bluuebunny/crossref_metadata_2025 huggingface dataset:
AVALIAÇÃO ESTÉTICA DE PARÂMETROS DO SORRISO EM JOVENS ESTUDANTES DA FACULDADE DE ODONTOLOGIA DO RECIFE – FOR
Authors: Leite Diego Sampaio Garcia , Santos Pedro Guimarães Sampaio Trajano dos , Travassos Rosana Maria Coelho , Silva Luciano Barreto , Marcelos Priscylla Gonçalves Correia Leite de , Silva Vânia Cavalcanti Ribeiro da , Lima Samuel Nogueira , Cavalcanti Maria Tereza Moura de Oliveira , Menezes Maria Regina Almeida de , Tenório Dourado Chaves Adriane , Nascimento Alexandre Batista Lopes do , Rodrigues Verônica Maria de Sá , Almeida Gustavo Moreira de , Alves Josué , Prosini Priscila , Asfora Kattyenne Kabbaz , Rosa Gabriela Guerra
Published: February 2025

Objetivo: O sorriso desempenha um papel crucial na atratividade facial, sendo essencial para a harmonia facial. Com o objetivo de compreender melhor esses parâmetros, o estudo centra-se na análise de estudantes de Odontologia da FOR, utilizando a fotografia como principal ferramenta investigativa. O estudo busca analisar, de forma geral, os parâmetros estéticos do sorriso em alunos de Odontologia, com foco específico em: Descrever os parâmetros estéticos em relação ao gênero, identificar variáveis, como desvio da linha média e curvatura do lábio. E definir padrões predominantes entre os parâmetros. Utilizando um desenho observacional descritivo, a pesquisa se concentrou em estudantes do 10º período da FOR. Metodologia: A coleta de dados ocorreu por meio de fotografias digitais, com análise estatística utilizando SPSS 13.0 e Excel 365. A amostra, composta por 70% do sexo feminino, revelou que 70% dos participantes apresentavam desvio da linha média. Observou-se uma predominância de lábios retos (60%), linha do sorriso média (80%), arco do sorriso paralelo (90%), e forma ovóide dos incisivos (70%). A largura média do sorriso foi de 9,3 ± 1,5. Resultados: O estudo destaca diferenças em relação a estudos anteriores, especialmente no que diz respeito ao desvio da linha média. Enfatiza a importância da análise de características labiais, evidencia uma tendência de arcos paralelos em homens e estabelece uma associação significativa entre a forma dos incisivos e o gênero. Conclusão: As conclusões destacam a importância da atenção ao desvio da linha média e à forma dos incisivos, sublinhando a necessidade de personalização em procedimentos estéticos. Recomenda-se a continuidade da pesquisa, enfatizando a inclusão de grupos diversos para uma compreensão abrangente. Este estudo contribui significativamente para a compreensão das complexas relações entre características faciais e a estética do sorriso, fornecendo insights para a prática clínica em odontologia estética.
Intersectional homemaking: Bridging the social and material inequities of refugees living in climate precarity
Authors: Hoselton Jill , Drolet Julie
Published: February 2025

Climate injustice is increasingly recognized by researchers as a factor in forced migration. Less attention has been given to the climate injustices experienced by refugees in resettlement contexts. Homemaking is a useful concept for examining refugee relationships to climate injustice because of its consideration of both the social and material world (i.e. the natural and built environment). However, it is limited in its capacity to examine the structural factors that contribute to the barriers and possibilities of homemaking in climate precarious contexts. This article joins intersectionality and homemaking to demonstrate how taken together this analytical frame can illuminate socio-material inequities experienced by refugees from pre-migration to resettlement in Canada. Intersectional homemaking is presented as a key conceptual framework for exploring home/homemaking, climate injustice, and refugees within the social work discipline.
Preparing social work students for the realities of practice: A content analysis of occupational stress injury in social work curricula in Canada
Authors: De Boer Catherine , Kirkland-Smith June , O'Quinn Jasmine
Published: February 2025

The practice of social work places social workers at risk for occupational stress injuries (OSIs) such as 1) post-traumatic stress disorder (PTSD), 2) secondary traumatic stress (STS), also known as vicarious trauma (VT) or compassion fatigue (CF), and 3) burnout (Bride, 2007; Shackelford, 2012). Therefore, schools of social work need to prepare students for these potentialities and teach them ways to mitigate risk. This study explores whether and how thoroughly schools of social work across Canada are including the topic of OSIs within their Bachelor of Social Work (BSW) curricula. A content analysis was conducted of course descriptions, from each of the 42 BSW programs across Canada, using online university calendars and program websites. Each course description was reviewed for explicit reference to OSIs, (e.g., use of the words PTSD, STS, VT, CF and burnout) and also for implicit mention to the psychological impacts of practicing social work on the social workers themselves. Only three BSW programs offered a course with explicit reference to OSIs, an additional 11 offered courses with implicit reference. Of the 1,494 course descriptions included in the sample, only four explicitly referenced OSIs and 23 made implicit mention to topics that could arguably align with the etiology of OSIs and prevention and mitigation strategies. These topics included worker stress, personal and professional sustainability, professional resiliency, and self-care. These findings raise concern as to how well social work students are being prepared for the realities of practice. Implications of the findings for social work education and preparation for the field are discussed.
The Importance of the Participation of the Medical Expert in Criminal Proceedings
Authors: Szilvássy Zoltán
Published: February 2025

