricity and surface roughness in drilling applications on aircraft wings. It was determined that increasing feed rate resulted in poor hole cylindricity and surface roughness. The ideal feed rate for better hole cylindricity is 0.230 mm/rev, while the ideal feed rate for better surface roughness is 0.200 mm/rev. Both hole cylindricity and surface roughness have a minimum correlation with each other in producing a good quality of drilled holes.
Investigation on Ni-Al Intermetallic Compounds Fabricated through Reactive Sintering Processes
Authors: Azhagarsamy P. , Sekar Kannan , Murali K.P.
Published: December 2023

The utilization of nickel aluminide compounds in high-temperature structural applications is advantageous due to their desirable properties. One efficient method for producing nickel aluminide samples with desirable chemical reactions using minimal energy is reactive sintering. In this study, Ni-Al (20 wt.%-80 wt.%) compounds were fabricated by initially cold pressing them, followed by reactive sintering. The reactive sintering process resulted in the formation of NiAl3 and Ni2Al3 phases within the Ni-Al compounds. The microstructure, porosity, and hardness of the samples were thoroughly examined and analyzed. Generally, the compounds produced through reactive sintering exhibited significant porosity attributed to shrinkage and the Kirkendall effect. Microstructural analysis confirmed the presence of porosity, NiAl3, and Ni2Al3 phases. The sintered sample processed at 400 °C demonstrated higher density and hardness. Additionally, the wear test indicated a low wear rate and friction coefficient for the sintered sample processed at 400 °C.
A Study to Assess the Prevalence of Depression among Alcoholics, among Patients, Admitted to Christian Institute of Health Sciences and Research, Dimapur, Nagaland
Authors: Ao Nukshijungla
Published: December 2023

Background:

Alcohol abuse is a significant global burden. Many families have been affected, and many are victims of its abuse. The effect ripple down not only in the life of the person abusing alcohol but also to the immediate and extended family members, which can be multiple and detrimental. Depression is one of the effects which can lead to further alcohol abuse. A vicious cycle is observed among the individual abusing alcohol, which in turn affects the other family members of the individual. Depression symptoms are common in alcohol abusing patients of all ages and are much more common than the diagnosable depressive disorder.

Aims and Objectives:

The current study aims to assess the prevalence of depression among alcoholics, among inpatients and also find the associations between the prevalence of depression and selected socio and clinical demographic variables. Materials and Methods: The method adopted by the study was descriptive study method using the total enumerative sampling technique. The CAGE questionnaire was used to screen out the patients for level of dependence. The tool used is the Patient Health Questionnaire-9 (PHQ-) to assess the prevalence. Descriptive and inferential statistics were used to analyze the study.

Results:

The study results revealed that 74.2% of the participants were depressed widely distributed in all the levels with severity assessed by the PHQ9 questionnaire. The study also indicated that a family history of alcohol abuse is significantly associated with the prevalence of depression among alcoholics. The study result strongly indicates that depression is very much prevalent among alcoholics, along with other multiple co morbidities.

Conclusion:

Patients abusing alcohol needs continuous and regular assessment for early identification and adopts strategies for the management of the same. The management of depressive symptoms through the adoption of various therapies such as psychotherapy, other alternative systems of therapies and recreational therapies are much recommended. The treating health care team should consider strongly the use of pharmacological means, if the patient is found to be having depression, in the course of treatment in the hospital.
Depression, Anxiety, and Stress among Women Working in the Beauty Salon Industry: A Study from Assam
Authors: Saikia Priyanka , Banerjee Indrajeet , Sobhana H.
Published: December 2023

Introduction:

Women working in the informal sectors such as the beauty salon industries are at risk for problems such as job insecurity, exploitation, and poor health facilities. The mental health of these women has not been adequately researched. This article assesses the mental health (depression, anxiety, and stress) status and the job stress of women working in the beauty salon industry.

Materials and Methods:

This is a descriptive research study. A total of 60 women working in the registered beauty salons under the Tezpur and Jorhat Municipal Board were included in the study using a purposive sampling method. Depression, Anxiety, and Stress Scales and Job Stress Scale were administered to study.

Results:

The prevalence of depression and anxiety among the participants were found to be at 34.2% and 39.74% which indicates at a severe level. The stress level was found to be 13.3% which signifies that participants have mild levels of stress. Mental health status and job stress were found to have a significant positive correlation with stress, anxiety, and depression. Anxiety was found to be significantly influenced by job stress.

