bluuebunny/crossref_metadata_2025 huggingface dataset:
O ENSINO DE INGLÊS EM ESCOLAS PÚBLICAS DE PERIFERIA NO NORTE DO MATO GROSSO
Authors: Brandão Ana Carolina de Laurentiis , Aparecida de Oliveira Vanesa
Published: November 2024

Neste trabalho, discutimos o ensino de inglês nas periferias de Sinop (MT). Buscamos compreender a experiência de ensinar o idioma em escolas públicas de periferia a partir da perspectiva de três professoras. Mobilizamos estudos acerca do papel do inglês na sociedade contemporânea e ensino de inglês na escola pública. Adotamos abordagem narrativo-visual solicitando às professoras que representassem suas atuações na forma de desenhos. A análise desse material se vale de perspectiva holística com foco no conteúdo. As narrativas visuais ilustram desafios enfrentados pelas professoras, como a falta de interesse no inglês e dificuldade em conciliar trabalho e estudo dos alunos.
THE ANAESTHESIO IN A PATIENTS FOR PROSTATECTOMY IN A PERIOD FROM 1991. YRS TO 2000. YRS
Authors: Grujić K. , Ćosić M. , Petronić D.
Published: November 2024

Spinal anesthesia is one of type of central block anesthesia. It is an anesthesia of choice for surgical procedure open prostatectomy. According to our experience this type of anaesthesia is more safe than the other type of central block or regional anaesthesia in a high risk patient for surgical procedure prostatectomy. In a 10 years period we have given in a 242
patients spinal anaesthesia for prostatectomy. From the complication after giving of spinal anaesthesia according to our data
were: 1. post-spinal head-ake (3-5 days) - 5 patients; 2. post-spinal head-ake (vp to 3 days) - 6 patients; 3. paraparesis (to
36 h) - 1 patients; 4. local pain on the back - 1 patients; 5. CVI - 1 patients; 6. MI - 1 patients; 7. mortality rate - 0. We can
conclude that spinal anaesthesia is one of anaesthesia of choice for prostatectomy.
SOMETHING MORE ABOUT CANCER
Authors: Živković J.
Published: November 2024

Until sixties of twenty centuries, it was little now abaot cancer. It was well-know than chemicals , radiation, onko viruses, can to provoke cancer.Untill seventies it was clear than cancer is not infection or inborn sicness.Than eighties discovering onko-gens (gens normal indebted for growth of cell who is mute. Understad is than cancer cell could be continue growth, and they must have onko gen ON and cancer supresor OFF. Discover so and fenomena of apoptosissuicide cell what something wrong begin.For the time of nineties thay are discover reasons of apoptosis. The main one is TP53 gen on short part of hromosoma 17, with 1179 letter. It's understand than cancer begining with muting gens what is reason of growth, continuing with muting gens what suprim growing and finish with fold of last defence muting gen TP53.In therapy of cancer is searcing for agenc who will stimulate apoptosis.Big step what genetics do on understanding cancer give us reall chance to beat cancer.
PUSTULOSIS SUBCORNEALIS
Authors: Relić M. , Živanović J.
Published: November 2024

Pustulosis subcornealis is a chronic recurrent disorder with primarly sterile pustular lesion, initially bean-sized. The initial distribution is symmetrical and disseminated. The pustules is affected the trunk and the proximal extremities. A rare condition, affecting women. We want to present a woman with a characteristic subcorneal pustular lesions on the clinical findings and histpatology examination.
SIGNIFICANCE OF THE FISTULOGRAPHY FOR OPERATIVE TREATMENT OF THE FISTULA-IN-ANO
Authors: Moljević N. , Vuković M. , Veljković R.
Published: November 2024

Most fistula-in-ano arise as result of chronic infection of an intersphincteric anal glands and persistence may be related more to non-specific epitelisation of the track. Preoperative definition of the anatomy of the fistulous track and the internal opening plays a primary role in adequate planing of the operative approach to minimize iatrogenic damage of sphincters and fistula recurrence. The diagnosis of anal fistula generally is straightforward and is based on clinical features. By
using palpation of the perianal area, digital examination, and careful probing of the track, the fistula anatomy was defined.
Fistulography, radiografic evaluation, is not routinely indicated in the initial avaluation of fistulas but may be helpful in identyng an occult cause of recurrent or multiple fistulas or if examination is suggestive of inflammatory bowel disease. AIM:
is evaluation of importance of the fistulography for surgical treatment of the fistula-in-ano. The study is prospective. In includes 60 patients divided in two groupies, each 30 patients. Examined group was operated after clinical findings by using
careful probing of the track and fistulography. Control group was operated after clinical findings by using careful probing of the track. In patients, examined group, treated with fistulography allowed a corect diagnosis of primary track 43.3%, secondary track 40.0%, horseshoe track 50.0% and internal opening in 40.0% of patients. The clinical findings, in the same group patients, allowed diagnosis of primary track 76.6%, secondary track 60.0%, horseshoe track 100% and internal opening in 73.3% of patients. Preoperative definition of fistulous track and internal opening by physical examination and its relationship with anal sphincters are important factors influencing the results of surgical management. We do not recommend routine fistulography in the diagnosis of fistula-in-ano. 
DYNAMIC OF LEFT VENTRICULAR VOLUME AFTER ACUTE MYOCARDIAL INFARCTION UNDER THERAPY WITH ACE INHIBITORS
Authors: Ivanov I. , Dejanović J. , Čurić I. , Čikoš J. , Vindiš-Ješić M. , Živkov-Šaponja D. , Hostić D. , Mišolić M.
Published: November 2024

