bluuebunny/crossref_metadata_2025 huggingface dataset:
Strategies for didactic-pedagogical school organization within the inclusive perspective
Authors: Sanchez Toca Maria Laura , Galasso Bruno
Published: September 2023

The aim is to analyze the possibilities of school didactic-pedagogical organization within an inclusive perspective, based on the structuring of a core of practices in a bilingual school. The article, qualitative, can be classified as an action research, as it reports through the experiences, the methodologies implemented in a field, including the description of the context and procedures, in addition to the procedural and summative evaluation methods, based on the CIPP model (Context, Input, Process and Product) by Stufflebeam (2000). The work consists of the analysis of 34 questionnaires, applied in electronic format with the professors, as well as the analysis of official documents of the institution. When we look at the results, it is possible to identify the importance of the didactic-pedagogical organization in an inclusive perspective, with the alignment of several integrated actions. In this way, the political-pedagogical project, the curriculum and teacher training are dialogically aligned with diversity, generating plural practices that are culturally sensitive to the pedagogy of diversity.
Modelo de gestión de calidad educativo para la universidad francisco de paula Santander seccional Ocaña bajo la NTC ISO 21001:2019
Authors: Ramírez Arévalo Natalia
Published: September 2023

La calidad en las instituciones educativas se ha convertido en un pilar fundamental que busca que dichas organizaciones puedan cumplir con cada uno de los requisitos reglamentarios aplicables, pero también con los requisitos de sus partes interesadas. El objetivo de este artículo es recopilar los conceptos y estudios realizados entorno a los sistemas de gestión de calidad implementados en instituciones de educación superior, su aporte a los procesos de aseguramiento de la calidad que buscan la acreditación institucional y cómo esas instituciones puede aplicar la NTC ISO 21001 en la búsqueda de estándares de calidad en las organizaciones de educación que garanticen una prestación del servicio educativo pertinente, socialmente responsable, personalizado, entre otros beneficios, incrementando así la satisfacción de sus partes interesadas. Los resultados de los estudios analizados demuestran la conveniencia y ventajas de contar con un sistema de gestión de calidad para organizaciones educativas alineado a las políticas de una institución y el trabajo articulado con los demás modelos y sistemas implementados enfocados en fortalecer las estrategias que promueven una gestión educativa eficaz.
SEX RATIO AND BIOMETRIC INDICES OF PAMA CROAKER, OTOLITHOIDES PAMA (HAMILTON, 1822) FROM THE BAY OF BENGAL, SOUTH-WEST BANGLADESH
Authors: Sabbir Wasim , Rahman Asikur , Md. Asadujjaman  , Mahfuj Sarower , Khan Md. Nuruzzaman , Meraz Md. Musfike
Published: September 2023

The Pama croaker, Otolithoides pama is a prominent marine species under Sciaenidae family. This Sciaenid fish is a popular table food and a perceptible protein source for Bangladeshi rural people. Our research highlights a comprehensive description of the biometric indices of O. pama sampled from the Bay of Bengal, south-west Bangladesh, together with sex ratio, length-frequency distribution, growth pattern, form factor, Fulton’s condition and prey-predator status. Overall 252 specimens (male = 171 and female = 81) were sampled by gill net during 2022 on seasonal basis (summer, rainy and winter).  Length and weight of the sampled fish were assessed with measuring board and digital balance. While the sex ratio (male: female = 1.00:0.47) deviated from the conventional ratio of 1:1, total length varied from 13.0 to 26.7 cm for pooled data. Both sexes revealed negative allometric growth (b < 3.00) pattern as a whole. Form factor (a3.0) was found 0.0074 which stated that the fish possessed a fusiform body shape. The mean Fulton’s condition factor denoted an indecorous state of health. Alternatively, prey-predator status was found quite suitable for O. pama population. The outcomes of our research would be highly effective for executing sound management policy in the marine water of Bangladesh.
Efeitos da pandemia para os moradores de rua
Authors: Da Silva Ferreira Luiza , De Oliveira e Silva Vanessa , Jeanine Martins de Lemos Jordão Ana Janaína , Scanoni Maia Carina , Bezerra Pavão Santos Julya Caroline , Moreira Dantas Maria Vitória , Rodrigues de Morais Mateus Otávio
Published: September 2023

Introdução: Com a pandemia do Coronavírus, houve a orientação de suporte médico à População em Situação de Rua (PSR), a qual se encontra em maior risco de adoecimento e desenvolvimento de quadros graves da doença. O objetivo foi analisar os desdobramentos da pandemia para a PSR e medidas implementadas para amenizar essa situação.
Metodologia: Trata-se de revisão integrativa. A busca de artigos foi realizada no segundo semestre de 2021 nas bases PubMed, BVS, ScienceDirect e Springerlink, com análise inicial de títulos e resumos de modo duplo-cego (Kappa=0,77).
Resultados: Foram encontrados 99 artigos após a aplicação dos filtros, dos quais 18 se mantiveram após a aplicação dos critérios de inclusão e exclusão. Todos os artigos identificaram a PSR como população marginalizada em grande risco durante a pandemia do COVID-19 e diversas medidas para amenizar a situação foram citadas.
Discussão: A PSR como um grupo negligenciado foi unânime para todos os autores e os fatores causais são: ausência de EPIs e produtos de higiene, ausência de profissionais da saúde, habitação agregada e alto índice de comorbidades. Já em relação às medidas auxiliares, as principais estavam ligadas a distribuição de profissionais e equipamentos para prover atendimento aos grupos e abrigos para promover o distanciamento social.
Conclusão: A PSR encontra-se altamente vulnerável por fatores como a incapacidade da moradia, ausência de equipamentos de higiene e segurança cabíveis, bem como pelo alto número de comorbidades apresentadas por essas pessoas. Assim, medidas como distribuição de equipamentos e profissionais para acompanhamento podem ajudar essas pessoas.
Transition scolaire des enfants ayant des besoins particuliers/enfants handicapés : regards croisés entre intervenants des milieux de garde et scolaires
Authors: Girard Stéphanie , Dugas Claude , Dionne Carmen , Dubé Annie-Claude
Published: September 2023