The Criminal Procedure Act significantly changed the rules of expert evidence, so e.g. in order to prevent the prolongation of the procedures, it attempts to direct the process of appointing experts and evaluating expert opinions into a reasonable channel in order to make a considered and timely decision. The time that has passed since the entry into force of the law already allows us to examine the practice of law enforcement. I believe that the biggest change comes from the regulation of the private expert opinion, which allows the defendant and his defense to have equalrights in the criminal proceedings, which also follow from the principle of equality of arms. And all of this strengthens the fairness of the procedure in general, which can be a guarantee of the birth of judicial verdicts that are also close to the material truth.
Combating Ponzi Schemes: an in-Depth Look at Law Enforcement Effectiveness in Indonesian Context
Authors: Anggriawan Rizaldy
Published: February 2025

Ponzi schemes, infamous for their ability to exploit unsuspecting investors, continue to pose a significant challenge to financial authorities globally. Indonesia, with a burgeoning economy and a growing financial sector, is not immune to the threat of fraudulent activities. This study delves into the effectiveness of existing law enforcement measures in Indonesia to combat Ponzi schemes, shedding light on areas that need of needing improvement. The research employs a mixed-methods research design, the study combines quantitative and qualitative data to comprehensively examine the issue. The findings reveal that while Indonesia has specific legal provisions to prosecute Ponzi scheme operators based on the sectoral laws and regulations, law enforcement still faces challenges related to evidentiary factors, witness factors, legal instrument, and limited resources. The reluctance of victims to report these schemes hinder successful prosecution. Law enforcement agencies often prioritize other criminal offenses due to resource constraints. To address these challenges, the study emphasizes the need for enhanced collaboration among law enforcement agencies and banking institutions, and the allocation of resources for these cases should be reconsidered. These reforms are essential to improve the state of law enforcement and protect potential victims of Ponzi schemes in Indonesia.
Comparing Foreseeability in Contractual Damages under the CISG, Unidroit Principles and Principles of European Contract Law
Authors: Quynh Thi Nguyen
Published: February 2025

In contract law, when one party breaches its contractual obligations, the aggrieved party may claim to recover damages; however, they are not always entitled to the full amount of loss or damages caused. To limit damages in contract disputes, national legal systems and international instruments have introduced foreseeability into the contract language. The aim of this research is to investigate foreseeability as it has been applied under the Vienna Sales Convention (CISG), the UNIDROIT Principles (UPICC) and the Principles of European Contract Law (PECL). In the study, the principle of foreseeability is examined as regulated in these three instruments with a comparison of their similarities and differences. While textual differences between the instruments are minor, challenges remain in interpreting foreseeability rule including its ambiguity and uncertainty. Nonetheless, the broad and flexible approach of foreseeability continues to be effective in the global commercial context.
Less Human but More Effective? : IT and the organisation of working time
Authors: Kártyás Gábor
Published: February 2025

The advent of information technology has also facilitated the organization of working time. As for now, various electronic monitoring tools and AI algorithms assist in tracking employee performance and planning schedules, making registration of working time easier and enhancing efficient planning. This paper explores the impact of the IT and the AI on working time, advocating for technology to support more human working time policies, for the benefit of both the employers and the employees. It examines EU and Hungarian legal provisions, emphasizing that the organization of working time should prioritise worker needs alongside economic considerations. The paper argues for the humanization of work, with digital tools offering potential to incorporate employee preferences into working time management, thus fostering mutually beneficial solutions.
Design And Development of Five- Bar Linkage Mechanism for Automated Vegetable Transplanter
Authors:   6Department of Mechanical Engineering, Sri Sai Ram Engineering College, Chennai-44, India, C Parswajinan
Published: February 2025

This research paper represents the design and development of a Translating Five-Bar linkage mechanism for an automatic vegetable transplanter, aimed at enhancing the efficiency and precision of agricultural transplantation processes. The Traditional transplanting of seeds is Time consuming, Labour intensive and costly activity which provides uneven plant laying and low transplanting rate. This system uses a duckbill type Five-Bar linkage mechanism which is powered by the tractor's (PTO) Power Take-Off shaft. This driving mechanism consists of 2 crankshafts, connecting rods, and chain sprocket arrangement to achieve the best seedling placement, ensuring minimal soil disturbance and precise transplantation. This design includes kinematic analysis of the Five-Bar linkage to optimize the motion trajectory of the planting mechanism, focusing on uniform planting depth and linear spacing. This study includes the parts design and motion analysis, simulation and kinematic analysis through CAD modelling software. The integrated system enhances the energy efficiency of the mechanism, making it suitable for diverse field conditions and various crop varieties and the experimental results has shown that this system achieves reliable and consistent transplantation with reduced manual effort, proper plant laying and improved transplantation rate.