Change in left ventricular volumes, particularly end-systolic volume index is a major representative of left ventri cular dilatation, and is a predictor of mortality after acute myocardial infarction of anterior localization. Several large-scale trials have demonstrated beneficial effectiveness of ACE inhibitors on the process of left ventricular remodeling after myo cardial infarction, not only in patients with compromised systolic function. Aim of the study was to evaluate the influence of therapy for ACE inhibitors in the early faze of anterior myocardial infarction, trough dynamics of left ventricular volume in dexes. During six months 30 patients were evaluated with echocardiography in admission, before leaving the hospital, after
three and six months after myocardial infarction. In evaluated group there was increased end-diastolic and end-systolic vo lume index, but without statistically significant value. There were no new cardiac decompensations. We concluded that ACE inhibitors given in the early stage of acute myocardial infarction anterior localization have beneficial effect on the process of left ventricular remodeling and that is recommended to bee given to this patients, after excluded contraindications
CHARACTERICS OF UREAMIC PRURITUS IN PATIENTS ON CHRONIC HAEMODIALYSIS
Authors: Stolić R. , Perić V. , Jovanović A. , Sovtić S. , Stolić D. , Novaković T. , Pajović S. , Milinić S. , Živić Ž. , Šubarić-Gorgieva G.
Published: November 2024

Pruritus is one of the commonest symptoms of dermatologic appearances in uraemic syndrome and it occurs in 90% of patients on dialysis with different etiology and pathophysiology. The aim of the study was to estimate the frequency of uraemic pruritus and the comparison with clinical and biochemical parameters in 124 patients treated by chronicle haemodialysis at Department of Haemodialysis, Urology and Nephrology Clinic, Clinical Center “Kragujevac”. The routine laboratory analyzes were carried out in examined patients and the concentration of parathyroid hormone was determined. The study was based on data from history of disease and  questionnaire carried out in all patients. Of 124 patients, 65,3% were male and 34,7% were female, mean age of 55,98±12,94 years; the mean time on HD was 55,5 ±50,4 months. 46,8% of examined patients had symptoms of uraemic pruritus. Uraemic syndrome and uraemic complications, manifested by the concentration of urea, 21,57±7,56 vs. 22,93±5,754; p=0,05 and time on dialysis, 67,27±60,07 vs. 43,64±36,84; p=0,02, are the significant parameters of uraemic pruritus. Serum concentration of iron 15,16±8,03 vs. 11,73±6,21; p=0,05 and UIBC 25,12±10,6 vs. 30,45±9,86; p=0,04, as well as hyperglycemia 6,16±2,516 vs. 6,82±2,872; p=0,02 are significantly correlated with uraemic pruritus. There was a statistically significant difference in albumin concentration 35,84±9,09 vs. 37,72± 3,105; p=0,05 but our results were reverse to the data in literature where the reported albumin level was higher in patients with uraemic pruritus. 27,6% of examined patients had itching of all the body what is in correlation with literature. Between the patients with localized itching and patients with generalized itching, there are statistical significance in following: number of erythrocytes 2,4±0,96 vs. 2,7±0,6; p=0,02, concentration of hemoglobin 78,53±31,44 vs. 89,36±19,81; p=0,05, hematocrit 0,23±0,089 vs. 0,26±0,057; p=0,02 and TIBC 29,45±12,01 vs. 34±4,86; p=0,02, as well as concentration of glycemia 5,38±2,52 vs. 6,42±2,12; p=0,01.
CHANGES OF ANTHROPOMETRIC PARAMETERS OF THE THIGH DURING PROGRAMMED STRENGTH TRAINING
Authors: Barak O. , Popadić Gaćeša J. , Drapšin M. , Karaba Jakovljević D. , Klašnja A.
Published: November 2024

Primary stimulus for muscular mass enlargement is to repeat developing of sceletal muscles force in the level above the one which exist in everyday activities. The aim of this work was following the growth of lower leg extensor muscular force as well as changes in the surface of a diagonal upper leg muscular tissue cross-section during eight-week programming force training. 12 male subjects, who were neither active nor regular in practicing sport for the last six months, were included in this examination. Conducted training programme was based on dynamic lower leg extensor muscular force training with concentric and eccentric component. Programme was consisted of three training a week for the period of eight weeks. Anthropometric measuring of the upper leg as well as upper leg skin folds ranges were conducted before the th beginning of training programme, after 4 week and at the end of training programme, and also calculated the surface size of diagonal upper leg pure muscular mass cross-section. During eight-week training, we have statistically significant growth th th of lower leg extensor muscular force (27.20% in 4 week, 50.18% in 8 week). After four-week training, we have statistically enlargement in the surface of diagonal left and right upper leg muscular tissue cross-section for 2.62% and 2.45%. This dimension continued to grow by 8th week of training (7.63% and 7.07%). Programming force training with concentric and eccentric component has lead to significant muscular force growth as well as surface enlargement of diagonal upper leg muscular tissue cross-section in previously untrained person. Muscular mass enlargement was more th th important at the end of 8 week than after 4 week
BEGINNING DEVELOPMENT BEGINNING DEVELOPMENT OF MEDICAL MEDICAL BIOCHEMISTR BIOCHEMISTRY OF SERBIA
Authors: Ristić Slavica , Ristić Siniša , Smiljić Lj. , Medenica S. , Medenica S.
Published: November 2024