Conclusion:

Depression, anxiety, and stress issues of women working in the beauty salon industry need to be addressed. This study provides further insights to understand the depression, anxiety, and stress of the women working in the beauty salon industry as the women from this section are usually neglected although they play a role in transforming individuals overall image.
Annual Detection Rate of Enteric Adenovirus-Associated Acute Gastroenteritis in Pediatric Patients and Average Sunlight Intensity: A Medical Meteorological Study from an Indochina Country
Authors: Joob Beuy , Wiwanitkit Viroj
Published: December 2023

ABSTRACT

Objective:

Viral gastroenteritis is an important clinical problem. This disease is common in many developing countries and becomes important considerations in tropical pediatrics. Of several diseases, enteric adenovirus-associated acute gastroenteritis is an important disease. The effect of meteorological factors on the disease is an interesting issue. The effect of rainfall and temperature is well mentioned.

Materials and Methods:

Here, the authors reviewed publicly accessible data on the annual detection rate of acute gastroenteritis caused by an enteric adenovirus in pediatric patients in an Indochina nation. The relationship with sunlight intensity, an important meteorological factor, is assessed.

Results:

The detection rate of enteric adenovirus-associated acute gastroenteritis in pediatric patients is nonsignificantly positively related to average annual sunlight intensity (r = 0.138).

Conclusion:

The association between annual detection rate of enteric adenovirus-associated acute gastroenteritis in pediatric patients and average sunlight intensity is detected.
Audit of Safety Profile of Drugs Being Used to Treat Elderly Type II Diabetics: Observations from a Tertiary Care Hospital
Authors: Dadibhanvi Akkamma , Palatty Princy Louis , George Thomas , Pais Michael L. J. , Baliga Manjeshwar Shrinath
Published: December 2023

ABSTRACT

Background and Objective:

The treatment of elderly people who have developed Type II diabetes is a major challenge. Therefore, this study was conducted to ascertain the drug prescription pattern and the adverse effects of drugs in a tertiary care hospital.

Methodology:

This was a cross-sectional, observational study. This study was carried out on 164 elderly patients with diabetes mellitus attending inpatient and outpatient of the institute. This study assesses the prescribing pattern of antidiabetic drugs and adverse drugs reaction to the drugs administered. Naranjo-Algorithm Probability of American depositary receipt (ADR) scale and WHO prescribing indicators were used for assessment. This study also identifies the drug utilization in diabetic patients associated with other co-morbidities.

Results:

Mean age of the patient was 72.5 in both inpatient and outpatient and male:female ratio among inpatient and outpatient 1.5:1 and 1:1.3, respectively. Metformin (biguanide) was the most commonly prescribed antidiabetic drug and was followed by glimepiride. Insulin was used in 65% of inpatient. Potential drug-drug interactions were noted in 71% of inpatient and 50.8% of outpatient. The incidence of ADR observed in this study was3.6%.

Conclusion:

Metformin and glimepiride were the most common drugs used in both inpatient and outpatient groups. Human regular insulin analog was commonly used in both patients group. The poor reporting in pharmacovigilance although mandated by the Indian Council of Medical Research is falling short; in preempting ADR. Effective pharmacovigilance will improve the quality of life in geriatric patients and would help the treating physicians to steer towards safe and effective healthcare.
To Study Utility and Practicality of High-Frequency Ultrasonography to Demonstrate Nerve Involvement in Leprosy
Authors: Tambe Swagata A. , Jerajani Hemangi R. , Bhatt Kalpana D.
Published: December 2023

ABSTRACT

Background:

Nerve examination in leprosy is subjective. There is a paucity of literature on objective methods to evaluate nerve involvement in Leprosy.

Aims and Objectives:

(1) To measure cross-sectional area (CSA) of nerves and identify echotexural changes in nerves in patients of leprosy by high-frequency ultrasonography (HFUS). (2) To compare HFUS findings in CSA and echotexture of nerves at baseline and after treatment. (3) To compare clinical grading and HFUS grading of nerves before and after treatment.

Methods:

Both newly diagnosed and treated patients of leprosy were included in the study. Nerve examination was done clinically and clinical grading of nerve thickening was done. Then, thickened nerves were subjected to HUFS to examine CSA (CSA) and echotextural changes. Nerves were also graded by HFUS grading. Parameters such as CSA, echotextural changes, and clinical and HFUS grading were compared before and after completion of treatment.

Observations:

Sixty-four leprosy patients were studied. Most of the patients in our study were in the third and fourth decade with a male preponderance and the mean age of presentation is 35.75 years. A total of 154 peripheral nerves were studied in 64 leprosy patients. Borderline tuberculoid leprosy (BTH) was the most common type of leprosy. The ulnar nerve was the most commonly imaged nerve followed by the greater auricular nerve. There was a statistically significant difference in CSA of nerves before and after treatment. Only 7 of 23 patients, who were found to have features of neuritis on USG, were clinically symptomatic. Three patients were diagnosed to have nerve abscesses.

Conclusion:

HFUS appears to be an objective, simple method to evaluate nerve involvement in leprosy. It is also useful to diagnose silent neuritis and nerve abscess.

