bluuebunny/crossref_metadata_2025 huggingface dataset:
A Conceptual study of Wind Load with Different Types of Lateral Load Resisting Methods in 15-Storey Structure
Authors:   PG Student, Civil Engineering Department, G.H. Raisoni Institute of Engineering and Technology, Nagpur, India, Kamble Ms. Diksha
Published: May 2024

Traditionally, outrigger and belt truss additions are used to strengthen the rigidity of tall buildings with central cores in order to control displacements. At the top of the structure, a single level outrigger can efficiently reinforce a building. The lateral stiffness of each outrigger level rises, although not as much as that of the top level. The primary lateral force-resisting elements of high-rise building structures are shear walls. Higher-performance shear walls are necessary because to the ever-increasing building code requirements and the rising height of high-rise and super high-rise structures. The conventional reinforced concrete shear wall is not very ductile, has a limited capacity to dissipate energy, and is not very deformable. Specifically, the base of a typical shear wall is particularly vulnerable to earthquake damage and is highly challenging to restore. In high-rise and super high-rise buildings, steel plate shear walls (SPSWs) and steel plate reinforced concrete composite shear walls (SPCSWs) are frequently used in place of regular reinforced concrete shear walls or shaped steel reinforced concrete composite shear walls to improve the seismic performance of building structures. Numerous structural methods seem to be able to withstand lateral stresses brought on by earthquakes, blasts, and wind. The more crucial it is to choose the optimal structural arrangement to counteract opposing horizontal loads. Keywords— High-rise structure, Outrigger, Shearwall, Damper etc.
Case Study on Plastic Roads
Authors:   GALGOTIAS COLLEGE OF  ENGINEERING & TECHNOLOGY, SINGH SUSHOBHIT PRATAP
Published: May 2024

Plastic roads are made entirely of plastic or of composites of plastic with other materials. Plastic roads are different from standard roads in the respect that standard roads are made from asphalt concrete, which consists of mineral aggregates and asphalt. Keywords: - Asphalt Mix, Prefabricated Elements, Waste Plastic.
Hubungan antara Respirasi Tanah dengan Sifat Tanah Dibawah Kondisi Tegakan Vegetasi yang Berbeda di Ungaran, Jawa Tengah
Authors: Jaya Galang Indra , Avianto Yovi , Handru Alan , Novyanto Amir
Published: May 2024

Soil respiration is an indicator of the level of soil health in both closed systems (forests) and open systems (agriculture). Conversion of land from natural forest to agricultural cultivation needs attention in the field of sustainability, this is done so that the land can continue to be productive. This research aims to obtain information regarding the relationship between respiration and soil properties in land cover of oil palm (Elaeis guineensis), teak (Tectona grandis), and burflower-tree (Neolamarckia cadamba) in INSTIPER's experimental plantation, specifically in SEAT (Stiper Edu Agro Tourism) Ungaran Regency, Central Java. The method used in this research is a modified Verstraete, namely by observing soil respiration directly on the land. Research data shows respiration rates of 100.1, 95.4, and 25.9 mg CO2 m-2 h-1 for oil palm, burflower-tree, and teak respectively. Soil respiration is influenced by land cover in vegetation. Differences in land cover cause differences in soil properties which then influence the rate of soil respiration. The relationship between soil respiration rate and moisture content, pH, and EC is linear positive, while with volume weight it is linear negative.
Índice de Masa Corporal: Precisión para el diagnóstico y manejo de la Obesidad
Authors: Sarmiento Leon Vanessa de Lourdes , Prieto Fuenmayor Carem Franscelys , Prieto Fuenmayor Carem Franscelys
Published: May 2024

