bluuebunny/crossref_metadata_2025 huggingface dataset:
Globalization effects on the effectiveness of real estate management services
Authors: Zhyruk Taras
Published: November 2024

The scientific article is devoted to the study of the impact of globalization on the effectiveness of real estate management services, taking into account the state of war in Ukraine. The article notes the general characteristics of globalization as a phenomenon, as well as the specifics of its impact on the real estate situation in Ukraine. The problems faced by the Ukrainian real estate market are identified, in particular in the conditions of the legal regime of martial law. The problems faced by the Ukrainian real estate market today, as well as the specifics of the negative and positive impact of globalization on the Ukrainian real estate market, are identified. The role of the Ukrainian real estate market in the world and European markets is determined, and the influence of the Ukrainian real estate market on the European real estate market due to the migration of Ukrainian citizens due to military operations in Ukraine is determined. It is determined how globalization processes should be used in Ukraine to stimulate the development of the Ukrainian real estate market and the exit of the Ukrainian real estate market to the European real estate market and the world market. Obstacles and problems that Ukraine faces today in the framework of the development of the Ukrainian real estate market are identified.
Advocacy as a key institution of civil society: individual and social dimensions of legal assistance
Authors: Byelov Dmytro , Bielova Myroslava
Published: November 2024

The article analyzes the place and functions of advocacy as a key institution of a democratic state. The importance of advocacy in the context of ensuring legal protection, access to justice and implementation of the principles of the rule of law is investigated. The role of advocacy as an important element of the legal system and civil society is considered.
The transformation of the legal profession’s functions from the basic provision of legal aid to an active participant in the formation of state legal policy, improvement of the legislative framework and development of legal culture is being monitored. The dualistic nature of advocacy, which has both individual and social significance, is emphasized.
The importance of advocacy as a tool of public control in the sphere of justice, its contribution to ensuring a fair trial and strengthening the rule of law is highlighted. The correlation between the development of the legal profession and the level of democratization of society, compliance with the rule of law and protection of human rights is analyzed.
The status of the right to professional legal assistance as a basic human right that ensures the realization of other rights and legitimate interests is substantiated. Emphasis is placed on the importance of developing effective mechanisms for the legal protection of citizens with the participation of the legal profession.
The impact of European integration on the modernization of the legal profession in Ukraine and the need to harmonize it with European standards are considered. Modern problems and prospects for the development of the legal profession in the process of building the legal state are analyzed.
The defining role of advocacy in harmonizing the interests of the individual, society and the state, its significance for democratic development and the establishment of the rule of law is summarized. The need for further modernization of the institute of advocacy in accordance with modern challenges is emphasized.
Blockchain in digital notary services
Authors: Goncharova Alina
Published: November 2024

The purpose of the study is to determine the future application of blockchain technology. Protection of rights, as well as legal interests of citizens and legal entities is the main postulate of notary activity. Only through the prism of this provision should one consider the possible application of blockchain technology in the notary. This includes studying the possibilities of the blockchain for verifying the authenticity of documents, automating registration actions. The relevance of the study is related to the need for modern notaries to meet the requirements of the digital world.
The research is based on the application of an interdisciplinary approach, civil law and information technology, which combines the analysis of legal aspects with modern technological research. To study legislative aspects, methods of comparative analysis and synthesis were used, which includes an analysis of the legislation of Ukraine and other countries. The empirical method consists in researching existing examples of implementation of blockchain projects in EU and US notary offices. Analysis and modeling were carried out taking into account the architecture of blockchain networks, their capabilities in terms of information protection, authentication and legal validity of digital records.
The study found that blockchain technology has significant potential for the notary industry due to its decentralized nature and high level of data protection. It has been established that the implementation of the blockchain allows for the creation of a reliable database for recording notarial actions, ensuring the impossibility of forgery or loss of information.
The results of the study confirmed the possibility of using blockchain for digital recording of documents and automation of notarial procedures, which allows to reduce time costs and the risk of human errors. The experience of countries that have already implemented blockchain in the notary office indicates an increase in the level of trust in notary services and a reduction in bureaucratic procedures. The application of blockchain in the notarial sphere can fundamentally change the mechanisms of notarial actions, increasing security, convenience and speed of service.
The use of decentralized networks ensures the reliability of data, which makes it impossible to forge them and makes procedures transparent. However, for the full implementation of such decisions, it is necessary to create an appropriate regulatory framework, adapt Ukrainian legislation and ensure the training of specialists for work in the conditions of digital notary.
Penalties as a form of economic-legal liability in the energy sector
Authors: Kravchyk Serhii
Published: November 2024