Keywords:   Five-Bar linkage, PTO, Vegetable transplanter, Sapling
Edge Computing and Security in Industrial Control Systems
Authors: Dontha Jyothsna Devi
Published: February 2025

Edge computing, integrated with Industrial Control Systems (ICS), is transforming the landscape of industrial
automation, providing a decentralized computing model that enables processing data closer to the source. This
technology is crucial in optimizing the performance and security of industrial operations, enhancing the efficiency of
processes by reducing latency, and mitigating cybersecurity risks. ICS environments are increasingly vulnerable to
cyberattacks, and the shift to edge computing offers a promising solution by allowing real-time data processing,
which reduces the dependency on centralized data centers and strengthens data security. This paper explores the role
of edge computing in ICS, particularly in relation to its security implications. It examines how the proximity of
computation to the source of data minimizes exposure to external threats, addresses issues such as data privacy, and
enhances response times in critical industrial systems. Additionally, it investigates the combination of edge
computing with machine learning, AI, and blockchain technologies, which provide sophisticated anomaly detection,
predictive maintenance, and encryption techniques, to further secure the industrial ecosystem. The paper concludes
by outlining the advantages, challenges, and future developments of integrating edge computing with ICS for
enhanced security and operational efficiency.
KEYWORDS: Edge Computing, Industrial Control Systems, Cybersecurity, Data Privacy, Latency Reduction,
Machine Learning, Blockchain.
Understanding Foundational Web Services Architectures: A Comprehensive Review
Authors: Mishra Adya
Published: February 2025

Abstract—Web services are pivotal in
contemporary software development, connecting
diverse systems over standardized protocols and
enabling data sharing across platforms. From the
early days of the Simple Object Access Protocol
(SOAP) to the widespread adoption of
Representational State Transfer (REST), these
foundational architectures have influenced how
developers build and deploy distributed
applications. In recent years, the rise of
microservices has further revolutionized application
design by breaking monolithic systems into smaller,
loosely coupled services that can scale
independently. This article explores the historical
progression of these foundational web service
architectures, explaining core concepts, highlights,
and comparisons. It also examines their practical
applications, including considerations for heavily
regulated domains such as healthcare. By discussing
both established paradigms and emerging
approaches, the article provides insight into how
these foundational ideas continue to guide modern
web service innovation.
Keywords—Web Services Management System,
Application Programming Interface, Information
Retrieval, Unified Modeling Language
THE PREVALENCE OF ORTHOPEDIC DISEASES OF THE DISTAL EXTREMITIES IN CATTLE DEPENDING ON HOUSING CONDITIONS
Authors:   Samara State Agrarian University, Nenashev Igor V. , Marin Evgeny M. ,   Ulyanovsk State Agrarian University
Published: February 2025

The problems with the musculoskeletal system in the limb area in cattle are one of the main causes of economic losses in dairy production. These problems lead to a decrease in milk yields, weight loss, significant treatment costs, a high percentage of culling and a decrease in reproductive functions. In Russia hoof diseases occur in 14.4-80% of the livestock among dairy cows. The pur-pose of the study is to study the prevalence of distal limb diseases in dairy cows under tethered and untethered housing in some dairy farms of the Middle Volga region. Clinical and orthopedic medical examination was carried out among dairy cattle from 2016 to 2024, with different conditions of animal husbandry: tied – in Koshkinsky, Syzran districts, and loose – in Bezenchuk, Hvorosty-ansky, Stavropol districts of the Samara region, in the villages of Afanasovo and Kaenly of the Nizhnekamsk district of the Republic of Tatarstan. In total, 9893 animals aged 3 to 10 years, with an average live weight of 450-550 kg, underwent orthopedic cleaning and treatment; 2,267 were patients, which amounted to 22.91%, and 3,050 pathologies of the distal extremities were found in them. During the clinical and orthopedic examination of dairy cows in the period from 2016 to 2024, it was found that with loose housing, the number of sick animals is 4% less, and the number of orthopedic diseases is 17.34% lower than with tethered housing. This allows us to conclude that for the prevention of limb diseases, it is preferable to use unrestricted animal husbandry. The most common diseases of the distal region are myakish ulcer, Rustergoltz ulcer, purulent and aseptic pododermatitis, as well as hoof deformity. At the same time, with any method of keeping cows, the distal parts of the pelvic extremities are most often affected, both with tethered and untethered conditions.
JUSTIFICATION OF PARAMETERS OF ELECTRICAL SUBSTITUTION DIAGRAM FOR CASTORE SEED COMPONENTS
Authors:   Melitopol State University, Chebanov Andrey B. , Struchaev Nikolai I. ,   Melitopol State University, Adamova Svetlana V. ,   Melitopol State University, Chebanova Yulia V. ,   Melitopol State University
Published: February 2025

The purpose of the research is to increase the efficiency of hulling castor bean seeds and separating its crushed seeds in the gen-eral technological process of material processing. In the technology of castor bean processing, an important place is occupied by the operation of hulling and separating its crushed beans, which should prevent toxic substances such as ricin, ricinin and allergen from entering the final product of processing. When applying electrophysical methods of influencing castor bean seeds, it is neces-sary to have an understanding of the electrical properties of the components of castor bean seeds, such as the kernel and husk. Knowledge of such properties is necessary for the development of devices that will use electric fields in the technological operations of hulling castor bean seeds and separating its crushed grain. However, since the seeds of agricultural crops are dielectrics, and polarization processes occur in any dielectric, it is not possible to substantiate their electrical properties without understanding these processes in relation to castor bean seeds. Therefore, the purpose of the article is to establish processes in the components of cas-tor bean seeds that occur under the influence of voltage applied to them by substantiating the parameters of the electrical equiva-lent circuit. As a result of the justification, equations were obtained to determine the parameters of the electrical equivalent circuit for the kernel and seeds of castor beans, namely: capacitance due to electronic and ionic polarization, capacitance due to dipole and structural polarization, resistance due to dipole and structural polarization, resistance to through conduction current. Such equa-tions will make it possible in the process of research to establish the electrical properties (dielectric loss tangent, relative dielectric constant and electrical conductivity) of the kernel and husk of castor bean seeds, taking into account the moisture content of the seeds, temperature and frequency of the power supply network.
THE INFLUENCE OF COMBINED COMPLEX OF NUTRIENTS ON BIOCHEMICAL PARAMETERS OF BLOOD OF CALVES WITH RICHITIS
Authors:   Samara State Agrarian University, Nagovitsyna Elena М. , Savinkov Alexey V. ,   Samara State Agrarian University, Meshcheryakov Alexander G. ,   AgroPlemConsulting LLC
Published: February 2025

