bluuebunny/crossref_metadata_2025 huggingface dataset:
Geometry of a Mithras Slab: Philosophical Consequences
Authors: Persoons Dominique J.
Published: April 2024

The analysis of the golden Mithras’ bas-relief in the Museum of the Baths of Diocletian in Rome confirms the Platonic Chiasma. The scene admits two diagonals starting from each corner. One passes through the sun and the other through the moon. The sun god is also shown with an object in his left hand, which may be a soul or a sacred heart. This would confirm that the slab shows the opposition between metempsychosis (lunar) and resurrection (solar). The analysis of the Barberini fresco is of great interest. It shows that the Platonic Chiasma falls exactly within the celestial gates of Capricorn and Cancer. The solar line is superimposed on a line already present on the fresco. Finally, sacred geometry helps to explain some strange-looking reliefs from the Danube region
Literary Tourism as a Social Phenomenon: A Study of Cultural Practices and the Tourism Industry in Russia
Authors:   Vladimir State University named after A.G. and N.G. Stoletov, Murom Institute (branch), Romanova Natalya V. , Silkina Nadezhda Yu. ,   Vladimir State University named after A.G. and N.G. Stoletov, Murom Institute (branch)
Published: April 2024

This article scrutinizes literary tourism as a social phenomenon, delving into its sociocultural aspects, including the formation of tourists’ identities, their attitudes towards cultural heritage, and their perception of literary works. It underscores the pivotal role of literary tourism in the development of regional economy and cultural tourism at large. The significant importance of literary routes, writers’ museums, and literary festivals in attract-ing tourists and shaping the image of cultural tourism in Russia is highlighted, alongside the impact of literary works on tourist activity. Literary sites that allure tourists are identified. The article presents a study elucidating the influence of literary heritage on the development of the tourism industry in Russia. The results of the study facilitate a deeper understanding of the dynamics of literary tourism as a social phenomenon and its contribu-tion to the development of the country’s cultural sphere.
The Impact of Corporate Culture on Employee Job Satisfaction
Authors:   Saint Petersburg State University, Sang Sumei , Chen Wenwei ,   Saint Petersburg State University
Published: April 2024

The article analyzes the impact of corporate culture on employee job satisfaction in a particular company. A general description of the concept under consideration is given, the relationship between the level of corporate culture, competitiveness of the enterprise and the prospects of using its employees to catalyze the growth of the organization is established. It is emphasized that employee labor satisfaction is a condition for achieving the company’s success in the market. It consists of many components that together determine an employee’s abil-ity and desire to develop and along with his own professional development to promote the company in the business community, ensuring its competitiveness. In modern conditions of rapid development of society and changing needs of citizens the focus of competition has shifted from technologies and products to corporate culture, human resources and psychological capital. In this regard, employee job satisfaction is presented in the article as a key factor of economic growth of any company.
Groundwater overdraft is water dispossession
Authors: Bremner Jessica
Published: April 2024

The Coachella Valley sits at the geographic periphery of Los Angeles. Despite its physical and political marginality, the Coachella Valley is a key site of agricultural production in Southern California. Access to water is essential for ensuring the region's centrality in economic and social reproduction. Today, access to water for industrial production is primarily achieved through ongoing water dispossession. Using archival and policy documents, I analyze how United States settlers leveraged multiple mechanisms for water dispossession to expand the region's growth. Literature on water dispossession focuses on forms (water rights, grabbing, allocation, diversion, or contamination) that advance either settler colonialism or capitalism. This article demonstrates how successful white settlement in the Coachella Valley could only happen through Indigenous water dispossession. I identify an understudied form of water dispossession: groundwater overdraft. I illustrate that groundwater overdraft is not just a characteristic of early U.S. settler colonialism in the Coachella Valley; it is ongoing. In addition, the economic and environmental drawbacks to overdraft are resolved by expanding water dispossession. Analyzing groundwater overdraft as water dispossession, questions this premise. Illuminating the structural processes at play in water dispossession exposes the need to address dispossession, rather than simply overdraft, through both policy and cultural changes.
Paraneoplastic hypercalcemia in a canine patient with a mandibular salivary carcinoma
Authors: Delgado-Bonet Pablo , Coe Richard , Hammond Gawain J. C. , Wennerdahl Laura A. , McNaught Katie A.
Published: April 2024

OBJECTIVE

To describe a novel presentation of paraneoplastic hypercalcemia caused by a canine salivary carcinoma.

ANIMAL

A 6-year-old intact male Husky with hypercalcemia and a spontaneous salivary carcinoma, stage III.

CLINICAL PRESENTATION, PROGRESSION, AND PROCEDURES

The dog presented with polyuria, polydipsia, and hypercalcemia. Physical examination revealed a 37 X 43-mm firm mass in the ventrolateral aspect of the right-hand side of the neck, caudal to the temporomandibular joint. Incisional biopsy was suspicious of metastatic carcinoma to the mandibular lymph node. A full-body CT scan found a large, heterogenous, contrast-enhancing mass on the right ventrolateral neck that appeared to be originating from either the mandibular lymph node or right mandibular salivary gland. Parathyroid hormone–related protein was considered within normal reference intervals, and both parathyroid glands appeared ultrasonographically normal.

TREATMENT AND OUTCOME

The patient was treated with a marginal surgical excision of the mass, without immediate complications. Histopathology confirmed the presence of a salivary carcinoma with narrow margins of excision and invasion of the mandibular lymph node. Twenty-four hours after surgery, ionized calcium returned to normal reference values and clinical signs completely resolved.

