bluuebunny/crossref_metadata_2025 huggingface dataset:
Analysis of industrial floor damege and deformation on a expansive slag
Authors: Zając Jakub , Drobiec Łukasz , Kwiecień Sławomir , Grzyb Krzysztof , Blazy Julia
Published: October 2024

The paper discusses an industrial floor that was constructed on a reactive slag subbase. Five years after completion, the user reported damage caused by floor displacement. Cracks and scratches were observed in the finishing layers, particularly at the connection between the partition walls and the floor. Geotechnical and surveying investigations were carried out to determine the cause of the damage. The investigations revealed the presence of reactive slag as the subbase layer. Floor displacement measurements were taken over a four-year period, from November 2019 to November 2023. Despite being ten years since construction, uplift continues to occur. The average annual increase in displacement for the entire floor over the past three years is 6 mm, with a maximum displacement of 80 mm at the midpoint of the floor. The ongoing increase in displacement and damage makes repairing the building and maintaining its use impossible. Microscopic examinations and geodetic measurements do not indicate a stopping of the expansion processes of the subbase.
About the building disaster of a reinforced concrete beam caused as a result of failure to meet the structural requirements
Authors: Drobiec Łukasz
Published: October 2024

The failure and collapse of edge beam were caused by the synergy of the following factors: the improper design of beams in the axes A and E, particularly with reference to shearing and torsion, the improper design of the column in the axes A and 1, the improper design of laps in the reinforcement, the performance of laps in the reinforcement which did not match the design, and the inaccurate embedment of the beam in concrete. And lower class of concrete should be regarded as the secondary cause.
Proposal of a new typology of structures using timber elements
Authors: Brodniewicz Piotr
Published: October 2024

The paper proposes a new typology of structures using timber elements, divided into homogenous and hybrid, considering the materials from which they were made, along with presenting classification criteria and an example of use. In addition, previously insufficiently specified terms were defined, such as massive timber and light timber frame.
O PAPEL DA MONITORIA NA EDUCAÇÃO PERMANENTE EM TEMPOS DE COVID-19: UM RELATO DE EXPERIÊNCIA
Authors: Cruz Rafael Alves Guerra Gomes , Diniz Vitória Lívia Linhares , Mesquita Vitor Emanoel Chaves de , Souza Bruno de Oliveira , Canto Levy Domingos , Maia Cláudia Rodrigues Souza
Published: October 2024

Justificativa: A monitoria acadêmica é uma ferramenta importante para o desenvolvimento da autonomia e a formação integral dos monitores e monitorados. Desse modo, diante de um cenário de pandemia em que o contato entre alunos e pacientes foi reduzido, a monitoria viabilizou atividades práticas de capacitação para os alunos do componente curricular Pediatria na Atenção Primária à Saúde (APS 4). Objetivo: O objetivo do presente trabalho é descrever a relevância da monitoria nas áreas de Semiologia e Semiotécnica de modo prático a partir de encontros nas enfermarias pediátricas com grupos menores de alunos em horários alternativos e com todos os cuidados. Métodos: Trata-se de um estudo descritivo, do tipo relato de experiência, no qual os monitores foram previamente capacitados e qualificados para realizar as atividades propostas em tal atividade acadêmica. Resultados e Discussão: A iniciativa foi de suma importância para a formação acadêmica dos discentes, possibilitando momentos de aprimoramento e edificação dos conhecimentos teórico-práticos. Tais resultados foram reconhecidos através da avaliação dos alunos.
Cáncer de próstata: epidemiología, manifestaciones clínicas, diagnóstico y manejo actual
Authors: Quinde Salazar Samuel Agustín , Cóndor Coraquilla Bryan Andrés , Perugachi Farinango Vanessa Lisseth , Chamorro Flores Karla Estefanía , Castro Guachilema Mateo Alejandro , Pacheco Guevara Kevin Andres , Gavilanes Paredes María Cristina , Arias Rodríguez Fabián Darío
Published: October 2024

El cáncer de próstata es un importante desafío sanitario en el mundo desarrollado, siendo el tipo de cáncer más común en hombres en EE.UU. y la mayoría de los países europeos y el segundo más común en todo el mundo. Los factores de riesgo del cáncer de próstata incluyen antecedentes familiares, genética, dieta, medicación, enfermedades infecciosas y factores sexuales. Actualmente, los niveles del antígeno prostático específico (PSA), los estadios clínicos y la puntuación de Gleason de la biopsia son los principales parámetros utilizados para estratificar a los pacientes en categorías de riesgo en la presentación inicial, se utilizan para decidir el tratamiento adecuado. El tratamiento del cáncer de próstata localizado abarca vigilancia activa, radioterapia ablativa y prostatectomía radical. Los hombres que recaen o presentan cáncer de próstata metastásico reciben terapia de privación de andrógenos (TDA), radioterapia de rescate y quimioterapia. Actualmente, las opciones de tratamiento disponibles son más efectivas cuando se usan como terapia combinada; sin embargo, a pesar de las opciones de tratamiento disponibles, el cáncer de próstata sigue siendo incurable.
Reseña actual de artritis idiopática juvenil: evaluación y manejo
Authors: Estrella Camacho Pablo César , Ledesma Palacios Nadia Valeska , Arévalo Riera Michael Raúl , Rueda Hernández Bryan Adrián , Martínez Gómez Ayaurimar Victoria , Pineda Pérez Karla Yusbeth , Iza Aquieta Lesly Lilian
Published: October 2024