In the article, the current state of research on the application of penalties as a form of economic-legal liability is analysed, both generally and specifically in the energy sector. The specificity of applying this form of economic-legal liability in the energy sector is studied, along with existing problematic issues related to its application, and proposals for their resolution are provided. The enforcement practices of the Supreme Court regarding the application of this form of economic-legal liability are examined.
The role of the National Energy and Utilities Regulatory Commission in regulating the application of penalties among participants in energy markets is studied.
Ways to improve the legal regulation of penalty application in the energy sector are proposed, including minimizing the likelihood of participants in energy markets committing similar violations in the future and fostering a high level of adherence to current legislation.
The aim of the work is to identify the patterns and essential characteristics in the application of penalties as a form of economic-legal liability; to define what constitutes penalties in economic legal relations; to determine the specific features of this form of liability in the energy sector; to uncover the grounds and key characteristics applied in the energy sector under the current conditions following the establishment of energy markets in Ukraine (natural gas and electricity markets).
The study also aims to determine the main features and distinctions between liquidated damages, fines, and penalties.
The following materials were used in the research: legal acts that define the grounds for applying penalties; works of scholars conducting scientific and practical research in the field of economic-legal liability; and domestic court practices.
The study identified the main patterns in the application of such a form of liability as penalties, both generally and in the energy sector. The grounds and key characteristics of penalty application in the energy sector are revealed, and examples of the application of such penalties to economic entities-participants in energy markets-are provided.
The research employed methods of theoretical generalization and grouping, formalization, analysis and synthesis, and logical generalization of results (formulating conclusions).
The worn knee
Authors: Dippmann Christian , Rathcke Martin , Overgaard Søren , Lavard Peter
Published: November 2024

Early osteoarthritis in patients between 35 and 65 years of age is mostly observed following previous cartilage, meniscus, and bone or ligament injuries. The expectations individuals have regarding their physical abilities have increased over the past few decades. Patients who despite relevant non-surgical treatment still experience knee pain are often a challenge for primary care. The purpose of this review is to provide non-orthopaedic surgical colleagues with an overview of the surgical assessment and treatment for young patients (< 65 years) with early signs of osteoarthritis of the knee.
Psoriasis is a disease with several clinical presentations
Authors: Kvist-Hansen Amanda , Näslund-Koch Charlotte , Skov Lone
Published: November 2024

Psoriasis is a common chronic inflammatory skin disease with several clinical subtypes. Recent discoveries in the genetics and immunology of the disease, particularly in plaque psoriasis, have revolutionised the treatment of patients with psoriasis. An understanding of the differences in genetics and immunology between different psoriasis subtypes is emerging. This review finds that the unraveling of the links between clinical presentation, genetics, immunology, treatment response, and comorbidities will allow for more individualised treatment of patients with psoriasis in the future.
Systemic treatments for psoriasis
Authors: Rittig Anne Hald , Bertelsen Trine , Rasmussen Mads , Rønholt Kirsten
Published: November 2024

Psoriasis is a chronic skin disease for which there is no cure. However, the systemic treatment of psoriasis has undergone a revolution over the last few decades and now offers many different options. With more effective treatments available, the endpoints for successful treatment have also changed. The choice of systemic treatment depends on various factors as summarised in this review.
New and old topical treatments for psoriasis
Authors: Kofoed Kristian , Skov Lone , Zachariae Claus
Published: November 2024

Patiens with psoriasis and mild to moderate skin disease can be treated with topical agents. This review finds that the most effective topical treatment is calcipotriol and betamethasone combination formulations. Pure topical corticosteroids continue to have a role in the treatment of psoriasis, as they are available in many strengths and formulations that facilitate ease of use. In addition, the price is often lower than for the combination formulations. Topical calcineurin inhibitors can treat facial and intertriginous psoriasis to reduce the risk of skin atrophy.
TRAITEMENT LAPAROSCOPIQUE DE LA STENOSE PYLORO-DUODENALE D’ORIGINE ULCEREUSE AU SERVICE DE CHIRURGIE GENERALE DE L’HOPITAL GENERAL IDRISSA POUYE.
Authors: KA Ibrahima
Published: November 2024

ABSTRACT Introduction: pyloro-duodenal ulcerative stenosis is the most common chronic complication of ulcer disease in developing countries. Its diagnosis calls upon fibroscopy (FOGD) and oeso-gastroduodenal transit (TOGD). The aim of our work was to report our indications and our results in the surgical treatment of ulcerative pyloro-duodenal stenosis by laparoscopic route in the general surgery department of the Idrissa POUYE general hospital. Patients and methods: We conducted a retrospective study (May 2006 to December 2021) of 73 patients with pyloro-duodenal stenosis of ulcerative origin. The surgical approach was an open laparoscopy. The gestures were a bilateral truncal vagotomy (VTB) associated with a gastric emptying procedure. Results: The average age of our patients was 43 years old (range 17 and 87 years old), with a sex ratio of 2.04. We found 52 cases of stenosis at the sthenic phase (71.2%) and 21 cases at the asthenic phase (28.8%). The average duration of evolution of the ulcerous syndrome was 7 months (extreme 3 and 120 months). All the patients had benefited from an esogastroduodenal fibroscopy and an esogastroduodenal transit. The stenosis was complete in 34.2% (n: 25) and incomplete in 65.8% (n: 48). Truncal vagotomy was performed in all patients. It was associated with gastroenteroanastomosis in 93.2% (n: 68) of cases, with pyloroplasty in 6.8% (n: 5) of cases. The average duration of intervention was 92 minutes with extremes of 45 and 107 minutes. Mortality was nil. Morbidity concerned 8.1% of patients (n:6). Functionally, the patients were classified as Visick I (89%, Visick II 7% and Visick III 4%. Conclusion: Surgery for ulcerative pyloroduodenal stenosis is still topical in developing countries. Thus, truncal vagotomy associated with laparoscopic gastric emptying seems to give good functional results with any mortality and low morbidity. Keywords: pyloro-duodenal stenosis; laparoscopy; truncal vagotomy.
CARCINOMES DIFFERENCIES DE LA THYROÏDE CHEZ L’ENFANT ET L’ADOLESCENT : ASPECTS CLINIQUES, ECHOGRAPHIQUES ET HISTOLOGIQUES
Authors: FATY, et al... Aliou
Published: November 2024