Soutenir les enfants ayant des besoins particuliers/enfants handicapés au cours de la transition du milieu de garde vers le milieu scolaire est essentiel afin que cette première transition scolaire soit vécue de manière positive. La présente étude s’inscrit dans une vaste enquête québécoise sur les pratiques inclusives en milieux de garde et vise à brosser un portrait des pratiques mises en œuvre pour soutenir la transition de ces enfants, en considérant les points de vue des intervenants des milieux de garde et scolaires. Les données ont été recueillies avec un questionnaire en ligne et analysées de manière quantitative et qualitative. Les résultats indiquent que des pratiques considérées efficaces sont mises en œuvre, mais que certaines mériteraient d’être utilisées davantage. Aussi, malgré un niveau de satisfaction élevé des intervenants scolaires par rapport à la pertinence des renseignements reçus des milieux de garde, des défis en lien avec le partage d’informations demeurent.
Enhancing Employee Performance: The Role of Workplace Spirituality, Job Knowledge and Job Skills
Authors: Margareta Anggun Mulia , Sari Puspa Novita
Published: September 2023

The role of human resources in an organization is crucial as the primary element and driver of organizational success. Especially in the face of global phenomena like COVID-19 and the threat of economic recession, high-quality human resources are needed to ensure the company's sustainability. This research aims to determine the influence of workplace spirituality, job knowledge, and job skills on employee performance at PT Fajar Bangun Raharja Surakarta. This research employed a quantitative method and included a sample of 44 employees. Multiple regression analysis and hypothesis testing were conducted using SPSS 23. The results of the study indicate that workplace spirituality has a significant influence on the performance of employees at PT Fajar Bangun Raharja Surakarta. Job knowledge does not significantly affect employee performance at PT Fajar Bangun Raharja Surakarta. Job skills have a significant impact on employee performance at PT Fajar Bangun Raharja Surakarta. Workplace spirituality has a higher and more significant influence, indicating that respondents believe they are enjoying their work, that employees support each other, are connected to the company's mission and values, and feel valued.
Nuptial Rape: Rape Within Marriage
Authors:   BA LLB, Punjab School of Law, Punjabi University, Patiala, (Panjab), India, Gupta Aneesh , Mehta Aashita ,   Research Scholar, Department of Psychology, Punjabi University, Patiala, (Panjab), India.
Published: September 2023

Section 375 of the Indian Penal Code, 1860 Criminalizes ’Rape’ under Offences Affecting the Human Body, where prevails an oddly fitted exception to this Section, which states: Sexual intercourse by a man with his wife who is not less than 15 years of age does not amount to the offence of rape. Marital Rape, a non-criminalized crime in India is where the victim herself does not know she is a victim of Marital Rape. It is one of the most under-reported crimes with 77% of women never seeking any aid regarding the violence they ever experienced. The section clearly states that rape within marriage cannot be treated as a criminal offence unless the wife is below 15 years of age. Considering the repercussions, the adverse effect on mental health highly caused by marital rape due to its non-criminalization, especially in India is reviewed legally and psychologically in this paper. The data for the above piece of research has been taken from Secondary sources: law sites, search engines, research articles, Google Scholar etc.
The Indian Government's Environmental Stewardship: A Review of Pollution Control Efforts
Authors:   Assistant Professor in Chemistry, Khalsa College for Women, Sidhwan Khurd, Ludhiana, India, Kumar Ashish
Published: September 2023

This paper is an attempt to get and make acquainted with the role that the Indian Government had/has played or is playing to curb the brisk expansion of pollution which is affecting human health and the environment drastically and disastrously. Different contamination types viz. Air Contamination, Water Contamination, Soil Contamination, Noise Contamination, Land Contamination, Photo Contamination etc. have brought immutable adverse changes in all sorts of lives existing to breathe in air, water and soil. In addition, the synthetic and natural non-living creations are also influenced detrimentally. The citizens of nation, whether educated or uneducated are at par responsible for destruction of every component of the environment. Worthless is not mentioning here the appreciable endeavors that the Government has put on its part through its policies that are framed, although not implemented with vigor on real grounds, to rein the outburst of pollution. National Ambient Air Quality Standards, National Air QualityMonitoring Programme, National Air Quality Index (AQI), Hari Diwali and Swasth Diwali campaign, National Clean Air Programme (NCAP), Graded Response Action Plan (GRAP), National Ambient Noise Monitoring Network Programme, Horn Not OK Please campaign, Scheme of Assistance for abatement of pollution, Scheme of Common Effluent Treatment Plants, standards for emission of environmental pollutants, water pollutants and noise pollutants, National Green Corps (NGC), Sewage Treatment Plants Effluent Discharge Standards, Recognition of Environmental laboratories under Environment (Protection) Act, Apex committee, SAMEER App, E-Track for Industries, Swachh Bharat Abhiyan, Namami Gange Programme, National Solar Mission and Pradhan Mantri Ujjwala Yojana etc. are the prime and prominent initiative steps taken by the Govt. which has brought fruit in one and more sections of the society putting the graph of harms produced by contaminants to plateau and/or negative slope.
SOCIAL SUPPORT SOURCES AND ITS IMPACT ON DEPRESSION AND QUALITY OF LIFE AMONG UNIVERSITY STUDENTS
Authors: SIYAL FJ , JISKANI SA , MURTAZA A , GUL ARAA , BHATTI SF , CHANDIO P , DUA E SURAYA S , SIYAL S , NADEEM . , ABBAS W , SHAIKH ZA , MALIK E , HUMAYUN A , SHAH Q , SHAIKH B
Published: September 2023