The objectives of the study were to investigate the effect of a feed additive based on natural minerals and organic protein on bio-chemical blood parameters in calves with clinical manifestations of rickets. At the beginning of the experiment, changes in the mus-culoskeletal system characteristic of rickets were revealed in the experimental calves. Biochemical blood analysis revealed negative deviations in the parameters of mineral and protein metabolism. The use of a mineral-protein supplement led to the restoration of the concentration of total calcium and inorganic phosphorus in the blood of sick calves and normalization of the ratio between these two elements. Within the reference limits, an increase in the parameters of protein metabolism in the blood was noted, as well as a decrease in the activity of alkaline phosphatase to optimal values. At the external level, the positive effect of the complex remedy was confirmed by ultrasound osteometry, indicating an increase in bone mineral density. An increase in the daily increments of sick calves was also noted. The correct selection of essential nutrients in the complex therapy of rickets of young cattle plays a key role in restoring key characteristics of mineral metabolism and normalization of functions of the entire animal body systems. Provided that the body of calves receives a sufficient amount of naturally necessary components of protein and mineral substances, it is able to effectively perform all necessary functional tasks, including the formation of full-fledged tissue structures.
OILSEED FLAX SEEDS IN MIXED FEEDS FOR LACTATING COWS
Authors:   All-Russian Scientific Research Institute of Animal Husbandry named after Academician L. K. Ernst, Zoteev Stepan V. , Nekrasov Roman V. ,   All-Russian Scientific Research Institute of Animal Husbandry named after Academician L. K. Ernst, Zoteev Vladimir S. ,   Samara State Agrarian University, Sanin Andrey A. ,   Samara State Agrarian University
Published: February 2025

The purpose of the research is to study the effectiveness of using flax seeds of the oilseed variety Kinelsky 2000 in feeding lactating cows. Oilseed flax seeds contain 37.0% oil, 22.0% crude protein. The main part of fat is linolenic acid, an analogue of vitamin F. In terms of amino acid composition, flax seed protein is close to soy protein. This gives reason to consider the possibility of using oilseed flax seeds in the diets of highly productive lactating cows. In scientific and economic experience on two groups of lactating cows of 8 heads each, the effect of compound feeds with a content of 10.0% by weight of flaxseed on feed consumption and the digestibility of nutrients in the diet was studied. The inclusion of flaxseed concentrate in the feed provides an increase in milk productivity by 4.2%. Reducing the cost of producing 1 kg of milk by 4.0% fat content: 1.4% by WEIGHT, 3.0% by dry matter, 3.5% by concentrates. The replacement of 10.0% soy meal in a compound feed concentrate with oilseed flax seeds increases the digest-ibility of nutrients in the diet feed: dry matter by 0.7 abs.%, crude protein – by 0.4 abs.%, crude fat – by 0.2 abs.%, fiber – by 0.2 abs.%, BEV – by 0.3 abs.%. The "loss" of nitrogen in urine in cows of the experimental group was lower than the control by 1.4 g (or 1.3%). Nitrogen absorbed from the gastrointestinal tract in cows of the 2nd experimental group was better used by their body than in animals of the 1st control group for the synthesis of milk protein. The inclusion of flour from flax seeds of the oilseed variety Kinelsky 2000 in the composition of compound feeds concentrates for lactating cows provides an improvement in the digestibility of nutrients in the diet. This is accompanied by an increase in dairy productivity. The inclusion of 10.0% by weight of flax seed flour in the composition of compound feed concentrate for lactating cows is economically feasible.
Factors affecting the application of international financial reporting standard on financial instruments in banks
Authors: Quynh Huong Nguyen Thi , Kim Oanh Vu Thi
Published: February 2025

The International Financial Reporting Standard (IFRS) is a global accounting language adopted in over 160 countries. The research illuminates the level of IFRS application on financial instruments at Vietnamese commercial banks and explores the impact factors of the IFRS transition. The study is based on data collected from accounting staff and chief accountants working in 28 Vietnamese commercial banks during February 2024. Besides the qualitative method (expert survey), the research uses Principal Component Analysis and logistic regression analysis to test the impacts of factors on IFRS implementation. The findings show that the legal accounting system, the capacity of accountants, the implementation staff, financial capacity, and information technology are the five decisive factors affecting the IFRS application in Vietnam, while the development of the market and the support of managers do not show significant impacts on the implementation of IFRS. The results are of great importance as 2025 is the milestone for commercial banks in Vietnam to apply IFRS. The insights from the research suggest that commercial banks adopt appropriate strategies to successfully apply IFRS on financial instruments.
The Lebanese expatriation: Between return and connection
Authors: Omar Maha Haj , Nehme Mohamad , Mohtar Lojeen Al
Published: February 2025