CLINICAL RELEVANCE

Hypercalcemia is an urgent pathology with important systemic implications requiring prompt diagnosis and intervention. In this case report, we identify the first salivary carcinoma associated with a paraneoplastic hypercalcemia, including this pathology as a new differential diagnosis. The hypercalcemia resolved with marginal surgical excision, but interestingly the parathyroid hormone–related protein was not overexpressed, meaning that this neoplasia could mediate hypercalcemia by another pathophysiological mechanism.
Dietary Artichoke (Cynara scolymus) Extract Ameliorated the Growth Performance, Humoral Immune Parameters and Resistance Against Aeromonas hydrophila in Goldfish (Carassius auratus)
Authors: Mousavi Shalaleh , Mohammadzadeh Sedigheh , Mood Sara Mehdizadeh , Ahmadifar Ehsan , Sheikhzadeh Najmeh , Kalhor Naser , Moghadam Mohsen Shahriari , Yilmaz Sevdan , Hoseinifar Seyed Hossein , Paolucci Marina
Published: April 2024

This trial investigated the efficacy of artichoke (Cynara scolymus) extract (AE) on the growth performance, immunity, antioxidant parameters, and resistance against Aeromonas hydrophila of goldfish (Carassius auratus). For this purpose, a total number of 470 goldfish with initial weight 5.70±0.2 g were fed with four experimental diets including 0 (T0), 100 (T1), 150 (T2), and 200 (T3) mg kg−1 diet AE for 8 weeks. At the end of feeding trial, growth performances, serum immune parameters, and mucus antioxidant enzymes were measured. Fish were challenged with A. hydrophila, and the antioxidant and immunity-related gene expression were investigated. Based on the results, the highest final weight (FW) and weight gain (WG) were attained in T2 and T3 (P<0.05). Immune factors including ACH50, lysozyme, and total immunoglobulin in T2 and T3 showed the highest values (P<0.05). The expression of GR, IL1
β, TNF
α, HSC70, HSP70, and HSP90
β genes in T1, T2, and T3 were higher than the control (P<0.05). The GST expression was significantly enhanced in T2 (P<0.05). The present study demonstrated that the administration of AE, especially at doses of 150 mg kg−1, could improve the growth, immunity, and antioxidant parameters, as well as enhance disease resistance against A. hydrophila in goldfish.
Synergistic Benefits of Dietary Silymarin and Selenium on Growth, Immune Functions, Antioxidants, and Gut/Liver Health of Thinlip Mullet (Liza ramada) Juveniles
Authors: Shehata Akram Ismael , Shahin Shimaa A. , Elmaghraby Ayaat M. , Alhoshy Mayada , Soliman Ali A. , Amer Asem A. , Habib Yusuf Jibril , Gewaily Mahmoud S. , El Basuini Mohammed F.
Published: April 2024

This study investigates the synergistic impact of silymarin (SI) levels combined with inorganic selenium (sodium selenite: Se) on growth, feed utilization, biochemical parameters, antioxidants, innate immunity, intestinal and liver histology, and gene expression of thinlip mullet (Liza ramada) juveniles. The experimental design involved thinlip mullets initially weighing 3.5±0.13 g, distributed in a completely randomized design with 30 fish per hapa (0.5 × 0.5 × 1 m), and conducted in triplicate over 60 days. Seven experimental diets were employed, including a control (without SI and Se supplementation), a negative control (with only Se supplementation), and four treatments with varying levels of silymarin (250, 450, 650, 850 mg/kg) alongside selenium (0.5 mg/kg diet). The growth performance results highlighted significant enhancements in final body weight, weight gain, and specific growth rate, particularly in the SI 850 mg/kg + Se treatment. Survival rates, feed intake, and feed conversion ratios showed positive trends across the SI-Se supplemented groups. Biochemical profiles of serum exhibited that the control diet induced elevated concentrations of glucose, cholesterol, alanine aminotransferase, aspartate aminotransferase, and urea, while Se or SI supplementation significantly mitigated these levels, with the lowest concentrations observed in the SI-Se supplemented groups. Moreover, SI supplementation increased serum protein content. Antioxidant enzyme activities, represented by superoxide dismutase (SOD), catalase (CAT), and catalase (GPx), demonstrated notable improvements in the SI-Se fortified groups, with significantly elevated GPx activity compared to the Se-supplemented and control groups. Immune system responses, including lysozyme, bactericidal, nitro-blue tetrazolium (NBT%), and serum alternative complement pathway (ACH50) activities, were highest in the SI-Se augmented groups. SI and Se in L. ramada reduce liver pro-inflammatory gene expression (IL-1
β, hepcidin) vs. control group. Histological examinations of the intestine and liver depicted structural enhancements, especially at moderate and high levels of SI with Se supplementation. The results indicate improved intestinal villi morphology and hepatic architecture, supporting the positive influence of dietary treatments on the health of thinlip mullet juveniles. In conclusion, the combined supplementation of SI at 850 mg/kg diet and Se at 0.5 mg/kg diet positively influenced the growth, biochemical profiles, antioxidant status, immune responses, gene expression, and histological integrity of thinlip mullet juveniles, providing valuable insights for optimizing aquafeed formulations.
Impact of Feeding Artemia franciscana Enriched with Various Oil Resources on Growth, Blood Biochemical and Behavioral Indices, and Survival of Oreochromis Niloticus
Authors: Zidan Emad M. , Goma Amira A. , Tohamy Hossam G. , Shukry Mustafa , Naiel Mohammed A.E.
Published: April 2024