Depression is considered one of the most common health problem worldwide. It also causes disabilities and affects both males and females globally. Young adults experience university life to develop the latest skills, capabilities, and proficiencies, analyze social networks, and attain knowledge. Due to changes in lifestyle, relationships, and community, and many students feel stress while attending university. This study addresses such issues by evaluating the impact of various social support sources on mental health symptoms and quality of life among university students. This was a cross-sectional survey conducted on university students of Larkana for 6 months. Students of universities were included. Online questionnaire was prepared and was circulated among students. Informed consent was taken from all participants before filling out the questionnaire. The data was entered and analyzed using SPSS 24.0. Mean and standard deviation were measured for quantitative variables (i.e., age). While for qualitative variables (i.e. sociodemographic parameters), frequency and percentage was were measured. A total of 360 responses were collected from university students. The mean age of participants was 23.03 ± 3.91 years. Number of female students was higher (214/59.44%). The majority of the students responded the availability was in a moderate ratio. Most students (165/45.8%) said that they previously experienced depression symptoms, while reminder said they are currently facing symptoms or never faced any symptoms. Majority of students had moderate impact (115/31.9%), followed by severe impact (90/25%), mild impact (88/24.4%), and no impact (67/18.6%). It was observed that social support makes a good impact on the quality of life and depression among university students as it helps in improving mental health and preventing depression. There is the significant role of friends and family social support in the minimization of depression symptoms. Enhanced awareness of specified social support sources will prevent psychological diseases and mental illness among university students.
Quantum Feminicity
Authors: Colman Felicitiy
Published: September 2023

Quantum feminicity is a term that refers to the intersection of quantum theory, a technological branch of physics, with feminist theory, a social and political movement.

Engaging the modal logics of this intersection, the article explores this intersection through one aspect of quantum literacy; that of the quantum splitting of the concept of the temporal narrative. The article examines what are the interdisciplinary convergences of feminist and physics’s respective philosophies. Focussing on the quantum modalities that are being practiced in relation to the situated nature of technological platforms engaged, the article proposes that modelling a quantum feminicity can assist in disengaging modes of sexual difference that are used to gender all kinds of bodies through a countermanding the temporal. Experiences of bodies are considered as experimental modes that provide quantum vectors for feminist actions.
Predictive Maintenance in IoT: Early Fault Detection and Failure Prediction in Industrial Equipment
Authors:   Higher Colleges of Technology, United Arab Emirates, Atassi Reem ,   Higher Colleges of Technology, United Arab Emirates, Alhosban Fuad
Published: September 2023

The Industrial Internet of Things (IoT) has ushered in a new era of predictive maintenance, revolutionizing the way industries manage and maintain their critical equipment. This paper presents a comprehensive exploration of predictive maintenance strategies, with a primary focus on early fault detection and classification in industrial equipment. We introduce the Triplet Fault Injection Algorithm, capable of injecting three distinct fault types—spike, bias, and stuck—into sensor data for realistic and rigorous testing. Leveraging this algorithm, we employ the powerful Extreme Gradient Boosting (XGBoost) machine learning approach to detect and classify these faults. Our experimental results showcase the superiority of XGBoost over baseline machine learning methods, across various data types commonly found in industrial equipment. The consistent higher accuracy and F1 scores obtained with XGBoost underscore its effectiveness in minimizing false alarms and enhancing the reliability of early fault detection. Moreover, we discuss the transformative role of IoT in predictive maintenance, highlighting its potential to optimize equipment performance and reduce downtime in the industry 4.0 landscape. This paper contributes valuable insights and empirical evidence to the domain of predictive maintenance in IoT-enabled industries, emphasizing the significance of early fault detection for efficient and cost-effective maintenance practices.
Statistical profile of the wholesale and retail trade sector
Authors:   International Labour Organization,
Published: September 2023

This Statistical Brief provides a statistical description of employment patterns and trends in the wholesale and retail trade sector using the ILO's global and country-level microdata estimates.
Սրտի բնածին արատների մասնաբաժինը պերինատալ կորուստների իրավիճակային վերլուծության մեջ
Authors: Աբրահամյան Ս. Հ. , Ղարդյան Գ. Կ.
Published: September 2023

Перинатальные потери являются одной из самых болезненных и сложных проблем репродуктивной медицины, поскольку их этиология часто остается неизвестной, а доказательных стратегий диагностики и лечения мало. Клинически подтвержденная потеря беременности (документированная при УЗИ или патологоанатомическом исследовании) встречается в 15-25% случаев. Изучение структуры перинатальных потерь является важной медико-демографической проблемой и в то же время выражает качество оказания акушерской и неонатальной помощи.
Perinatal losses are one of the complicated and sensitive issues in reproductive medicine, as their etiology often remains unknown and evidence-based strategies for diagnosis and treatment are few. Clinically confirmed pregnancy loss (documented by ultrasound or pathological examination) occurs in 15-25% of pregnancies. The study of the structure of perinatal losses is an important medico-demographic problem and at the same time expresses the quality of obstetric and neonatal care.
Սպառողների տեղեկացվածության մակարդակը կենսաակտիվ հավելումների վերաբերյալ
Authors: Նազարյան Ա. Վ. , Բարխուդարյան Լ. Ա. , Նազարյան Լ. Գ. , Բարսեղյան Ա․ Բ․ , Սիմոնյան Մ․ Հ․
Published: September 2023

