bluuebunny/crossref_metadata_2025 huggingface dataset:
Study of the effectiveness of diagnostic method for respiratory system diseases by analyzing the exhaled air using a gas analytical complex
Authors: Kulbakin D. E. , Obkhodskaya E. V. , Obkhodskiy A. V. , Rodionov E. O. , Sachkov V. I. , Chernov V. I. , Choynzonov E. L.
Published: November 2023

Aim: To study in patients the dependence of the exhaled air composition on pathological processes occurring in the respiratory system, including: lung cancer, community-acquired pneumonia and COVID-19.

Material and Methods. The studies were carried out on the basis of a gas analytical complex using the method of neural network data analysis. The gas analytical complex includes semiconductor sensors that measure the concentrations of gas components in exhaled air with an average sensitivity of 1 ppm. Based on signals from sensors, the neural network classifies and identifies patients with certain pathological processes.

Results. The statistical data set for training the neural network and testing the method included samples from 173 patients. Our study collected exhaled air samples from groups of patients with lung cancer, pneumonia, and COVID-19. In the case of lung cancer, the parameters of the diagnostic device have been determined at the level of sensitivity – 95.24%, specificity – 76.19%. For pneumonia and COVID-19, these parameters were 97.36% and 98.63, respectively.

Conclusion. Taking into account the known value of diagnostic methods such as computed tomography (CT) and magnetic resonance imaging (MRI), the sensitivity and specificity indicators of the gas analytical complex achieved during the study reflect the promise of the proposed technique in the diagnosis of tumor processes in patients with lung cancer, COVID-19 and community-acquired pneumonia.
Medicina ambulatorial X: com ênfase em ortopedia
Authors: Kashiwabara Tatiliana Geralda Bacelar , Alves Mirela Gomes , Moraes Priscila Faria Franco , Albergaria Vinícius Del Gaudio , Mendes Vitor Hugo Oliveira Ferreira
Published: November 2023

A ortopedia, uma das mais dinâmicas e desafiadoras especialidades médicas, desempenha um papel crucial na promoção da mobilidade, bem-estar e qualidade de vida dos pacientes. E o livro, “Medicina Ambulatorial X” com ênfase em ortopedia, é uma ferramenta indispensável e acessível para médicos, estudantes de medicina e profissionais de saúde que desejam compreender os princípios relevantes das principais patologias do dia a dia do consultório ortopédico e aplicá-los em um contexto ambulatorial. Esse novo projeto da Dra. Tatiliana Geralda Bacelar Kashiwabara e sua comissão organizadora, explora a vasta gama de tópicos relacionados ao atendimento do paciente ortopédico desde a semiologia às mais recentes técnicas de diagnóstico, tratamento e prevenção de condições musculoesqueléticas. O objetivo é capacitar você a reconhecer, avaliar e gerenciar de forma eficaz uma variedade de problemas ortopédicos comuns que os médicos de atenção primária e ambulatorial podem encontrar em seu dia a dia. Esse livro é um convite para você mergulhar no mundo fascinante da ortopedia e adquirir as habilidades necessárias para oferecer cuidados de qualidade aos seus pacientes.

Esperamos que ele seja uma fonte valiosa de informação e orientação em sua jornada na medicina ambulatorial.
Increasing the production and quality of the yield of Siam orange fruits in off-season period through the application of liquid organic and guano fertilizer
Authors: Ni Komang Alit Astiari  , Ni Putu Anom Sulistiawati  , I Gede Sutapa  , I Nengah Suaria  , I Nyoman Rai  , Adis Puspita Dewi
Published: November 2023

This research was conducted in Belantih Village, Kintamani District, Bangli Regency, from October 2022 to June 2023. This research aimed to increase the production and quality of the yield of Siam orange through the application of liquid organic fertilizer from cow urine waste and guano fertilizer. This study used a randomized block design with 2 factors and 3 replications. The first factor was liquid organic fertilizer from cow urine waste consist of 4 concentration levels, i.e., 0 ml/l (C0); 5 ml/l (C1); 10 ml/l (C2) and 15 ml/l (C3), while the second factor was guano fertilizer consists of 4 dose levels, i.e., 0 g/tree (G0); 1 kg/tree (G1); 2 kg/tree (G2) and 3 kg/tree (G3). The results showed that the interaction between concentration of cow urine waste liquid fertilizer and guano fertilizer doses had no significant effect on all observed variables. Liquid organic from cow urine waste fertilizer improved the yield and quality of the fruits of Siam orange in off-season period, reflected by the higher of harvested fruit weight per tree and weight per fruit at a concentration of 15 ml/l (13.20 kg and 126.32 g), or an increase of 81.32% and 28.14% than those of control (7.28 kg and 98.58 g). While in the Guano fertilizer treatment, the weight per fruit and the weight of the harvested fruit per tree were highest at the dose of 3 kg/tree (118.50 g and 12.64 kg), or an increase of 10.05% and 33.33% compared to the control (107.68 g and 9.48 kg).
The impact of student engagement, quality of student faculty relationship and student loyalty on quality of higher education: A systematic literature review
Authors: IRAM TAHIR  , NOOR FATIMA
Published: November 2023