Limitations:

All the peripheral nerves were not examined in healthy controls and leprosy patients.
Effect of Acidic Ph on Push-Out Bond Strength of Various Root Repair Materials – An In vitro Study
Authors: Paunikar Mayuri , Bhargava Karan , Newase Pooja , Bawalkar Abhilasha , Shirsath Shreya , Kumar Tanaya , Sarode Gargi
Published: December 2023

ABSTRACT

Background:

Root repair material ideal characteristics are its ability to adapt to the walls of root canal and avoid leakage of microorganisms and their by-products into the peri-radicular tissue. They should be biocompatible, able to produce osteogenesis and cementogenesis, bacteriostatic, radiopaque, and remain unaffected by blood and moisture. Tissue inflammation and metabolic acidosis following bacterial colonization in pathological condition such as necrotic pulp or periapical abscess lead to change in neutral pH. The pH near periapical tissue lowers to around 5.5. The purpose of this research is to determine the effect of acidic media such as butyric acid on bond strength on mineral trioxide aggregate (MTA), Biodentine (BD), and EndoSequence root repair materials (ERRM) with root dentin wall.

Methodology:

The research was conducted in Vasantdada Patil Dental College. About 60 extracted teeth without any curve canal were selected. They were further divided into three groups of 20 each. Using diamond saw disc, mid root dentin were sectioned horizontally to thickness of 2.0–2.1 mm, further root repair materials were mixed according to instruction given by manufacturer.

Result:

The result concluded that push-out bond strength in both phosphate-buffered saline and acidic environment was higher with ERRM.

Conclusion:

Thickening agent and fillers added in ERRM result in higher push bond strength than MTA and BD.
Evaluation of CDC6 Expression in Triple-Negative Breast Cancer and its Prognostic Significance
Authors: Poornima Arumugam , Banupriya Sampath Kumar , Suganya Kanagaraj , Sudha Balraj , Swathi Kandasamy , Kumar Nachimuthu Senthil , Sumathi Sundaravadivelu
Published: December 2023

ABSTRACT

Background:

Triple-negative breast cancer (TNBC) leads to high morbidity and poor prognosis due to high proliferation and metastasis. Cell division cycle 6 (CDC6) is one of the genes involved in cell division and is significantly upregulated in TNBC. There is not much information available to understand whether CDC6 can be used as a prognostic marker in TNBC.

Methods:

In this study, BC-GenExMiner, NetworkAnalyst, GeneMania, GEPIA, COSMIC, cBioPortal, STRING, and FunRich were used to investigate the expression of CDC6 gene. Furthermore, survival analysis to correlate the gene expression was carried out using the Kaplan-Meier plotter.

Results:

The results showed that mRNA levels of CDC6 were significantly higher in TNBC compared to healthy and other types of breast cancer, and high expression levels were also associated with increased TNBC proliferation. The survival analysis showed that increased mRNA levels of CDC6 in all TNBC patients were associated with a poor prognosis for relapse-free survival.

Conclusion:

The findings of the current study indicate that CDC6 may be used as a possible prognostic biomarker for TNBC. However, further studies are required to check the effects of CDC6 on the progression and pathogenesis of TNBC.
Changes in Arterial-Alveoli Oxygen Gradient During and after Cardiac Surgery in Patients with Congenital Heart Disease
Authors: Ghasemzade Bahram , Azemati Simin , Jannati Mansour , Asgari Reza
Published: December 2023

ABSTRACT

Objective:

Disturbance in gas exchange leads to increased ventilation needs, time to stay in the ICU and death. Arterial-alveoli oxygen gradient (A-a) has been studied in adults but has not been considered in children under one year of age who have congenital heart disease and had undergone heart surgery. We decided to examine (A-a) in these patients.

Materials and Methods:

This study is a retrospective study. Patients were divided into two groups based on mortality. Arterial blood gas information was extracted the post-anesthesia, post-bypass, and 4 hours to 16 hours after surgery. The values (A-a) were calculated using a standard formula. Data were analyzed by SPSS software. P < 0.05 was considered statistically significant.

Results:

14 boys and 9 girls were examined. Among these patients, four girls and three boys died. Arterial-alveolar oxygen gradient changes are similar in the living and the dead (P = 0.508). The mean arterial-alveolar oxygen gradients did not show a significant difference between the alive persons and the dead (P = 0.337). Arterial-alveolar oxygen gradient changes during the time, and this change was statistically significant (P = 0.000). Arterial-alveolar oxygen gradient in cardiac surgery in children under one year of age declines up to 16 hours after surgery. The duration of hospitalization (P = 0.290 (or intubation in the ICU (P = 0.792) does not affect the alveolar-arterial oxygen gradient.