Migration flows, particularly those involving skilled labor and capital, have profound effects on both the countries of origin and destination. Lebanon, a developing economy plagued by persistent security and financial crises, has experienced significant migration waves in recent decades. These large-scale emigrations have led to various positive and negative economic and social transformations. While most previous studies have focused on the adverse effects of Lebanon’s brain drain and capital outflow, this study emphasizes the crucial role of Lebanese expatriates in supporting their families and revitalizing certain economic sectors. Through a mixed-methods approach, this study examines the factors that prevent Lebanese expatriates from returning to their homeland by analyzing data from 225 participants. Using quantitative methods, including regression and Chi-Square analysis on the SPSS platform, the findings reveal that despite their relatively limited impact, Lebanese expatriates contribute positively to the local economy and provide financial support to their families. The study also highlights that unemployment is a primary driver of emigration, with government reforms, job opportunities, and political stability identified as key factors influencing the decision to return.
Factors influencing the profitability of Vietnamese commercial banks during the 2013-2024 period
Authors: Nguyen Ngan Bich , Vu Nhi Yen
Published: February 2025

This study examines the factors influencing the profitability of Vietnamese commercial banks from 2013 to 2024, a period marked by global financial fluctuations, economic downturns, and the COVID-19 pandemic. The research aims to identify key determinants of bank profitability and propose strategic solutions for financial performance enhancement. Using panel data from nine Vietnamese commercial banks, the study employs various econometric techniques, including Pooled OLS, Fixed Effects Model (FEM), Random Effects Model (REM), and Feasible Generalized Least Squares (FGLS), to ensure robust findings. The results indicate that the equity-to-assets ratio (EAR), GDP growth, and bank size positively impact return on assets (ROA), while non-performing loans (NPL), cost-to-income ratio (CIR), and industry concentration (CR4) negatively affect it. For net interest margin (NIM), GDP growth, EAR, loan-to-deposit ratio (LDR), and COVID-19 have a positive influence, whereas CIR exerts a negative effect. The study provides practical recommendations for Vietnamese commercial banks, including enhancing cost efficiency, strengthening credit risk management, expanding asset size, and adapting to macroeconomic fluctuations. While the research offers valuable insights, future studies should consider additional factors such as digital transformation and international governance standards to provide a more comprehensive analysis.
Understanding social media activities of firms and CEOs
Authors: Hwang Daniel Sejun
Published: February 2025

This study explores the factors and motivations driving Twitter usage by firms and their CEOs, offering insights into the strategic and personal dynamics of social media adoption. Using hand-collected data from CEO and firm Twitter accounts, the findings reveal that firms adopt Twitter at a significantly higher rate and two years earlier than CEOs. Both firm and CEO Twitter usage are positively associated with size and valuation. However, CEO age and tenure are associated only with CEO Twitter activity, suggesting that CEO Twitter usage is discretionary and influenced by personal factors. Firms in environments with greater information asymmetry are less likely to use Twitter, suggesting a desire to minimize scrutiny or misinterpretation. However, CEO Twitter activity is unaffected by the firm’s information environment, emphasizing its personal nature. These findings highlight the distinct motivations for Twitter adoption by firms and CEOs, underscoring its role in modern corporate communication and leadership practices.
Het Liefdehuis-arrest na honderd jaar herinnerd
Authors: Engberts D.P.
Published: February 2025

Het Liefdehuis-arrest na honderd jaar herinnerd

Het Liefdehuis-arrest uit 1913 was het eerste arrest waarin het medisch beroepsgeheim centraal stond. De Hoge Raad relativeert daarin drastisch de betekenis van de artseneed/-belofte voor het beroepsgeheim en het verschoningsrecht. Grondslag en oogmerk van het beroepsgeheim worden niet op regelgeving gebaseerd maar op de eigen aard van de verhouding patiënt-arts. In dit artikel schetst de auteur kort de achtergronden van het arrest. Hij gaat in op het belang van de uitspraak en geeft een korte analyse van de sterke en zwakke kanten.
Beroepsgeheim en toezicht: leidt het afgeleid beroepsgeheim tot een zwijgende toezichthouder?
Authors: de Die A.C.
Published: February 2025

Beroepsgeheim en toezicht: leidt het afgeleid beroepsgeheim tot een zwijgende toezichthouder?

Sinds de inwerkingtreding van de Wubhv mag de inspecteur op grond van drie wetten patiëntendossiers inzien. De zorgaanbieder moet weten waar de grenzen van die bevoegdheid liggen in verband met zijn eigen beroepsgeheim. Voor de IGZ geldt hetzelfde, maar zij wordt nog voor een andere vraag gesteld. Namelijk wat zij mag doen met de verkregen vertrouwelijke gegevens. Uit een arrest van de Hoge Raad van 12 februari 2013 blijkt dat het verschil maakt dat sprake is van een afgeleide geheimhoudingsplicht. Een wettelijke regeling van gebruik van patiëntengegevens is wenselijk.
Kroniek rechtspraak EU
Authors: de Gans M.T.
Published: February 2025

Kroniek rechtspraak EU

In deze kroniek wordt een overzicht gegeven van de jurisprudentie van het Hof van Justitie van de Europese Unie op het terrein van het gezondheidsrecht in de periode van 1 juni 2010 tot 1 september 2011. De behandelde arresten hebben betrekking op de organisatie en financiering van de gezondheidszorg, zorg in het buitenland en bloedproducten, genees- en hulpmiddelen.
De voorgenomen wijziging van artikel 13 Zvw – een kleine ingreep aan het hart van de zorgverzekering
Authors: Rijken J.J.
Published: February 2025

De voorgenomen wijziging van artikel 13 Zvw – een kleine ingreep aan het hart van de zorgverzekering