La artritis idiopática juvenil (AIJ) es un conjunto de trastornos variados que se caracterizan por la inflamación crónica de las articulaciones que comienza en la infancia. Es la enfermedad reumatológica más común entre los niños y una causa significativa de enfermedad crónica en este grupo de población. Al igual que en los adultos, la patogénesis de esta enfermedad implica mecanismos autoinmunes y autoinflamatorios. Los pacientes con artritis inflamatoria suelen consultar a especialistas en atención primaria debido a problemas músculo-esqueléticos. La historia clínica detallada y la exploración física específica son clave para distinguir la artritis idiopática juvenil de otras causas musculoesqueléticas. En los últimos años, se han producido cambios significativos en las estrategias de tratamiento de la AIJ, con la introducción de nuevas terapias dirigidas, con frecuencia adaptadas de medicamentos utilizados para tratar formas de artritis que surgen en la edad adulta. Estos tratamientos, al igual que es probable que muchos otros en el futuro, han mejorado considerablemente el control de los síntomas y han reducido las complicaciones en pacientes con artritis idiopática juvenil. A pesar de ello, es crucial continuar con la colaboración internacional, revisar críticamente las estrategias de tratamiento y llevar a cabo investigaciones de alta calidad para optimizar los resultados.
DIGITAL LITERACY TUTORING PROGRAM IN HIGHER EDUCATION: EMPOWERING STUDENTS IN THE DIGITAL AGE
Authors: de Lima Gabriel Carvalho Ribeiro , Schnitman Ivana Maria
Published: October 2024

This essay reports on the experience of implementing a digital literacy tutoring program for university students, detailing the first seven meetings. Digital literacy emerges as an essential skill in contemporary society, driven by the omnipresence of information and communication technologies (ICT) (Araújo; Glotz, 2014). The program, structured in teaching units, covered everything from basic resources to advanced platforms, seeking to train students in the critical use of digital technologies. The teaching methodology, focused on active participation and collaboration, included dialogued presentations, debates and group exercises. The results demonstrate a significant increase in students' digital skills and a greater awareness of the ethical and responsible use of technologies. The experience reinforces the importance of digital literacy in the university context, preparing students for the challenges of the digital age and thus contributing to digital inclusion.
ENDOMETRIOSE: UMA REVISÃO ATUALIZADA SOBRE DIAGNÓSTICO, TRATAMENTO E SUA RELAÇÃO COM A INFERTILIDADE
Authors: Collar Isabela Padovan , Da Silva Karine Emanuele , DallAgnol Henrique Abreu
Published: October 2024

O objetivo do presente trabalho é apresentar uma análise abrangente da endometriose e sua relação com a infertilidade. Metodologia: trata-se de uma revisão integrativa da literatura, com artigos publicados entre 2019 a 2024, em bases de dados nacionais e internacionais, realizando-se buscas nas bases de dados: PubMed, Scielo e Nature. Os resultados demonstram que a endometriose é uma doença fortemente relacionada a infertilidade que afeta tanto a qualidade de vida quanto economicamente as mulheres acometidas. O diagnóstico precoce com métodos de imagem é fundamental para o manejo eficaz da doença. O tratamento se apresenta de forma personalizada, a depender das queixas e desejos das pacientes.
3D Modeling from the Graphic Design of the FHP Headquarters of the Unified National Corporation of Higher Education. Perspectives for Virtual Tours and Visual Communication
Authors: Ordoñez Guar Miguel Ángel
Published: October 2024

Higher education faces challenges in enhancing students' learning experiences and increasing their understanding and retention of information. Virtual tours with 3D modeling are presented as an innovative tool to address these challenges. The aim of this article is to examine the role of virtual tours with 3D modeling in higher education, highlighting their advantages, challenges, and key aspects for effective implementation. To implement virtual tours with 3D modeling effectively, several key aspects need to be considered. Firstly, navigation should be smooth and user-friendly to allow students to explore and learn effectively. Secondly, relevant information should be integrated effectively into the virtual tour so that students can access the information they need. Finally, interactivity is crucial for the success of a virtual tour as it enables students to interact with the environment and learn actively. Virtual tours with 3D modeling can be a valuable tool to enhance education and student learning in higher education. However, it is important to consider the challenges and key aspects for their effective implementation. By addressing these challenges and considering the key aspects, educational institutions can create virtual tours that improve education and student learning
Basic Cytogenetics and Karyotyping: Initial Step for Identification of Genetic Disease
Authors: Bhardwaj Nikha , Ghatak Surajit
Published: October 2024

Genetic disorders are conditions that arise from alterations in the DNA sequence, which can be inherited or occur spontaneously. These alterations may affect a single gene or multiple genes, and they can also be influenced by environmental factors. Knowledge about the importance of suitable cytogenetic tests, the challenges faced in cytogenetics, the importance of pre-investigation lab work, and post-lab communication are important for the establishment of any cytogenetic lab. Continuous medical education can help in upgrading the knowledge and skills of Medical Practitioners.
UNEQUAL AGING: DISPARITIES IN GERIATRIC RESEARCH AND A CALL FOR UNIFIED ACTION
Authors: Sakar Manali , Parihar Jasmine , Gupta Latika
Published: October 2024

An increase in aging population poses significant challenges which are more pronounced in low- and lower middleincome countries. This editorial explores the multifaceted challenges in geriatric research such as demographic disparities, methodological complexities, ethical concern, challenges in data analysis and underrepresentation in studies with a focus on autoimmune and rheumatic diseases. To effectively address the challenges, a concerted multinational research consortia for the development of universally applicable care model is critical. Methodological advancements, increased funding at individual and institutional levels, and implementation of evidence-based healthcare policy will help in ensuring that the aged worldwide receive comprehensive care.
THE DEVELOPMENT OF GERIATRIC AND ANTI-AGING SCIENTIFIC SCHOOL IN UKRAINE
Authors: Doskaliuk Bohdana
Published: October 2024