The aim of this research work is to find the impact of student engagement, the quality of the relationship between the faculty and students, and student loyalty on higher education by conducting a systematic review. The data for this research work have been collected from the major databases, which include JSTOR, PubMed, Google Scholar, and EBSCO. This research work targeted the peer-reviewed journal articles that were published in the English Language from 2013 to 2023. The research works contain empirical data analysis included in this work for conducting the systematic review on the basis of inclusion and the exclusion criteria the PRISMA analysis used for the screening of the literature. In the initial stage, 289 primary articles were selected related to this research, and after the removal of the duplicates, the number of articles was reduced to 250; in the next stage of screening, 190 articles were excluded because the researcher did not find these articles relevant to the objectives of the study. The abstract of the remaining 60 studies analyzed, and 20 more articles have been excluded at this stage. The remaining 40 articles go through a comprehensive full-text review for the assessment related to suitability for inclusion in the study. After the completion of the assessment, the ten articles have been finalized for the final review. The results extracted from the review indicate that student engagement, the quality of student-faculty relationships, and student loyalty have a positive and significant association with the quality of higher education. The recommendations of this research are that the comprehensive review must be conducted at the primary school level and also at the secondary school level.
IDENTIFIKASI KRITERIA PRASYARAT GREEN BUILDING PADA GEDUNG OJK PROVINSI MALUKU
Authors: Lerebulan Alwin A , Sangadji Fauzan A , Buyang Christy Gery
Published: November 2023

Konsep green building dapat mengurangi atau menghilangkan dampak negatif terhadap lingkungan, dengan menggunakan lebih sedikit air, energi atau sumber daya alam, serta memiliki dampak positif terhadap lingkungan dengan menghasilkan energi sendiri. Konsep green building pada Gedung OJK Provinsi Maluku sudah diterapkan namun belum dimaksimalkan sesuai dengan kriteria prasyarat GBCI, sehingga perlu dilakukan identifikasi secara menyeluruh untuk memaksimalkan persentase penerapannya, untuk itulah maka dilakukan penelitian dengan judul Identifikasi Kriteria Prasyarat Green Building pada Gedung OJK Provinsi Maluku. Tujuan dari penelitian ini adalah untuk mengidentifikasi apakah Gedung OJK Provinsi Maluku sesuai kriteria prasyarat GBCI. Penelitian ini diharapkan menjadi referensi penulisan, serta memberikan wawasan keilmuan bagi penulis dengan konsep berdasar pada bidang ilmu teknik sipil atau bidang ahli untuk merancangkan fungsi bangunan sesuai kriteria dan syarat guna meminimalisir dampak buruk suatu proyek pembangunan. Metode analisis yang digunakan dalam penelitian ini adalah deskriptif kuantitatif, jenis data yang digunakan adalah data primer dan sekunder, data primer berupa observasi lapangan, pengukuran dan wawancara, sementara data sekunder berupa pengumpulan data site plan beserta data-data lain yang tidak ditemukan pada pengambilan data primer, dengan metode analisis data berupa chek list. Hasil penelitian menunjukan bahwa Gedung OJK Provinsi Maluku memenuhi 7 (tujuh) prasyarat kelayakan bagunan diantaranya: minimum luas gedung 5.141,94 m2, kesediaan data gedung untuk diakses GBCI terkait sertifikasi, kepemilikan rencana UKL/UPL, fungsi gedung sesuai dengan peruntukan lahan berdasarkan RT/RW setempat, kesesuaian gedung terhadap standar keselamatan untuk kebakaran, kesesuaian gedung terhadap standar aksesibilitas difabel dan kesesuaian gedung terhadap standarisasi gempa.
KAJI SIFAT MEKANIS KOMPOSIT POLYESTER BERPENGUAT SERAT ALAM DENGAN VARIASI FRAKSI VOLUME
Authors: Leiwakabessy Arthur Y , Sarwuna Sefnath J E
Published: November 2023

Indonesia menjadi negara yang kaya akan sumber daya alam baik di laut maupun di darat. Salah satu nya tumbuhan Daun Lamun (Enhalus Acoroides) yang hidup laut dangkal perairan Maluku. Daun Lamun memiliki konstruksi daun, batang, maupun akar sama dengan tumbuhan lainnya. Namun kenyataannya Hamparan ekosistem daun lamun belum dimaksimalkan pemanfaatannya pada daerah Maluku. Terkait dengan hal itu maka dala penelitian akan membahas terkait pemanfaatan serat daun lamun sebagai penguat material komposit yang dipadukan dengan resin polyester. Tujuan penelitian ini mengetahui harga impact dan energi serap yang dihasilkan melalui pengujian impact (beban kejut) dengan variasi komposisi campuran. Metode penelitian yang digunakan secara eksperimen pada laboratorium. Dari hasil penelitian untuk komposisi campuran 0%:100% diperoleh nilai impact 0,08 J/mm2 dan nilai energi serap 0,45 J, untuk komposisi campuran 10%:90% nilai impact 0,32 J/mm2 dan nilai energi serap 1,758 J, untuk komposisi campuran 20%:80% nilai impact 0,38 J/mm2 dan nilai energi serap 2,08 J, dan untuk komposisi campuran 30%:70% nilai impact 0,56 J/mm2 dan nilai energi serap 3,07 J. Komposisi campuran 30%:70% memiliki nilai impact dan nilai energi serap tertinggi diantara komposisi campuran yang lain. Hal sesuai dengan prinsip dasar komposit bahwa serat berfungsi sebagai penguat selama matrik mengikat dengan baik.
EVALUASI UMUR PAKAI SPROKET RODA BELAKANG SEPEDA MOTOR JUPITER Z1
Authors: Tentua Benjamin G , Tupamahu Cendy S.E
Published: November 2023