De Minister van VWS heeft een wijziging van artikel 13 Zorgverzekeringswet (Zvw) aangekondigd. Zorgverzekeraars zullen vrij zijn te bepalen of zij een vergoeding voor niet-gecontracteerde zorg bieden en zo ja, wat de hoogte is. Deze bijdrage plaatst enkele kanttekeningen. Het ‘hinderpaalcriterium’, dat in de brief een belangrijke rol speelt, bestaat naar huidig recht niet. Daardoor heeft de voorgenomen wetswijziging slechts een beperkte betekenis. De Europese Richtlijn patiëntenrechten is niet duidelijk over de vergoeding van niet-gecontracteerde zorg. Daardoor is onzeker of de Zvw zorgverzekeraars vrij mag laten deze vergoeding te bepalen. Ook rijst de vraag hoe ver zorgverzekeraars mogen gaan bij het selectief inkopen van zorg.
Kroniek rechtspraak Wet marktordening gezondheidszorg
Authors: Sijmons J.G.
Published: February 2025

Kroniek rechtspraak Wet marktordening gezondheidszorg

Deze kroniek bevat een overzicht van de jurisprudentie inzake de Wmg vanaf oktober 2010 tot mei 2012. De jurisprudentie betreft oudere geschillen over kortingen en maatregelen die uiteindelijk tot een beslissing kwamen, als ook voorlopige voorzieningen van maatregelen die hun schaduw vooruitwerpen. Naast tariefbeschikkingen worden ook enkele uitspraken besproken van de NZa in de rol van ‘marktmeester’.
Europeesrechtelijke ontwikkelingen rond medische aansprakelijkheid
Authors: Hendriks A.C.
Published: February 2025

Europeesrechtelijke ontwikkelingen rond medische aansprakelijkheid

Het medisch aansprakelijkheidsrecht is niet slechts een nationale aangelegenheid. In Nederland kunnen we lering trekken uit de ervaringen elders en wordt het vigerende recht in aanzienlijke mate bepaald door 'Europa', in het bijzonder door de EU en de Raad van Europa. In deze bijdrage gaat de auteur in op relevante Europese rechtsontwikkelingen. Gesteld wordt dat juristen er niet aan ontkomen Europa te betrekken bij het medisch aansprakelijkheidsrecht.
Rechtsvoorzieningen in veelvoud: bemiddeling in strafzaken, Nebenklage en drug courts
Authors: van Stokkom Bas
Published: February 2025

This editorial offers an introduction to the current issue.
Kunnen godsdienstige organisaties belastbare winst maken?
Authors: Wolff Mario
Published: February 2025

Can religious organisations make taxable profit? The treatment of religion in corporate tax legislation

Dutch profit tax does not formally exclude religious organisations. Therefore, these organisations may have to pay tax over their income. The way this tax is determined is dictated by the law on corporate taxation: Wet op de vennootschapsbelasting 1969. In practice however, religious organisations are seldom taxed. In this article I investigate whether there is a formal reason to exclude this type of organisations from taxation, leading to the conclusion that there is no such reason.
Systeemtoezicht in de Nederlandse gezondheidszorg. Een experimentele innovatie van toezicht.
Authors: Stoopendaal Annemiek , de Bree Martin , Keuter Franske , Robben Paul
Published: February 2025

De Inspectie voor de Gezondheidszorg (IGZ) heeft geëxperimenteerd met een nieuwe vorm van inspectie gebaseerd op systeemtoezicht (ST). Het experiment volgt uit voortgaande ontwikkelingen in de governance van zorginstellingen. Het experiment is gevolgd en ondersteund met formatief onderzoek. Geleerd is dat ST in de Nederlandse gezondheidszorg, mits gericht en evenwichtig toegepast, een bijdrage kan leveren aan de doelstellingen van de IGZ ten aanzien van effectief en efficiënt toezicht. ST maakt ‘inspectiemaatwerk’ mogelijk. Daarenboven geeft dit artikel inzicht in de werkwijze die gebruikt kan worden bij de modernisering van toezicht.
Versnipperde regie
Authors: Broekhuizen Jolijn , van Steden Ronald , Boutellier Hans
Published: February 2025

Fragmented coordination. The position of the municipality in a local security network

The coordination in public safety has been assigned to the municipality. The central question in this article is whether the municipality is equipped to fulfil this task successfully. In this study we investigated a metropolitan security network against drug and alcohol nuisance. Questionnaires were administered among 36 organisations dealing with these nuisance problems. The social network analysis shows that the municipality is predominant in the security network. On the other hand there are several other organisations, such as the Police, health organisations and Housing Associations, that also take up a central position in the network. We also found that the municipality’s informal network is less well developed than its formal network. In contrast, the Police and several local health organisations often liaise informally with other organisations that ‘fight’ drug and alcohol nuisance within the network. Quite a number of organisations are in the position to obtain important information and to exert influence when organisations are unwilling to cooperate. Consequently, several organisations other than the municipality are suited to successfully complete the coordination in a security network.
Integrale veiligheid als reflexieve praktijk
Authors: van Wonderen Ron
Published: February 2025

Book review

In this contribution the author reviews: Integrale veiligheid als reflectieve praktijk, by Sjaak Khonraad.
The Impact of India-Afghanistan Relations on the Economic Situation in Afghanistan
Authors: (Mohaddesi) Mohammad Jawad Mosawi , Fazli Aziz Ahmad
Published: February 2025