This manuscript explores the historical development and significance of geriatric and anti-aging research in Ukraine, emphasizing its vital role in advancing global gerontology and geriatrics.The manuscript highlights the multidisciplinary aims of Ukrainian gerontological research, including understanding the biological mechanisms of aging, developing medical treatments for chronic diseases prevalent in older populations, and addressing the social and psychological aspects of aging. It also discusses the challenges of Ukraine’s aging population, such as healthcare policy reform, improved geriatric care integration, and increased funding for aging research. A  significant  emphasis  is  placed  on  incorporating  anti-aging  studies  into  medical  education.  By  updating  medical curricula to include comprehensive anti-aging education, Ukraine can better prepare future healthcare professionals to meet the evolving needs of its aging population. The manuscript concludes that such educational reforms are crucial for enhancing the effectiveness and sustainability of Ukraine’s healthcare system, ultimately improving the quality of life for older adults and aligning with global trends in aging research.
ADHERENCE TO THE MEDITERRANEAN DIET IN PATIENTS WITH HIGH CARDIOVASCULAR RISK
Authors: Kondratyuk Marta , Komarytsia Orest , Radchenko Olena , Bek Nataliya
Published: October 2024

Introduction. Recommendations for the use of the Mediterranean diet apply to many nosologies, which made it expedient to consider the principles of such nutrition and adherence to it for patients with high cardiovascular risk.
Objectives. In order to evaluate the nature of the diet of patients with high cardiovascular risk and their adherence to the Mediterranean diet, the principles of the diet were described according to the data from the Pubmed database. Adherence to and compliance with the principles of Mediterranean diet in patients with high cardiovascular risk were determined according to the Food Questionnaire in 29 outpatients with stable chronic forms of coronary heart disease and arterial hypertension: 18 men, 11 women aged 55.72±2.59 years with excessive body weight; the results were processed by the methods of variational statistics.
Results. The Mediterranean diet is recommended for patients with high cardiovascular risk, excess body weight, steatotic liver disease, inflammatory bowel diseases, autoimmune changes in the thyroid gland, dementia, chronic obstructive pulmonary diseases, and oncological processes. It is based on grains, cereals, vegetables and fruits, beans, nuts, and seeds; a small amount of meat, eggs, fish, and poultry; olive oil and moderate daily consumption of cheeses and yogurts. According to the Food Questionnaire, patients with a high cardiovascular risk are not sufficiently aware of the principles of this diet, do not fully follow the recommendations for replacing fats with extra virgin olive oil, do not consume enough fish, vegetables, fruits, nuts, whole grain pasta and hard cereals. In addition, they tend to consume meat, soft cereals, ordinary types of bread and pasta, sweets, carbonated beverages, beer, and spirits in excessive amounts or too often.
Conclusions. Insufficient awareness and non-adherence to the Mediterranean diet require the activation of educational work to deepen knowledge about its principles and details.
Ahmed Adnan Saygun’s Opera “Őzsoy” — a Cultural-Political Project and an Artistic Event in 20th Century Turkish Music
Authors:   Saint Petersburg Rimsky-Korsakov State Conservatory, Degtyareva Natalia I. , kyzy Dzhavadova Makhruza N. ,   Saint Petersburg Children’s School of Arts named after S. V. Rachmaninov
Published: October 2024

In 1934 in Ankara the world premiere of Ahmed Adnan Saygun’s opera Őzsoy took place. The initiator of its creation was the first president of the Turkish Republic Mustafa Kemal Atatűrk. He came forward as a peculiar curator who accompanied the project at various stages of its preparation: from the choice of the poetical source (the Persian epos Shahnameh by Ferdowsi) and the definitions of the chief ideas in his interpretation to assigning the librettist (Münir Hayri Egeli) and the composer, whom 27-year-old Ahmed Adnan Saygun was chosen to be. The idea of the creation of national opera fit organically into the context of Atatűrk’s reformist endeavors, however the project of Őzsoy was tinged not only with cultural, but also with political tones: the premiere of the opera, timed to the official visit of Iranian leader Reza Shah Pahlavi, was called to be conducive to the strengthening of Turkish-Iranian contacts. In the opera’s plotline, the theme of the mutual relations of the Turkish and the Iranian peoples is played out. Saygun, an adherent of Atatűrk’s reformative ideas, at that time a scholarship recipient of the Turkish Republic and a recent graduate of the Schola cantorum in Paris, turns in Őzsoy to the experience of European opera, but interprets it individually. This is testified by the formal structure and the dramaturgy (a free, at times montage connection of the musical and the talking episodes, a through type of intonational development and a conditional “number” structure), and the style; at the same time, Turkish national features show themselves through the Western European foundation, which is especially perceptible in the rhythmic and the timbral aspects. Such an intercrossing of the traditions of the East and the West has become one of the characteristic tendencies in 20th century Turkish music.
Satisfacción de la comunidad educativa respecto al programa de maestría en la dimensión cuerpo docente
Authors: Gómez Marecos Nicolasa Ramona , De Ruiz Diaz Juliana Edith Lucena , Subeldía Coronel Agustina
Published: October 2024