Sproket adalah salah satu komponen dari sepeda motor yang berpasangan dengan rantai. Fungsi sproket untuk mentransmisikan gaya putar dari engine ke roda belakang. Sepeda motor Jupiter Z1 merupakan motor 2 tak dimana hasil dari pembakaran mesin digunakan untuk menghasilkan daya pada motor. Daya mesin kemudian ditransmisikan oleh kopling melalui poros penggerak ke poros penerus yang dihubungkan dengan sprocket depan dari sepeda motor.  Putaran dari Sproket depan kemudian diteruskan ke sprocket belakang melalui rantai untuk menggerakan roda belakang. Dalam pengoperasiannya sprocket dan rantai selalu bergesekan sehingga sproket maupun rantai akan mengalami keausan. Keausan Komponen-komponen transmisi itu, mengakibatkan putaran yang dihasilkan menjadi kurang optimal dan mengurangi umur pakai dari sprocket maupun rantai. Tujuan penelitian ini adalah mendapatkan nilai keausan dan umur pakai dari sproket. Hasil penelitian menunjukan bahwa sproket akan mengalami kehilangan berat sebesar 8 gram, untuk pemakaian selama 1350 hari atau 3.9 tahun atau 98.672,85 siklus. Untuk umur sproket sampai kondisi harus diganti mengalami kehilangan berat sebesar 17,2 gram, untuk pemakaian selama 2109.3 hari atau 5.8 tahun atau 154.170.8 siklus.
Systematic Review and Meta-analysis
Authors: ASMIHA ASMIHA
Published: November 2023

Abstracts of the 32nd Annual Scientific Meeting of the Indonesian Heart Association (ASMIHA) 2023
American Board of Ophthalmology Certifying Examination Performance and Opioid Prescription Patterns
Authors: Starr Matthew R. , Schnabel Sarah , Bartley George B.
Published: November 2023

Purpose:

To compare opioid prescription patterns of ophthalmologists based on performance on the American Board of Ophthalmology (ABO) written qualifying examination (WQE) and oral certifying examinations (OE).

Design:

All ophthalmologists within the Medicare Prescriber Part D Database from 2013 – 2018 who attempted the ABO, WQE, or OE were included. Opioid prescription data were analyzed based on ABO certification status: certified on first attempt, failed but then certified, and never certified.

Results:

There were 6822 ophthalmologists with 32258 records in the Medicare database during the study period with ABO data available. The point estimate for total opioid prescriptions per year was 7.3, standard error (SE) 0.3 for ophthalmologists who were certified on the first attempt (reference). The estimate for those who failed one or both qualifying examinations, but then became board certified (BC) was −1.7, SE 0.6 (p = 0.0031); and the estimate for those ophthalmologists who never became BC was +0.8, SE 1.5 (p = 0.5318). The point estimate for cost of opioids prescribed per year was $55.17, SE 4.4 for ophthalmologists who were certified on the first attempt, with the estimate for those who failed one or both qualifying examinations, but then became BC being $−12.29, SE 8.7 (p = 0.1581); and for those ophthalmologists who never became BC being +$69.54, SE 21.7 (p = 0.0014).

Conclusions:

Diplomates who initially failed one or both qualifying exams, but who ultimately became certified, prescribed less opioids, less costly opioids, and less supply of opioids within the Medicare Part D database compared to non-BC ophthalmologists.
Psychoanalyse – Systemtheorie – Familientherapie
Authors: Wasser Harald
Published: November 2023

Der Artikel schließt an eine Reihe vom Autor schon vor Jahren veröffentlichter Bücher und Aufsätze an und versucht zu demonstrieren, dass die Psychoanalyse bereits von Sigmund Freud in einer Weise angelegt wurde, die es möglich macht, sie – ohne essenzielle Modifikationen vornehmen zu müssen – unter das Dach der »Systemtheorie« zu stellen: Sigmund Freuds Theorie war von Anfang an »Systemtheorie« im Sinne einer »Theorie psychischer Systeme«. Stellt man sie unter das Dach der General Systems Theory, so bilden »klassische Psychoanalyse« und »Familientherapie« im Sinne einer »psychoanalytischen Theorie und Therapie von Interaktionssystemen« zwei Teilgebiete einer beide Ansätze übergreifenden systemisch operierenden Psychoanalyse.
Therapeutische Mehrperspektivität in der Erziehungsberatung
Authors: Bauer Petra
Published: November 2023

Angesichts eines breit ausdifferenzierten therapeutischen Feldes werden in den Diskussionen zur Bedeutsamkeit einzelner Therapieverfahren vor allem deren spezifische Logik ins Zentrum der Betrachtung gerückt. Dabei gerät die Auseinandersetzung mit Fragen von integrativen Therapieund Beratungskonzepten, die sich seit Langem im stationären psychiatrischen Feld aber auch in der Beratung etabliert haben, in den Hintergrund. Erziehungsberatung ist ein Handlungsfeld der Kinderund Jugendhilfe, das historisch betrachtet sehr früh eine integrative Ausrichtung entwickelt hat. Wie Integration im Blick auf Fallkonstitution konkret hergestellt wird, soll am Beispiel eines Ausschnittes aus einer Fallbesprechung nachgezeichnet werden.
The spiritual space of the Nilo-Sorsky Monastery in the book “Journey to the Kirillo-Belozersky Monastery...” by S. P. Shevyrev
Authors: Alexandrova-Osokina Olga Nikolaevna , Wang You Juan
Published: November 2023