The main objective of the present trial was to examine the efficacy of feeding tilapia fry fish on Artemia franciscana diets supplemented with various oil emulsion resources in terms of performance, behavior indices, survival rate, blood biochemical parameters, and immunological response. Four hundred Nile tilapia fry (weighing 0.15±0.05 g and measuring 2.17±0.08 cm) were randomly allocated into four equal groups (each with five repetitions) and acclimatized for fifteen days. The first group served as the control and received unenriched Artemia franciscana (G0), while the remaining three groups were fed Artemia franciscana diets enriched with different oil resources (0.5 mL oil per liter for 6 hours): soybean oil (G1), sesame oil (G2), and rice bran oil (G3). Behavioral observations were recorded during the 45-day experimental period. At the end of the feeding trial, the chemical composition and fatty acid content of both Artemia and fingerlings were analyzed. Furthermore, the growth performance, survival, and immune response of the fingerlings were evaluated. The results indicated noticeable improvements in behavioral measurements (feeding, foraging and schooling), performance (final length, final weight, net weight gain, feed conversion ratio and specific growth rate), survival, and immune response among fry fish supplemented with enriched Artemia, particularly those enriched with soybean oil. Additionally, the chemical composition and fatty acid content of both Artemia and fish fry were significantly enhanced when oil emulsions are applied, with soybean oil demonstrating the most prominent improvements. Whereas, supplementing fry fish Artemia diets with oil resulted in lower liver enzyme activity and higher protein component levels in plasma in comparison to the control group. In brief, feeding Nile tilapia fry fish Artemia diets enriched with a soybean oil emulsion (0.5 mL/L) is recommended for promoting high performance, immunological activity, and survival throughout the early stage till fingerlings phase.
Persistent chronic calcific pancreatitis with intraductal calculi associated with secondary diabetes mellitus type 3 and diabetic ketoacidosis – A case report
Authors: Bahl Gurusha , Upadhyay Dinesh K. , Varma Madhumati , Singh Rajveer , Das Subhankar , Hussain Sadique
Published: April 2024

Diabetes mellitus type 3 refers to diabetes secondary to an existing disease or condition of the exocrine pancreas and is an uncommon cause of diabetes occurring due to pancreatogenic pathology. It accounts for 15–20% of diabetic patients in Indian and Southeast Asian continents. This is case report of a rare case of type 3 diabetes mellitus (T3DM) presenting with diabetic ketoacidosis (DKA). The patient was admitted for DKA along with complaint of hyperglycemia, blood glucose of 405 mg/dl with HbA1c level of 13.7%. Computed tomography evidence revealed chronic calcific pancreatitis with intraductal calculi and dilated pancreatic duct.
Oxytocin, GABA, and dopamine interplay in autism
Authors: Havranek Tomas , Bacova Zuzana , Bakos Jan
Published: April 2024

Oxytocin plays an important role in brain development and is associated with various neurotransmitter systems in the brain. Abnormalities in the production, secretion, and distribution of oxytocin in the brain, at least during some stages of the development, are critical for the pathogenesis of neuropsychiatric diseases, particularly in the autism spectrum disorder. The etiology of autism includes changes in local sensory and dopaminergic areas of the brain, which are also supplied by the hypothalamic sources of oxytocin. It is very important to understand their mutual relationship. In this review, the relationship of oxytocin with several components of the dopaminergic system, gamma-aminobutyric acid (GABA) inhibitory neurotransmission and their alterations in the autism spectrum disorder is discussed. Special attention has been paid to the results describing a reduced expression of inhibitory GABAergic markers in the brain in the context of dopaminergic areas in various models of autism. It is presumed that the altered GABAergic neurotransmission, due to the absence or dysfunction of oxytocin at certain developmental stages, disinhibits the dopaminergic signaling and contributes to the autism symptoms.
Restrictions applied by WTO countries in international trade in the context of the COVID-19 pandemic
Authors: Fronczek Małgorzata
Published: April 2024

Objective

The present article discusses changes in tariff and non-tariff restrictions applied in World Trade Organization (WTO) countries during the COVID-19 pandemic.

Methods

The employed research tools were a review and analysis of literature along with source statistical data of WTO, UNCTAD, OECD, and ITC.

Findings

During the pandemic, the average level of tariffs in the WTO countries did not change significantly. From 2019 to 2021, the standard level of duties amounted to less than 15% in more than 90% of the member states. In contrast, 2020 saw an unprecedented increase since 1995 in the number of new non-tariff measures introduced without prior notification. As a result, the restrictions applied as a whole covered the most significant part of world trade since 2009 (13.6%). The newly introduced restrictive measures affected trade worth US$68.8 billion in 2020, i.e., over half as much as in 2019 (US$46.2 billion).

Originality

A noneconomic factor (pandemic) caused the WTO countries to introduce restrictions that were permitted but eluded normal procedures. This calls into question the effectiveness of liberalization measures within the WTO.
Sensitivity study of a locally developed six electrode focused impedance method
Authors: Khanal Trilochan , Rabbani K Siddique-e
Published: April 2024

The Focused Impedance Method (FIM) is a new technique of electrical bioimpedance measurements in the human body. The idea originated in Bangladesh and provides an opportunity for localized measurement of bioimpedance down to reasonable depths from the body surface using skin surface electrodes. This has potential applications for physiological studies of targeted organs in the body and in detecting or diagnosing diseases and disorders. FIM is based on the age-old Tetra-Polar Impedance Measurement (TPIM) but provides a few significant improvements.