Afghanistan lost nearly all its economic infrastructure during more than three decades of war. Following the events of September 11 and the establishment of a new order, the country adopted a market-based economic system in its new constitution and pursued policies aligned with this model. Currently, Afghanistan maintains trade and transit agreements with neighboring and South Asian countries, including India, a key economic power in the region. Globally, India ranks as one of the largest developing nations and the fourth-largest economy, offering substantial economic opportunities for both countries through enhanced bilateral ties. Over the past decade, India has funded several development projects in Afghanistan, primarily in infrastructure. These initiatives have not only provided thousands of jobs but also laid the groundwork for the growth of other economic sectors. For instance, the construction of the Salma Dam has supplied electricity to western provinces and enabled the irrigation of thousands of hectares of farmland. In terms of investment, India has expressed interest in extracting the Hajigak mine in Bamiyan, which could create 32,222 to 35,222 jobs and generate $322 million annually for Afghanistan. Bilateral trade relations reflect India’s need for raw materials from Afghanistan and Central Asia, while these regions serve as significant markets for Indian goods. Afghanistan, strategically positioned as a bridge between India and Central Asia, also relies on India for access to global markets. This study examines the economic opportunities and challenges of India-Afghanistan relations and evaluates India's role in Afghanistan’s trade, investment, and reconstruction sectors. Findings highlight India’s influential role in Afghanistan’s political, social, and economic transformation, emphasizing the strategic alliance's mutual benefits. However, Afghanistan must strengthen its security and defense to address shared threats, particularly from Pakistan, to fully leverage this partnership.
The Implementation of Case Based Learning Method in Teaching Speaking Skill
Authors:   Makassar Muhammadiyah University, Faculty of Teachers Training and Education, Makassar, Indonesia, Masitah Masitah , Ampa Andi Tenri ,   Makassar Muhammadiyah University, Postgraduate Program, Makassar, Indonesia, Nappu Syamsiarna ,   Makassar Muhammadiyah University, Faculty of Teachers Training and Education, Makassar, Indonesia
Published: February 2025

Purpose: The purpose of this study is to investigate the students’ achievement in English speaking through the use of the Case Based Learning (CBL) method and the Project Based Learning (PjBL) method as well as to identify differences in students’ achievement between these two methods.

Method: The population of the sample selected for this study would use a total sampling technique for class determination and classification to select the experimental and control classes, respectively. For the case study, two classes each, of the majoring in IPA and IPS students consisting of each class of samples were 16. In the second-grade study, it was class XI, including 32 students. The type used in this study is a quasi-experimental research design. The data were obtained by using Pretest and post test.

Result: The results reveal that the students’ post-test mean score is improved after being treated. This is seen from the increase in the mean score of students’ pre-test from 48.75 to 69. The data above is evidence that case-based learning is effective in improving the speaking skill of students. In Control class The result shows that the mean score of students’ post-tests improve after being given treatment. It is seen through students’ pre-test mean score, which improved from 46.75 to 62.5This is shown by the data presented, that project -based learning really works in improving the students’ speaking prowess. The: there is a big difference between the experimental class and the control class with regard to the teaching method applied and the speaking performance of the students. It showed that the experimental class that employed the CBL method yielded better results compared to the control class using Project-Based Learning or PjBL. The average score from the experimental class was 48.75 in the pretest results, which was higher than the control class that had only got 46.75.

Conclusion: CBL and PjBL provide the students’ achievement of English speaking in Madrasah Aliyah Muhammadiyah Limbung. CBL makes pronunciation, grammar, and vocabulary better through the analysis of a case but gives them less chance of speaking. In PjBL, students get more fluent and other skills developed in performing real-life-like tasks.
Endometriose ureteral como diagnóstico diferencial de neoplasia maligna do trato urinário superior: Relato de caso
Authors: Machado Cassiano , Azolin Machado Giulia , Hamad Mehanna Samya , Fernanda de Souza Britto Alissa , Mendes e Siilva Gonçalves Rafael , Meyer Fernando
Published: February 2025

Introdução: O presente relato tem como objetivo descrever a ocorrência de endometriose no trato urinário superior, em especial no ureter, além de suas manifestações clínicas, diagnóstico e tratamento. A endometriose é caracterizada pela presença de glândulas endometriais fora da cavidade uterina e pode ser classificada como superficial, peritoneal, ovariana ou infiltrativa profunda (DIE). O envolvimento do sistema urinário pela endometriose é incomum, e quando ocorre afeta principalmente a bexiga e o ureter.
Apresentação do caso:  Mulher de 52 anos, com hematúria, infecções urinárias de repetição e presença de tumoração em ureter distal esquerdo evidenciada em ressonância magnética é submetida a nefroureterectomia robótica e diagnósticada com endometriose de ureter em anatomopatológico.
Conclusão: O acometimento restrito ao ureter por endometriose é incomum, e, como no relato, pode ser confundido com neoplasias malignas do trato urinário superior, requerendo tratamento com nefroureterectomia.
Metaplasia escamosa queratinizate no trato urinário: propósito de três casos clínicos.
Authors: Marra da Motta Vilalva Mestrinho Vitória , Do Valle Ciccozzi Lucas , Alcântara da Cruz Maria Elisa , Verna Leal de Oliveira Renata , Dos Santos Rosa Thiago , Vilalva Mestrinho Bruno
Published: February 2025