Es innegable que el progreso de un país depende en gran medida de la calidad educativa que reciben sus estudiantes, como también, conocer el nivel de satisfacción de la comunidad educativa respecto a un programa es un buen indicador para medirlo. La UNESCO, recomienda a sus miembros como uno de los objetivos, lograr para todos una educación de calidad y un aprendizaje a lo largo de toda la vida. Por ese motivo, se consideró factor esencial que contribuya a ello, la formación y motivación docente en el contexto institucional del INAES, Paraguay. Esta investigación con enfoque cuantitativo, alcance descriptivo, diseño no experimental y corte transversal, tuvo como objetivo determinar el nivel de satisfacción de la comunidad educativa respecto al programa de estudios de la Maestría en investigación educativa del INAES, en la dimensión cuerpo docente, ante la necesidad de dar respuesta a los requerimientos de organismos de control de calidad educativa en tiempos actuales. Entre los principales hallazgos se verificó que, la mayoría de los participantes y egresados están satisfechos con el cuerpo docente, aunque, la evaluación de desempeño docente es el indicador menos satisfactorio para algunos participantes, específicamente en lo referente a en lo referente a su utilización en forma sistemática de los resultados de la evaluación de desempeño para retroalimentar la labor de los mismos.
THE INCIDENCE OF LATENT TB INFECTION AND THE EXPERIENCE IN ORGANIZATION OF COMPLEX PREVENTIVE MEASURES FOR THE PERSONNEL CONSTANTLY EXPOSED TO TB IN A TB INSTITUTION OF THE REPUBLIC OF TAJIKISTAN
Authors:   Tajik State Medical University named after Abuali Ibni Sino, Dushanbe, the Republic of Tajikistan, Bobokhodzhaev O.I. , Abdurakhimov A.A. ,   National Centre for Tuberculosis, Pulmonology and Thoracic Surgery, Dushanbe, the Republic of Tajikistan, Bobokhodzhaev F.O. ,   National Centre for Tuberculosis, Pulmonology and Thoracic Surgery, Dushanbe, the Republic of Tajikistan, Pirov K.I. ,   Tajik State Medical University named after Abuali Ibni Sino, Dushanbe, the Republic of Tajikistan
Published: October 2024

We studied the incidence of latent TB infection (LTI) among 364 employees of the National Centre for Tuberculosis, Pulmonology and Thoracic Surgery. Positive results were obtained in 139 (38.2%) people, including 135 (97.1%) medical workers and 4 (2.88%) non-medical workers. The results witness high rates of LTI among medical workers of the principal TB institution. A complex of preventive measures against TB infection and the development of active TB has been developed and implemented.
THE POTENTIAL OF INTRADERMAL TEST WITH RECOMBINANT TUBERCULOSIS ALLERGEN AS A PREDICTOR OF TB DEVELOPMENT IN HIV PATIENTS WITH DIFFERENT IMMUNE STATUS
Authors:   1477 Naval Clinical Hospital, Vladivostok, Russia, Grabovskaya M.S. , Motanova L.N. ,   Pacific State Medical University, Vladivostok, Russia, Kudlay D.A. ,   Institute of Pharmacy of I.M. Sechenov 1st Moscow State Medical University, Moscow, Russia, M.V. Lomonosov Moscow State University, Moscow, Russia,  Federal Medical-Biological Agency “National Research Centre Institute of Immunology”, Moscow, Russia, Doktorova N.P ,   National Medical Research Centre of Phthisiopulmonology and Infectious Diseases, Moscow, Russia
Published: October 2024

We analyzed the epidemic situation of TB/HIV co-infection in Primorsky Krai in 2008–2023 and revealed the tendency towards escalation of TB/HIV co-infection, which required a detailed analysis and improved effectiveness of preventive measures against TB infection in HIV-positive people. The study established that these goals would be achieved using recombinant tuberculosis allergen (RTA – Diaskintest®) for the detection of latent TB infection in HIV-positive people. Positive reactions to RTA were observed in 23.5% of HIV patients, out of them 40% demonstrated hyperergic reactions, which allowed considering the intradermal test with RTA a criterion of screening for TB infection in HIV-positive people. We also proved the correlation between intensity of the local response to RTA and the number of CD4+ lymphocytes.
Response to Treatment with Erythropoietin in Chronic Kidney Disease Patients with Protein Energy Wasting in Homa Bay Teaching and Referral Hospital, Kenya
Authors:   Department of Health, HomaBay County, Kenya, Onyango Susan Atieno , Makau Wambui Kogi ,   Department of Health, HomaBay County, Kenya, Okomo Gordon Odhiambo ,   Department of Health, HomaBay County, Kenya, Kiage Beatrice Nyanchama ,   Department of Human Nutrition Sciences, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya
Published: October 2024

Anemia is one of the major causes of morbidity in Chronic Kidney Disease (CKD). There are many causes of anemia in CKD, but the main cause is erythropoietin deficiency. CKD patients on hemodialysis have a high protein-energy wasting (PEW) prevalence that may explain Erythropoietin's (EPO) hypo-responsiveness. This study aimed to evaluate the response to EPO treatment in CKD patients with PEW in Homa County Teaching and Referral Hospital. The study was a retrospective medical chart review of patients on hemodialysis in 2018 and 2019 at Homa Bay County Teaching and Referral Hospital. The patients were classified according to PEW diagnostic using the Subjective Global Assessment tool and the Malnutrition Inflammation score tools. PEW prevalence was 41.2% while the prevalence for anemia was 85.3%. The mean hemoglobin at the onset of EPO treatment for patients with PEW and patients without PEW was 8.71 ± 1.82 and 9.53±1.90 g/dl while the final mean hemoglobin was 9.35±1.95 and 10.7±1.86 g/dl respectively. Differences between groups with PEW and groups without PEW were analyzed considering their responsiveness and a statistically significant improvement was recorded in patients without PEW after EPO administration (p-value=0.04). The relative risk of EPO resistance, considering 95 % confidence interval, was 0.3 with a range of 0.109 – 0.825. The risk of poor response to EPO treatment was reduced to 30 % in patients without PEW. This study concluded that PEW contributes to poor response to EPO treatment in hemodialysis patients. It is therefore important to correct wasting in these patients to improve response to EPO treatment. Key words: Anaemia, Erythropoietin, Protein Energy Wasting, Chronic Kidney Disease
Potential of Edible Seaweed of the Kenyan Coast as a Micronutrient Source
Authors:   Faculty of Agriculture, Department of Food Science, Nutrition and Technology University of Nairobi, Kenya., Wekesa Mercy Nelima , Ngala Dr.Sophia ,   Faculty of Agriculture, Department of Food Science, Nutrition and Technology University of Nairobi, Kenya., Makau Prof. Wambui Kogi ,   Faculty of Agriculture, Department of Food Science, Nutrition and Technology University of Nairobi, Kenya.
Published: October 2024