La obesidad, es la acumulación excesiva de tejido adiposo debido a un desequilibrio entre el aporte y gasto calórico, convirtiéndose en un problema de salud mundial, relacionada con trastornos cardiometabólicos incrementando la morbimortalidad poblacional.
El Índice de Masa Corporal, utilizado para evaluar el estado nutricional, su desarrollo remonta a Adolphe Quetelet en el siglo XIX, pero su uso general ocurrió en 1972 con Ancel Keys, quien validó la fórmula peso/altura2. Esto fue respaldado por la OMS definiendo los puntos de corte. Los cuales son cuestionados por estudios que sugieren variaciones según la población.
Investigaciones en diferentes regiones han propuesto puntos de corte alternativos basados en características poblacionales específicas. Estudios indican que el IMC puede no ser un indicador preciso de obesidad en todas las poblaciones. Esto debido a sus puntos de corte arbitrarios y su incapacidad para considerar la masa magra y la distribución de grasa corporal. Se argumenta que, como único indicador, puede clasificar erróneamente a individuos, retrasando diagnósticos y tratamientos oportunos.
Existe la necesidad de establecer puntos de corte específicos para cada población por lo que destaca la importancia de realizar estudios específicos que consideren la diversidad étnica, racial y geográfica.
Efecto residual de antisépticos y desinfectantes empleados en entornos de atención médica frente a Enterococcus faecium
Authors: Gualpa Cox Marcos Moises , Lopez Salazar Juan Fernando , Arteaga Denisse
Published: May 2024

Introducción: El efecto residual de los antisépticos y desinfectantes en entornos de atención médica representan un aspecto crítico e importante para la prevención en la propagación de bacterias patógenas como Enterococcus faecium (E. faecium).
Objetivo: El propósito de este estudio fue evaluar el efecto residual de los desinfectantes y antisépticos utilizados en entornos de atención hospitalaria frente a E. faecium.
Metodología: Se utilizaron los antisépticos y desinfectantes de mayor uso en el Ecuador de acuerdo al Manual de Bioseguridad del Ministerio de Salud Pública (MSP) en diferentes intervalos de tiempo: 20 minutos, uno, tres, seis, 12 y 24 horas utilizando la técnica de Kirby Bauer para observar la formación de los halos de inhibición de la bacteria frente al producto químico.
Resultados: Los resultados permitieron observar que el etanol 70%, hipoclorito de sodio 0.5%, monopersulfato de potasio 1%, glutaraldehído 2%, yodopovidona 10%, no presentaron efecto residual, debido a que no generaron halo de inhibición. Sin embargo, E. faecium, demostró sensibilidad frente al amonio cuaternario 0.4%, seguido por la clorhexidina al 2%, en la cual, la bacteria presentó una alta sensibilidad. En cambio, el peróxido de hidrógeno 10 Vol., E. faecium, inicialmente demostró sensibilidad, pero a partir de las 12 horas se vuelve nula.
Conclusión: En conclusión, E. faecium demostró ser resistente para la mayoría de los desinfectantes hospitalarios evaluados, excepto clorhexidina y agua oxigenada, lo que sugiere un potencial riesgo para la resistencia antimicrobiana.
Analysis of state administrative court procedural law: A recent review and its practical implications
Authors: Sutrisno Anom
Published: May 2024

In Indonesia, the Administrative Court Procedure (ATUN) is a vital law enforcement tool that resolves disputes between government and citizens or between government agencies. This article aims to provide in-depth insight into the dynamics of ATUN, as well as explore its practical implications in the context of state administration law enforcement in Indonesia. The research method utilized is normative juridical as the main approach to analyzing and evaluating the legal framework governing ATUN. The next step is to identify problems that arise in ATUN and analyze the applicable legal norms, both regulations and court decisions, and draw conclusions and practical implications from these findings. The results show that ATUN has undergone changes that have a positive impact on strengthening the enforcement of justice in the State Administrative Court field. With the adoption of technology, the speed, accuracy, and reliability in handling administrative cases has improved significantly. Finally, mediation has also become a more efficient alternative in resolving disputes, providing faster solutions and more affordable costs compared to conventional judicial processes.
Artificial Intelligence Competence: A Crucial Skill for the Digital Citizens
Authors: Sengsri Supanee , Khunratchasana Kheamparit
Published: May 2024