A metaplasia escamosa queratinizante (KSM) do trato urinário é uma patologia rara que pode acometer rins, ureteres e bexiga, com etiologia, diagnóstico e tratamento incertos. APRESENTAÇÃO DO CASO: A primeira paciente jovem com exclusão renal à direita, devido a obstruções urinárias. Optado por nefrectomia simples e histopatológico revelou doença renal queratinizante descamativa. A segunda paciente jovem, com diagnóstico de obstrução urinária alta e com histopatológico revelando metaplasia escamosa na bexiga. Seguiu com aplicação intravesical de hialuronato de sódio, com melhora parcial e segue em monitoramento. A terceira paciente idosa com suspeita de neoplasia vesical avançada, com ureterohidronefrose à direita. Após ressecção endoscópica vesical, teve diagnóstico de metaplasia vesical, com proposta de nefroureterectomia e cistectomia. Optado por tratamento conservador por risco cirúrgico elevado. CONCLUSÃO: Relatam-se três casos de metaplasia escamosa queratinizante no trato urinário, com resultados diferentes. Todas eliminavam escamas pela urina. Discute-se doença pouco estudada e com prognóstico reservado.
Telemedicine in the Management of Urologic Oncology Patients: Lessons from the COVID-19 Era
Authors: Mazzo Calzavara Paulo , Terziotti Fernando , Perri Marin Manuela , Paslar Carbonieri Gabriella , Vallim Mendes Ana Laura , Crippa da Silva Daniel , Varella Postiglioni Augusto , Mehret Moleta Matheus
Published: February 2025

Purpose: This study examined and compared uro-oncologic outpatient telemedicine (TM) and in person assessment during COVID-19 pandemic.
Methods: We retrospectively reviewed the medical records of uro-oncologic outpatients treated in our hospital during the COVID-19 pandemic, from June 3rd, 2020, to December 30th, 2020. Patients were evaluated for a single urologist in both pre and postoperative assessment.
Results: 869 urological outpatients were evaluated in this period, while 193 (22%) through TM modality. The majority was man (n=747; 85.9%, p=0.002), with prostate cancer disease (n=544; 62.6%, p<0.001) at posttreatment follow-up (n=673; 77.4%, p<0.001). Faults were higher at in-person assessment (12.8% vs 7.2%, p=0.035).
Conclusions: Telemedicine emerges as a substitute for traditional clinic visits and its expansion will allow ease of access for health services. Our study provides insights into the efficacy of postoperative care offered through TM.
Ressecção de leiomioma parauretral: um relato de caso
Authors: Oliveira Natália Teixeira de , Machado Filho Christiano , Fávero Victor Augusto , Rocco Amanda Simone Camargo de Morais , Chrun Lucas Rossato , Gouveia Denise Sbrissia de Silva
Published: February 2025

INTRODUÇÃO: O leiomioma é um tumor benigno derivado das células de músculo liso do miométrio, sua localização uretral é rara. APRESENTAÇÃO DO CASO: Mulher, 46 anos, encaminhada ao serviço terciário por queixa de dispareunia e aumento progressivo de volume em parede vaginal anterior. Ao exame, apresentava nódulo suburetral bem delimitado, e móvel. A ressonância magnética revelou nódulo com abaulamento da parede posterior da uretra e canal vaginal adjacente anterior. Foi submetida à cirurgia com exérese da lesão. O exame anatomopatológico sugeriu neoplasia fusocelular, sem atipias e margens livres, compatível com leiomioma, sendo confirmado após análise imunohistoquímica. CONCLUSÃO: O leiomioma parauretral é um tumor benigno raro. O diagnóstico é difícil, pois a clínica, o exame físico e os exames complementares, não são capazes de confirmar o tipo da lesão. Neste contexto, o estudo anatomopatológico define o tipo do tumor. O tratamento consiste na excisão cirúrgica local completa, preservando a uretra.
Uso de telas por crianças durante a alimentação
Authors: Lassolli Camili , Baron Maria Eduarda , Sansão Camilly Thaís , Chiaratti Fernanda Germani de Oliveira
Published: February 2025

Este estudo visa investigar a topografia do comportamento de uso de telas durante a alimentação, de crianças em uma praça de alimentação de loja de departamentos, em Brusque-SC, em cinco dias distintos. Os dados foram coletados por meio de protocolos de observação preenchidos pelas pesquisadoras durante as cenas presenciadas distanciadamente. A pesquisa tem como objetivo a identificação da topografia comportamental da utilização de eletrônicos pelas crianças na praça de alimentação através da Análise do Comportamento. Tal análise é impulsionada pela emergência significativa das tecnologias, associadas ao maior número de diagnósticos de TDAH e também à superficialidade de vínculos afetivos. A metodologia empregada foi qualitativa, quantitativa e bibliográfica, com todos os dados coletados a partir das observações. No que se refere à validação do protocolo, o índice de 79% de correspondência foi alcançado nas respostas da observação-teste. Os resultados indicaram que das 35 crianças observadas, 77,14% delas estavam se alimentando e 34,29% estavam sob exposição de telas. 14,28% dos observados utilizaram o dispositivo móvel enquanto se alimentavam. Enquanto que, os eventos antecedentes à utilização de dispositivos, constituem-se como inviáveis de observação. Ainda, dentre os observados que utilizaram o dispositivo, a forma de uso se dá com 15,4% apenas observando a tela; 30,8% apenas interagindo e 53,8% intercalando entre observação e interação. A partir dos dados, evidencia-se a ocorrência da utilização de eletrônicos nas praças de alimentação, como também, o consumo de alimentos e a ocorrência simultânea de ambos, concomitante aos objetivos postulados.