Technology must be developed indigenously to obtain long-term benefits, particularly in Low and Medium Income countries (LMIC). This paper presents an experimental sensitivity study of the six-electrode version of the Focused Impedance method (FIM-6) with the circuit and phantom indigenously designed in Nepal. The work involved sensitivity studies of both FIM-6 and TPIM with the necessary circuit blocks developed through experimental validation. The sensitivity studies were performed on a simple 2D phantom with different electrode arrangements for FIM-6 and linear TPIM. A cylindrical object was placed at different positions for this study. The FIM-6 gave a high sensitivity in the central part, which remained almost constant within a small region that may be termed as the focused region. On the other hand, TPIM results fell off sharply away from the central point, making it unsuitable for practical measurements on target organs. Besides, there were areas with large negative sensitivities in TPIM, which were much smaller in FIM. The results obtained through this work clearly show the improvement offered by FIM over TPIM.
Evaluation of respiratory allergies burden and management in primary care and comparative analysis of health care data from Romania, Poland, Czech Republic and Bulgaria – preliminary study
Authors: Leru Polliana Mihaela , Anton Vlad Florin , Chovancova Zita , Baros Jan , Socha Konrad , Petkova Valentina , Kurowski Marcin
Published: April 2024

Background: Respiratory allergies mostly allergic rhinitis and asthma represent an important and increasing public health problem and one of the priorities for the European health systems. There is an increasing public concern regarding the persistence and severity of allergic diseases and many difficulties of health systems in providing prompt specialized medical assistance. Our study aims to highlight the main results of the Alliance 4Life project focused on the evaluation of the burden and management of respiratory allergies in primary care from Romania and comparative health-related data from four Central and Eastern European countries.

Method: We developed a questionnaire focused on patients with allergic rhinitis and asthma directly addressed to general practitioner (GP) specialists from Romania who attended the annual national conference in Bucharest.

Results: The main results showed that patients with respiratory allergies are frequently encountered in primary care practice, only a few patients are evaluated by allergists and there is a clear need for education in this field.

Conclusions: This preliminary study confirms that respiratory allergies represent a considerable burden in primary care and the questionnaire may be a useful tool in further studies considering the experience of other healthcare systems. More advanced studies integrating epidemiology with data on air pollution and environmental conditions should be envisaged.
The Applicable Law Upon Minor
Authors: Ghazleh Ali mohammad Abu , Khawaldeh Ahmed M. , Battah Mohammad Tawfeq , Aljuneidi Fadel Mansour , Bqoour Karimeh Jalal
Published: April 2024

Purpose: This study focuses on the applicable law concerning minors, specifically individuals who have not yet reached the legal age as defined by the laws of their respective countries.
 
Methodology: the author utilized the comparative method to analyze the Jordanian law in relation to other legal systems, such as Egyptian law and others. He employed the deductive method, drawing evidence from legal texts and international treaties.
 
Research Findings: The research uncovered significant insights, highlighting how variations in the sources of personal status across countries, such as marriage and guardianship, have resulted in the regulation of minors under personal status laws.  In Arab and Islamic nations, Islamic sharia law as the predominant basis for personal status. Consequently, it is deemed inappropriate for minors to be governed by a law that does not align with their own personal status law, which is characterized by religious principle.
 
Research Implication: one of the key challenges for foreign minors is determining the applicable law. The law that governs minors is their personal law, which is the law of the state they belong to based on the principle of nationality. This approach is adopted by Jordanian and Egyptian laws, known by its stability and resistance to easy change. It also takes into account various factors such as economic, social and political interests.
 
Originality/ Value: this study offers solutions for applicable law upon minor, some ideas and theories were discussed that dealt with solutions regarding minor and the law that must be applied on them, in addition, this study explains how the modern states treats with applicable law upon minor.
The Influence of Marketing Mix, Service Quality, and Image on Trust and Satisfaction of Inpatients in Makassar City Hospitals
Authors: R. Andi Erni Amelia I. , Nurnajamuddin Mahfud , Semmaila Baharuddin , Hasan Sabri
Published: April 2024

Objectives: The objective of this research is to test and analyze the influence of three main factors - marketing mix, service quality, and image - on the trust and satisfaction of inpatients at hospitals in Makassar City.
 
Methods: This research utilizes primary data collected through the distribution of questionnaires to 215 respondents. The data are then analyzed using the Structural Equation Model (SEM) in Smart PLS version 4 to test and analyze the relationships between the variables.
 
Results: The results of the study indicate that while the marketing mix has a positive effect on the trust of inpatients in Makassar City hospitals, this effect is not significant. However, service quality and image both have a positive and significant effect on the trust of inpatients. Furthermore, the marketing mix has a positive and significant effect on inpatient satisfaction, but its effect on trust is not significant. Service quality also positively influences inpatient satisfaction significantly, while image has a significant positive effect on inpatient satisfaction. Trust is found to positively and significantly affect inpatient satisfaction. Additionally, service quality and image have positive and significant effects on inpatient satisfaction through trust.
 
Conclusion: In conclusion, this research highlights the importance of service quality and image in building trust among inpatients at hospitals in Makassar City. While the marketing mix does have some influence on trust and satisfaction, its impact is not as significant as service quality and image. Moreover, trust plays a crucial role in determining inpatient satisfaction, as service quality and image influence satisfaction primarily through trust. These findings emphasize the significance of maintaining high service quality standards and cultivating a positive image to enhance trust and satisfaction levels among inpatients in hospital settings.
The Influence of Islamic Leadership, Mujahadah, and Work Motivation on the Performance of State Madrasah Aliyah Educators in South Sulawesi
Authors: Bunyamin Andi , Sofian Usman , Ramly Mansyur , Semmaila Baharuddin , Hasibuddin M.
Published: April 2024