The aim of the study is to characterize the features peculiar to the artistic structure of the spatial image of the Nilo-Sorsky monastery in S. P. Shevyrev’s book “Journey to the Kirillo-Belozersky Monastery…” (1850). The scientific novelty of the study is accounted for by the fact that the work itself is little known, by the localization of the research subject (the image of the Nilo-Sorsky Monastery) and the emphasis on the philosophical and geographical categories of “frontier”, “topos”, “locus”, “cultural landscape” as research aspects. The paper traces the connection of “Journey…” with the “Russian idea” of the writer and his work “The History of Russian Literature”; demonstrates the significance of the image of St. Nilus of Sora as a key figure of Russian medieval thought; characterizes the specificity of the spatial-geographical method of research. Special attention is paid to the specifics of space in the writer’s book: details of frontier poetics, a combination of an ekphrastic (local) view of space and a topological one. As a result, it is shown that the “Journey…” combines factual descriptions of the essay genre and historiosophical generalizations: Shevyrev revealed the integrity of the cultural landscape of the Nilo-Sorsky skete and saw the connection of the spatial organization of the monastery with the ideas of non-acquisitiveness and mental prayer.
The style-generating function of phraseological units in the novel “Onka” by G. I. Klimovskaya
Authors: Baklanova Elena Alekseevna
Published: November 2023

The aim of the research is to identify the unique features of the style of an artistic text based on the analysis of phraseological units (PUs). The work is conducted in the context of the theory of regulativity developed within the communicative stylistics of a text, using the material of the novel “Onka” by G. I. Klimovskaya. The article focuses on the analysis and systematization of both common and occasional PUs, which play a role as regulatory means in the interpretive activities of the reader. The scientific novelty of the work lies in the first-time description and systematization of all PUs in the text of the novel “Onka” as regulatory means, the selection of which reflects the author’s individuality. This work serves as a stage in the research of the writer’s individual style. No previous studies have been conducted on analyzing the texts of this author in such a context. The analysis of the text resulted in the identification of two groups of PUs: common and individually-authored. It was established that at the pragmatic level of the text, conversational PUs (pragmemes) containing an expressive component most often dominate in terms of regulativity. Individually-authored PUs combine the functions of pragmemes and informemes, as they express emotion and contain cognitive information. At the informative-meaningful level of the text, the dominance of regulativity lies with complex-component phraseological units with significant meaning transformation, as well as phraseological units where lexical replacement leads to complete meaning transformation.
Analysis of intersections in the regionally marked vocabulary of the territorial units of Western Siberia
Authors: Matveeva Irina Vladimirovna
Published: November 2023

The aim of the research is to identify the intersections and characteristics of the use of regionally specific words in five regions of Western Siberia. The paper examines the phenomenon of regional variation of language, namely, trends in the study of regional peculiarities of language in the country, as well as the results of studies of regionally marked vocabulary obtained using modern technologies in identifying and analyzing regionally limited units. Researchers are actively investigating the regionally limited vocabulary of various regions, but the question of the intersection of such vocabulary in neighboring regions is often a little-studied issue, since it requires a large amount of data for comparison. The regional vocabulary of the regions of Western Siberia, namely, the Novosibirsk, Omsk, Tomsk, Kemerovo regions and the Altai Territory, has been examined, but often only one area has been investigated. The question of the coincidence of regionally specific words in neighboring regions has been repeatedly raised in modern studies as requiring more elaboration. But there is no analysis of intersecting vocabulary in the listed regions in the currently existing works, and, therefore, the scientific novelty of this research lies in carrying out a comparative analysis of the regionally limited vocabulary of the five regions of Western Siberia to find intersections and coincidences, in identifying features and presenting statistics for these intersections, as well as in considering such an indicator as the specificity of the use of words involving the material obtained during a global linguistic research by Yandex. As a result of the research, it was found that the number of “broad” regionally specific words (used in two or more regions) in neighboring regions can be quite high.
Quantitative assessment of the breast implant malposition after augmentation mammaplasty
Authors: Susak Y. M. , Mohammad А. B. І.
Published: November 2023

Slight displacement of breast implants from initial positioning is expected and inherent in submuscular augmentation mammoplasty (SAMP). However, due to various factors, displacement of implants can progress, causing discomfort, changes in the shape of the breast, and deterioration of aesthetics. The boundary between normality and pathology in the case of displacement of the mammary glands (MG) implants is currently unclear due to various reasons, including the lack of a quantitative measure of its assessment.
Objective — to develop a quantitative assessment of breast implant malposition (BIM) and to determine its one‑year frequency within a year after SAMP.
Materials and methods. The study included 112 women who underwent SAMP for hypomastia in the period from 2020 to 2022 at the Bogomolets National Medical University. The average age was 34.1±6.7 years, body mass index — 20.4±1.8 kg/m2; 78 (69.6%) women had a history of pregnancy and childbirth, and 75 (67.0%) were breastfeeding. Round prostheses with a smooth surface were implanted in all patients. The value of BIM was evaluated one year after SAMP according to the developed method as a percentage of the increase in the area of the non‑ossified area in relation to the area of the prosthesis.
Results. In all women, there was a 7.94.5% (from 1.5% to 34.5%) displacement of the implants from their initial location in all MG. Among the vectors of BIM, lower‑lateral ones prevailed — 124 (55.4%) MG compared to 53 (28.6%) upper‑lateral ones, p=0.001. Lower 18 (8.0%) and upper‑lateral at 150° — 11 (4.9%) BIM were the least common. Symmetrical matching of prosthesis movement vectors in both MGs was observed in 75 (67.0%) women; in 37 (33.0%), they were different. The same values of BIM in both MGs were observed in 54 (48.2%) women. In other cases, the values of BIM were greater in the right MG — 40 (35.7%) or in the left MG — 18 (16.1%). Cluster analysis classified the displacement of implants into 4 degrees: the first — from 1.5% to 6.4%, the second — from 6.5% to 10.4%, the third — from 10.5% to 20.0%, and the fourth >20.0%.
Conclusions. Using smooth‑surfaced, round implants, the displacement of all implants from their initial site was shown to be 7.9±4.5% one year following SAMP.
Prevention strategies for reducing the incidence of postoperative pancreatic fistulas in patients following pancreatoduodenectomy
Authors: Kopchak V. M. , Pererva L. O. , Kropelnytskyi V. O. , Khanenko V. V. , Azadov P. A. , Holobor Z. Y.
Published: November 2023