Artificial intelligence (AI) technology has made a significant impact on technological progress and has been integrated into various sectors and organizations. As a result, developing a workforce with knowledge and expertise in AI has become necessary. Skilled AI professionals will play a critical role in driving economic growth and competitiveness in the digital age. Therefore, it is essential to develop AI competency among various groups of people. Learning AI skill sets is necessary to facilitate effective collaboration between humans and machines in the learning process. Known for Life offers a range of knowledge, including technical skill sets, business skill sets, and skill sets for individuals that incorporate ethics, such as the ethical use of AI in education to enhance the learning experience and evaluate student performance. Understanding AI can help educators adopt modern teaching methods and prepare students for AI-related careers, but it is crucial to consider ethical implications.
The Changes and Impact of China’s Tariff Concession Policy in the Context of the Regional Comprehensive Economic Partnership Agreement
Authors: Dong Qiang , Cheng Jing
Published: May 2024

The COVID-19 outbreak and the Russia-Ukraine conflict are significant economic challenges for China. Meanwhile, the Regional Comprehensive Economic Partnership Agreement (RCEP) entered into force on 1 January 2022, establishing the world’s largest free trade zone with the world’s largest population, the most diverse mix of members, and the highest development potential for reviving China’s economy. The RCEP’s second chapter goes beyond current global and regional free trade agreements, stipulating tariff reductions and their methods, which have had a noticeable impact on member countries’ imports and exports. This study investigates the impact of RCEP tariff concessions on China’s imports and exports, as well as industry development, by examining the various types of tariff concessions and tax cuts available.
Developments at the World Customs Organization Technical Committee on Customs Valuation 2021-2022 Regarding Royalties
Authors: Macedo Leonardo
Published: May 2024

The World Customs Organization (WCO) Technical Committee on Customs Valuation (TCCV) has the responsibility to examine specific cases arising from problems when applying the World Trade Organization (WTO) Customs Valuation Agreement (CVA). During the 50th, 51st, 52nd and 53rd TCCV sessions, three cases reached consensus and were published as instruments: Advisory Opinions 4.18, 4.19 and 24.1. All three address difficulties WTO members face when dealing with royalties as compulsory adjustments. Compulsory services adjustments are probably the most relevant example of the complexity of the WTO CVA.
The Impact of Trade Costs Upon Gross Domestic Product: The Customs Efficiency Index as a Mediator
Authors: Celebi Umit
Published: May 2024

Trade costs are important determinants of international trade and economic development. In these relationships customs efficiency plays a critical role. Studies commonly highlight the role of customs efficiency as a significant driver behind the reduction of trade costs. Our study differs from those previously in the sense that our main aim was to explore how and to what extent customs efficiency mediates trade costs and gross domestic product. By utilising hierarchical regression as well as the Baron and Kenny mediation methods, we analysed the dataset of 80 countries for the years 2007, 2010, 2012, 2014 and 2016. The result of the mediation analysis and the Sobel test shows that the customs efficiency index fully mediates trade costs and gross domestic product (GDP). In reducing trade costs to reach a higher level of GDP, the role of customs efficiency is significant.
Women in Customs Leadership: Why Does It Matter
Authors: Hong Sreya , Bond Michelle , Lesu Losalini , Madhubhashini Melani , Lokubalasooriya Senali , Ratnasari Dini
Published: May 2024

While positive efforts to advance women have been made, women remain significantly underrepresented in customs leadership. This paper explores the challenges facing women in Customs in the Asia-Pacific region by conducting a survey with women from the authors’ administrations. Based on this research, we offer concrete recommendations to promote women in customs leadership. The findings identify a range of barriers, with some shared and some particular to individual agencies and/or countries. The article concludes that ensuring the safety of women should be the first priority, followed by the development of policies and instruments to promote women, and that leadership and professional development programs should be conducted for all women in Customs around the world.
Customs Inspections Building a Culture of Proactive Curiosity: Thailand Case Study
Authors: Siripanukul Araya , Sommana Atittaya , Panyarnpisit Sirima , Mekdee Siriporn , Ummarakoon Nuttha , Dixon Thomas
Published: May 2024