Conclusion:

Arterial-alveolar changes in oxygen in heart surgery in children under one year of age were significant during the time and generally decreased 16 hours after the surgery. There was no statistically significant relationship between the length of hospital stay or intubation in the ICU with the arterial alveolar oxygen gradient.
Diencephalic syndrome: A rare etiology of failure to thrive with neuroregression in a child
Authors: Dola Farah Naz , Fatema Kanij , Islam Kazi Ashraful , Nigar Ishrat Zahan , Habiba Umme , Ferdouse Zannatul , Akhter Masuma
Published: December 2023

Diencephalic syndrome, a rare cause of failure to thrive, is associated with intracranial pathology in that region. It is characterized by failure to thrive, emaciation despite normal or slightly reduced calorie intake, and inappropriate euphoria among the young children suffering from tumors in these regions. The actual cause is unknown though different hormones may have a role. Growth hormone may be normal or high. We are presenting the case of a 20-month-old girl who came with failure to thrive in spite of nutritional support, neuroregression, and tremor; ophthalmological evaluation revealed bilateral optic atrophy. MRI revealed an intracranial tumor. This case report aims to show that failure to thrive despite nutritional managements may be the initial presentation of some intracranial pathology.
Coupling Assembly, Threadless, Flexible, Self-Locking, Fixed Cavity, High Conductivity, Self-Bonding, Part Specification
Authors:   G-3, Aerospace Couplings, Fittings, Hose, Tubing Assemblies
Published: December 2023

This SAE Aerospace Standard (AS) defines the requirements for a threadless, flexible, high conductive, self-bonding coupling assembly which, when installed on defined ferrules, provides a flexible connection for joining ducting and components in pressurized fluid systems. The assembled coupling is designed to provide interchangeability of parts and components between qualified manufacturers for use from -65 to +265 °F at 130 psi nominal operating pressures and for the service life of the aircraft system.

FAR 23.954, FAR 25.603, FAR 25.605, FAR 25.609, FAR 25.613, FAR 25.901, FAR 25.954, and FAR 25.981 certification requirements have identified the need for high-current capable flexible fluid assembled couplings. The coupling assembly does not require inspection or maintenance to remain current capable for the life of the aircraft.

This specification provides two test philosophies necessary for low-pressure couplings:

Electromagnetic effects/lightning testing of assembled couplings to demonstrate both lightning conducted current and electrostatic capabilities are retained through simulated service life test sequences to meet commercial airplane FAR 25.981 certification requirements.

Grouping and goal posting of coupling test specimens based on size and material similarities.

The assembled coupling’s intended application and usage is for, but not limited to, commercial and military aircraft. Components defined herein and qualified to the performance capabilities and regulatory compliance requirements will support their use in fuel and other fluid conveyance systems.

This specification requires manufacturers to be qualified and accredited to Performance Review Institute (PRI)/Nadcap requirements.
Language in international treaties: linguistic and cultural challenges in translating and implementing international multilingual treaties
Authors: Kakoullis Emily Julia
Published: December 2023

Existing research on international human rights law has neglected the issues raised by the domestic translation of multilingual treaties and their implications for implementation. This article addresses that gap. It explores the challenges a central concept to an international multilingual treaty, the UN Convention on the Rights of Persons with Disabilities (CRPD), presented to States Parties when interpreting and translating the CRPD’s novel central concept of disability (Article 1) and the implications this had for the implementation of the CRPD. The CRPD has been described as representing a ‘paradigm shift’ in thinking about disability in international human rights law. At the heart of this shift is a new understanding of the concept of disability. It moves away from a traditional conceptualisation situated in a medical discourse, towards a concept situated in a social contextual discourse, which views persons with disabilities as subjects with human rights equal to all persons. Little research has explored how the CRPD’s central concept translates beyond the anglophone world. This article employs a distinctive approach to legal translation as a cross-cultural transfer or interaction of discourses. It develops a detailed case study of Cyprus based on primary empirical work (semi-structured interviews and document analysis), then compares the challenges faced by Cyprus with the experiences of Greece and Bulgaria, and then considers these in relation to Iceland’s experiences. The article reveals linguistic and cultural challenges and shows their significance for the implementation of the CRPD. It highlights the risks of domestic misinterpretation and mistranslation and identifies three critical factors to reduce these risks for international multilingual treaties. The article contributes to our understanding of the significance of domestic translation of international multilingual treaties and the implications of this for treaty implementation and helps to open a new research agenda around this.
Zaburzenia ortoreksyjne a poczucie własnej skuteczności i satysfakcja z życia studentów kierunków medycznych – badanie przekrojowe
Authors: Pieczykolan Agnieszka , Grzesik-Gąsior Joanna , Bień Agnieszka , Krygowska Krystyna
Published: December 2023

Orthorexic disorders, self-efficacy and satisfaction with life of medical students – cross-sectional study