ABSTRACT Introduction: Differentiated hyroid cancer is rare. But it remains the most frequent endocrine cancer in children and adolescents. It is papillary in the majority of cases. The objective is to study the epidemiological, clinical and anatomopathological particularities of differentiated thyroid cancer in children and adolescents by comparing our results with those of the literature. Patients and methods: This is a retrospective and descriptive study of 22 children with differentiated thyroid cancer, followed in the ENT departments of the Habib Bourguiba University Hospital of Sfax (Tunisia) and the Children's Hospital of Diamniadio (Senegal), over the period from January 1996 to December 2019. Results: The average age of our patients was 14.7 years, with a sex ratio of 0.7. Sixty-three point six percent (63.6%) of our patients consulted for a thyroid nodule, associated in 9.1% of cases with cervical adenopathy. A history of irradiation was found in one patient. Family history of thyroid cancer was found in 3 patients and dysthyroidism in 4 others. The definitive histological study showed papillary carcinoma in 81.8% of cases and vesicular carcinoma in 18.2% of cases. Conclusion: Differentiated thyroid cancer in children and adolescents is a rare but aggressive entity. A good knowledge of its epidemiological and clinical particularities allows to improve its prognosis. Keywords: cancer, thyroid, child, ENT
DIAGNOSTIC ET FACTEURS PRONOSTIQUES DES OCCLUSIONS INTESTINALES AIGUES MECANIQUES DE L’ADULTE
Authors: NIASSE, et al... Abdou
Published: November 2024

Abstract Introduction: Acute intestinal obstruction is a syndrome whose prognosis depends on several factors. The aim of our study is to describe the diagnostic elements and prognostic factors of mechanical OIA in adults. Patients and methods: we carried out a retrospective study over a period of one year on mechanical acute intestinal obstruction in adults. The diagnostic assessment, etiologies and prognostic factors were studied. Results: Ninety-six (96) files were collected. ASP radiography was performed in 56 cases (58.3%) and contributed in 24.6% while abdominal CT was performed in 37 cases (38.4%) with a sensitivity of 89.2%. Etiologies were dominated by strangulated hernias in 30 cases (31.2%) and colon volvulus in 26 cases (27.1%). Intestinal necrosis was noted in 32.3% of cases. It was strongly correlated with a consultation delay of 6 hours in the event of strangulation with p=0.0021. Morbidity was 17.7% (n=17) dominated by parietal suppuration (n=13 or 76.4%). Severe ionic disorders, hypovolemia and functional renal insufficiency were factors of poor prognosis increasing the risk of intestinal necrosis and postoperative complications with p=0.03. Overall mortality was 8.3% (n=8). Conclusion: A time to consultation >6 h, hydroelectrolyte disorders, strangulation and the existence of intestinal necrosis are factors of poor prognosis in mechanical OIA. Keywords: Acute intestinal obstruction, strangulated inguinal hernias, Flanges, intestinal necrosis
LES PERITONITES POSTOPERATOIRES DE L’ADULTE : PRISE EN CHARGE DIAGNOSTIQUE ET THÉRAPEUTIQUE DE 19 NOUVEAUX CAS AU CHU DE TREICHVILLE (CÔTE D’IVOIRE).
Authors: ANOH N’djetché, et al... Alexandre
Published: November 2024

Summary The aim of this study was to analyze the diagnostic and therapeutic aspects of 19 new cases of postoperative peritonitis. Patients and Method: Our retrospective study, from January 2018 to December 2022, took place in the Digestive and Proctological Surgery Department of the Treichville University Hospital. There were 19 operated patients with a mean age of 39 years (range 21 and 60 years), with a sex ratio of 1.4. Results: The majority of initial surgical indications concerned acute peritonitis (37%) and intestinal obstruction (31.5%). In 13 patients (73.7%), the signs appeared within 10 days. Frequent general and functional signs were spontaneous abdominal pain (n=15, 78.9%); deterioration of general condition and fever in respectively 13 cases (68.4%) and a state of shock (n=11, 57.9%). The main physical signs were represented by induced abdominal pain (100%) and stool passing through the median wound and the drains in 17 cases (89%). The frequent causes noted were anastomotic release (n=7, 37%), iatrogenic digestive fistula (n=6, 31.7%) and release of the appendicular stump (n=2, 10.52%). At reoperation, the digestive stoma was the most performed procedure in 13 cases (68.4%). The evolution was complicated in 16 patients (84.2%). Seven patients died (37%). Conclusion: Post-operative peritonitis remains serious because morbidity and mortality remains high with 37%. Improving the prognosis requires early diagnosis and medico-surgical management. Keywords: Postoperative peritonitis – anastomotic release – digestive fistula
ŒSOPHAGE NOIR : A PROPOS D’UN CAS AVEC REVUE DE LA LITTERATURE
Authors: NIASSE, et al... Abdou
Published: November 2024