After beeing liberated from the Turkish rule and establishing autonomy (self-gaverment ) serbian elite with big steaps theadet toward developing: social, economical and political lise in Serbia. About had time started to rise and developt official medical servis in principality of Serbia, under it's wing started to originate and medical biocemistry. The gool of this study is to point out and shear new light on istory of medical biohemistry in Serbia using adecvate literure and un publiehed archive documentacion
HISTOPATOLOGICALAND CLINICOMORPHOLOGICAL CHARACTERISTICS OF MALIGNANT TUMORS OF THE SKIN
Authors: Vančentović-Mijović M. , Mitić N. , Vukićević D. , Dolićanin Z. , Đerković B.
Published: November 2024

Malignant tumors of the skin (MTS) are between the most common malignant tumors at human population. Because of their similarities, and more important, their dissimilarities, it is very important to determinate histophologycal type, grading and staging, because they are the most important factors of therapy choise and prognosis. The aim of our work was to examine those parameters, and also to define sex, age and locations distribution, as well as the value of surgical treatment. We analysed biopsy material of Institute of pathology, Medical faculty Priština from 2004-2007. year. We found that squamocellular carcinoma (SCC) and basal cell carcinoma (BCC), and malignant melanoma (MM) were more common at older persons, about 2x more common at male, little bit younger at persons with BCC and MM than SCC. The most common location was skin face; at persons with SCC and BCC significant more common than on all other skin locations. SCC was more common below, and BCC was more common on skin face above imagine line from tragus to the same side lips corner. Average size was about 1,5 cm, and macroscopic they were ulcerous, verrucous and infitrative. Invasive SCC was diagnosed in 2/3 cases in the most early stadium. In opposite MM was diagnosed in late stadium in majority cases. Moderate inflammatory infiltrate was found in most cases of all MTS. MTS was adequate removed in the most part cases.
FUNCTIONAL ASYMMETRY OF BRAIN AND POTENTIALS P300
Authors: Ivetić O. , Vasić V. , Naumović N. , Dejanović M.
Published: November 2024

In neurophysiology the concept of lateralization of brain hemisphere functions is related to the existence of differences in their functioning. The aim of the research was to determine for the right-handed females whether there is a connection between the degree of lateralization of brain hemispheres and the variables of cognitive potential P300 (latency and amplitude). In 30 study participated 70 girls, age 20-23 years. In the first group where 29 strong expressed right-hand girls, in the second group 30 moderately expressed right hand girls, and in the third group 11 right-hand learned girls. The reserch workers were using the "oddball" paradigm with two tones: "standard" (90dB 1000Hz) and "expected-target" (90dB 2000Hz) for the registration of the P300 potential. The tones were binauraly presented in irregular intervals and irregular order. P300 evoked potentials were registered above Fz and Cz area. Results showed the cognitive P300 wave latency to be significantly shorter when responding with dominant hand in first group. P300 wave latency in girls from second group was a shorter with engagement of the right hand. Cognitive P300 potentials above the FZ and Cz regions àt the first group have a significantly shorter latency compared to the average latency of potentials registered in girls from second group. Cognitive P300 amplitude waves are higher above central regions independently of the hand used.
INFLUENCE OF DOXORUBICIN ON ELECTRICAL ACTIVITY OF THE MYOCARDIUM AND LEFT VENTRICULAR FUNCTION DURING TREATMENT OF CHILDHOOD ACUTE LYMPHOBLASTIC LEUKEMIA
Authors: kolarović J. , Konstantinidis N. , Milić-Georgijević Lj. , Kaćanski N. , Novović G.
Published: November 2024

Doxorubicin is the most frequently used anthracycline antibiotic that expresses significant toxicity. Among all side  effects, hematological are the most common, while cardiac side effects are the most serious and the most important. The aim of this study was to investigate whether doxorubicin containing combined chemotherapy used in treatment of childhood acute lymphoblastic leukemia (ALL), influences electrical activity of the myocardium and left ventricular function in affected children. Experimental group consisted of 20 children with newly diagnosed ALL treated according to protocol YU ALL 95, while the control group consisted of 20 healthy children. Electrocardiograms (ECG) at rest were taken and analyzed, and corrected QT intervals (QTc) calculated. All children had echocardiograms (ECHO) including fractional shortening (FS) and ejection fraction (EF). Electrocardiograms, FS and EF were normal in all subjects, and were similar in both groups.
THE RELATIONSHIP BETWEEN EFFICIENCY TOPIRAMATE IN CONTROL OF EPILEPTIC SEIZURES AND THE APPAERANCE OF COGNITIVE ADVERSE EVENTS
Authors: Milošević N. , Sokić D. , Ristić A. , Petrović N. , Krivokapić G. , Trajković G.
Published: November 2024