Objectives: The research aims to analyze several key factors: Islamic leadership, educator mujahadah, educator work motivation, and the performance of educators in Madrasah Aliyah Negeri (MAN) institutions in South Sulawesi.   Methods: To achieve its objectives, the research employs primary data collected through a survey involving all madrasa heads and MAN educators in South Sulawesi, with a sample size of 170 participants. The research utilizes various instruments such as questionnaires, interview guides, observation sheets, and documentation. The collected data are analyzed using multiple linear regression analysis conducted with the Statistical Package for the Social Sciences (SPSS) program.   Results: The findings of the research reveal several significant insights. Firstly, the Islamic leadership of MAN heads in South Sulawesi is predominantly categorized as high, although a notable 33 per cent fall within the medium category. Further results regarding educator mujahadah, educator work motivation, and educator performance are not provided in the initial excerpt.   Conclusion: While the conclusion of the research is not yet fully elaborated, the initial findings suggest a predominance of high Islamic leadership among MAN heads in South Sulawesi. This indicates a potentially positive influence on the educational environment within these institutions. Further analysis of educator mujahadah, educator work motivation, and educator performance will likely provide deeper insights into the dynamics of education in the region.
Characteristics and Distribution of Heat-Related Illnesses during Hajj 2022
Authors: Almuzaini Yasir , Alburayh Mariyyah , Alahmari Ahmed , Alamri Fahad , Mukhtar Nomai , Ahmed Ghadah , Alabdullatif Lamis , Sheerah Haytham , Khan Anas
Published: April 2024

Background: Heat-related illnesses (HRI) are defined as elevated body core temperatures when exposed to an intense high temperature. HRIs include but are not limited to heat exhaustion (HE) and heat stroke (HS). HE and HS are among the leading causes of morbidity and mortality among pilgrims when the Hajj season occurs during the hot cycle of the year in Makkah.
Methods: A retrospective cross-sectional data analysis was conducted on HRI cases during Hajj 2022/1443 Hijri. The data were extracted from the Hajj electronic health records system software immediately at the end of the Hajj period.
Results: A total of 200 patients presented with HRI symptoms during the study period. Over half of the HRI patients were male (n=116, 58%). The mean age was 44 ± 14.6 years. One hundred forty-three patients (71.5%) were diagnosed with HE, while 57 (28.5%) were diagnosed with HS. A statistically significant association between age and HRIs was observed.
Conclusion: More HRIs are expected due to the gradual elevation of ambient temperature and the global warming phenomenon. This study emphasizes the importance of education and awareness regarding preventive measures in the general population, especially among the most vulnerable subpopulations.
Assessment of Burnout Among Emergency Medicine Residents in Saudi Arabia: A Cross-Sectional Survey
Authors: Jamjoom Roaa
Published: April 2024

Background: Burnout syndrome is a frequent challenge faced in the emergency department. There exists a dearth of clinical evidence regarding the risk and occurrence of burnout, among emergency residents in Saudi Arabia. Therefore, this study was conducted to assess the parameters of burnout in this cohort.
Methods: This prospective, cross-sectional study was conducted via an online survey using Maslach Burnout Inventory for Healthcare Professionals (MBI-HSS) questionnaire. All emergency medicine residents registered under the country's residency program were invited to participate. The relative importance index (RII) analysis was used to describe the frequency of the MBI-HSS indicators. The t-test of independent groups and the one-way analysis of variance were used to assess the impact of demographic and professional factors.
Results: A total of 73 residents completed the questionnaire. Low PA was reported by 53.4% while medium to high DP and EE were reported by 84.9% and 67.1% residents respectively. Female residents had significantly higher EE versus males. Age, marital status and number of children had no correlation with burnout. Emergency residents serving at hospitals of the Ministry of Health reported significantly higher levels of burnout, versus other institutions. The final year of the residency program showed significantly lower levels of burnout than the earlier years.
Conclusion: This is the first study from Saudi Arabia, assessing the parameters of burnout, specifically among emergency medicine residents. The study has shown alarmingly high levels of DP, EE and low PA and warrants urgent remedial measures to curb burnout among emergency residents.
Blueprints for resilience: Middle East/North Africa countries' disaster risk reduction education through experts' eyes
Authors: Dinar Hisham , Hummadi Hosam , Alonayzan Deema , Alharbi Lojain
Published: April 2024

Abstract
Background:
All the existing frameworks of Health-Emergency Disaster Risk Management have put great emphasis on the use of educational strategies to be used as a mean of disaster risk reduction (DRR). Thus, this study was conducted to formulate experts' consensus on DRR educational strategies for Middle East/North Africa (MENA) countries.
Methods:
A Delphi study on expert's opinion for DRR educational strategies was carried out through surveys in two consecutive rounds through convenient sampling technique.
Results:
A total of 60 responses were included in this study. Most of the participants were Saudi nationals, physicians (36.7% vs. 33.3% in round 1 and round 2, respectively), and males (73.3%) with experience in disaster management (56.7%) of 5-10 years (60% vs. 53.3% in round 1 and round 2, respectively). Around 80% participants suggested that graduate health professional education should be through problem based learning (PBL) approach (36.7%) (P-value = 0.007). Universal Design for Learning (UDL) framework implementation required provision of multiple means of engagement as priority (P-value = 0.007). Best learning situation category was institution based (60%) with best approach for DRR learning as planned scheduled learning (P-value = 0.000). It was found that best learning situations were lectures and small group sessions (73.3% each) (P-value = 0.165) that were delivered through learning management system (90%) (P-value = 0.103), while the major stakeholders that should be involved in national DRR educational planning were Ministry of Health (90%) (P-value = 0.881).
Conclusion:
Experts have consensus opinion on DRR Educational strategies in MENA countries.
LAPAROSKOPİK SLEEVE GASTREKTOMİ AMELİYATLARINDA KARIN İÇİ BASINÇ ARTIŞININ ORTALAMA TROMBOSİT HACMİ ÜZERİNE ETKİSİNİN ARAŞTIRILMASI
Authors: Kızıldağ İbrahim , Doğru Serkan , Kaçmaz Mustafa , Süren Mustafa , Özsoy Zeki
Published: April 2024