The global drug trade continues to expand, straining public health and law enforcement resources, financing transnational organised crime and terrorism, and causing unfathomable harm to communities around the world. Law enforcement at our borders is the ‘first line of defence in the fight against cross-border illicit trade and the protection of our citizens and economies against criminal organisations operating internationally’ (Mikuriya, 2019, p. 4). Nowhere is this more evident than the Golden Triangle, where the borders of Thailand, Myanmar and Lao People’s Democratic Republic (PDR) intersect. This area is one of the primary international sources of narcotics, producing methamphetamine, heroin and opium. Criminal syndicates commonly try to export contraband from the Golden Triangle to other countries via Thailand, seeking to exploit Thailand’s large, well-connected ports and airports. Thus, Thai authorities are often the first line of defence against drug flows from this key area to the rest of the world. However, criminals are employing increasingly sophisticated concealment methods to evade detection. Faced with this constantly evolving challenge, Thai authorities are actively building a ‘Culture of Proactive Curiosity’, enhancing internal cooperation and sharing knowledge among staff to enhance risk management systems. Furthermore, the integration of internal, interagency, and international cooperation is vital to control borders, promote sustainable economic growth and protect the international trade supply chain.
Reaction of winter cereals to Pratylenchus brachyurus and Meloidogyne javanica
Authors: Sonda Eduarda Thais , Futigami Carolina Yumi , Tarini Guilherme , Melo Angelica Sanches , Dias-Arieira Claudia Regina
Published: May 2024

Winter cereals are important crops in southern Brazil. They are commonly used as cover or forage crops in rotation with soybean. Although it is well known that winter cereals enhance soil properties, their susceptibility to nematodes has been little investigated. This study aimed to assess the response of oat, barley, and wheat cultivars to Pratylenchus brachyurus and Meloidogyne javanica. Plants were inoculated with 500 P. brachyurus or 2000 eggs + second-stage juveniles of M. javanica, and soybean was used as control. After 80 (P. brachyurus) or 60 (M. javanica) days of inoculation, plants were evaluated for root fresh weight, total nematode number, nematode population density, and reproduction factor (RF). All oat, barley, and wheat cultivars reduced P. brachyurus population in relation to the control and were resistant to the nematode (RF < 1). The RF of P. brachyurus on the control was 8.7, 5.3, and 7.9 in experiments with oat, barley, and wheat, respectively. Oat and wheat cultivars were resistant to M. javanica and reduced root-knot nematode reproduction. Barley cvs. Imperatriz, IFAPAC 2015227, IFAPAC 2012069, ANA 02, and ANAG 01 were resistant to the nematode. The RF of M. javanica on soybean was 3.4, 29.5, and 22.5 in experiments with oat, wheat, and barley, respectively. It is concluded that winter crops can be grown in areas with nematodes but requires planning in the choice of cultivar.
Liquidity, Solvency, and Profitability Ratio Analysis as a Financial Performance Measurement Tool at PT Telkom Indonesia (Persero) Tbk for the Period 2020-2022 (Case Study of Companies Listed on the Indonesia Stock Exchange)
Authors: Indah Sri , Lestari Elly , Sasono Agus Dwi , Indrihastuti Poppy
Published: May 2024

This study aims to assess the financial performance of the company using liquidity ratios, solvency ratios, and profitability ratios at PT. Telkom Indonesia (Persero)  Tbk for the period 2020-2022. The type of research used in this study is descriptive quantitative research by analyzing the financial statements of PT. Telkom Indonesia (Persero) Tbk for the period 2020-2022. The data source used is secondary data, which includes annual financial statements such as income statements and balance sheets. The results of the study show that the financial performance of PT. Telkom Indonesia is as follows: (1) The calculation using the liquidity ratio with the Current Ratio formula for the last three years indicates that the company is in good con- dition, (2) The solvency ratio calculations for the last three years indicate that the company is in good condition, (3) The profitability ratio (Return on Equity) calcu- lations show that the company’s financial performance has been in poor condition over the last three years.
PENYULUHAN PENANGANAN PASCAPANEN YANG BAIK BAGI PETANI PALA DI DESA LILIBOOI, KECAMATAN LEIHITU BARAT KABUPATEN MALUKU TENGAH, PROVINSI MALUKU
Authors: Grace Sipahelut Sophia
Published: May 2024