Topiramate is the new antiepileptic drug, which is related with high efficiency in the reduction seazures, and also whit high prevalention of cognitive adverse events. Purpose of study is to define the relationship between efficiency topiramate in control of epileptic seizure and the apperance of cognitive adverse events. In the prospective stady we followed 40 adult patients with refractory epilepsy, which treatment took place on the Institute of neurology Clinical center of Serbia. The efficacy of treatment was estimated as the ratio of the total number of seizures during the last two months before the introduction of topiramate (on basic antiepileptic therapy) and during the last two months on stable (200mg/day) dose of topiramate.All patients are neuropsychological tested twice. First time before the start of therapy with topiramate, and next time two months after the achieving of stable dose. We used neuropsychological tests for evaluation attention, concentration, visual and verbal memory, speech, executive functions, divergent opinion and visual construction abilities. Patients with good success of topiramate in control of the seizures had worse scores on cognitive measurements than patients in whom topiramate was not demonstrated efficacy in treating epileptic seizures. Our findings indicate that the appearance of cognitive adverse events of topiramate possible in patients with reduction of seizure after the introduction of drug. This suggests that the same mechanism topiramat achieve a positive therapeutic effect and adverse effect on cognition in people with epilepsy.
PROPHYLACTIC USE OF ANTIBIOTICS IN THE INGUINAL HERNIA SURGERY
Authors: Mladenovic S. , Mladenovic J. , Videnovic N. , Sekulic A. , Filipovic M. , Peric D.
Published: November 2024

Introduction: antibiotic prophylaxis in surgical patients is defined as the use of antibiotics to prevented infection of the operating field. Applies in cases where the infection is not clinically manifested. The aim of this paper is to demonstrate the importance of the prophylactic use of antibiotics in the prevention of postoperative infection for patient's inguinal hernia. Materials and methods: The making of the material used Surgical Clinic KBC Pristina in Gracanica, which is part of the "preventive use of antibiotics in surgical patients, through follow-up prospective study of 200 patients. The first group (study group-Group I) consisted of 100 patients with inguinal hernia, in which we apply the prophylactic use of antibiotics. Study group was divided into two subgroups: (Group IA), 50 patients with inguinal hernia in which the solution methods with installation of mesh. (Group IB), 50 patients with inguinal hernia where the tension applied in the treatment methods of treatment. In the second group of patients (control group-Group II) with the same number of patients in the postoperative tre- atment are therapeutic dose used antibiotics. Research results: In our study, the prophylactic purposes, we used compound II generation cephalosporine cefuroxime (Nilacef), which are given in intravenous bolus, the induction of anesthesia, in a dose of 1.5 grams. In 100 patients examined groups, we used prophylactic cefuroxime 100 ampoules (Nilacefa) of 1.5 grams, whi- le the treatment of 100 patients in the control group used for therapeutic purpose 894 ampoules of different antibiotics. Pos- toperative wound infection in patients with prophylactic application of antibiotics are not recorded, while we were in the gro- up where the applied dose of antibiotics therapeutics wound infection noted in two (2%) patients. The average number of days of treatment the study group, the postoperative period was 2.81 days, while patients with a therapeutic dose of antibiotics the average number of days was 5.28. Cost of treatment cefuroksim 50 patients, the prophylactic use amounted to 32,460RSD, while the cost of antibiotics applied in the postoperative treatment of the control group, in which we applied the therapeutic dose antibiotic treatment, was 253,961.52 RSD, which is 7.8 times more expensive. Conclusion: The prophylac- tic application of antibiotics reduced the non-critical use of antibiotics, the incidence of infection of the operating field, mor- bidity and mortality due to postoperative infection, the frequency of resistance to antibiotics, antibiotics to minimize the ef- fect of Bacterian normal flora of the patient, changes in the defense system of the patient, and thus the cost of hospital treat- ment of surgical patients.
THE PROSPECT OF UTILIZING SPREADSHEET SOFTWARE IN PHARMACOKINETICS
Authors: Mitić R. , Damjanović J.
Published: November 2024

This article aims to promulgate the use of Microsoft Excel, one of the predominant spreadsheet applications, in the calculation of approximate functions by the method of spline polynomial interpolation. Cubic spline functions have demonstrated a remarkable suitability for the analysis of pharmacokinetic data of drugs with non-linear kinetic behavior or an unknown kinetic model, as well as general kinetic analysis, regardless of pharmacokinetic and compartmental models. It should be noted that cubic spline polynomials can be employed in determining a highly significant pharmacokinetic parameter - the area under curve (AUC), especially when the area measurement is not the principal intention, and the data is to be used for further research. Spreadsheet software is exceptionally pertinent to this kind of computation, as it delivers high precision and virtually instantaneous availability of the results. Moreover, this type of software possesses conspicuous flexibility, characterized by a real-time graphical representation and the capability to sustain user-created functions through a macro-language (VBA - Visual Basic for Applications) implemented in the program itself. 
PRINCIPLES OF OXYGEN ADMINISTRATION AND VENTILTORY SUPPORT IN PATIENTS WITH ACUTE EXACERBATIONS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Authors: Trpković S. , Pavlović A. , Videnović N. , Marinković O. , Sekulić A.
Published: November 2024