Потребление биоактивных добавок (БАД) распространено во всем мире, что приводит к многочисленным научным и законодательным проблемам, касаю-щимся их безопасности, качества и эффективности. Целью данного исследования является оценка уровня осведомленности потребителей о БАД. В Армении был проведен опрос среди 385 взрослых граждан с целью оценки осведомленности потребителей. По результатам исследования 55,06% участников были знакомы с БАД, 43,9% признались, что употребляли их на разных этапах жизни и из них 56,2% без прохождения медицинского обсле-дования. Это исследование выявило значительное число потребителей, которые не осведомлены и используют добавки без надлежащей оценки. Для восполнения этого пробела медицинским работникам необходимо проводить информационные мероприятия по просвещению потребителей о разнице между БАД и лекарствами, необходимости проведения исследований перед их применением и изучить ряд важных вопросов здравоохранения. Кроме того, требования к качеству, эффективности и безопасности БАД не столь строги, как к лекарственным средствам, и оборот БАД недостаточно контролируется, а их нецелевое использование может представлять риск для здоровья потребителя.
The consumption of dietary supplements is prevalent worldwide, leading to numerous scientific and legislative challenges regarding their safety, quality, and effectiveness. The purpose of this study is to assess the level of consumer awareness on bioactive supplements. A survey was conducted among 385 adult citizens in Armenia to gauge consumer awareness. According to the results of the study, 55,06% of the participants were familiar with dietary supplements, 43,9% admitted using them at different stages of life and 56,2% of them didn’t undergo any medical examination. This study unveils a significant number of consumers who are ignorant and use supplements without proper evaluation. To bridge this knowledge gap, healthcare professionals have to educate consumers about the distinctions between supplements and medications, emphasize the necessity of medical examinations, and address vital health concerns. Furthermore, regulations pertaining to the quality, efficacy, and safety of dietary supplements are less stringent compared to medications, resulting in inadequate control over their distribution and an increased risk of consumer health hazards.
Современные представления о патогенезе, диагностике и лечении пациентов с атопическим дерматитом
Authors: Джамалян К. Р.
Published: September 2023

Այս հոդվածում մենք ընդհանրացրել ենք ատոպիկ դերմատիտի (ԱԴ) պաթոգենեզի, ախտորոշման և բուժման մեթոդների վերաբերյալ մեզ հասանելի ռուսերեն և անգլերեն գրականության տվյալները: Վերլուծվել է 78 աղբյուր (11-ը՝ ռուսերեն, 67-ը՝ անգլերեն), որոնք 90%-ով հրապարակվել են վերջին 15 տարիների ընթացքում։ Աղբյուրների ընտրությունը կատարվել է անցկացված ուսումնասիրությունների առարկաների` ԱԴ-ի նշված ասպեկտների վերաբերյալ ժամանակակից պատկերացումներին համապատասխանության սկզբունքով: Վերջին ուսումնասիրությունների համաձայն` ատոպիկ դերմատիտի զարգացման կարևորագույն պաթոգենետիկ մեխանիզմներն են երկարատև բորբոքումը (էպիդերմիսի տարածումով և ինվերսիայով , ինչպես նաև մաշկի անոթների լայնացումով հանդերձ), գենետիկական նախատրամադրվա-ծությունը (մասնավորապես ֆիլագգրինի գենի մուտացիաները), ալերգենների տարբեր տեսակների ներթափանցումը, ներառյալ աերոալերգենները և այլն: Որպես հավելում նախկինում գործող կլինիկական ախտանիշների գնահատման պացիենտակենտրոն սանդղակների, ատոպիկ դերմատիտի ախտորոշման մեթոդների ներկայիս զինանոցը վերջին տարիներին համալրվել է ոչ ինվազիվ գործիքային մեթոդներով, որոնք նպաստում են ավելի օբյեկտիվ տարբերակիչ ախտորոշմանը, կլինիկական ախտանիշների ծանրության գնահատմանն ու բուժման արդյունավետությանը:
In this paper, we have summarized the available data in the Russian and English literature on the pathogenesis, diagnosis and treatment methods of atopic dermatitis (AD). 78 sources were analyzed (11 in Russian and 67 in English), 90% of which were published in the last 15 years. The selection was made according to the principle of compliance of the subjects of the conducted studies with modern ideas about the indicated aspects of this pathology. According to recent studies, the most important pathogenic mechanisms for the development of atopic dermatitis (AD) are long-term persistent inflammation (with epidermal proliferation, epidermal inversion, and skin vasodilation), genetic predisposition, genetic (particularly, phyllaggrin [filament aggregating protein] gene mutations), penetration of various types of allergens, including aeroallergens. The arsenal of methods for diagnosing atopic dermatitis, previously represented mainly by patient-oriented scales for assessing clinical symptoms, has been supplemented in recent years with various non-invasive instrumental methods, which contributes to a more objective differentiation diagnosis and assessment of the severity of clinical symptoms and the effectiveness of treatment.
Ազդրոսկրի պրոքսիմալ կոտրվածքների բուժումը մեծահասակ և ծերունական տարիքում
Authors: Չարչյան Ա. Գ , Չալիկյան Ն. Գ , Գևորգյան Ա. Ջ.
Published: September 2023

В работе представлены данные 237 больных, которые лечились в МЦ «Измирлян» по поводу переломов проксимального отдела бедренной кости. Возраст больных колебался от 50 до 94 лет. Однако больше половины (123сл. – 52%) находились в старческой возрастной группе. У 111 (46,8%) больных диагностированы медиальные, а у 126 (53,2%) — латеральные переломы бедренной кости. Все больные лечились оперативным способом. При этом использована дифференцированная тактика в зависимости от вида и локализации переломов, а также от возраста больного и наличия сопутствующих заболеваний. Предложенный тактический подход к оперативному лечению позволил в подавляющем большинстве случаев снизить процент возможных послеоперационных осложнений, тем самым добиться благоприятных результатов лечения.
The paper presents the data of 237 patients who were treated at the ‘’Izmirlian’’ Medical Center for fractures of the proximal femur.The age of the patients ranged from 50 to 94 years. However, most of them ( 123c. – 52%) were in the senile age group. In 111(46,8%) patients - medial, and in 126 (53,2%) –lateral fractures of the femur were diagnosed. All patients were treated surgically. At the same time differential tactics were used depending of the type and location of the fractures, as well as on age and accompanying diseases. The proposed tactical approach to surgical treatment allowed in most of cases to reduce the percentage of possible postoperative complications, therebly achieving favorable treatment results.
Social inequalities in IT sector: Evidence from Kerala State in India
Authors: Saritha C. K. , Manoj P. K.
Published: September 2023