Objective —  to design and implement a preventive approach aimed at reducing the incidence of postoperative pancreatic fistulas and other complications following pancreatoduodenectomy in patients diagnosed with cancer of the pancreatic head and periampullary region.
Materials and methods. The present study involved the analysis of treatment outcomes for a cohort of 370 patients diagnosed with cancer of the pancreatic head and periampullary region who underwent pancreatoduodenectomy during the years 2015—2021. Between November 2018 and December 2021, a total of 141 patients were operated on using our modified pancreatic fistula risk score, an evaluation of preoperative sarcopenia status, and our risk mitigation strategies aimed at minimising postoperative complications. These patients made up the main group. The comparison group included a total of 229 patients. The surgical procedures were conducted between January 2015 and October 2018, employing generally accepted methods. However, the risk evaluation of potential pancreatic fistulas, the presence of sarcopenia, and the implementation of suggested prevention strategies were not taken into account.
Results. The incidence of postoperative complications was significantly higher in the comparison group, with complications occurring in 94 (41.0%) patients, while in the main group, complications occurred in 43 (30.5%) patients (χ2=4.1; p=0.04). In the main group, a total of 16 (11.3%) patients experienced a clinically relevant grade B postoperative pancreatic fistula, which was significantly lower than in the comparison group, where the grade B or grade C fistula occurred in 64 (27.9%) patients (χ2=14.2; p=0.0002). In the main group, 2 patients died; the mortality rate was 1.4%. In the comparison group, 5 patients died, and the mortality rate was 2.2%. This rate was shown to be higher (χ2=0.27; p=0.6) when compared to the main group.
Conclusions. The implemented approach demonstrated a substantial reduction in the incidence of postoperative pancreatic fistulas from 27.9% to 11.3%, the number of postoperative complications from 41.0% to 30.5%, and mortality from 2.2% to 1.4%.
Study on the Correlation between Cervical Intraepithelial Lesions and Human Papillomavirus Infection and Vaginal Microecology
Authors: Zhang Qinghua , Liu Yansong , Xu Changsheng
Published: November 2023

Background: The aim of this study was to explore the correlation between high-risk human papillomavirus (HR-HPV) infection and changes in vaginal microecology, as well as the severity of cervical intraepithelial lesions (CIN). Methods: A retrospective analysis was conducted on 221 inpatients (aged 23–80 years) who underwent simultaneous testing of vaginal secretions for microecological parameters, HR-HPV genotyping, and cervical tissue biopsy at the Department of Gynecology, Second Affiliated Hospital of Xinjiang Medical University, Urumqi, from October 2021 to January 2023. The study subjects were analyzed to determine the association between HR-HPV infection and alterations in vaginal microecology, as well as CIN. Results: Among the 221 cases, 69 were positive for HR-HPV, resulting in a positivity rate of 31.22% (69/221). Out of the 139 cases with normal vaginal microecology, 26 were positive for HR-HPV, yielding a positivity rate of 18.71% (26/139). Among the 82 cases with abnormal vaginal microecology, 43 were positive for HR-HPV, resulting in a positivity rate of 52.44% (43/82). Out of the 162 cases with normal cervix, 26 were positive for HR-HPV, resulting in a positivity rate of 16.00% (26/162). Among the 59 cases with abnormal cervix, 43 were positive for HR-HPV, resulting in a positivity rate of 72.88% (43/59). In the cases of abnormal cervix, 10 presented cervical inflammation, with a HR-HPV positivity rate of 70.00% (7/10); 20 cases had cervical intraepithelial lesions (CIN) I, with a HR-HPV positivity rate of 70.00% (14/20); 20 cases had CIN II, with a HR-HPV positivity rate of 75.00% (15/20); and 9 cases had CIN III, with a HR-HPV positivity rate of 77.80% (7/9). Moreover, among the 162 cases with normal cervix, 36 had abnormal vaginal microecology, resulting in an abnormality rate of 22.22% (36/162). Among the 59 cases with abnormal cervix, 46 had abnormal vaginal microecology, resulting in an abnormality rate of 77.97% (46/59). In the cases of abnormal cervix, 10 had cervical inflammation, with an abnormal vaginal microecology rate of 70.00% (7/10); 20 cases had CIN I, with an abnormal vaginal microecology rate of 70.00% (14/20); 20 cases had CIN II, with an abnormal vaginal microecology rate of 80.00% (16/20); and 9 cases had CIN III, with an abnormal vaginal microecology rate of 100.00% (9/9). The differences in HR-HPV positivity rates between the group with normal vaginal microecology and the group with abnormal vaginal microecology were statistically significant (p < 0.05). Similarly, the differences in HR-HPV positivity rates for different degrees of CIN were statistically significant (p < 0.05), as well as the differences in abnormal vaginal microecology rates for different degrees of CIN (p < 0.05). Conclusions: HR-HPV infection was found to be significantly associated with alterations in vaginal microecology and CIN.
Advanced Applications of Optical Kerr Micro-combs
Authors: Moss David
Published: November 2023