Chronic obstructive pulmonary disease (COPD) significantly reduces quality of life and is one of the main causes of chronic morbidity and mortality worldwide. Acute exacerbation of COPD (AECOPD) is a life-threatening condition that causes rapid deterioration of respiratory symptoms (worsening of dyspnea, cough and/or abundant sputum production) requiring urgent treatment. This review article examines the evidence underlying supplemental oxygen therapy and ventilator support during exacerbations of COPD. In the introduction, we discuss the epidemiology and pathophysiology of hypercapnic respiratory failure, and then we explain that the key to achieving appropriate levels of oxygenation is using controlled low-flow oxygen therapy. In patients with risk of hypercapnia a target oxygen saturation (SaO ) range of 88%–92% 2 is now generally accepted unless hypercapnia is disproved by gas analysis of arterial blood. However, if the partial pressure of carbon dioxide in arterial blood (PaCO ) is normal, oxygen therapy may target the usual saturation range of 94%–98%. 2 Many COPD patients may have a lower stable SaO , such that chasing this target (94%-98%) is not usually necessary unless 2 the patient is unwell. Further, we review current recommendations for ventilatory support in patients with AEHOBP. Noninvasive ventilation has assumed an important role in managing patients with acute respiratory failure. The use of invasive ventilation is the last remaining option, associated with a poor outcome.
RARE MALPOSITION OF CENTRAL VENOUS CATHETER
Authors: Videnović Nebojša , Stojičević Bojan , Zdravkovic Ranko , Mladenovic Jovan
Published: November 2024

Introduction:Although placement of the central venous catheter is a routine procedure carried out by anesthesiologists, it
carries a certain risk of complications. One of the complications is malposition, or inadequate catheter position.

Case report: We present a case of the patient who was admitted to an intensive care unit due to head injury and blood
vomiting. The central venous catheter was inserted through the right internal jugular vein. Due to haemodynamic instability and the need for fluid and blood infusion, a chest x-ray examination was not immediately performed to evaluate the position of the catheter. After the patient was stabilized, the test was performed and revealed that the tip of the catheter was not located in the superior vena cava but in the right subclavian vein.

Conclusion: This case has shown that the misplacement of the central venous catheter tip is not unusual. Once in the venous system, even when it is not located in the superior vena cava, it can be used for initial fluid replacement and drug administration, and after the patient is stabilized, the repositioning or placement of a new catheter should be considered. 
The Influence of Psychological Ownership (PO) and Organisational Citizenship Behaviour (OCB) on Employee Engagement: The Mediating Role of Perceived Organisational Support (POS)
Authors: Goya Komal , Nigam Ashutosh , Goyal Neha
Published: November 2024

Purpose: This study seeks to demonstrate the relationship between the components that form employee engagement using the IT services industry, which faces specific issues due to its constantly changing environment and reliance on skilled talent.

Design/Methodology: A structural equation modelling (SEM) with an importance performance map analysis (IPMA) was used to examine answers to surveys from 221 IT executives.

Findings: The study reveals that there is a strong positive effect of psychological ownership (β = 0.457) on employee engagement than OCB (β = 0.404) through POS. The IPMA supports the results that OCB’s importance and performance are high in contributing to the engagement of employees in IT companies. It was also found that POS has moderate performance but low importance, which explains that the overall effect of POS on employee engagement is relatively low as compared to OCB.

Research Implication/Limitations: The study is cross-sectional and does not allow for the conclusion of causality. And the majority of the legitimate responses in our sample came from very young people. This may have an impact on the findings, since younger employees may have great enthusiasm as compared to older people.

Originality/value: The findings imply that the potential of psychological ownership and OCB in inspiring, and the prolongation of employee engagement in the service industry can be triggered and reiterated through POS. This study provides groundbreaking confirmation that developing psychological ownership and OCB are necessary to generate employee engagement in knowledge-based industries.
Implementation strategies to overcome barriers to early mobilisation practices in Zimbabwean and South African public sector ICUs: A Delphi study
Authors: Tadyanemhandu C , Ntsiea V , Van Aswegen H
Published: November 2024

Background. Barriers to early mobilisation in healthcare settings encompass various factors, including practical challenges, accountability and the crucial role of leadership.
Objective. To gain consensus from multidisciplinary team members in South African (SA) and Zimbabwean public sector hospitals to formulate implementation strategies addressing identified barriers for early mobilisation.
Methods. An online two-round modified Delphi study including 23 experts from SA and Zimbabwe was undertaken. The implementation strategies were aligned with the Consolidated Framework for Implementation Research that outlines five areas impacting implementation.
Results. The expert panel included intensive care unit (ICU) clinicians, academics and managers, who participated in both Delphi rounds. The median years of ICU experience was 8.5 (range 5 - 17) years, with 16 (80.0%) having a general ICU background. The panel reached consensus on several strategies to standardise early mobilisation practices in ICUs, including defining specific early mobilisation activities, appointing champion leaders, ensuring timely management of fractures, promoting patient admission to specialised units, creating dedicated physiotherapy positions, and providing skills training for staff responsible for implementing early mobilisation activities in ICUs.
Conclusion. The strategies developed represent an important step toward implementation of early mobilisation in routine ICU patient care.
An analytical formula for Bell numbers
Authors: Ramachandran Vembu , Rajakumar Roopkumar
Published: November 2024

We present an analytic formula for Bell numbers through counting the number of uniform structures on a finite set.
Enhanced detection of accounting fraud using a CNN-LSTM-Attention model optimized by Sparrow search
Authors: Wu Peifeng , Chen Yaqiang
Published: November 2024