Pala merupakan komoditas ekspor andalan Indonesia yang mendatangkan devisa bagi negara ini, namun produktivitas pala Indonesia masih rendah dan di bawah rata-rata dunia.  Untuk itu, perlu adanya upaya peningkatan mutu pala Indonesia, salah satunya dengan meningkatkan pengetahuan petani pala tentang penanganan pascapanen yang baik (Good Handling Practices) tanaman pala.  Kegiatan pengabdian ini bertujuan untuk meningkatkan pengetahuan petani pala di Desa Lilibooi, Kecamatan Leihitu Barat, Kabupaten Maluku Tengah dalam penanganan panen, pascapanen dan pengolahan pala.  Kegiatan pengabdian kepada masyarakat ini diikuti oleh 15 petani pala.  Metode yang dilakukan adalah penyuluhan dan evaluasi.  Materi yang diberikan terkait cara panen pala, penanganan pasca panen biji dan fuli pala, serta pengemasan dan penyimpanan biji dan fuli pala.  Hasil evaluasi menunjukkan bahwa dari kegiatan ini, petani pala mendapatkan tambahan pengetahuan dan teknologi baru terkait pelaksanaan GHP tanaman pala
100th anniversary of ‘Special School’ publication
Authors: Hryniewicka Anna
Published: May 2024

The article presents the beginnings of the Polish pedagogical press and its development duringthe partitions and in the years after regaining independence. The establishment of theSpecial Education Section of the Polish Public School Teachers' Association was initiated by thepublication of the periodical ‘Special School’ in 1924, the editor-in-chief of which was MariaGrzegorzewska. The magazine was addressed primarily to teachers and was intended to increasetheir interest in the issues of people with disabilities and special educational needs. Thestructure of the magazine proposed by Grzegorzewska has remained basically unchanged tothis day. It assumed the publication of scientific articles and articles devoted to teaching work,as well as reports on domestic and foreign events and new publications.
Test-retest reliability and minimal detectable change of four functional tests in community-dwelling older adults with high risk of falls
Authors: Intaruk Roongnapa , Phadungkit Supaporn , Kanpai Anongnat , Pawanta Ketmanee , Srihapol Nuttanicha , Saengsuwan Jittima , Amatachaya Sugalya , Thaweewannakij Thiwabhorn
Published: May 2024

Objectives: This study aimed to quantify test-retest reliability and minimal detectable change (MDC) of the four commonly used functional tests in older adults with a high risk of falling.

Patients and methods: The cross-sectional study was conducted with 30 community-dwelling older adults (26 females, 4 males; mean age: 73.7±6.0 years; range, 65 to 88 years) with a high fall risk identified by the Thai falls risk assessment test between November 2018 and May 2019. Data from the 10-m walk test at a comfortable gait speed (CGS) and fast gait speed (FGS), timed up and go (TUG) test, five times sit to stand test (FTSST), and 6-min walk test (6MWT) were collected twice for each participant. The interval between test sessions was one week. Test-retest reliability was analyzed by the intraclass correlation coefficient (ICC). Standard error of measurement (SEM) and MDC at the 95% confidence interval (MDC95) were also calculated.

Results: The four functional tests had ICC in the range of 0.92 to 0.97. The SEM values of the CGS, FGS, TUG, FTSST, and 6MWT were 0.06 m/sec, 0.04 m/sec, 1.10 sec, 1.30 sec, and 20.60 m, respectively. The MDC95 values of the CGS, FGS, TUG, FTSST, and 6MWT were 0.16 m/sec, 0.12 m/sec, 3.00 sec, 3.50 sec, and 57.20 m, respectively.