The aim of the research was to assess the relationship between self-efficacy, life satisfaction and the occurrence of orthorexia nervosa in the group of medical students. The survey was conducted in 2021 among 304 students of medical faculties. A diagnostic survey method using standardised questionnaires – ORTO-15, SWLS and GSES – was chosen. The performed statistical analysis showed a strong positive correlation between life satisfaction and self-efficacy. The risk of orthorexic behaviour was related to the BMI level, the field of studies and the region where the students studied. Students with an abnormal BMI are more prone to the orthorexia disorder compared to students with a normal BMI. The highest risk of developing orthorexia was presented by students of dentistry and physiotherapy from the Lower Silesia region while the lowest risk of orthorexic behaviour was presented by students of public health from the Silesian region.
Błąd medyczny – termin, rodzaje i podstawa prawna
Authors: Bargiel Katarzyna , Sułkowski Michał
Published: December 2023

Pojęcie błędu medycznego nie jest dostatecznie jasno zdefiniowane w aktach prawnych obowiązujących w Polsce. W literaturze przedstawia się różne definicje, a ich elementem wspólnym jest działanie osoby wykonującej zawód medyczny niezgodne z wymaganiami aktualnej wiedzy medycznej. Niestety zjawisko błędu medycznego jest coraz częstsze. Duży odsetek pacjentów deklaruje, że został skrzywdzony przez błąd medyczny, a prokuratura prowadzi coraz więcej spraw o błąd w sztuce lekarskiej (występuje tendencja wzrostowa). Wyróżnia się następujące rodzaje błędów medycznych: diagnostyczny, terapeutyczny, techniczny, prognostyczny, organizacyjny i informacyjny. Za dopuszczenie się błędu medycznego pracownik medyczny podlega odpowiedzialności karnej, cywilnej i zawodowej. W świetle prawa karnego błąd medyczny jest zwykle przestępstwem zaniechania działania, ponieważ pracownik wykonujący zawód medyczny jest gwarantem zdrowia i życia pacjenta. Pracownik medyczny może być skazany przez sąd karny po spełnieniu znamion po spełnieniu znamion jednego z czynów zabronionych określonych w Kodeksie karnym.
Narzędzia mobilne w planowaniu i monitoringu aktywności fizycznej i w promocji zdrowia
Authors: Kurowski Paweł , Blok Adrian
Published: December 2023

Mobile devices in planning and monitoring physical activity and in promoting health

The vast majority of Poles have modern smartphones or smartwatches. These devices are equipped with a number of sensors that can provide a lot of information interesting from a biomedical point of view. According to the concept of Marc Lalond, the most important factor affecting human health is their lifestyle. The purpose of this article is to present widely available and easy-to-use mobile tools that can be utilised to monitor health and the level of physical activity. Dedicated applications tracking physical activity, diet and the calorie intake, sleep patterns or helping to control or stop using stimulants should be an important element of health promotion. The authors postulate the deliberate use of devices owned by majority of the society to improve habits, the general condition of the body and their self-awareness.
Patients’ preferences: Comparing the quality of medical services before and during the COVID-19 pandemic
Authors: Otręba Ewa , Dorobek Magdalena , Dąbrowska Anna , Sobczak Krzysztof , Czmyr Jędrzej , Chmielewska Zuzanna , Dąbrowska Paulina , Świechowska Julia
Published: December 2023

During the COVID-19 pandemic, an increasing number of infections and a need for medical consultations forced the society to implement remote forms of contact with patients. The aim of this study was to analyze the experiences and preferences of patients regarding the doctor-patient relationship. A quantitative study was conducted using the CAWI technique. The study involved 1011 adult patients who were consulted by their family physicians. The patients generally declared unfavorable changes regarding their access to medical services. While comparing the experiences before and during the pandemic, most patients (70.3%) revealed that they had difficulties accessing their family physicians. Many patients (83.1%) preferred a personal visit as a form of consultation. Identification of the constraints relating to the COVID-19 pandemic can contribute to optimizing the health care system, particularly the organization of remote medical consultations.
Knowledge of primary and secondary colorectal cancer prevention among young people in Poland
Authors: Rucińska  , Lewandowska  , Andrzejczak  , Osowiecka
Published: December 2023

Colorectal cancer-specific mortality in Poland exceeds the average for European Union countries. The aim of this study was to assess the knowledge about colorectal cancer and primary and secondary prevention. The original questionnaire was used in the study. 184 randomly selected respondents were included in the analysis (mean age 35 years). Only half of respondents knew the correct definition of screening test and only one-third of respondents correctly indicated the target group of Colorectal Cancer Screening Program in Poland. The main source of information about colorectal cancer was internet, rather than physicians and nurses. Lower knowledge of colorectal cancer was reported among respondents from small cities and villages, with less education and unemployed. The knowledge about colorectal cancer prevention is insufficient among polish population. Education seems to be an important part of health promotion, especially among people with low awareness of cancer risk factors and screening test.
Feminitatea antimodernă și masculinitatea vampirică în nuvela Soranei Gurian „Vila Myosotis”
Authors: Krupa Tomasz
Published: December 2023