In Kerala’s economy, information technology (IT) sector adorns a place of pride, Kerala being a state in India with the topmost literacy and a large share of technically qualified population. Kerala’s IT sector contributes significantly to the employment creation and also the foreign exchange earnings (FEEs) by way of software exports. As the long-term sustainability of any sector depends on equity and distributive justice among its employees, this study critically analyses the inequality among the IT sector employees at InfoPark in Kerala State in India. A sample survey methodology has been used in this study. Analytical tools like Gini co-efficient have been adopted in the study. The study has revealed clear inequalities among the IT sector employees in their career progression. Women, lower castes, certain religious minorities, etc., are the major sufferers, especially the SC/STs. The share of Muslims among the IT sector employees is low, and the inequality is the least. Based on the study findings, the paper suggests strategies for the sustained growth of IT sector.
The Effect of Secreted IL-10 from Mesenchymal Stem Cell on Immune Checkpoint Molecules
Authors: Sari Mutiara , Jusuf Nelva , Munir Delfitri , Putra Agung , Bisri Tatang , Ilyas Syafruddin , Farhat Farhat , Muhar Adi
Published: September 2023

Background: Immunosuppression in sepsis is hypothesized to result from the increased expression of the immune checkpoint molecules programmed death-1 (PD-1) and programmed death ligand-1 (PD-L1). PD-1 and PD-L1 blockade therapies have been reported to increase survival in septic animals. Currently, the interleukin (IL)-10 within mesenchymal stem cell (MSC) secretome is known for its immunomodulatory capacity. Objective: To study the effect of IL-10 within MSC secretome on the expression of immune checkpoints in the rat model of sepsis. Methods: We used 48 male Rattus norvegicus rats in this research and divided them into four groups: sham (rats without sepsis induction and treatment), control (sepsis-induced rats without treatment), T1 (sepsis-induced rats treated with 150 µL of secreted IL-10 from MSC), and T2 (sepsis-induced rats treated with 300 µL of secreted IL-10 from MSC). Forty-eight hours after sepsis induction, we terminated the rats and collected the blood to examine the PD-1 and PD-L1 expression levels. Results: We found a decrease in the relative expression of PD-1 in the septic rat group given 150 µL and 300 µL of secreted IL-10 from MSC compared to the control group, but the decrease was not significant. We also found a decrease in the relative expression of PD-L1 mRNA in the septic rat group given 150 µL and 300 µL of secreted IL-10 from MSC compared to the control group. Conclusion: Administering secreted IL-10 from MSC reduces the expression of PD-1 and PD-L1 in sepsis. These findings suggest that MSC secretome can improve the immunosuppression in sepsis.
The Value of Non-invasive Electrocardiography in Assessing Fetal Status at Term Delivery
Authors: Theodoridou Anatoli , Koukou Zoi , Taousani Eleftheria , Antonakou Angeliki , Gourounti Kleanthi
Published: September 2023

Background: The electrocardiograph (ECG) is efficient method for the accurate assessment of fetal heart rate. The barriers for accurate assessment are maternal heart rate, uterine contractions and abdominal muscles. Although previous monitoring methods have struggled to overcome these barriers, recent advances have led to a greater degree of success for listening and recording pulse-by-pulse fetal heart rate. Objectives: A prospective cohort study evaluating the use, reliability and safety of non-invasive electrocardiography, in conjunction with Fetal Heart Rate parameters such as, Short Term Variability (STV) together with umbilical cord PH and Apgar score, during the active phase of childbirth. Methods: A total of 41 women with single, normal, full-term pregnancies had systematic obstetric monitoring with Monica AN24. 20 had only monitoring and 21 also had and arterial blood flow measurements. pH was measured and correlated with neonatal Apgar score at 1 and 5 min. The study also included a questionnaire about the safety and usability of obstetric monitoring. Statistical analysis was done using IBM SPSS v. 26.0. Results: Mean age was 28.8 years, (SD ± 6.153). Electrocardiogram recordings (ECG) were classified as normal (71%) and suspicious (29%). Baseline between ECGs was different (p = 0.025) similarly for Short term variability (STV) (p <0.0001). BMI did not differentiate SVT rates. Only high acceleration (p <0.029) and small slowdowns had a statistically significant difference between normal and suspected cardiographs (p <0.029). APGAR score did not differ, whereas the umbilical cord pH was different in normal ECGs compared to the suspect (p = 0.012) and STV was also differentiated. A usability and safety survey was conducted after recording with MONIKA AN24, and the response to whether they would accept recording with the device again, was positive for 96% of the 30 responders. Conclusion: The present study shows that the use of electrocardiography in obstetrics allows to draw conclusions about the fetal hematopoiesis and oxygenation status. This method could be clinically applied and be an important tool for further screening in embryos that may be hypoxic and to decide whether to continue with a vaginal or cesarean delivery, thereby achieving the goal of reducing perinatal morbidity and mortality.
Correlation Between Anemia (Hemoglobin Level) and Cardiomegaly Based On Chest Radiograph and Echocardiography
Authors: Amelia Putri , Lubis Bastian , Adriansyah Rizky
Published: September 2023