Edible seaweed, a rich source of micronutrients, remains underutilized despite its availability at the Kenyan coast, while micronutrient deficiencies remain a major health concern in Kenya. The study assessed micronutrient content of randomly sampled seaweed and consumption patterns, interviewing 175 seaweed farmers and analysing 58 samples from Mombasa, Kilifi, and Kwale counties. Micronutrients (vitamin A, D, B9, B12, iron, zinc, iodine) and heavy metals (mercury, lead, arsenic, cadmium) were measured. Predominantly female seaweed farmers, aged 30-40, with low income and education levels, focused on commercial farming over personal consumption due to limited nutritional awareness. A diverse array of edible seaweed species was identified; 11 Phaeophyceae (Sargassum, Turninaria, Dictyota, Padina, Eucheuma), 9 Chlorophyta (Ulva, Caulerpa, Eucheuma) and 8 Rhodophyta (Gracilaria, Hypnea, Soliera, Eucheuma). Significant regional and species variations were observed; Kilifi samples had higher vitamin A (p= 0.031), D (p=0.047), B9 (p=0.006), Kwale exhibited elevated iron levels (p= 0.047). Green phyla showed higher vitamin B12, D, zinc, iodine levels, while red phyla were rich in vitamin B9, A, and iron. Eucheuma cotonii had the highest vitamin B12 (696.6 μg/100 g) and vitamin A (298.6 μg/100 g) levels, Ulva intestinalis recorded highest iron (637.85 mg/kg) and Caulerpa taxifolia had highest zinc (277.74 mg/kg). Though some species contained traces of lead and cadmium within permissible limits, mercury was found in only four species, with no arsenic detected. Increasing awareness of seaweed's nutritional value is crucial to combatting micronutrient deficiencies, alongside further research into processing, value addition, market integration, and heavy metal mitigation strategies. Keywords; Edible seaweed, Micronutrients, Micronutrient deficiencies, Kenyan coast
Transformation in Human Well-Being for Sustainable Development
Authors:   National Academy of Science and Technology Philippines, Montoya Jaime ,   Philippine Council for Health Research and Development,   Department of Science and Technology
Published: October 2024

The current assessment by scientists and experts suggests that no country will be able to reach the United Nations Sustainable Development Goals (SGDs) by 2030 due to various challenges each state faces. The Global Sustainable Development Report 2023 proposes strategic and effective approaches based on scientific evidence for member states to address the barriers impeding attaining such goals. This report builds on the organizing framework of six entry points for transformation and describes key shifts across the different entry points to accelerate progress toward the SGDs. One of these transformations is health and well-being, in which interventions include universal health care, healthy behaviors, and social determinants. The intermediate output of this transformation is universal health coverage, which requires a publicly financed health system that integrates prevention, therapeutic, and palliative services, integrated information systems, and disease surveillance and control. A whole-of-nation and whole-of-society approach is critical to achieving significant gains and transformation in health, which will eventually contribute to economic and social development
The Influence Of Cooperative Learning Models And Learning Motivation On Student Learning Outcomes On Chemical Bond Material
Authors: Tampubolon Yonni Sepriani , Sudrajat Ajat
Published: October 2024

This study aims to analyze the influence of cooperative learning models and learning motivation on student learning outcomes on chemical bonding materials. The background of this research is the low learning outcomes of students on complex chemical materials, especially chemical bonds, which are often caused by a lack of understanding of concepts and low student learning motivation. To overcome this problem, a cooperative learning model is proposed as an effective strategy. This study uses a quantitative method with a pseudo-experimental design involving two classes as samples: an experimental class that uses a cooperative learning model and a control class with conventional learning methods. Data collection was carried out through learning outcome tests and learning motivation questionnaires. The study results show that the cooperative learning model positively and significantly influences student learning outcomes. In addition, it was found that student learning motivation plays a role as a moderation variable that strengthens the impact of learning models on learning outcomes. In conclusion, using cooperative learning models effectively improves student learning outcomes, especially when combined with efforts to increase learning motivation. Therefore, this learning model is recommended for chemistry learning, especially in chemical bonding materials.
Rechtsdurchsetzung mittels Legal Tech-Plattformen
Authors: Hendricks Jan David
Published: October 2024

Why do people often fail to enforce existing claims? What role do innovative, non-lawyer legal tech service providers play in access to justice? Does the current legal framework do justice to this role? And what follow-up questions does this raise for the work and regulation of the legal profession? The author addresses these and other questions in his interdisciplinary study: First, the reasons for the lack of claims enforcement are examined from a legal sociology and behavioural economics perspective before the current (constitutional) legal framework is evaluated on the basis of a comprehensive analysis of the novel business model. The work culminates in guidelines for a necessary reform.