We review our work on advanced applications of optical Kerr frequency microcombs, including an optical convolutional accelerator operating at 11 Tera-OPS, as well as real-time video signal processing at a speed of 18 Terabits/s.
Measuring the Effects of Motivation Messages on STEM Undergraduates’ Interest in Teaching
Authors: Thompson-Lee Sophie , Klassen Robert , Wang Hui , Snell Rebecca
Published: November 2023

This intervention study investigated the effect of motivation messages on the attitudes and beliefs around teaching of 423 UK-based STEM undergraduates. An experimental vignette design was used to test the effects of an intervention of motivation messages on interest in teaching, perceived self-efficacy for teaching, perceived person-vocation (PV) fit for teaching, and perceived enjoyment of teaching. The intervention depicted authentic teaching scenarios evoking social utility and personal utility values, and PV fit. We found that interest in teaching increased after exposure to the intervention. Social utility values increased interest in teaching the most, particularly for females.
Leader-follower dynamics during early social interactions matter for infant word learning
Authors: Goupil Louise , Dautriche Isabelle , Denman Katherine , Henry Zion , Haresign Ira Marriott , Wass Sam
Published: November 2023

We know little about the extent to which infants’ interests shape their own language acquisition. We hypothesized that infants’ decisions to visually explore a specific object signal focal increases in attention, and that when caregivers respond to these manifestations of interest by naming the object this boosts word learning. To examine this, we invited caregivers and their 14-month-old infants to play with novel objects, before testing infants’ retention of the novel object-label mappings, while their electroencephalogram was recorded. Results show that infants’ proactive looks towards an object during play signal enhanced interest, as evidenced through greater neural signatures of endogenous attention. Furthermore, when caregivers named objects during these episodes, infants showed greater word learning, but only when caregivers also joined their focus of attention. Our findings demonstrate the feasibility of studying word learning in realistic, interactive settings, and support the idea that infants’ interests guide their acquisition of a lexicon.
Uncommon Errors: Adaptive Intuitions in High-Quality Media Environments Increase Susceptibility to Misinformation
Authors: Orchinik Reed , Martel Cameron , Rand David Gertler , Bhui Rahul
Published: November 2023

Belief in misinformation has been linked in part to digital media environments promoting reliance on intuition -- which in turn has been shown to increase belief in falsehoods. Here we propose that this apparently irrational behavior may actually result from ecologically rational adaptations to complex environments. In a large survey experiment, we test whether intuitive belief in misinformation may result from these rational adaptations by randomizing participants to be shown either a largely true or largely false news feed. We show that individuals make more frequent and quicker errors on the less common headline type, and less frequent errors on the more common headline type. After seeing many true headlines, a participant is more likely to misidentify a subsequent false headline as true, and vice versa after seeing many false headlines. This pattern is consistent with adaptation to the proportion of true and false content (the veracity base rate). We use computational modeling to show that these differences are driven by intuitions, which correspond to Bayesian priors, about the veracity of the content -- intuitions which then spill over into new environments. Our results, when paired with the observation that the news consumed by most Americans is overwhelmingly true, suggest that belief in misinformation and the intuitions that underlie it are not necessarily a failing of humans in digital environments but can be a byproduct of rational adaptations to them.
Resilience Orientation in National Bioeconomy Policies: A Global Comparative Analysis
Authors: Proestou Maria , Schulz Nicolai , Feindt Peter
Published: November 2023

Policies to promote the transition from carbon-based to bio-based economies are proliferating around the globe. Meanwhile, concerns are growing about the resilience of bioeconomy, but the attention given to resilience issues in bioeconomy policies has remained underexplored. To address this gap, we conduct a systematic content analysis of the resilience orientation in 78 bioeconomy policy documents across 50 countries. Our descriptive statistical analyses show that more than 60 per cent of the average policy text concerns resilience-related goals or instruments, driven particularly by adaptability and transformability considerations. Our explorative correlational analysis indicates that policy design spac-es characterized by political openness, economic wealth, high arable land shares, low export shares, and limited oil rents might be conducive to high resilience orientation. These findings contribute to a better understanding of the role of resilience concepts in global bioeconomy policy making.
Skilling Women in Non-Traditional Livelihoods: Pathways to Women's Economic Empowerment - Policy Brief
Authors: Ghosh Anweshaa
Published: November 2023

Skilling is an important tool to achieve women’s economic empowerment. The framework of skilling women is important to achieve The United Nations Sustainable Development Goals (SDGs) related to decent work and gender equality. In 2015 the Union government launched the National Skill Development Mission, which in its policy document emphasises that women constitute half the demographic dividend and skilling could be the key to increasing their participation in the country’s labour force. The Pradhan Mantri Kaushal Vikas Yojna (PMKVY) is the flagship program of Ministry of Skill Development and Entrepreneurship (MSDE) strives to promote increased participation of women in the workforce through appropriate skilling and gender mainstreaming of skills. Close to 50% of the candidates enrolled and trained under PMKVY are women. From a policy point, in 2015, the National Skill Development Policy focuses on inclusive skill development, with the objective of increased women participation for better economic productivity. To achieve this, emphasis has been laid on creating additional infrastructure both for training and apprenticeship for women; flexible training delivery mechanisms such as mobile training units, flexible afternoon batches along with on local need-based training to accommodate women; and ensuring safe and gender sensitive training environment, employment of women trainers, equity in remuneration, and complaint redressal mechanism. The most recent development in 2022 has been the expanding the mandate of ‘Beti Bachao Beti Padao’ scheme (Ministry of Women and Child) by including skilling of girls in non-traditional livelihood (NTL) options in its flagship programme. This would mean focussing on increasing the enrolment of girls in secondary education, particularly in STEM (Science, Technology, Engineering, Mathematics) subjects in secondary schools.
Assessment of metered dose inhalation technique in patients with chronic lung disease at a tertiary health care center
Authors: Dongol Deveshree , Acharya Samita , Amatya Yogendra
Published: November 2023