Amaç: Obezite, adipoz dokuda, sağlığı bozacak düzeyde anormal ya da aşırı yağ birikimi olarak tanımlanmaktadır. Obezite tedavisinde cerrahi uygulamalar, son yıllarda sıklıkla uygulanmaya başlanmıştır. Ancak bu tür cerrahi uygulamalarda intraoperatif karın içi basınç artışı endişe konusu olabilir. Bu çalışmada laparoskopik sleeve gastrektomi operasyonundaki intraabdominal basınç artışının, trombosit aktivitesinin bir göstergesi olan ortalama trombosit hacmine (MPV) etkilerini araştırmayı amaçladık.
Gereç ve Yöntemler: Çalışmaya yaşları 18 ile 65 arasında olan 60 hasta dahil edildi. Tüm hastalara intraabdominal basınç 13-15 mm/Hg aralığında ayarlanarak, elektif laparoskopik sleeve gastrektomi operasyonu yapıldı. Preoperatif, intraoperatif ve postoperatif MPV değerleri ölçülerek bu değerler arasında istatistiksel olarak anlamlı fark olup olmadığı değerlendirildi.
Bulgular: Hastaların vücut kitle indeksi ortalamaları 44.46±4.18 idi. Hastaların MPV ortalama değerleri MPV preoperatif 10.03±0.95 fl, MPV intraoperatif 10.17±0.95 fl, MPV postoperatif 10.32±0.81 fl olarak ölçüldü. Preoperatif ve intraoperatif MPV değerleri arasında anlamlı fark oluşmaz iken, preoperatif ve postoperatif, intraoperatif ve postoperatif MPV değerine arasında istatistiksel anlamlı fark oluştuğu gözlendi.
Sonuç: İntraabdominal basınç altında yapılan laparoskopik operasyonlarda, trombosit fonksiyonlarına bağlı koagulasyon bozuklukları açısından trombosit büyüklüğünün bir göstergesi olan MPV değerinin izlenmesinin, cerrahi sonrası akut trombotik hadiselerin takibi açısından uygun olacağını düşünmekteyiz.
İNFRAİNGUİNAL ARTERYEL TIKAYICI HASTALIKTA ATEREKTOMİNİN ERKEN SONUÇLARI
Authors: Yılmaz Seyhan , Kızıltan Feryaz
Published: April 2024

Amaç: Tıkayıcı periferik arter hastalığı tedavisinde aterektomi veya stent implantasyonu gibi ek tekniklerin balon anjioplastinin etkinliğini arttırmak için kullanılabilecekleri bildirilmekte olup aterektomi işleminin ciddi plakların hacminin azaltılması, balon anjiyoplasti için gerekli olan basınçların düşürülmesi ve damarın yeniden şekillendirilmesine imkân sağlama prensibi temelinde gerçekleştirdiği bildirilmektedir. Bu işleme yönelik mevcut verilerin genellikle tıkayıcı periferik arter hastalarını içeren çok az sayıdaki tek kollu veriler ve tek merkezli çalışmalarla sınırlı olduğu bildirilmektedir. Çalışmamızda infrainguinal tıkayıcı arteryel hastalıklı hastalarda aterektomi deneyimimize ait erken dönem sonuçlarımızı yayınlamayı ve literatür eşliğinde tartışmayı amaçladık.
Gereç ve Yöntemler: Retrospektif çalışmamız şikâyetleri nedeniyle başarılı endovasküler revaskülarizasyon uygulanmış tıkayıcı infrainguinal arteryel hastalıklı hastalardan periferik rotasyonel aterektomi işlemi uygulanmış olanlarda gerçekleştirildi. Çalışmaya dahil edilen hastaların tıkayıcı infrainguinal arteryel hastalığı işlem öncesinde görüntüleme yöntemleri ile tespit edilmişti. Aynı seansta hibrit revaskülarizasyon prosedürü uygulanmış, akut tromboembolektomi uygulanmış, endovasküler anevrizma tamiri uygulanmış, mevcut hastalıkları nedeniyle periferik bypass operasyonu uygulanmış hastalar çalışmaya dahil edilmediler. Tüm işlemler angiografi ünitesinde veya skopi cihazı eşliğinde kalp ve damar cerrahisi ameliyat salonunda gerçekleştirilmişti.
Bulgular: Çalışmada değerlendirilen 13 hastanın yaş ortalaması 65.23±13.57 idi. İşlemlerin 3 tanesinde intraprosedürel diseksiyon saptandı ve eş zamanlı stent implantasyonu ile tedavi edilmişlerdi. İşlemlerin 8 tanesinde stent implantasyonu (diseksiyon veya yetersiz lümen açıklığı nedeniyle) gerçekleştirilmişti. Çalışma hastalarının işlem sonrası servis takibinde mortalite ve psödoanevrizma saptanamamıştı.
Sonuç: Özellikle ciddi kalsifikasyonlar ve uzun segment oklüzyonların varlığında aterektomi ygulanmasının tıkayıcı infrainguinal arteryel hastalıkta güvenli ve etkili bir tedavi alternatifi olabileceğini ve bununla ilgili prospektif çalışmalar yapılmasının faydalı olacağını düşünmekteyiz.
KIRIKKALE ÜNİVERSİTESİ DİŞ HEKİMLİĞİ FAKÜLTESİ ÖĞRENCİLERİNDE TEMPOROMANDİBULAR EKLEM RAHATSIZLIKLARININ SIKLIĞI VE ŞİDDETİNİN DEĞERLENDİRİLMESİ
Authors: Malikov Ismayil , Sezen Erhamza Türkan , Yurt Öncel Sevgi
Published: April 2024