The work was awarded the Ernst Zander Prize 2024 by the Institute of Corporate Management (ifu) and the Dr Klaus Marquardt Prize by the Society of Friends of Ruhr-Universität Bochum e. V. (GdF).
Cleft Lip and Cleft Palate: Incidence, Etiology and Development
Authors: Singh Rajani
Published: October 2024

Cleft lip is an opening in the upper lip and cleft palate is a gap in the palate. Cleft lip and palate may be unilateral or bilateral occurring either in isolation or in various combinations. These orofacial congenital anomalies are birth defects caused by environmental and genetic factors though exact cause is still debatable. Whatever may be the cause, these anomalies cause difficulties in feeding, speech, hearing and ear infections affecting the health of a child. In addition to this, when child grows, the anomalies may give rise to psychosocial issues like self-esteem and social behavior along with anxiety and depression in children and in their parents. The aim of this chapter is to highlight the various types of cleft lip and palate, incidences, possible causes and development. The knowledge of cleft lip and palate is essential for surgeons for timely management of these orofacial congenital anomalies.
Combination of the Endoscopic Septonasal Flap Technique and Silicone Stents for Repair of Congenital Choanal Atresia in Neonates and Infants: A Prospective Study
Authors: Bozkuş Ferhat , Gumus Huseyın , Doğan Ferit , Coban Mustafa , Erdogdu Hamza
Published: October 2024

Background: Choanal atresia and stenosis are the most common craniofacial abnormalities of the nose and often require more than one corrective surgery or can lead to life-threatening airway obstruction. Objectives: To evaluate the long-term outcomes of the endoscopic septonasal flap technique combined with silicone stents for the repair of congenital choanal atresia and to determine independent predictors of surgical success. Methods: This study was designed as a review of prospectively collected data. The study included 40 patients diagnosed with choanal atresia due to congenital nasal obstruction at our hospital's otolaryngology clinic. The demographic characteristics and hospital information of the cases were recorded. Patients with congenital choanal atresia were operated on using the endoscopic septonasal flap technique combined with silicone stents. The surgical results were evaluated. Results: Out of the 40 patients, 23 (57.5%) were female and 17 (42.5%) were male, with a mean age of 90 days, ranging from 2 days to 1650 days. The atretic plate was bilateral in 23 patients (57.5%) and unilateral in 17 (42.5%). The types of atresia among the cases were 14 (35%) bony, 17 (42.5%) membranous, and 9 (22.5%) mixed atresia. Postoperative restenosis developed in 7 (17.5%) of the cases. Revision was needed in 10% (n = 4) of the operated bilateral choanal atresia cases and 7.5% (n = 3) of the unilateral choanal atresia cases. In cases diagnosed with bilateral choanal atresia, oxygen need, malnutrition, follow-up time in the intensive care unit, and follow-up time in the ward were significantly longer (P < 0.05). Conclusions: The Septonasal flap technique combined with silicone stents may be effective in preventing potential complications and restenosis after surgery.
Automatic Classification of Cancerous Masses in Digital Mammograms Using Curvelet Analysis and Hybrid Genetic Algorithm-Artificial Neural Network Model
Authors: Torabi Jafroudi Fereshteh , Kiani-Sarkaleh Azadeh , Nirouei Mahyar
Published: October 2024

Background: Mammography is the most fundamental and widely used method for detecting breast abnormalities. Distinguishing malignant from benign lesions requires extracting relevant information, which can be challenging and time-consuming for radiologists. Computer-aided diagnosis (CAD) techniques can serve as complementary diagnostic tools, assisting radiologists in the early detection and analysis of abnormalities in mammograms. Objectives: This study aimed to propose a CAD system for extracting significant features of abnormalities in breast mammograms using Curvelet transform and fractal analysis, and classifying breast tumors as malignant or benign based on the calculated features. Patients and Methods: In this study, an efficient feature extraction method was applied, utilizing Curvelet transform and fractal analysis, on a dataset comprising 113 abnormal images from the Mammographic Image Analysis Society (MIAS) database, which included 62 benign and 51 malignant cases. The method yielded 575 features, but due to potential irrelevance or redundancy, a multi-objective optimization (MOO) approach based on a genetic algorithm (GA) for an artificial neural network (ANN), named GA-MOO-ANN, was proposed to obtain and focus on an optimal and effective feature set. As a result of this approach, a set of 17 efficient features was extracted. The proposed algorithm was implemented in MATLAB 2014a, and the performance metrics were calculated using 6-fold cross-validation. Results: The experimental results demonstrated exceptional performance, with an accuracy (Acc) of 98.2%, specificity (Sp) of 100%, sensitivity (Se) of 96.8%, positive predictive value (PPV) of 100%, negative predictive value (NPV) of 96.2%, and an impressive area under the curve (AUC) of 0.98, providing comparable results to other recent methods. Conclusion: The current findings suggest that the proposed method could be a valuable tool for breast cancer diagnosis, potentially reducing the number of unnecessary breast biopsies. This method may lead to more efficient patient evaluation and earlier detection of breast tumors.
The Impact of Antibiotic Prophylaxis with Cefazolin, and Ceftizoxime Along with Aminoglycosides on Postoperative Complications, Hospitalization, and Returning to Normal Life for Percutaneous Nephrolithotomy, a Prospective Cross-Sectional Study
Authors: Falahatkar Siavash , Mokhtari Gholamreza , Kazemnezhad Leyli Ehsan , Abed-Kamalchi Milad , Kazemi Samira , Sheikhi Fatemeh , Bonyad Ali , Jafari Alireza
Published: October 2024