The detection of corporate accounting fraud is a critical challenge in the financial industry, where traditional models such as neural networks, logistic regression, and support vector machines often fall short in achieving high accuracy due to the complex and evolving nature of fraudulent activities. This paper proposes an enhanced approach to fraud detection by integrating convolutional neural networks (CNN) and long short-term memory (LSTM) networks, complemented by an attention mechanism to prioritize relevant features. To further improve the model’s performance, the sparrow search algorithm (SSA) is employed for parameter optimization, ensuring the best configuration of the CNN-LSTM-Attention framework. Experimental results demonstrate that the proposed model outperforms conventional methods across various evaluation metrics, offering superior accuracy and robustness in recognizing fraudulent patterns in corporate accounting data.
General retrieval network model for multi-class plant leaf diseases based on hashing
Authors: Yang Zhanpeng , Wu Jun , Yuan Xianju , Chen Yaxiong , Guo Yanxin
Published: November 2024

Traditional disease retrieval and localization for plant leaves typically demand substantial human resources and time. In this study, an intelligent approach utilizing deep hash convolutional neural networks (DHCNN) is presented to address these challenges and enhance retrieval performance. By integrating a collision-resistant hashing technique, this method demonstrates an improved ability to distinguish highly similar disease features, achieving over 98.4% in both precision and true positive rate (TPR) for single-plant disease retrieval on crops like apple, corn and tomato. For multi-plant disease retrieval, the approach further achieves impressive Precision of 99.5%, TPR of 99.6% and F-score of 99.58% on the augmented PlantVillage dataset, confirming its robustness in handling diverse plant diseases. This method ensures precise disease retrieval in demanding conditions, whether for single or multiple plant scenarios.
Viral metagenomic investigation of two Caribbean echinoderms, Diadema antillarum (Echinoidea) and Holothuria floridana (Holothuria)
Authors: Hewson Ian , Brandt Marilyn , Budd Kayla , Breitbart Mya , DeRito Christopher , Gittens Jr Samuel , Henson Michael W. , Hylkema Alwin , Sevier Moriah , Souza Matthew , Vilanova-Cuevas Brayan , Von Hoene Sarah
Published: November 2024

Background

Echinoderms play crucial roles in coral reef ecosystems, where they are significant detritivores and herbivores. The phylum is widely known for its boom and bust cycles, driven by food availability, predation pressure and mass mortalities. Hence, surveillance of potential pathogens and associates of grossly normal specimens is important to understanding their roles in ecology and mass mortality.

Methods

We performed viral surveillance in two common coral reef echinoderms, Diadema antillarum and Holothuria floridana, using metagenomics. Urchin specimens were obtained during the 2022 Diadema antillarum scuticociliatosis mass mortality event from the Caribbean and grossly normal H. floridana specimens from a reef in Florida. Viral metagenomes were assembled and aligned against viral genomes and protein encoding regions. Metagenomic reads and previously sequenced transcriptomes were further investigated for putative viral elements by Kraken2.

Results

D. antillarum was devoid of viruses typically seen in echinoderms, but H. floridana yielded viral taxa similar to those found in other sea cucumbers, including Pisoniviricetes (Picornaviruses), Ellioviricetes (Bunyaviruses), and Magsaviricetes (Nodaviruses). The lack of viruses detected in D. antillarum may be due to the large amount of host DNA in viral metagenomes, or because viruses are less abundant in D. antillarum tissues when compared to H. floridana tissues. Our results also suggest that RNA amplification approach may influence viral representation in viral metagenomes. While our survey was successful in describing viruses associated with both echinoderms, our results indicate that viruses are less pronounced in D. antillarum than in other echinoderms. These results are important in context of wider investigation on the association between viruses and D. antillarum mass mortalities, since the conventional method used in this study was unsuccessful.
Logística reversa e sustentabilidade de embalagens na indústria cosmética: um caminho para o futuro
Authors: Sproesser Giovanna Ruis , Santos Leticia Neiva dos , Cunha Luana Rocha Silva , Moraes Milene de Luna Zottis , Costa Anderson Figueiredo da , Melara José Franciso Toledo
Published: November 2024

As embalagens sustentáveis representam um grande desafio no setor de cosméticos, mas sua importância é inegável devido aos impactos ambientais, sociais e econômicos que esse setor gera. A adoção de materiais recicláveis, biodegradáveis ou reutilizáveis não apenas reduz a quantidade de resíduos que acabam em aterros e oceanos, como também ajuda a minimizar a extração de matérias-primas não renováveis. Um exemplo de inovação sustentável é o frasco com válvula pump monomaterial, que é fabricado a partir de um material, diminuindo a complexidade na separação de componentes durante a reciclagem. Contudo, para que essa e outras inovações sejam amplamente adotadas, são necessárias mudanças nas práticas industriais, como o investimento em novas tecnologias. Além disso, é fundamental o engajamento dos consumidores, para serem educados sobre a importância da sustentabilidade e sobre como descartar corretamente as embalagens. Apesar dos desafios, como custo elevado de materiais sustentáveis, resistência de setores da cadeia de suprimentos e adaptação a novas regulamentações, o avanço tecnológico está abrindo portas para soluções mais acessíveis e eficientes. A conscientização crescente do público e das empresas sobre as consequências do uso indiscriminado de plástico e outros materiais não renováveis também está criando um ambiente favorável à mudança. Assim, o setor cosmético tem um enorme potencial para liderar uma transição para práticas mais sustentáveis, tornando-se exemplo de como a inovação pode ser aliada da preservação ambiental. A adoção dessas práticas beneficia o meio ambiente e agrega valor às marcas, que podem se destacar em um mercado cada vez mais consciente e exigente.
The Impact of Nursing Staffing Levels on Patient Outcomes: A Systematic Review with Implications for Healthcare Policy and Practice
Authors: Gupta Yashvi , Philip Desly , Raj Anusha , Rajput Manju , Chaudhary Veena Salilkumar , Gupta Shikha
Published: November 2024