Amaç: Temporomandibular eklem bozukluğu (TMB), çeşitli nöromusküler ve muskuloskeletal rahatsızlıkları kapsayan geniş bir terimdir. Epidemiyolojik çalışmalar, 20-40 yaş aralığındaki bireylerde TMB'nin yaygın olduğunu, ancak 60 yaş ve üzerinde nadir görüldüğünü göstermektedir. Bu araştırma, diş hekimliği öğrencileri arasında TMB'nin prevalansını ve şiddetini değerlendirmeyi amaçlamaktadır.
Gereç ve Yöntem: Kırıkkale Üniversitesi Diş Hekimliği Fakültesi öğrencileri arasında yapılan kesitsel anket çalışması,160 kız ve 80 erkek olmak üzere toplam 240 öğrenciyi kapsamaktadır. Fonseca Anamnestik Anketi kullanılarak veriler elde edilmiştir. Verilerin analizinde kategorik değişkenler arasında bağımsızlığı incelemek için Ki-kare çapraz tablo analizi yapılmıştır.
Bulgular: Şiddetli TMB, özellikle 5. sınıf öğrencilerinde daha yüksek oranda tespit edilmiştir. Cinsiyet ile TMB arasında negatif bir ilişki belirlenmiş ve kadınlarda TMB olma riski erkeklere göre 1.909 kat daha fazla bulunmuştur.
Sonuç: Bu araştırma, Diş Hekimliği Fakültesi öğrencileri arasında yüksek düzeyde TMB prevalansının olduğunu göstermiştir. Özellikle 5. sınıf öğrencilerinde belirlenen şiddetli TMB'nin, klinik eğitim ve stresle ilişkili olabileceği düşünülmektedir. Ayrıca, kadınlarda TMB prevalansının daha yüksek olması, stresin kadın öğrencilerde daha belirgin olabileceğini düşündürmektedir. Bu bulgular, gelecekteki tedavi ve önlemler için önemli bir temel oluşturmaktadır
Applying a Geriatrics and Palliative Care Approach to Cardiovascular Care in Older Adults
Authors:   UT Southwestern Medical Center, S Godfrey
Published: April 2024

Cardiovascular Disease (CVD) is a leading cause of morbidity and mortality in older adults with important implications for quality of life. As older adults with CVD live longer lives, and with the growing availability of cardiac devices and interventions, excellent patient care requires a patient-centered approach to align CVD care with patients’ values.
Navigating Vulnerability: Lessons from COVID-19 for Future Disaster Preparedness among Older Adults
Authors:   Tulane University, Michele Mitchell Denise
Published: April 2024

This commentary reflects on the implications of the COVID-19 pandemic for disaster preparedness among older adults, highlighting the unique challenges they faced and proposing interventions for future emergencies.
Should Nutrition and Exercise be Mandatory Supportive Care Services for Older Frail Patients during Chemotherapy? - A Lesson Learned from the GERICO Study
Authors:   Copenhagen University Hospital, Margareta Lund Cecilia
Published: April 2024

Supportive care, encompassing the prevention and management of cancer-related adverse events, including nutritional interventions, aims to enhance Quality of Life (QoL) and optimize the effectiveness of cancer treatment [1].
Use of formaldehyde to increase result quality in urinary cytology
Authors:   Pathology Laboratory, Clinical Hospital “Prof. Dr. Th. Burghele “, Bucharest, Romania, TURCU ELENA ,   SC. OncoTeam Diagnostic SRL, Bucharest, Romania, ARDELEANU CARMEN ,   SC. OncoTeam Diagnostic SRL, Bucharest, Romania, MIHAESCU GRIGORE ,   University of Bucharest, Faculty of Biology, Bucharest, Romania
Published: April 2024

Cytology is often used in screening programs for individuals at high risk of certain diseases, such as urothelial (bladder) tumors and prostate cancer. High-risk individuals may include those with a family history of cancer or other risk factors. While cytology is less commonly used for prostate cancer screening compared to other methods like prostate-speci􀂿c antigen (PSA) testing, it can still be employed in certain cases to detect abnormal prostate cells. Specimen collection, often through urine or brushing of specific surfaces, doesn’t typically require special preparation or invasive procedures, reducing the need for prolonged hospitalization. Our study aimed to optimize the long-term preservation of urine samples for cytopathological diagnosis by using 10% formaldehyde, ensuring high-quality smear preparation, and assessing the effectiveness of Papanicolaou staining. These objectives are essential for advancing the field of cytopathology and improving the accuracy of diagnostic procedures.
In vitro propagation of Lobelia chinensis Lour. under different LED lights
Authors:   Department of Horticultural Science, Chungbuk National University, Republic of Korea, BAI XIN-LEI , MURTHY HOSAKATTE NIRANJANA ,   Department of Horticultural Science, Chungbuk National University, Republic of Korea, PARK SO YOUNG ,   Department of Horticultural Science, Chungbuk National University, Republic of Korea
Published: April 2024