Background: Anemia is one of the major global problems that continues to this day. According to World Health Organization (WHO) data, anemia is found in 1.62 billion people or equivalent to 24.8% of the world’s population while, the prevalence of anemia in children under 6 years of age in Indonesia reached 38.4%. Anemia, if undiagnosed or untreated for a long period of time can lead to multiorgan failure. The cardiovascular system is the most commonly affected system in chronic anemia. Between one-third and two-thirds of patients with severe anemia have cardiomegaly and this will return to normal within a few weeks after the anemia is well managed. This abnormality can be evaluated on chest radiograph or echocardiography. Objective: This study aims to evaluate the association between anemia and cardiomegaly.Methods: This was a cross-sectional which was carried out in the pediatric ward and pediatric cardiology outpatient clinic in the year 2022. The research subjects were children diagnosed with anemia, then they would undergo chest radiograph and echocardiography to assess whether there is cardiomegaly or not. Results: Eighty one children were included in this study. The majority of them were girl, with a total of 43 people (53.1%). The median age of patients in this study was 7.75 years old. In addition, this study also found that the median of patients’ body weight and height were 18.3 kg and 116 cm. In this study, the median hemoglobin level was 10.3 g/dL. For the echocardiography parameters in this study, the median of LA/Ao, EF and FS were 1.24, 65% and 35% respectively.Conclusion There is no association beteween anemia and cardiomegaly based on chest radiograph or echocardiography.
Morphometric Study of Lumbar Spinal Canal Dimensions in Bosnia and Herzegovina Population
Authors: Cizmic Mithat , Hadziosmanovic Emir , Baljic Rusmir , Ahmetspahic Adi , Merhemic Zulejha
Published: September 2023

Background: The lumbar spinal canal consists of 5 interconnected lumbar vertebrae through which the final part of the spinal cord passes and the lumbar and sacral spinal nerves that form the cauda equina. The lumbar canal stenosis can directly affect neurological symptoms and pain in the lumbar region and lower extremities. Due to the frequency of such symptoms, lumbar stenosis has been the subject of research around the world. Objective: The objective of this study was to measure, analyze and compare the mediosagital and interpeduncular diameters of the lumbar spinal canal in the population of Bosnia and Herzegovina to other populations around the world. Methods: We conducted a retrospective descriptive study on patients (n=200) who underwent Multi-slice computer tomography (MSCT) performed on a 40-slice CT scanner (Siemens Somatom Definition AS) for lumbar pain between January 1, 2013 and December 31, 2014. Age, gender, midsagittal (MSG) and interpeduncular (IP) diameters of the lumbar spine were recorded for each patient. Results: Results of our study show that the largest MSG diameter is at L1 level for both sexes, with an average length of 19,06mm, and the smallest at L3 level, with an average length of 16,66mm. Our study shows that the MSG diameter is significantly larger in females than males on all levels from L1 to L5. In both sexes, MSG diameter shows the form of an hourglass with narrowing at L3 level. IPD is largest at L5 level for both sexes, with an average length of 31,94mm, and the smallest average length at L1 level, at 24,78mm. IPD diameter is significantly larger in males than females on all levels from L1 to L5. IPD shows a tendency of growth from L1 to L5 in both sexes. Conclusion: There were significant differences in the dimensions of the lumbar spine canal between female and male patients. We found significant difference in MSG and IP diameters measurements between Bosnian and Herzegovinian population compared to other populations. The dimensions of the lumbar canal provide a baseline of normative data for the evaluation of patients presenting with lower back pain and lumbar canal stenosis in study population.
Psoriasis Area and Severity Index (PASI) Objectivisation by Flow Cytometry Analysis of Major Lymphocytes Subsets
Authors: Pasic Lamija , Dzananovic Nejra , Gojak Refet , Kapidzic Suzana , Hasanefendic Berina , Begovic Ermin , Fazlagic Amir
Published: September 2023

Background: Psoriasis as an immune-mediated inflammatory skin disease. The basis of the pathogenesis of psoriasis is the dysregulation of immune cell function in genetically predisposed individuals. The characteristic dysfunction of the immune system in patients with psoriasis is manifested as a variation in the cellular phenotypic profile in accordance with the disease status. Objective: The aim of this study was to evaluate the immunophenotypic profile of lymphocytes obtained by flow cytometry as an auxiliary diagnostic tool in the objectivization of the PASI score. Methods: The study group included 40 patients with psoriasis, hospitalized and treated at Dermatology Clinic of Clinical center University of Sarajevo and 30 healthy individuals as controls. After venepunction, the blood samples for determining the immune profile were prepared following standard laboratory procedures using conjugated monoclonal antibodies and BD FACSCanto II flow cytometer. T-lymphocytes (CD3, CD4, CD8), B lymphocytes (CD19), Natural killer cells (NK), and activatet T-cells (CD3HLA) were determined for all patients. Based on the PASI score, the severity and area of the disease was assessed for all psoriasis patients by dermatology specialist. Results: Our data shows no significant difference in any of the lymphocyte subpopulations between psoriasis patients and healthy controls, except CD3HLA. CD3HLA has higher values in patients with psoriasis, p=0.015. Of all the parameters, only NK cells were significantly correlated to the PASI score (rho -0.279; p=0.048). ROC curve analysis revealed a statistically significant difference for the proportion of CD3 lymphocytes (AUC 0.799; p=0.004), CD8 lymphocytes (AUC 0.733; p= 0.023), NK cells (AUC 0.722; p=0.008) and CD3HLA activated T lymphocytes (AUC 0.347; p=0.034).
Conclusion: Profile of major lymphocyte subsets in patients with psoriasis is similar to that of healthy controls. The values of CD3, CD8, NK, CD3HLA were defined as biomarkers capable of distinguishing psoriasis according to the severity of the disease. Immunophenotyping of peripheral blood lymphocytes can play an important role as an auxiliary diagnostic method in differentiating the clinical stages of psoriasis and objectifying the PASI score.
Assessment of Wound Healing Using MMP-8 Levels in GCF of Diabetics With Chronic Periodontitis After Diode Laser Assisted Flap Surgery
Authors: Banerjee Kritika , Gujjari Sheela , Madhunapantula SubbaRao
Published: September 2023