Background: This study investigated the efficacy of first-generation cephalosporin (cefazolin) and third-generation cephalosporin (ceftizoxime) as prophylactic antibiotics in patients undergoing percutaneous nephrolithotomy (PCNL) surgery. Objectives: The study also examined the incidence of postoperative complications, hospitalization duration, and time to return to normal life. Methods: This prospective cross-sectional study included patients (≥ 20 years) who underwent PCNL surgery at Razi, Golsar, and Pars Hospitals from January 1, 2013, to December 31, 2022. Patients were divided into two groups, receiving 1 mg/kg of either first-generation (cefazolin) or third-generation (ceftizoxime) cephalosporin intravenously, 30 minutes before surgery. The incidence of postoperative complications, hospitalization duration, and return to normal life were compared based on the type of prophylactic antibiotic. Risk factors were evaluated using chi-squared tests followed by multivariate logistic regression analysis. Results: The ceftizoxime group showed significantly lower rates of overall complications (13.0% vs. 31.4%) and postoperative fever (2.8% vs. 15.0%) compared to the cefazolin group. The ceftizoxime group also had a significantly shorter hospitalization duration (1.31 ± 1.18 days) compared to the cefazolin group (4.03 ± 1.57 days) (P = 0.000). Additionally, the ceftizoxime group had a significantly faster return to normal life (5.97 ± 3.37 days) compared to the cefazolin group (8.15 ± 2.93 days) (P = 0.001). Conclusions: The third-generation prophylactic cephalosporin (ceftizoxime) was more effective than the first-generation (cefazolin) in reducing postoperative fever rates, shortening hospitalization duration, and expediting the return to normal life for patients.
Management of a granulosa-theca cell tumor in a female Rottweiler
Authors: Horner Alexandria , Burns Greg , Harris Mac , Sones Jenny , Hollinshead Fiona
Published: October 2024

A 4-year, multiparous Rottweiler female dog, was presented for breeding management. Dog had clinical signs of proestrus and estrus for > 6 weeks, including cornification of vaginal epithelium and low circulating progesterone concentrations (< 2 ng/ml). Transabdominal ultrasonography of the reproductive tract and measurement of circulating hormones (antimüllerian hormone, Inhibin-B, and progesterone) suggested granulosa-theca cell tumor. Affected ovary was removed via laparoscopy. Histopathology confirmed granulosa-theca cell tumor; dog resumed cyclicity 4 months after surgery, had normal estrus and was successfully mated with a young stud dog. Dog was diagnosed pregnant (30 days after LH surge) via transabdominal ultrasonography; 4 amniotic sacs were detected, and 3 grew to term but were not viable at delivery (via cesarian surgery).
البواعث المحفزة للحرب الأوكرانية بين المدركين الروسي والامريكي
Authors: فرح طلال حسين الزوبعي
Published: October 2024

تحتل أوكرانيا موقع حساس ذات أهمية كبيرة في المدركيين الروسي والامريكي ، إذ تعد الدولة الفاصلة الأكبـر بين روسيا وتحالف الغربي ، اذ يطمح الغرب الى إدخال أوكرانيا في  عمليات الاندماج والشراكة الأوروبية لتقليص نفوذ روسيا وإحكام السـيطرة عليها ، في الوقت ذات روسيا تعارض وصول نفوذ الغرب إلى جوارها المباشر ، اذ لا تستطع أن تتـرك أوكرانيا لتصبح جـزءا من المنظومة الأمنية والاقتصادية الغربية ، فهي تعتبر أوكرانيا منطقة مصالح والحصن الاستراتيجي الذي يعزلها عن الغرب .
فان دراسة البواعث المحفزة للحرب الاوكرانية، تستدعي مناقشة الخصائص التي تتميز بها اوكرانيا ، فضلا عن الإطار الأوسع لمكانتها في الرؤى الاستراتيجية الروسية والأمريكية ، من خلال توضيح الأهمية الاستراتيجية لأوكرانيا  بالنسبة إلى روسيا والولايات المتحدة  وموقف كل منها من الحرب الأوكرانية.
جدلية العلاقة بين الحكم الرشيد وتحقيق التنمية المستدامة (دراسة حالة أفغانستان)
Authors: هبه علي حسين  , م.م سجى فاضل عباس
Published: October 2024

يؤدي الحكم الرشيد دوراً مهماً في بناء الانسان والدولة، فالنظم السياسية التي تكون قادرة على حفظ القيم الأساسية للأفراد كالعدل والحرية والمساواة تضمن بناء دولة قوية من جميع النواحي الاقتصادية والاجتماعية والسياسية والإدارية والقانونية، اذ ان بناء مؤسسات قانونية قوية يساعد على وجود نمط من الحكم يتسم بالشرعية من قبل الشعب ويستطيع تحقيق التنمية المستدامة فهناك علاقة طردية بينهما ولا يمكن فصل التنمية المستدامة عن الحكم الرشيد، اذ لا يمكن الوصول الى مستويات عالية من التنمية المستدامة بدون وجود مستوى عالي ورفيع من الحكم الرشيد.
ويرتبط نجاح أو فشل جهود أي دولة في تعزيز مستوى التنمية المستدامة ارتباطا وثيقاً بطبيعة ومستوى الحكم الرشيد، ويشكل الاخير اقامة بيئة سليمة للتنمية الاقتصادية والاجتماعية والبشرية.
ان تطبيق الحكم الرشيد لم يعد مسـألة طوعية بل ضرورة لتلبية متطلبات ومصالح جميع الأطراف ذات العلاقة فهو يعزز عملية الانسجام والعدالة الاجتماعية ويتيح المجال للأبداع والتميز وتوفير مستوى من الشرعية في المجتمع المحلي، وتحقيق مستوى من الكفاءة والتعاون لدى الافراد والبلديات لخلق بيئة اجتماعية داعمة.
Institutional values ​​and performance of the Iraqi political system
Authors: Ahmed Faisal Ali
Published: October 2024