Abstract Introduction: The black esophagus or acute esophageal necrosis is a condition of poorly understood etiology. Aim: reporter a clinical case followed by a review of the literature Clinical observation: 69-year-old patient, hypertensive, who was treated with concomitant radiotherapy, followed by abdominoperineal amputation for adenocarcinoma of the lower rectum with sphincter involvement. The patient suddenly presented on the 15th postoperative day with hematemesis of moderate abundance. Extensive necrosis of the middle and lower thirds of the esophagus without gastric or duodenal involvement was demonstrated on fibroscopy. There was no history of caustic ingestion or esophagogastric reflux. There was no transmural necrosis on the cervicothoraco-abdominal CT scan. A 7-day fast and parenteral nutrition were instituted, as well as treatment with double-dose proton pump inhibitors and an isogroup blood transfusion. The evolution was favorable with almost total disappearance of the necrosis on fibroscopy control one week later. Conclusion: Black esophagus or acute esophageal necrosis is a rare condition, most often discovered in a postoperative context. Opponents of the proton pump and resting the stomach remain effective means in their management. Keywords: acute esophageal necrosis, black esophagus.
HEMOTHORAX GAUCHE REVELANT UNE RUPTURE D’ANEVRISME DE L’AORTE THORACIQUE DESCENDANTE : A PROPOS D’UN CAS
Authors: SAMBA, et al... Moussa Marième
Published: November 2024

ABSTRACT Introduction: Hemothoraces are most commonly caused by trauma, invasive procedures or some lung and pleural diseases. We report here a case of a hemothorax caused by a ruptured descending aorta aneurysm. Case presentation: We present a case of a 64- year-old man, with newly diagnosed diabetes, who smoked 6 pack-year and quit 20 years ago. He presented with intense chest pain, productive cough with, sometimes, blood-tinged sputum and stage 3 SADOUL dyspnea.The thoracic CTA (CT angiography) found a saccular aneurysm of the initial portion of the descending aorta surrounded by a mediastinal effusion and a massive left pleural effusion. Patient’s examination at the time of admission showed hemodynamic, respiratory and neurologic stability. He underwent a medical management with analgesics, blood transfusion and no suction lateral chest drainage. Surgery had been indicated but unfortunately not performed as a hemorrhagic shock quickly led to death on the 5th day of hospital stay. Conclusion: Spontaneous left hemothorax caused by a ruptured thoracic aortic aneurysm is a condition rarely reported in literature. Emergency surgery is necessary for patient survival. This condition should be kept in mind for any patient with unexplained hemothorax, due to its life-threatening aspect even with acute management. The outcome is often unpredictable as was the case for our patient. Keywords: aorta, ruptured aneuvrysm, hemothorax
TEOLOGI ISTIRAHAT DAN HUSTLE CULTURE
Authors: Saputra Jefri Andri
Published: November 2024

Artikel ini bertujuan untuk merespons fenomena hustle culture dalam kehidupan gereja dan masyarakat masa kini. Masyarakat mengenal hustle culture sebagai alternatif untuk menuju sukses. Tetapi, hustle culture mengonstruksikan cara kerja yang bekerja setiap waktu dan berakibat pada kelelahan kronis, depresi, hingga kematian. Penulis merespons masalah ini dengan mengkaji teks Keluaran 23:12 menggunakan metode tafsir gramatikal historis. Penulis menemukan bahwa hustle culture adalah wajah baru dari perbudakan di era modern. Penulis menawarkan untuk melakukan dekonstruksi konsep sukses versi hustle culture melalui perspektif yang holistik. Sukses bekerja juga perlu memperhatikan secara berimbang antara pencapaian dan kesejahteran pekerja. Pekerja dan perusahaan perlu membatasi waktu kerja agar sesuai dengan kontrak kerja tanpa tambahan. Pekerja tidak seharusnya melawan rasa lelahnya, melainkan mengambil waktu untuk beristirahat dan menenangkan diri. Beberapa alternatif ini menjadi penawaran penulis untuk menyikapi dampak dari hustle culture.
The Purple Zone: The Pivotal Role of Transferable Skills in Future Higher Education
Authors: Cronin Brendan , Zwissig Iris
Published: November 2024

This paper explores the readiness of hospitality management students for the workplace in the context of graduates' ability to adapt to fast-paced changes and quickly acquire new skills, abandoning obsolete ones, by applying for example the learn, unlearn, and relearn concept. Focus is placed on the importance of developing transferable skills during college studies in hospitality management, highlighting the importance of adaptability and creativity as modern management capabilities. The authors introduce “The Purple Zone” to identify where and how students’ skills could be further developed. The paper recommends areas in The Purple Zone where transferable, and job specific skills are complementary and not viewed as separate entities. Discussions with talent management professionals on student readiness for entering the workforce highlighted that most graduating students lack sufficient transferable skills for effective management roles. Suggestions for how extracurricular activities contribute to developing skills are explored. The Purple Zone representation emerges as a compelling intersection where different skills interconnect in the student learning experience.
The Impact of Educational Transformation and Social Media on Students’ Achievement
Authors: Sirisakpanich Dusita , Suthasinobol Kittichai
Published: November 2024