Objective: Inflammatory cytokines like Matrix Metalloproteinases (MMPs) are associated with the destruction observed in periodontal disease(3). There has been evidence of significant increases in MMP levels in patients with systemic disorders, such as Diabetes Mellitus (DM), which is associated with microvascular complications, causing increased MMP activity, directly or indirectly, due to oxidative stress. Objective: The aim of this study was conducted in order to assess wound healing using MMP-8 levels in GCF of diabetics with chronic periodontitis after diode laser assisted flap surgery. Methods: This interventional, comparative clinical trial, was conducted after obtaining approval from the Institutional Ethics Committee (IEC), (Study protocol number: 48/2020), and registered with Clinical Trials Registry of India (CTRI/2022/07/043898). Purposive sampling technique was used to select 30 patients with chronic periodontitis (15 systemically healthy patients, and 15 diabetic patients), who visited the Department of Periodontology. Results: Out of the 30 patients initially selected, 3 patients were lost to follow up and 1 patient was excluded from the study due to lack of compliance towards oral hygiene maintenance. Intragroup comparison of the clinical parameters at baseline and 3 months in both groups was statistically significant (p=0.000). This concludes that there was statistically significant improvement in the periodontal parameters of non-diabetic patients after diode laser assisted flap surgery. Inter-group comparison of the clinical parameters did not show statistical significance at baseline and at 3 months (p > 0.05). It can be concluded that there was comparable changes in the periodontal parameters in both groups after surgery. Conclusion: MMP-8 could be used as a futuristic tool for assessing wound healing especially in diabetics, so that necessary treatment interventions can be undertaken prior to development of any post-op complications. Laser assisted Modified Widman flap showed noteworthy improvement in the clinical parameters in both groups. Thus, proving that laser assisted MWF surgery is a favorable treatment modality, especially in diabetics who are immunocompromised and prone to infections.
The role of inflammatory marker and vitamin D deficiency in dyslipidemia
Authors: Kumar Mahesh , Meena Bhagwan , Kale Shubhangi
Published: September 2023

Background: The immunological and inflammatory systems are both modulated in large part by vitamin D. Lower vitamin D levels have been connected in several studies to an increased risk and worse course of acute infections. Many chronic diseases include inflammation, and concerns have been raised regarding how low vitamin D levels may affect inflammatory processes.

Aim and Objective: Inflammatory markers and vitamin D levels in people with and without dyslipidemia were compared in this study. In addition, an effort was made to link the vitamin D levels of the research participants to the inflammatory alterations.

Materials and Methods: A tertiary care teaching hospital conducted a cross-sectional study. A control population of 250 healthy, age- and sex-matched people without dyslipidemia was chosen, whereas 250 persons with dyslipidemia were included as test subjects. In the investigation of vitamin D, lipid profiles (total cholesterol, triglycerides, high-density lipoprotein, low-density lipoprotein, and very low density lipoprotein), and high-sensitivity C-reactive protein (hs-CRP), five milliliters of fasting blood samples from each individual were taken.

Results: In comparison to the control groups, patients with dyslipidemia had significantly higher levels of hs-CRP and significantly lower levels of vitamin D. A statistically significant negative relationship between hs-CRP and vitamin D was revealed by the Pearson correlation. The deficiency of vitamin D may be root in the inflammation.

Conclusion: People with dyslipidemia, hs-CRP levels are high and vitamin D levels are low. In test, population’s low levels of vitamin D showed negative connection with hs-CRP, indicating that low vitamin D levels may aggravate the inflammatory response.
Utilization Rate of Primary Health Services in the Diagnosis, Treatment, and Follow-Up of Patients Diagnosed with Rheumatic Disease
Authors: Polat Arda , Yılmaz Tuğba , Sarı Oktay
Published: September 2023

In this study, we aimed to investigate the utilization of primary health care in the diagnosis, treatment and follow-up of patients diagnosed with rheumatic disease. For this purpose, 350 patients with rheumatic disease were included in the survey and 26-question about the demographic information of the patients, utilization of primary health care during and afterwards the diagnosis process of the disease. The mean age of the participants was 48.67±13.26, and 73.7% (n=258) of them were female. The patients were diagnosed with rheumatic disease an average of 6.74±6.07 years ago. Joint pain was the most common complaint with a rate of 79.7%. 22% (n=77) of the patients were referred to first internal medicine outpatient department. First admission rate to a family physician was 12.3% (n=43) and 55.8% (n=24) of these patients were referred to higher care for diagnosis. 69.1% (n=242) of the patients were diagnosed in a tertiary healthcare institution. According to the analysis results, 47.7% of the patients had a prescription from their family physician for their rheumatic diseases, but only 6% (n=21) went to their primary care physician for check-ups for their rheumatic diseases. In our study, the rate of use of primary care services was high when patients' rheumatic disease symptoms first begin and were only prescribed prescription drugs after diagnosis. The tendency to prefer primary care for follow-up was low. Contributing to all processes of the rheumatic disease will reduce the workload of hospitals and contribute to a cost-effective approach. For this, the factors that will eliminate the negative perceptions of patients towards primary care can be reviewed and the rate of patients' preference for primary care can be increased.
الميتا شعر في الشعر العربي المعاصر
Authors:   قسم اللغة العربية وآدابها، کلیة الأدب، جامعة الأديان والمذاهب، 37100, قم، إيران., حسين جبار ريواء , تگ تبار حسين ,   1قسم اللغة العربية وآدابها، کلیة الأدب، جامعة الأديان والمذاهب، 37100, قم، إيران.
Published: September 2023