Anti-Modern Femininity and Vampiric Masculinity in Sorana Gurian’s Short Story “Vila Myosotis”

In Sorana Gurian’s early French and Romanian writing, feminine subjectivities are pushed into an anti- modern position by an oppressive modern discourse, resulting in feelings of displacement and trans- planting that lead to a paradoxical posture which is both progressive and reactionary. Through Vila Myosotis ([1939] 1946), Gurian explores the possibility of reconciling with oneself by returning to the past. However, her escape into the world of dreams awakens repressed desires and origins. This reactionary tendency seeks to establish empathy in the face of progress and modernity, and it allows for the creation of an autonomous female subjectivity that challenges the dominant discourse of masculinity, portrayed here through vampiric imagery.
La Beauté CONVULSIVE et les convulsions du roman surréaliste. Nadja (1928, A. Breton) et Zenobia (1985, G. Naum)
Authors: Oprescu Florin
Published: December 2023

The CONVULSIVE Beauty and the Convulsions of the Surrealist Novel. Nadja (1928, A. Breton) and Zenobia (1985, G. Naum)

The article examines some of the communicating vessels (« vases communicants ») between André Breton’s theoretical surrealism and Gellu Naum’s neo-surrealism praxis. The focus of the analysis is also on the intersection points among the two novels, Nadja (1928) and Zenobia (1985), defining moments of beginning and of the last surrealism. The aim is to determine the synthetic (theoretical and practical) manifesto of Breton’s novel, Nadja, and the pure poetic act of the last European surrealist novel, Zenobia. Although the correspondences seemed clarified by Romanian literary criticism, the present article offers a new, in-depth and contrastive perspective on the « convulsive beauty », from theory to practice.
Petru Popescu’s English-Language Work
Authors: Horáková Jarmila
Published: December 2023

The writer Petru Popescu (born 1944) entered Romanian literature in the late 1960s and almost immediately gained the interest of critics and readers. His novels were innovative not only in terms of bold themes but also of narrative strategies. This article focuses on Petru Popescu’s work written in exile in English, i.e., from the late 1970s until 2009. His texts vary significantly, as Popescu tried his hand at several literary genres, from popular novels (Before and after Edith, In Hot Blood), travelogues (Amazon Beaming), adventure novels (Almost Adam), and adolescents’ literature (Footprints in Time) to his memoir (The Return) and the more stylized memoir about his parents-in-law (The Oasis: A memoir of Love and Survival in a Concentration Camp).
Aglutinarea articolului hotărât în carpatismele poloneze de origine română
Authors: Oczko Anna
Published: December 2023

Lexicalization of Definite Article in Polish Carpathian Vocabulary of Romanian Origin

The conditions under which the borrowing and diffusion of Carpathian vocabulary of Romanian origin in the mountain dialects of Lesser Poland and the Sub-Carpathian region, as well as the morphological properties of Romanian nouns, seem to favor the phenomenon of agglutination (integration) of a definite article in loanwords. The study of lexemes (common nouns and toponyms) considered by some linguists to be of Romanian origin has led to the conclusion that the agglutination of the Romanian definite article is a sporadic phenomenon in the case of toponyms present in the Polish part of the Western Carpathians (region of Polish dialects). As for the common nouns, none continue the Romanian articulated form, and the endings that can be confused with the masculine definite article are Polish suffixes of Slavic origin.
Terminologia religioasă românească și diviziunile confesionale – versiunea ortodoxă și cea greco-catolică a Dumnezeieștii Liturghii
Authors: Klimkowski Tomasz
Published: December 2023

Religious Terminology in Romanian and Confessional Divisions – the Orthodox and Greek Catholic Versions of the Divine Liturgy

The articles presents some differences regarding the terminology used by the Romanian Orthodox Church, on the one hand, and the Romanian Church United with Rome, Greek-Catholic, on the other. The analysis is based on the text of the Divine Liturgy of Saint John Chrysostom. The differences concern not only strictly religious terms, but also neutral words. This seems to be the result of a deliberate linguistic policy of the Greek Catholic Church, which often uses different terms than the Romanian Orthodox Church. The Orthodox terms in question were borrowed from Slavonic or Greek, while the Greek Catholic terms are Romanian words inherited from Latin or recent loanwords from Latin and modern Romance languages.
An energy approach to asymptotic, higher-order, linear homogenization
Authors: Audoly Basile , Lestringant Claire
Published: December 2023