The traditional education system, characterized by teacher-centered instruction and standardized curricula, is increasingly seen as inadequate for developing essential 21st-century skills such as collaboration, critical thinking, and adaptability. In response, educational transformation has emerged, driven by technological advancements and the increasing use of social media. This study explores the impact of educational transformation, focusing on how social media fosters collaborative learning, enhances digital literacy, and supports student engagement. While social media has become a powerful tool in reshaping the educational landscape, challenges such as privacy concerns, digital distractions, and misinformation remain significant. By analyzing current research, this paper provides a comprehensive understanding of how social media can both enhance and hinder educational outcomes. The study also highlights the importance of developing strategies to maximize the benefits of social media while addressing its risks, ultimately contributing to the ongoing transformation of education.
La igualdad laboral y no discriminación: derechos auditables
Authors:   Universidad Veracruzana, Apodaca García Marco Antonio
Published: November 2024

El derecho humano a la igualdad y no discriminación es universal y esencial para el ejercicio pleno de todos los derechos. Este principio fundamental debe ser respetado, protegido, promovido y garantizado por todas las instituciones, tanto federales, estatales y municipales. Este derecho se extiende a través de todos los ámbitos de la vida, incluyendo la salud, la educación, el trabajo, la seguridad social, la justicia, la vivienda, la integridad personal, entre otros. No obstante, se puede argumentar que las principales formas de discriminación, basadas en género, edad, origen étnico y discapacidad, mismas que contribuyen al aumento de las desigualdades, están presentes en casi todos los lugares. La magnitud de estas discriminaciones varía según la situación general del mercado laboral y los factores históricos particulares.
Transversalidad curricular de los derechos humanos en la oferta educativa de licenciatura en la Universidad Veracruzana
Authors:   Universidad Veracruzana, Álvarez Hernández Emmanuel
Published: November 2024

El presente capítulo aborda de manera descriptiva la transversalización curricular de los derechos humanos en los programas de Licenciatura que conforman la oferta educativa de la Universidad Veracruzana, en el periodo febrero-julio 2024. La transversalización curricular de los derechos humanos en las instituciones de educación superior (IES) forma parte de un conjunto de políticas para la igualdad, la universalización y la cultura de paz de la educación superior. En primera instancia, se establece una hermenéutica que posibilita el planteamiento de los derechos humanos como un propósito transversal al currículo de la educación superior. En segunda instancia, la transversalización curricular de los derechos humanos constituye una política de la Universidad Veracruzana, la cual ha sido armonizada y aterrizada a través del mecanismo de planeación estratégica orientada al logro educativo e institucional. En tercer lugar, se muestra el referente empírico en términos de transversalidad, cobertura y presencia curricular en la oferta educativa de licenciatura.
A Comparative Study of the Incidence and Severity of Surgical Site Infection Following Emergency and Elective Abdominal Surgeries in a Tertiary Care Hospital
Authors: Minocha Akshit , Choudhury Dhirendra Nath , Acharya Labanya Kumar
Published: November 2024

Background: Surgical site infection is a medical condition that develops up to 30 days after the surgery if no implants have been placed, and as long as 12 months if the patient has an implant device. SSIs pose a substantial barrier to healing and resumption of normal activities. SSIs and its side-effects have been noted as one of their primary contributors to the morbidity following surgery. This study will look at the incidence and severity of infections at the surgical site after both emergency and elective abdominal surgery. Methods: This is prospective observational research in patients who underwent Surgeries in either elective or emergency settings. Southampton wound assessment scale and the ASEPSIS wound scoring system were used in grouping the patients with SSI followed by each patient's SSI type was further recorded. The study also documented other factors, such as hospital stay and interventions. Results: There were one fifty participants in this study. 23 patients experienced SSI (6 elective cases and 17 emergency cases), while 127 people did not. The pathogens most commonly cultured were coagulase negative staphylococcus (CoNS, 8 cases), after which came Escheria coli. (4 cases). Conclusion: A higher prevalence of SSI is linked to factors including the patient's advancing age, a dirty wound, prolonged surgery, usage of drains, nutritional deficiency, anemia, and diabetes. The hospital personnel need to be more careful about following aseptic procedures and have more awareness of infection management.
Anatomical Variations on NCCT Nose and Paranasal Sinuses and Their Relation with Symptoms of the Patients: A Retrospective Analysis
Authors: Thakral Riya , Srivastav Abhinav , Chatrath Anshul , Khanna Vishwani , Awasthi Sanjeev , Pathak Vivek Kumar , Gupta Luv
Published: November 2024