الشعر العربي الحديث يمثل علامة مهمة في تطور الشعر العربي لا مثيل لها. اذ أن تغيره لم يكن على مستوى المضمون فحسب، بل كان على مستوى البناء الشكلي أيضاً. ولم يكن هذا التطور بمعزل عما سبقه بل ان الشعر العربي الرومانسي مهد له ذلك التطوير. على ان هذا التطور الثوري سواء على مستوى الشكل ام المضمون يقود الى طرح أسئلة كثيرة. ولا شك أن أفضل من يقدم إجابة شافية لهذه الأسئلة إنما هؤلاء الذين قاموا بهذا الانقلاب الشعري، اذ ان لهم تعاريف لمفاهيم يختلف عما الفناه من المفاهيم الكلاسيكية او الرومانسية. فكان لهم رؤيا خاصة لمفردات الشعر من صور فنية ولغة وموسيقى وعروض ومضمون وغيرها. غير أنهم عملوا على تعديل بعض المقاييس على وفق مفاهيمهم المستحدثة كما عملوا على أضافة مقاييس جديدة أيضاً. ونتيجة لذلك أصبح للشعر مفهوم جديد فيما يتعلق بالشكل والمضمون. إن مفهوم الشعر الحديث يستند على تحديد وصياغة مفاهيم أساسية تتمثل بالتراث والحداثة. من خروج عن البحور الثابتة إلى التفعيلة والتنكر للقافية الموحدة والبحث عن ادوات ووظائف جديدة للشعر، واداة الشعر أي اللغة الشعريّة هي من تجسّد جوهر الإبداع الشعري، فاختلافها عن اللغة المقالة يجعلها ترتبط بجوهر الإبداع، فالإبداع في الشعر العربي الحديث نبع من أمور عدّة كان من أهمّها جوهر اللغة الشعريّة التي تفرّدت بجاذبيتها وقدرتها على تصوير المشاعر والأحاسيس بالشكل الأمثل.
تمرينات تأهيلية وأثرها على التوازن والمدى الحركي للرياضيين المصابين بالتواء مفصل الكاحل
Authors:   كلية النسور الجامعة، 11001، بغداد، العراق., اسعد داود سلوان
Published: September 2023

هدفت الدراسة إلى التشخيص السريري لإصابة مفصل الكاحل باستخدام الفحص الشعاعي X-RAY ، وميكانيكيا عن طريق اختبارات التوازن والمدى الحركي وأعداد تمرينات تأهيلية لتأهيل إصابة الكاحل، أذ استعمل الباحث المنهج التجريبي بتصميم المجموعة الواحدة ذات الاختبار القبلي والبعدي، وتم انتقاء عينة البحث بالطريقة العمدية اذ تكونت عينة البحث من اللاعبين المصابين بالتواء مفصل الكاحل والبالغ عددهم (6) لاعبين من المركز الوطني لرعاية الموهبة الرياضية لمحافظة بغداد والتابع الى وزارة الشباب والرياضة، تم إجراء التجارب الاستطلاعية والتجربة الرئيسة وتطبيق مفردات المنهاج التأهيلي الذي أستمر على مدى شهرين لمدة ثمانية اسابيع ولكل أسبوع ثلاث وحدات تأهيلية بمجموع كلي بلغ (24) وحدة تأهيلية خضع خلالها جميع أفراد عينة البحث لنفس التمرينات والشدد وبعد الانتهاء من تطبيق المنهج تم أجراء الاختبارات البعدية لعينة البحث وتفريغ البيانات التي تم الحصول عليها لغرض معالجتها إحصائيا ومن ثم عرضها وتحليلها ومناقشتها ومن خلال تلك النتائج توصل الباحث إلى استنتاجات منها: إنّ التمرينات التأهيلية ساهمت بشكل كبير في تحسن المدى الحركي لمفصل الكاحل والتوان الحركي للاعبين المصابين ومن خلال الاستنتاجات توصل الباحث إلى توصيات عدة ، استخدم التمارين التأهيلية لتعافي في مراكز إعادة التأهيل ، وقاوم تدريجيا ، دون تجاوز قدرات الضحية ومراعاة الفروق الفردية والاهتمام بمبدأ التنويع في التمارين التأهيلية والأدوات والوسائل المستخدمة لتجنب الملل لدى الرياضيين - لضمان الشفاء التام للإصابات قبل العودة ؛ - لمنع الإصابات المتكررة والمعالجين وإعادة التأهيل عند إجراء تمارين الاسترداد، وأجراء بحوث ودراسات مشابهة وعلى مفاصل أخرى ولفئات عمرية أخرى.
القدوات في تدريس اللغة: اساتذة اللغة الانكليزية كلغة اجنبية من العراقيين كحالة
Authors:   قسم الدراسات الاسلامية باللغة الانكليزية، كلية الامام الاعظم, لطيف عكله رائد , طلب جعفر شروق ,   ، قسم اللغة الانكليزية، كلية التربية للعلوم الإنسانية، جامعة ديالى، 32001، ديالى، العراق
Published: September 2023

تحاول هذه الدراسة التعرف على اهمية القدوة في تدريس اللغة. هذه الدراسة هي دراسة نوعية استخدمت فيها المقابلة الشبه منتظمة. تم تحصيل البيانات من سبعة اساتذة لغة انكليزية في جامعات عراقية مختلفة. من خلال البيانات المستحصلة من المشتركين في الدراسة، حيث بينت النتائج ان الاساتذة يعتقدون من المهم ان يكون هنالك قدوة يحتذى بها في تدريس اللغة الانكليزية، وتحديد القدوات الخاصة بكل واحد منهم، وماهي الخصائص التي يقدرونها كثيرا" في قدواتهم. تظهر نتائج هذه الدراسة انه من المهم جدا" ان يكون لديك قدوة تحتذي به او بها في تدريس اللغة الانكليزية وتعلمها. وبينت الدراسة ايضا" ان معلميهم كانوا مؤثرين بشكل كبير فيهم حيث عدوهم قدوات لهم. اخيرا"، عد المشتركون ان هناك خصائص يمكن تقديرها في القدوة كالتحفيز، وامتلاك اساليب تدريس مختلفة، التمييز، الحداثة، الابتكار، الاسلوب الأكاديمي، التفاعل الايجابي، والمعرفة، والحس الانساني العالي، والتفاني.