A higher-order homogenization method for linear elastic structures is proposed. While most existing approaches to homogenization start from the equations of equilibrium, the proposed one works at the energy level. We start from an energy functional depending on microscopic degrees of freedom on the one hand and on macroscopic variables on the other hand; the homogenized energy functional is derived by relaxing the microscopic degrees of freedom and applying a formal two-scale expansion. This method delivers the the energy functional of the homogenized model directly, including boundary terms that have not been discussed in previous work. Our method is formulated in a generic setting which makes it applicable to a variety of geometries in dimension 1, 2 or 3, and without any particular assumption on material symmetry. An implementation using a symbolic calculation language is proposed and it is distributed as an open-source library. Simple illustrations to elastic trusses having pre-stress or graded elastic properties are presented. The approach is presented in the context of discrete elastic structures and the connection with previous work on the higher-order homogenization of period continua is discussed.
Impact Of Financing Restructuring And Foreclosed Collateral On Non-Performing Financing Levels In The Covid-19 Era
Authors: Fitriyanti Anisa Nur , Arfiansyah Mufti Arief
Published: December 2023

The Covid-19 pandemic has impacted the banking sector, including the increase in problematic financing. This research aims to show the impact of restructuring financing and foreclosed collateral (RFFC) on non-performing financing (NPF) levels during the Covid-19 pandemic. This research uses a quantitative approach. The population of this research is Islamic commercial banks (ICB). The research sample was taken using a purposive sampling technique, so a research sample of 6 ICB was obtained in three years, namely 2020-2022. This research uses data analysis in the form of multiple linear regression analysis using the Eviews application. The research results show that financing restructuring and RFFC each positively and significantly affect NPF. This research can be used as reading material related to banking economics and inform banks that success in implementing policies to minimize problematic financing requires good cooperation between banks and customers.
Dalihan Na Tolu's Indigenous People's Perception Of Islamic Bank
Authors: Lubis Rini Hayati
Published: December 2023

This research aims to see the perception of indigenous peoples towards Islamic banks. This research was conducted in the city of Panyabungan. The type of research method used is qualitative with a descriptive approach. Data collection techniques include in-depth interviews with informants from several communities, traditional leaders, and Islamic bank employees. In addition, data was also obtained from several documents and literature related to adat and Islamic banks. This research found that the acceptance of Dalihan Na Tolu indigenous people in Panyabungan was based on Dalihan Na Tolu values through aspects of cognition. The dominant customary values in perceiving Islamic banks in Panyabungan are the values of holong mangalap holong and mangholongi bona bulu. Theoretically, this research can be an additional reference for other researchers and academics who want to see public perceptions of Islamic banks, especially in Panyabungan. Practically, this research can inspire Islamic bank managers, especially in Panyabungan.
Apóstolo Paulo
Authors: Gonzaga Waldecir , Silva Rodrigo
Published: December 2023

O 3º Ano Vocacional da Igreja no Brasil quer favorecer a reflexão e despertar a conscência vocacional de todos os cristãos. Este artigo oferece uma reflexão sobre vocação, missão e vida espiritual do apóstolo Paulo à luz da perícope da 1Cor 9,15-18 e do Documento de Aparecida. Paulo, ao encontrar-se com Jesus no caminho de Damasco e cair por terra, deixa-se transformar pela voz que o chama. O despertar vocacional é fruto de um encontro amoroso, sendo que a iniciativa é sempre de Deus que nos ama. A vocação leva necessariamente à missão. A missão é o transbordamento do coração, ou seja, o compromisso com o “ide”, pedido feito por Jesus aos apóstolos no final dos Evangelhos de Mateus (28,19-20) e de Marcos (16,11-16). Perseverar na vocação e na missão exige a intimidade com Aquele que chama e envia, ou seja, o cultivo da espiritualidade. Três dimensões concêntricas e integrais que, quando alimentadas mutuamente, transformam-se em frutos para o bem das comunidades eclesiais.
Гуманистические образовательные технологии в рамках формирования гибких навыков (soft skills) у студентов педагогических направлений подготовки
Authors: Серых Анна Борисовна , Валлис Ингеборг Сольвек
Published: December 2023

Рассматриваются особенности формирования гибких навыков (soft skills) у студентов педагоги-ческих направлений подготовки с помощью гуманистических образовательных технологий. Обосновывается актуальность включения в образовательный процесс гуманистических техно-логий, их ключевая направленность, роль и возможности. Основываясь на том, что гуманисти-ческие образовательные технологии выступают в качестве антропологических и личностно-ориентированных технологий, анализируются основополагающие функции гуманистических образовательных технологий в рамках формирования гибких навыков (soft skills) у студентов педагогических направлений подготовки: мотивационная функция, ориентационная функция, смыслотворческая функция, функция самореализации и творчества, рефлексивная функция. Реализация процесса формирования гибких навыков (soft skills) у студентов педагогических направлений подготовки средствами гуманистических образовательных технологий соответ-ствует современным требованиям, предъявляемым к системе профессионального образования, поскольку они позволяют помимо становления профессиональной компетентности обеспечить личностное развитие будущего специалиста, способствуя его самореализации и самосовершенствованию.
Результаты эмпирического исследования профессиографического
мониторинга формирования мотивационного компонента
профессиональной компетентности курсантов морского вуза
в условиях смешанного обучения
Authors: Силина Светлана Николаевна , Новоселов Кирилл Андреевич
Published: December 2023