ان قيام النظام السياسي على منظومة مؤسساتية واضحة ومحددة يعد من بين أبرز مقومات النظام السياسي الديمقراطي، ذلك ان إضفاء الطابع المؤسسي على النظام السياسي يجعل من أداءه أكثر قدرة على تلبية احتياجات ومتطلبات الافراد في المجتمع، وذلك بفعل القيم التي تتولد عن إضفاء الطابع المؤسسي على النظام السياسي، والتي تنعكس على فكر وممارسة النخب السياسية الحاكمة وافراد المجتمع على حدٍ سواء. وعلى الرغم من مضي ما يزيد عن عقدين من الزمن على التحول الديمقراطي في العراق، الا ان النظام السياسي العراقي ما يزال يعاني من ضعف وهشاشة مؤسساته الديمقراطية، وهذا الضعف والهشاشة تم تكريسها في أداء النظام السياسي ومنظومة القيم الصادرة عنه باتجاه المجتمع. وهذا بدوره عزز من القيم التقليدية وأضعف من سلطة القانون وتسبب بتلكؤ السياسية العامة، واحلال منظومة الوساطة والمحسوبية والفساد السياسي والمالي والإداري محل منظومة الكفاءة والخبرة والجدارة في إدارة شؤون الدولة العراقية ومنح المناصب العامة.
Pénzügyi tudatosság, pénzügyi kultúra vizsgálata tanulók körében
Authors: Barabásné Kárpáti Dóra , Balázs Gyöngyi , Oroszné Ilcsik Bernadett
Published: October 2024

Kutatásunkban a fiatal korosztály pénzügyi tudatosságát vizsgáljuk a 266 diák megkérdezésével. Véleményünk szerint a pénzügyi tudatosság és a pénzügyi kultúra fejlődésében van a következő generáció jövője és életük minősége. A legalapvetőbb fogyasztói döntésekhez elengedhetetlenné vált a szerteágazó tudás. A szocializációs közeg nagyban befolyásolja a fiatalok pénzügyi kultúráját és attitűdjét. A gyors digitalizációs fejlődés hatására az oktatási intézményekben szerzett tudás mindig frissítést igényel. A tudás bővítését számos iskolával együttműködő program is támogatja. A kutatásból kiderül, hogy az említett korosztály pénzügyi tudatossága alapvetően pozitív, azonban némely kérdésre adott válasz arra a következtetésre utal, hogy gyakorlati tudásszintjük még fejlődésre szorul. Ez a fiatal éveiknek tudható be. Pozitívnak értékelhető, hogy az otthoni szocializációs környezetben a válaszadók pozitív példát látnak. A színvonalas gazdasági oktatás is nagymértékben hozzájárul a tanulók pénzügyi attitűdjének, magatartásnak és ismereteiknek az elsajátításához. A felgyorsult világ változásai és a pénzügyi kultúra fejlődése okán nem lehetünk maximálisan elégedettek, hiszen a folyamatos tanulói fejlesztés alapkövetelmény a felnövekvő generáció számára, melyet ők is így éreznek, ezt mi sem támasztja alá, mint hogy a válaszoló diákok is azt vallották, hogy az oktatási intézményben megszerzett ismeretanyag nem teljesen kielégítő számukra ahhoz, hogy pénzügyi ismereteiket fejleszthessék, tehát több megszervezett programra, ismeretre és gyakorlatiasabb tudásra vágynak. Ezen új kompetenciákat az oktatási rendszerben tudják leginkább elsajátítani a fiatalok, ezért kiemelten fontos az oktatás szerepe, valamint színvonala. A színvonal nemcsak a tananyagok tekintetében értendő, hanem naprakész tudás birtokában lévő pedagógusokban, a jövő pedagógusaiban.
Удосконалення документування обліку, оподаткування та контролю розрахунків з покупцями на малому підприємстві з переходом на сучасні інформаційні системи та технології
Authors: Меліхова Тетяна , Птіцина Лариса , Гриньова Каріна
Published: October 2024

У наш час документування обліку та контролю не стоїть на місці, а постійно змінюється та удосконалюється. Паперові документи, які використовувались ще недавно, вже змінили свою форму та перешли в комп’ютерне середовище. За вимогами часу багато підприємств перейшли на використання сучасних українських інформаційних систем ведення обліку та проведення контролю, а головне – відмовились від використання російського програмного продукту. Українськи підприємства стали активно підтримувати вітчизняних виробників, а розробники залучати українських покупців до співпраці. Податки в Україні теж динамічне змінюються, враховуючи виклики часу. Отже, дослідження, яке пов’язано з удосконаленням документування обліку, оподаткуванням та контролем розрахунків з покупцями на малому підприємстві, завжди актуально. Метою контролю розрахунків з покупцями на малому підприємстві є перевірка оформлення первинних документів, правильності визначення заборгованості покупців та своєчасності отримання оплати від них, а також періодична звірка залишків заборгованості. Завданнями контролю розрахунків з покупцями на малому підприємстві є перевірка: первинних документів, правильності визначення заборгованості покупців та своєчасності отримання оплати від них, а також періодична звірка з ними щодо підтвердження достовірності залишків дебіторської заборгованості. Запропонована методика контролю розрахунків з покупцями на малих підприємствах, яка на відміну від існуючих включає: анкету, загальний план контролю, програму контролю, робочі документи. Запропонована методика контролю надасть змогу охопити перевірку первинних документів, правильність визначення заборгованості покупців та своєчасності отримання оплати від них, а також періодичну звірку з ними щодо підтвердження достовірності залишків дебіторської заборгованості. Це допоможе проводити перевірку з використанням інформаційних систем, дозволить вчасно виявити порушення, запобігти помилкам та фінансовим санкціям. Для удосконалення документування обліку та оподаткування розрахунків з покупцями на малих підприємствах запропоновані наступні форми: акт звірки розрахунків з покупцями, акт взаєморозрахунків з покупцями, відомість оподаткування розрахунків з покупцями. Це полегшіть заповнення документів, скоротить час на їх складання та внесення в інформаційну систему автоматизації обліку.