Introduction: Poor inhalation technique among patients using Metered Dose Inhaler (MDI) is one of the most common causes of increased acute exacerbations and hospital visits and leads to poor health outcome. Hence, the purpose of this research is to evaluate the correctness of inhalation steps in patients using MDI visiting Patan Hospital.
Method: A total of 128 patients participated in the research. The study involved collection of basic sociodemographic information and visual observation of the inhalation technique of the patients using a standard checklist. Any mistakes made during the procedure were recorded. They were also asked to say each step as they performed it so that all of the steps could be clearly observed. 
Result: Out of 128 participants, only 3(2.34%) of the participants were able to perform all the eight steps correctly. Holding breath for five second was the most commonly made mistake 80(62.7%) followed by failure to exhale to residual volume 74(57.7%). Majority of participants were able to perform five steps correctly 29(22.6%). There seemed to be no association of inhalation technique with age, sex and educational status of the patient.
Conclusion: Majority of the patients were unable to perform the inhalation steps correctly indicating the need for regular training programs to improve the inhalation technique and improve health outcome.
Cause of hospitalization and its outcome in patient with chronic myeloid leukemia in Patan Hospital
Authors: Tiwary Abhishek , Lama Mipsang , Maharjan Kripa
Published: November 2023

Introduction: Chronic Myeloid Leukemia (CML) is a myeloproliferative neoplasm characterized by dysregulated proliferation of granulocytes because of reciprocal translocation of chromosome 9 and 22. Despite the advances in treatment of CML, it still has a significant burden in patients’ life because of cost of medication, frequent hospitalization and effect on quality of life. The aim of this study is to find out the cause of hospitalization and its outcome in patient with CML.
Method: It is a retrospective cross-sectional study conducted at Patan Hospital. The study included data of hospitalization of CML patients over a period of 3 years from April 2020 to April 2023 which was obtained from the record files and discharge notes of the patients. The data included information regarding age and sex of the patients, phase of disease, name of Tyrosine kinase inhibitor (TKI) used, cause of hospitalization and outcome of the hospitalization.
Result: There were total of 102 admissions of which 82 admissions were analyzed. The mean age was 49 y, 56% were male, 70.7% were in chronic phase of disease and imatinib was the commonest TKI used (51.2 %). Disease related events were the most common cause of hospital admission (61%); 70 patients (85.4%) improved and were discharged whereas 12 patients (14.6 %) died during hospitalization.
Conclusion: The commonest cause of hospitalization in CML patient was disease related events i.e., disease progression, drug related adverse effects and new diagnosis. Transformation to blast crisis had worst prognosis with increased mortality.
Spontaneous bacterial peritonitis due to streptococcus pneumoniae: a case report
Authors: Poudel Bipin , Shrestha Shubham , Pandey Bimal , Acharya Pawan , Pandey Rabindra Raj
Published: November 2023

Despite not being a normal gastrointestinal flora, Streptococcus pneumoniae can be the causative agent of Spontaneous Bacterial Peritonitis (SBP) in clinical setting. Patient present with fever, progressive abdominal pain, swelling of limbs, abdomen or both. It is mainly diagnosed by ascitic fluid tapping and its cell count along with culture and sensitivity. This condition has very good response with antibiotics as per culture reports. Here, we present a common case of SBP caused by an uncommon pathogen Streptococcus pneumoniae.
Vidura's Ethical Paradoxes: Unravelling Moral Complexity in the Mahabharata
Authors: Srinivasan Ramanathan , Aithal P. S.
Published: November 2023

Vidura, a major character of the Mahabharat offers profound ethical and philosophical contributions that remain meaningful till now. Vidura’s teachings, in contrast, pivot around the steadfast adherence to dharma (righteousness) and moral principles—instructing individuals that ethical conduct must always be given priority (even when there are counteracting factors). His advice emphasizes the transient nature of material wants and the way to escape is inward wisdom. Vidura’s defence of compassion, equality, and justice provides a model for our modern society. The importance of maintaining value-based ethics, even when it is tough to do so, becomes more accentuated by his moral courage and ethical consistency. Vidura’s ethical and philosophical contributions to the Mahabharata give us a deep insight into why his teachings have a compelling significance, giving individuals a moral compass in today’s intricate realm.
The Function and Usage of the Verb ‘be’ in Ho language
Authors: Koh Taejin , Kim Donghwan
Published: November 2023

The Ho language, a member of the Austro-Asiatic language family, specifically falls under the Munda group. Traditionally, the verb 'be' has been denoted to as the ‘-tan’ verb. However, our study seeks to argue that both the ‘-tan’ and ‘-min’ verbs should be categorized as 'be' verbs, serving as main verbs with the meaning 'is’, while maintaining distinct usage and functions. Thus, this paper aims to examine the functions and uses of both the ‘-tan’ and ‘-min verbs. In pursuit of this goal, we will explore not only their roles as main verbs but also their applications as tense markers, brand names, and linking verbs.
Concept of freedom in terms of Amartya Sen
Authors: Vaniya Bipinkumar M.
Published: November 2023