Background: There are various bones around the nasal cavity that pneumatize to form the paranasal sinuses; namely, maxilla, ethmoid bone, frontal bone, and sphenoid bone. The CT scan of nose and paranasal sinus is the gold standard investigation for the patients of chronic rhino-sinusitis (CRS). Objective: This study was conducted with aim to determine the prevalence anatomical variation of Nose and Paranasal Sinuses on CT-scan and their relation with symptoms. Methods: A retrospective study was conducted among 200 patients over a period of one year (2022-2023). Patients with various symptoms of chronic rhinosinusitis were subjected to non-contrast enhanced Computed Tomography of nose and paranasal sinuses. Results: In our study 56% patients had septal deviation with most common C shaped deviation followed by S shaped deviation. 99.5% patients have agger nasi cells. The attachment of uncinate process was to the lamina papyracea in 83.0%, followed by the base of skull in 13.0%. The least common types were free uncinate process in 1.5%. The prevalence of concha bullosa was found 16.5%. However, paradoxical turbinate was present in 2.0% subjects. The incidence of Haller cells was found to be 5.0% and Onodi cells were found in 4.5%. The type of frontal cell was Agger Nasi followed by a Supra-bullar. In Sphenoid sinus, commonest type was pre-sellar type of pneumatisation. Conclusion: Our study concluded these various anatomical variations and its prevalence. The relation of variations with disease symptomatology is inconclusive.
A Platinum-Graded Green Hospital Building in India during COVID-19 Pandemic: From Planning to Execution and Outcome
Authors: Guru Rashmi Ranjan , Mitra Subhodip , Vyas Meenakshi , Koushal Vipin , Pandey Navin , Kumar Rahul , Puri GD
Published: November 2024

Background: A green hospital building has superior qualities over general hospital buildings in terms of energy conservation, use of natural resources, clean indoor air quality, green housekeeping, and other characteristics that improve patient outcomes. During the COVID-19 pandemic, healthcare organizations worldwide faced significant challenges and difficulties running hospitals. These challenges motivated the healthcare administration to find possible solutions for possible protocols for the functioning of the hospital. Methods: It was a prospective study conducted at a tertiary care hospital in north India from March 2020 to Feb 2022. After multiple changes in the fields of committee formation, human resource management, training, setting of the donning area and the doffing area, setting of the patient care areas and the infection control practices, equipment utilization, protocols for the support services, patient status updation to family members, and finally maintaining the patient data for the official purpose. Results: The hospital statistics showed a recovery rate of 81%, a mortality rate of 18%, and average length of stay of 8 days in COVID-19 patient care. Conclusion: The experiences, the challenges learned, and the solutions made to combat this pandemic will be the guide for future pandemics. The green hospital building proved its supremacy in patient outcomes and is recommended by hospital administrators as a future hospital building.
Obscure Rare Cause of Recurrent Angina in Post CABG Patient: Coronary-Subclavian Steal Syndrome
Authors: Monga I. S. , Yadav M. K.
Published: November 2024

Coronary subclavian steal syndrome (CSSS) is a rare and unrecognized complication of coronary bypass grafting surgery when a left internal mammary artery (LIMA) graft is utilized for left anterior descending (LAD) artery revascularization without knowing left subclavian artery status. We describe a case of a 67-year-old male, with a known history of triple vessel coronary artery disease (CAD) managed with CABGx3 in March 2003. The patient presented after 16 years with complaints of recurrent angina for the past 15 years which aggravates on exertion, especially of left hand. Recurrent hospitalizations and repeated Coronary angiograms (CAG) as well as CT Coronary angiography failed to diagnose the cause of angina. Subclavian angiography and subsequent methodical clinical examination during the present admission revealed left subclavian origin stenosis which was successfully revascularized by deployment of a stent resulting in convincing relief in the patient’s angina.
The Effect of Changes in Communist Ideology after 1953 on repressive Policies and KGB Operations
Authors: Burinskaitė Kristina
Published: November 2024

Communist ideology and its changes after 1953 were an important indicator of internal developments in the Soviet Union and its repressive policies. The ideology legitimated persecution of dissenters and established the use of specific methods against them. The new ideological concepts concealed reprisals against resistance fighters, because anti-Soviet activities were criminalised or portrayed as acts of mentally ill people. Perhaps the most important concept of the Communist ideology having an effect on the repressive policies of the Soviet Union was the so-called Western ideological sabotage, which was considered to be the source of all manifestations of anti- Soviet activity. All contacts with the West were therefore perceived as threatening to the socialist system and became a special focus for the KGB. Even the improved relations with the West did not prevent the continued offensive of propaganda, intelligence work, and disinformation against the West. The concept of “dictatorship of the proletariat” was replaced with the concept of the “all-people’s state”, which was concealed Russification leading to the destruction of national aspirations.
THERMOGRAPHIC AND SONOGRAPHIC FINDINGS IN PATIENTS WITH KNEE PAIN: A RETROSPECTIVE STUDY FOR THE PERIOD JANUARY 2010 TO JULY 2023.
Authors: Gabrhel J , Hornáček K , Malay M , Popracová Z , Tauchmannová H , Gabrhelová O
Published: November 2024

Our study is a retrospective study in which, from the total number of patients who were admitted to our institution for knee pain between January 2010 and July 2023, we selected only those who had a positive sonographic finding and were also examined thermographically. The total number of selected patients was 727. Of these, 321 were females and 406 were males aged 11 to 91 years. The mean age was 45 years. The number of positive sonographic findings was 2040. According to the nature of sonographic findings we divided them into: findings with liquid content (gangliomas, cysts, bursae, hydrops, haemarthrosis...) - total 36%. Findings of solid structure (calcifications, ossifications, osteophytes, mucoids, tophi, corpora libera) - 25% in total. Arthrosis femorotibial, femoropatellar - a total of 20%. Lesions (meniscopathies, tendinopathies, ruptures of tendons, muscles, ligaments, fractures, abruptions, usurations) - a total of 17%. Complications after TEP - 1%. Other (growing pains, plicae, chondrocalcinosis, aseptic osteonecrosis, tumors, nerve lesions) - 2% total. Of the 727 patients with sonographic abnormalities, 72% had a temperature distribution disorder. Of these, 67% of patients had hyperthermia of the painful knee, 5% had hypothermia. 28% of patients had a normal temperature pattern of the symptomatic knee compared to the contralateral knee.
Adapting to the Digital Shift: How Students Respond to and Cope with Changes in Information and Communication Technology in High School Education
Authors: Mills Micheala
Published: November 2024