The current study was performed to verify the effect of light quality especially of light-emitting diodes (LEDs) on the in vitro regeneration of Lobelia chinensis. Nodal explants were cultured on MS medium supplemented with 30 g L-1 sucrose and treated with red (R), blue (B), white (W) combination red/blue (1:1; RB), and red/blue/green (1:1:1; RGB) LED sources. After 4 weeks of culture regeneration capabilities, growth characteristics, and bioactive compounds were evaluated. RB treatments were found suitable for shoot regeneration, shoot growth, and root regeneration from shoots. Photosynthetic pigments, total phenolics, 􀃀avonoid content, and DPPH, ABTS, and FRAP antioxidant activities were highest with plants regenerated under RB LED. HPLC analysis of plants revealed the highest accumulation of catechin and myricetin in the plants regenerated under RB light sources.
Lifestyle features as co-factors in head and neck cancer development
Authors:   Institute of Biology of Romanian Academy, CONSTANTIN MARIAN ,   The Research Institute of the University of Bucharest, ICUB, Bucharest, Romania
Published: April 2024

Ranked sixth most prevalent worldwide, head and neck cancers (HNCs) a􀵵ect an increasing number of people. Several factors contribute to their occurrence, including genetic and epigenetic aberrations and lifestyle factors, including heavy smoking, alcohol consumption, chewing betel quid (Areca nuts), poor oral hygiene, consumption of pro-in􀃀ammatory foods, inhalation of chemical compounds, asbestos dust, and infections with HPV (human papillomavirus) and EBV (Epstein-Barr virus). Often diagnosed in advanced stages, they have a mortality rate of about 50% at 5 years and pose a serious threat to human health.
Presupuestos básicos para la enseñanza del español
Authors: Botero de Zuluaga Raquel
Published: April 2024

Resumen
La escritura de la novela cómica en Julio Cortázar
Authors: Rosso A. Carlos A.
Published: April 2024

Resumen
The revival of traditional culture as an element of the national security policy of the Central Asian countries in the 1991-2010's.
Authors: Katagoshchina Marya Vsevolodovna , Panaev Nikita Sergeevich
Published: April 2024

The subject of the study is the formation of one of the ideological components of national security policy in the countries of the Central Asian region (CAR) - the concept of preserving historical, cultural and religious traditions as the basis of social stability and security. The authors focus on the process of incorporating this concept into the theory and practice of ensuring the national security of the CAR countries at different historical stages of their development after 1991. The objects of the research are scientific theories and legal acts reflecting the relationship between culture and security in the Central Asian states, official statements and writings of the first President of Kazakhstan, Nursultan Nazarbayev, and other political leaders of Central Asia. The article touches upon the problems of countering radical religious movements and other ideological influences from outside by the CAR states, and shows the controversial nature of the measures taken in this area by the authorities of Kyrgyzstan and Turkmenistan. Methodologically, the research is based on a civilizational approach to understanding the historical process, as well as on the idea of the influence of geopolitical trends on the internal life of countries and peoples of the modern world, including the Central Asian region. The work is based on the principles of historicism and consistency, using chronological, synchronous, dichronous, comparative and other methods of historical research. The novelty of the study lies in the generalization of data revealing the role of traditional values in the security systems of the CAR countries. The results of the work include a set of facts and theoretical provisions on the evolution of the security ideology of the CAR countries and can be used in scientific projects in the field of universal history and political science. The authors conclude that the revival of traditional culture and the local version of Islam (Hanafism) in the 1991-2010's were consistently considered by the leaders of the CAR countries as one of the most important factors in strengthening the state, its independence and international authority. This line was carried out most fully and consistently in Kazakhstan and Uzbekistan, which was reflected in the development programs, legislation, scientific and journalistic literature of these countries. There is a tendency in Kazakhstan to integrate cultural policy based on traditional civilizational values with national security policy.
Musicoterapia como intervención enfermera en pacientes con diagnóstico de esquizofrenia
Authors:   Servicio Canario de Salud (España), Melián Hernández Lucía Celeste
Published: April 2024

Schizophrenia is a mental disorder that causes great suffering to diagnosed patients. The treatment of the symptomatology is complex as it encompasses a very heterogeneous group of affectations. Currently the treatment of this disease is based on pharmacotherapy with which a part of the symptoms can be treated but often leaves many others uncovered, those symptoms that are not being contemplated diminish the quality of life of the patients. Therefore, it is necessary to apply alternative therapies in conjunction with pharmacological treatment that can act on the negative symptomatology of this disease. In the nursing taxonomy there is music therapy as an intervention, which scientifically proves that nurses have the capacity to perform this type of actions providing great benefits to patients.
Necesidades de cuidados en la esfera psicosocial de pacientes con afasia identificadas en consultas de Atención Primaria
Authors: Martín-Dorta Willian Jesús , Brito-Brito Pedro Ruymán ,   Universidad de La Laguna (España), Fernández-Gutiérrez Domingo-Ángel ,   Servicio Canario de la Salud (España), Núñez-Marrero Janet ,   Servicio Canario de la Salud (España), García-Hernández Alfonso Miguel ,   Universidad de La Laguna (España)
Published: April 2024

Aphasia is an acquired brain disorder that affects language and communication skills. This disorder generates a considerable impact on the quality of life of those who suffer from it. Aphasia is related to a greater probability of developing psychological manifestations such as depression and anxiety; however, there is little evidence on which psychosocial problems are most frequently diagnosed by primary care nurses in people with aphasia (PWA). The main objective of this study is to identify the NANDA-I diagnoses related to the psychosocial sphere that are most frequently diagnosed by primary care nurses in this patient profile according to records in the electronic clinical record (ECR). Method: A cross-sectional descriptive study was carried out with data extraction from the Drago-AP ECR, corresponding to a sample of 47 people with a diagnosis of aphasia. Results: The diagnosis of depression was recorded in the ECR of 22 participants as an active problem at the time of the study. 27 NANDA-I diagnoses related to the psychosocial domain were recorded.