Учебный процесс профессиональной подготовки курсантов морского вуза претерпевает изменения, происходит расширение возможностей благодаря реализации возможностей обучения через цифровые сервисы и решения, что приводит к более гибкому и динамич-ному обучению. Одновременно с этим появляется проблема оценки эффективности и ка-чества подготовки курсантов, а также компонентов их профессиональной компетентности, в том числе и мотивационного. Рассматривая мотивационный компонент, понимаем, что именно он оказывает огромное значение на формирование всей профессиональной компе-тентности курсантов морского вуза, а в новых условиях обучения, при реализации техно-логии смешанного обучения, требуются новые инструменты для отслеживания его дина-мики. В качестве такого инструмента рассматриваем профессиографический мониторинг. Приведены результаты практического применения профессиографического мониторинга в рамках проведенного эмпирического исследования в 2022-2023 учебному году, а также приводим данные первого эксперимента, проведенного в 2021-2022 учебном году, для возможности сравнения показателей.
ULUSLARARASI TİCARETİN SERA GAZI EMİSYONUNDAKİ ETKİSİ
Authors: KOÇUM Müge , GÜNEREN GENÇ Elif
Published: December 2023

Tarih boyunca ülkeler birbirleri ile ticaret yapmış ve bu ticaretle refah artışı sağlamıştır. Bazı ülkeler için coğrafi nedenler, kaynak eksikliği veya teknolojiden yoksun olma sebepleriyle uluslararası ticaret bir zorunluluk haline gelirken, bazı ülkeler için üretim maliyetleri ve kalite avantajları sebebiyle tercih edilmiştir. Artan üretim ve dış ticaret, beraberinde büyüyen ulaşım altyapısı ile fosil yakıtlarına bağlı enerji tüketiminde artışa bu durum da küresel ısınmanın önemli unsurlarından biri olan sera gazı emisyonunun artışına sebep olmuştur. Bu nedenle kalkınma ve refah artışı sağlayan uluslararası ticaretin, çevre üzerine etkilerinin araştırılması son yıllarda önemli hale gelmiştir.

Amaç: Gelir grupları farklı ülkeler için sera gazı emisyonundaki değişimin nedenlerini özellikle uluslararası ticaret çerçevesinde incelemektir.

Metodoloji: Toplamda 186 ülke, Dünya Bankasından alınan sera gazı emisyon verileri doğrultusunda 1998-2020 yılları için incelenmiştir. Çalışmada ilk önce varsayımdan sapmalar gelişmişlik seviyelerine göre sınıflandırılarak oluşturulmuş dört ülke grubu için ayrı ayrı incelenmiş, logaritmik veri ile analizler yapılmıştır.

Bulgular: Özellikle refah seviyesinde artışa bağlı olarak mal/hizmet ihracatının ve ithalatının sera gazı emisyonunda etkili bir değişken olduğu belirlenmiştir.

Özgünlük: Çalışmanın 186 ülkeyi kapsaması ve bu ülkelerin gelişmişlik seviyelerine göre gruplandırılarak sera gazı emisyonları ile uluslararası ticaret arasındaki bağlantının ortaya konmasıyla ülkelerin düşük karbon ekonomisine geçişte dış ticaret politikaları anlamında fayda sağlayacağı ve ileride yapılacak sektörel çalışmalara zemin oluşturarak katkı sağlayacağı düşünülmektedir.
Menggali Perkembangan Metode Tafsir dari Zaman Rasulullah hingga Era Modern
Authors: Hayatuddin Muhammad Ihsan , Hakim Lukman Nul
Published: December 2023

The development of methods for interpreting the Quran has evolved from the time of Prophet Muhammad SAW to the present modern era. During the time of the Prophet, the interpretation of the Quran was carried out directly by him and his companions with a relatively straightforward understanding. However, as time passed, the methods of interpretation underwent significant developments. Initially, the interpretation of the Quran was done directly from oral sources and was not well-documented. However, after the Prophet's passing, the companions began to develop more systematic methods of interpreting the Quran. They utilized the direct understanding from the Prophet as well as the social and cultural context of that time. Subsequently, during the era of the Tabi'in (the generation after the companions), the methods of interpretation continued to evolve with more detailed explanations and interpretations. The Tabi'in scholars sought to elaborate on the meanings and messages of the Quran in greater detail, both in linguistic and historical contexts. The development of interpretation methods continued in the following periods. In the contemporary and modern era, many interpretation books have been compiled by contemporary scholars. The methods of interpretation used encompass linguistic, historical, contextual, and philosophical approaches to the Quran. Modern scholars combine scientific knowledge and methodologies with traditional understanding to better comprehend the Quran.