Nursing staffing levels play a critical role in shaping patient outcomes across healthcare settings. This review synthesizes literature to explore the relationship between nursing staffing and patient safety, satisfaction, and clinical outcomes. Specific improvements associated with adequate staffing include reduced infection rates, lower mortality, and shorter recovery times. The review focuses on healthcare settings such as hospitals and long-term care facilities within regions like North America and Europe, providing a comprehensive understanding of global staffing practices. Key factors influencing staffing levels include financial constraints, regulatory requirements, and hospital policies. Evidence-based staffing guidelines, such as nurse-to-patient ratios and skill-mix models, and increased funding are identified as essential strategies for mitigating adverse events and enhancing patient care quality. Policy recommendations emphasize the adoption of safe staffing standards and targeted investments to support nursing workforce sustainability. Future research should investigate the effects of staffing on diverse patient populations and evaluate innovative staffing models to address the dynamic needs of healthcare systems.
Enhancing Water Productivity under Climate Change Scenarios: Indian Perspective
Authors: Koushal Sanjay , Giri Anmol , Anbarasan S. , Parmar Arvind , Rahman Tanvi , Singh Bhim , Akram Chinnahajisagari Mohammad , Kambale J.B.
Published: November 2024

The scarcity of water has grown into a significant obstacle to ecosystem preservation, food production for the expanding population, and social security and health maintenance. Our ecology is also threatened by water logging and salinity in numerous canal commands, seawater intrusion along the coast, wetland drying up, low stream flows, etc. Water supplies have suffered as a result of climate change. The issue of water shortage and agricultural production are made worse by the regular occurrence of catastrophic events like drought and floods. The problems facing a large nation like India include the temporal and geographical variability of floods and droughts as well as the stark spatial differences in the growing irrigated area. The irrigated agro-ecosystem faces several obstacles. The new challenges confronting the country include geographic variations in groundwater development, low usage and filtration of wastewater for irrigation, poor irrigation efficiency, particularly for canal irrigation, and spatial disparities in the country's growing irrigated area. One of the best ways to establish a favorable water regime for improved crop development and production in a rainfed argo-ecosystem is to save rainwater in various land forms and use it effectively. The most difficult places to manage are those that are prone to flooding and waterlogging. However, a number of technologies are available to help with the difficulties. In broadest sense, water productivity reflects the objectives of producing more food, income, livelihoods and ecological benefits at less social and environmental cost per unit of water.
Effect of Integrated Weed Management Practices on Growth and Yield of Rabi Sorghum (Sorghum bicolor. L)
Authors: Mansoor MSK. Mohammad , Padmaja B. , Bindhu G. S. Madhu , Ramprakash T.
Published: November 2024

A field study to “Evaluate the effect of new herbicide molecules in sorghum (Sorghum bicolor L.)” was conducted during Rabi season of 2023-24 at college farm, College of Agriculture, Professor Jayashankar Telangana Agriculture University, Rajendranagar, Hyderabad, Telangana. The experiment was laid out in randomized block design with twelve treatments each replicated thrice. The results revealed that weed free condition resulted to the highest growth parameters (plant height, dry matter production), yield attributing characters (number of ear heads per square meter, grains per ear head, ear head length, and 1000-grain weight), and maximum grain and stover yield (2830 & 6795 kg ha-1) due to higher weed control efficiency of 93.21%, reduced weed density (2.67 No. m-2) and weed dry matter (3.00 g. m-2). Among the various weed management treatments, pre- emergence (PE) application of atrazine 0.5 kg a.i. ha-1 followed by mechanical weeding (MW) at 30 DAS; post-emergence (PoE) ready mix (RM) application of halosulfuron methyl 5% + atrazine 48% WG @ 56.25+540 g a.i. ha-1 followed by MW at 45 DAS and PoE application of halosulfuron methyl 5% + atrazine 48% WG@ 56.25+540 g a.i. ha-1 recorded grain yields comparable to the weed free treatment. This implies that these treatments serve as effective alternatives for attaining comparable weed control and yield benefits to those of the weed-free treatment.
The Role of Robotics in Mental Health Interventions: Opportunities and Challenges
Authors: Lal Shyam , Yusuf. Abdul Azeez , Shah Hetav Udayan , Jain Rashika , Bagum Saira , Samuel Daniel Joseph , Hidangmayum Narmada , Asmatullah
Published: November 2024