This paper will explore the evolving role of Information and Communication Technology (ICT) in high school education. It starts with a clear definition of ICT and its transformative impact on educational systems. Over the past decade, ICT has drastically changed how education is delivered, accessed, and experienced in high schools, which brings with it a host of opportunities and challenges. While ICT has the potential to significantly enhance learning, streamline administrative tasks, and foster communication between students and educators, it also introduces certain negative effects, such as digital distractions, increased inequality, and the potential for misuse of technology. Based on a survey, this paper examines both the positive and negative consequences of ICT adoption in an Alaskan high school setting. It analyzes how students, teachers, and administrators are coping with these changes. It finds that as ICT becomes more integrated into education, coping mechanisms evolve. At the same time, new strategies and tools are emerging to address the challenges and maximize the benefits. By examining how ICT is currently used in high school education, this research provides a unique view on its multifaceted impact on the educational experience, the ongoing process of adaptation of new technology, and ICT’s even greater improvements in the future of high school education.
From Print to Pixels: Navigating the Evolution of Marketing
Authors: Zhang Jiwan
Published: November 2024

This paper explores the realm of marketing, focusing on ever-changing marketing strategies due to the proliferation of technology, their adaptation to changing times, and their effect on entrepreneurship. It addresses the question of how marketing approaches have evolved over different time periods and how they are influenced by the societal, economic, and business environments of the time. This paper employs a method of literature review and historical analysis, tracing marketing development from early ancient history to the present, as well as proposing solutions to the challenges of marketing in the future based on current trajectories. It covers traditional marketing strategies through to contemporary digital marketing. The analysis highlights how marketing is a fluid and dynamic field, evolving to respond to the ever-changing shifts in consumer behavior and technological developments. Despite this dynamic nature, the paper also recognizes the cornerstones of marketing—elements that do not change over time. Through the implications outlined in this paper, modern-day marketers can draw valuable insights from the past to better inform their present-day marketing decisions and make wise choices regarding upcoming marketing shifts and the ethics surrounding the future.
Implementasi Program Tahfidz di SDI Ash Shiddiq Buduran Sidoarjo Tahun Pelajaran 2022/2023
Authors: Syafi' Muhammad Agus Syairofi , Nihayah Khummaidatun
Published: November 2024

Jurnal ini membahas peran pendidikan, khususnya pendidikan agama Islam, dalam mengembangkan kecerdasan spiritual peserta didik. Fokus utama adalah pada program Tahfidzul Qur'an, yang menjadi perhatian masyarakat luas. Pendidikan Islam diarahkan untuk membentuk individu dengan standar moral tinggi, atau akhlaqul karimah, sesuai ajaran agama Islam. Menghafal Al-Qur'an dianggap sebagai usaha mulia, sebagai ikhtiar untuk menjaga keaslian dan kemurnian ajaran Islam. Namun, ada tantangan dalam proses tahfidz, termasuk kurangnya motivasi peserta didik, hambatan internal dan eksternal, serta kurangnya dukungan orang tua. Penelitian ini dilakukan di SDI Ash Shiddiq Buduran Sidoarjo dengan menggunakan metode penelitian kualitatif. Hasil penelitian menunjukkan bahwa implementasi program tahfidz mengalami keberhasilan dan tantangan. Dukungan orang tua, manajemen yang efektif, dan kreativitas guru dalam menginspirasi peserta didik menjadi faktor penentu keberhasilan. Namun, beberapa hambatan, seperti kurangnya semangat peserta didik dan kurangnya kemampuan membaca Al-Qur'an, juga diidentifikasi. Upaya untuk mengatasi hambatan termasuk penyediaan instruktur pembimbing, peningkatan kerja sama dengan orang tua, dan penerapan metode kreatif dalam pembelajaran.
Kata Kunci: Implementasi, Kurikulum 2013, Tahfidz
The Role of Healthcare Workers in Modern Medicine: A Comprehensive Review of Challenges, Contributions, and Future Directions
Authors: Alzamanan Abdullah Mahdi , Almareh Nasser Faraj , Alyami Abdulaziz Ali Mohammed , Al-Yami Adel Ali Mohammed , Alghamdi Bader S. , Theban Saeed Khamsan Ali Al , Alyami Nasser Mohammed H , Alsaiari Askar Awadh Saleh , Motared Ali Manea S Al , Alsawatt Maram Eid Mohammad
Published: November 2024