Freedom is an important concept of political philosophy and ethics. In this article, an attempt has been made to know the concept of freedom given by Amarty Sen. How his concept of freedom is different from prevailing other definitions of freedom and why we should accept it, is shown here in this article. Sen put emphasis on basic two aspect of freedom: Opportunity and Functioning. Sen tries to explain in detail the concept of opportunity. Sen considers opportunity as the freedom to get what we want to get. It has its intrinsic value, according to Sen. Sen explains freedom in the light of his theory of capability and considers capability as Freedom. Sen draw our attention towards the role of freedom which are Constitutive Freedom and Instrumental Freedom. According to Sen, Constitutive Freedom is the first and foremost aim of development and Instrumental Freedom as a means to achieve that aim. He describes five forms of instrumental form freedom. Through this article, we will understand a very new and unique concept and role of freedom.

Abstract in Gujarati Language:

સ્વતંત્રતા એ એક રાજનીતિક તત્ત્વજ્ઞાન અને નીતિશાસ્ત્રની મહત્ત્વની સંકલ્પના છે. પ્રસ્તુત લેખમાં અમર્ત્ય સેનની સ્વતંત્રતા અંગેની વિભાવના જણાવવાનો પ્રયાસ કર્યો છે. તેઓની સ્વતંત્રતા અંગેની વિભાવના અન્ય પ્રચલિત વિભાવના કરતાં કઈ રીતે અલગ છે અને આપણે શા માટે તેને સ્વીકારવી જોઈએ તેની મુખ્યત્વે વાત આ લેખમાં કરેલ છે. સેન સ્વતંત્રતાના બે મુખ્ય પાસા એક 'તક' અને બીજું 'પ્રક્રિયા' પર ભાર મુકે છે. સેન 'તક'ને વધારે વિસ્તૃત અર્થમાં સમજાવવાનો પ્રયાસ કરે છે. તકને સેન જે મેળવવા માંગીયે છીયે તે મેળવવા માટેની સ્વતંત્રતા તરીકે લેખાવે છે. તેઓ તકની સ્વતંત્રતાને સ્વતંત્રતાનું આંતરીક મુલ્ય માને છે.  સેન સ્વતંત્રતાને પોતાના ક્ષમતા અભિગમને આધારે સમજાવે છે તથા ક્ષમતાને સ્વતંત્રતાનું જ એક પાસું ગણાવે છે. સેન સ્વતંત્રતાની ભુમિકાઓ તરફ આપણું ધ્યાન ખેંચે છે, જે છે મૂળભૂત સ્વતંત્રતા (Constitutive Freedom) અને સાધન સ્વરૂપ ભૂમિકા (Instrumental freedom). મૂળભૂત સ્વતંત્રતાને સેન વિકાસનું પ્રાથમિક ધ્યેય માને છે જ્યારે સાધન સ્વરૂપ સ્વતંત્રતાને વિકાસનું મુખ્ય સાધન માને છે. સાધન સ્વરૂપ સ્વતંત્રતાના સેન પાંચ સ્વરૂપોનું આપણી સામે વર્ણન કરે છે. આ લેખથી આપણે સ્વતંત્રતાની એક નવી જ અને અનોખી ભૂમિકાને સમજવા સક્ષમ બનીશું.

Keywords: સ્વતંત્રતા, ક્ષમતા, તક, પ્રક્રિયા, પસંદગી. નિષ્પન્ન પરિણામ, વાસ્તવિક સ્વતંત્રતા, હકદારી, સુવિધાઓ
Maternidad
Authors: Centro de Reflexión y Acción Laboral
Published: November 2023

La maternidad en el ámbito laboral es un derecho humano fundamental que se debe garantizar en todos los sectores laborales sin excepción. Para poder ejercer este derecho existe una realidad innegable que probablemente lo limiten, pero también existe un conjunto de leyes que lo protegen: la Ley Federal del Trabajo y la Ley del Seguro Social. Para tener noción de algunos casos de aplicación de este derecho, se cuenta con un sondeo que se realizó sobre algunas madres trabajadoras de la industria electrónica y del sector educativo.
Adventure activities as a means of counteracting stress in students
Authors: Byshevets N. , Lazakovych Yu.
Published: November 2023

The most effective anti-stress measure for students of higher educational institutions is the use of organized health-improving physical activity. However, in the conditions of martial law, the opportunity for students to study in the usual mode is limited. Therefore, today the urgent problem is the study and analysis of new, most effective approaches to organizing active leisure. The goal is to generalize the foreign experience of organizing adventure events and evaluate the impact of adventure programs on the stress level of higher education students. Methods – analysis of foreign literature on adventure activities. The results. The best positive experience of organizing students' entertainment activities was studied. It is established that the concept of «adventure activity» concretizes the concept of «active leisure time», emphasizing the greater risk that occurs during its implementation and the need to make more physical and/or mental efforts. It was established that extreme activity has a more pronounced effect on students' perception of stress due to the opportunity to distract from everyday problems, as well as greater emotionality compared to other types of active leisure. Furthermore, it was determined that participation in short-term adventure programs increases students' resistance to stress, reduces the level of its perception and has a long-term positive effect that can last for 2 - 3 years. Conclusions. The expediency of using adventure programs in the practice of physical education and organization of students' active leisure time has been proven as a more effective means of increasing their resistance to stress and reducing its harmful effects. Prospects for further research. Further research will be aimed at developing a short-term adventure program that would ensure stress reduction in Ukrainian higher education students in the conditions of armed conflict in the country.