The integration of robotics into mental health interventions represents a transformative shift in healthcare, offering innovative solutions to longstanding challenges. Robots equipped with artificial intelligence and sensor technologies are increasingly being designed to support individuals with mental health conditions through therapeutic engagement, monitoring, and companionship. These systems have shown promise in delivering consistent, personalized care, particularly for populations with limited access to mental health professionals, such as the elderly, individuals with autism spectrum disorders, and those in remote areas, the adoption of robotics in this domain also presents significant challenges. Ethical considerations regarding privacy, consent, and the potential dehumanization of care must be addressed. Technical barriers, including the need for intuitive user interfaces, adaptive algorithms, and affordability, remain critical. Additionally, the efficacy of robotic interventions compared to traditional methods requires robust evidence from clinical trials. This paper explores the opportunities and challenges of using robotics in mental health care, focusing on their potential to enhance therapeutic outcomes, improve accessibility, and foster patient engagement. It emphasizes the need for interdisciplinary collaboration between engineers, psychologists, and ethicists to ensure that these technologies are both effective and ethically deployed. Robotics in mental health, though still nascent, holds significant promise for reshaping the future of psychological care.
Improving Alcohol Use Screening on A University Campus with AUDIT-C: A Reflective Practice Report
Authors:   Grand Canyon University, Sutton Jamie
Published: November 2024

The purpose of this reflective practice was to explore why alcohol use disorder (AUD) was not being routinely assessed when patients visited primary care center on a large Christian university campus in central Arizona. As a nursing instructor at this university, I was confident that alcohol consumption occurred among the patients seen at the college's healthcare center because of the acceptance of its nature in American college culture. On several occasions, I read anonymous prayer requests on campus from young adults reaching out for help with their use of alcohol and other substances. Even though the university's campus is a dry campus where alcohol is prohibited, there are still opportunities to obtain it, which can lead to AUD. Alcohol use can cause negative consequences that can permanently change someone's life. Early identification allows those with AUD to have the choice to make healthier decisions. This reflection process includes quantitative data from implementing the World Health Organization's (WHO) Alcohol Use Disorders Identification Test-Concise (AUDIT-C) on this university campus and recommendations for future practice, policy, and research. The data analyzed the comparison and implementation groups, and chi-square tests were used. The results indicated there was a statistically significant improvement in AUD identification rates X2(1, N=991) =42.97, p=.001.

Keywords: AUD, WHO, AUDIT-C. Lewin's change model adults. university, Dewey, reflection
Internal Oxidation Prediction by Cellular Automata Approach in Energy Materials at High Temperatures
Authors: Dudziak Tomasz Pawel , Jahns Katrin , Wilk Kołodziejczyk Dorota , Krupp Ulrich , Polkowska Adelajda , Deodeshmukh Vinay , Warmuzek Małgorzata
Published: March 2019

Aim of the study is the adaptation of a modeling concept to internal oxidation during steam oxidation using the cellular automata (CA) approach. The CA system is implemented for the alloys that undergo most severe corrosion degradation. In this work, steam oxidation process for two solid‐solution strengthened alloys; Haynes® 230®, 617 alloy, two γ’‐strengthened alloys; 263 and Haynes® 282®, and three austenitic steels rich in Cr: 309S, 310S, and HR3C, are analyzed. The study shows that the exposure in steam environment leads to a thin oxide scale formation consisting mainly Cr2O3 and MnCr2O4 spinel type oxide, except alloy 617, where NiCr2O4 spinel is observed. The modeling studies of internal oxidation development are applied to γ’‐strengthened alloys, Haynes® 282® and alloy 263, and are shown to be in good agreement with the experimentally observed pronounced internal oxidation attack.
3D Printed Photoresponsive Materials for Photonics
Authors: Nocentini Sara , Martella Daniele , Parmeggiani Camilla , Wiersma Diederik S.
Published: March 2019

Polymer photonics explores manufacturing of polymeric materials in order to create devices for light manipulation at the nanoscale. Available lithographic techniques give access to a truly 3D shaping, which can replicate computer‐aided designs by several methods. Among them, direct laser writing enables nanoscale precision fabrication. This platform allows integration of advanced materials for reconfigurable elements, whose shape and refractive index can be precisely controlled by external stimuli. This Progress Report collects the recent advances in the field of light‐tunable photonics, where polymers are used not only as passive elements for guiding and manipulating light but also to control the optical properties of the devices themselves. This creates dynamic structures with multifunctional performance. Starting from a brief description of light‐responsive materials patterned by direct laser writing (focusing on liquid crystalline networks), examples of integration of photonic materials on different platforms are shown—from simple photonic devices (as lenses or diffraction gratings) to their integration in photonic circuits (as active whispering gallery mode resonator coupled to waveguide). As most of the active materials are demonstrated to be biocompatible, implantable photonic platforms can be foreseen for biomedical applications.
Rhodium/Gold Dual Catalysis in Carbene sp2 C−H Functionalization/Conia‐ene Cascade for the Stereoselective Synthesis of Diverse Spirocarbocycles
Authors: Hunter Arianne C. , Chinthapally Kiran , Bain Anae I. , Stevens Joseph C. , Sharma Indrajeet
Published: March 2019

A Rh(II)/Au(I) catalyzed carbene cascade approach for the stereoselective synthesis of diverse spirocarbocycles is described. The cascade reaction involves a rhodium carbene initiated sp2 C−H functionalization followed by a gold catalyzed Conia‐ene cyclization. The cascade reaction accommodates a variety of aryl substituents as well as ring sizes and proceeds with high diastereoselectivity providing access to diverse spirocarbocycles.

magnified image