Healthcare workers are essential to the functioning and sustainability of modern healthcare systems. This review explores the diverse roles, contributions, and challenges faced by healthcare professionals, including physicians, nurses, pharmacists, allied health professionals, and support staff. Each role contributes uniquely to patient care quality, system efficiency, and overall health outcomes. However, healthcare workers encounter numerous obstacles, including high workloads, resource shortages, mental health strain, and interdisciplinary coordination challenges. This review also highlights significant contributions that healthcare workers make toward enhancing patient safety, operational efficiency, and public trust. Through case studies and analysis, we examine strategies for supporting healthcare workers, including training, mental health resources, and improved resource allocation. Finally, we provide recommendations for future directions to bolster healthcare worker resilience and efficiency, ensuring that healthcare systems remain adaptable and capable of delivering quality care. This article emphasizes the need for holistic support systems to sustain a resilient and effective healthcare workforce.
Patient-Centered Care Models in Primary Healthcare: A Systematic Review of Implementation and Outcomes
Authors: Alsagoor Hussin Mahdi Saleh , Alsagoor Mana Mahdi Hassan , Fadhil Sultan Hamad Binali Al , Almushraaf Abdulaziz Saleh Hamad , Almansour Ali Mohammed Aali , Alqawban Saleh Mohammed Hussain , Al atiq Ahmad Qublan Hassan , Alghubari Fahad Mahdi Mohammed , Alyami Mohammed Mahdi Hassan , Algahes Marzoug Mubarak
Published: November 2024

This systematic review evaluates the implementation and outcomes of patient-centered care (PCC) models in primary healthcare settings. Patient-centered care is a foundational approach in primary healthcare, emphasizing patient preferences, needs, and values to improve the quality of care and health outcomes. A comprehensive literature search was conducted across PubMed, Cochrane, and MEDLINE databases, focusing on studies that assessed the impact of PCC models such as the Patient-Centered Medical Home (PCMH) and shared decision-making. Forty studies met the inclusion criteria, covering a range of patient populations and healthcare settings. Findings indicate that PCC models enhance patient satisfaction, improve health outcomes, and increase patient engagement in care. Additionally, these models positively impact provider satisfaction and may reduce healthcare costs by lowering emergency visits and hospitalizations. However, challenges in implementation, including provider workload and resource needs, were commonly reported. This review underscores the effectiveness of PCC models in primary care and highlights the need for structured, resource-supported implementation strategies. Further research is recommended to optimize PCC approaches across diverse populations and healthcare systems.
Transforming Healthcare Through Effective Health Administration Practices: A Systematic Review
Authors: Almalki Saeed safran , Alhomiany Abdulaziz Mohammed , Alsharif Mutlaq Zaid , ALsolumany Faisal Jameel Ali , Alnajjar Majdi Mohammed abed , Alsharif Mohammed Nasser Mohammed , Al-Talhi Sultan Olaywi , Alosaimi Saud Mihmas Odays , Albaqami Saad Mohammed Khalid , Alsulaimani Mohammed Abdullah Abed
Published: November 2024

The role of effective health administration practices is crucial in transforming healthcare organizations by enhancing efficiency, improving patient outcomes, and promoting operational sustainability. This systematic review synthesizes the current body of knowledge on health administration practices that have demonstrated transformative impacts within healthcare settings. A comprehensive literature search across major databases, including PubMed, Scopus, and Google Scholar, was conducted, focusing on studies published in recent years. Key themes emerging from the review include workforce management, patient-centered care, digital health solutions, quality improvement methods, and financial management strategies. Findings suggest that effective health administration practices contribute significantly to optimizing healthcare delivery, reducing costs, and increasing patient satisfaction. However, challenges such as staff resistance and high implementation costs remain barriers to adopting these practices widely. This review highlights the need for continued research into long-term impacts, cost-effectiveness, and adaptability of these practices in diverse healthcare environments. The findings provide valuable insights for healthcare administrators and policymakers aiming to implement evidence-based strategies to foster continuous improvement and adaptability within healthcare systems.
Unpacking the Role of Interdisciplinary Collaboration in Surgical Teams: A Critical Analysis of Operational Efficiency and Patient Outcomes
Authors: Alanazi Amer Owaid , Alanazi Mohammed Abdulhadi , Alobaid Abdullah Obaid , AL Sugyani Abdulrhman Marjan Farg , Alrkabi Sultan Abdullah , Alanazi Fahad Mohammed , Alanazi Nafea Aziz , Alanazi Bander Hani , Alanezi Nail Saqeer , Alenezi Mohammed Awied
Published: November 2024

Interdisciplinary collaboration is essential for effective surgical operations, impacting both operational efficiency and patient outcomes. This critical analysis explores the dynamics of teamwork within surgical teams, focusing on how structured collaboration can streamline procedures, enhance resource management, and reduce surgical errors. Drawing from existing literature and recent empirical data, the article examines key factors that contribute to successful interdisciplinary collaboration, including role clarity, communication protocols, and mutual respect among team members. Findings reveal that well-coordinated interdisciplinary efforts lead to improved patient safety, reduced postoperative complications, and increased patient satisfaction. However, barriers such as hierarchical structures and communication breakdowns remain significant challenges. This analysis highlights actionable recommendations for fostering effective collaboration in surgical settings, such as targeted training, standardized communication strategies, and clear role definitions. Ultimately, strengthening teamwork within surgical teams not only optimizes operational efficiency but also enhances patient care quality, underscoring the importance of collaborative practices in modern healthcare.