Conclusion: All functional tests demonstrated excellent test-retest reliability. The SEM and MDC95 of all functional tests were established. These findings can help clinicians interpret the effectiveness of interventions and determine changes in functional ability over time in older adults at high risk of falls.
The effect of combined hydrolyzed type 2 collagen, methylsulfonylmethane, glucosamine sulfate and chondroitin sulfate supplementation on knee osteoarthritis symptoms
Authors: Figen Ayhan Fikriye , Demirci Çoban Ayşegül , Utkan Karasu Ayça , Karaoğlan Belgin , Çınar Ece , Eyigör Sibel , Uzun Öznur , Borman Pınar , Vural Seçil , Yaman Ayşegül , Keskin Kavak Songül , Aktekin Lale , Duyur Çakıt Burcu , Kandaşoğlu Habibe , Mansız Kaplan Başak , Bölük Şenlikçi Hüma , Dalyan Meltem
Published: May 2024

Objectives: This study aimed to evaluate the effects of the combined hydrolyzed type 2 collagen, methylsulfonylmethane (MSM), glucosamine sulfate (GS), and chondroitin sulfate (CS) supplement on knee pain intensity in patients with knee osteoarthritis (OA).

Patients and methods: This multicenter, observational, noninterventional study included 98 patients (78 females, 20 males; mean age: 52.8±6.5 years; range, 40 to 64 years) who had Grade 1-3 knee OA between May 2022 and November 2022. The patients were prescribed the combination of hydrolyzed type 2 collagen, MSM, GS, and CS as a supplement for knee OA. The sachet form of the combined supplement containing 1250 mg hydrolyzed type 2 collagen, 750 mg MSM, 750 mg GS, and 400 mg CS was used once daily for two consecutive months. Patients were evaluated according to the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Visual Analog Scale (VAS)-pain, and Health Assessment Questionnaire (HAQ). Patients were scheduled to visit for follow-up four weeks (Visit 2) and eight weeks (Visit 3) after Visit 1 (baseline; day 0 of the study).

Results: For the VAS-pain, WOMAC, WOMAC-subscale, and HAQ scores, the differences in improvement between the three visits were significant (p<0.001 for all). The patient compliance with the supplement was a median of 96.77%, both for Visit 2 and Visit 3.

Conclusion: The combination of hydrolyzed type 2 collagen, MSM, GS, and CS for eight weeks in knee OA was considered an effective and safe nutritional supplement.
Effect of platelet-rich plasma injections versus placebo on pain and quality of life in patients with hip osteoarthritis: A double-blind, randomized clinical trial
Authors: Topaloglu Mahir , İlke Şen Ekin , Sarıkaya Deniz , Dıraçoğlu Demirhan
Published: May 2024

Objectives: This study aims to compare the efficacy of intra-articular platelet-rich plasma (PRP) injections over a saline placebo in terms of reduction of pain and impact on quality of life among patients with hip osteoarthritis.

Patients and methods: A total of 60 patients (29 males, 31 females, mean age: 57.9±7.3 years; range, 47 to 69 years) with known hip osteoarthritis of Kellgren-Lawrance (KL) Grades 2/3 were randomized into placebo (n=30) and PRP groups (n=30) between June 2014 and June 2015. Both groups received intra-articular injections into the hip joint under ultrasound guidance for three consecutive weeks. The patients were followed for six months, and pain reduction was assessed using the Visual Analog Scale (VAS), Western Ontario and McMaster Universities Arthritis Index (WOMAC) questionnaire, and Short Form Health Survey-36 (SF-36).

Results: Intra-articular PRP treatment showed no advantage over a saline placebo in terms of VAS scores during activity. Both groups showed a significant improvement in VAS activity scores at one and six months. The placebo group showed improvements in VAS resting scores, whereas the PRP group did not. Both groups showed no improvement in WOMAC-total scores. Both groups showed no significant improvement across most SF-36 domains with the exception of improved physical role functioning at one month and general health at one and six months in the placebo group.

Conclusion: Intra-articular injections of PRP show no significant difference compared to a saline placebo over a period of six months on pain, function, and quality of life scores in patients with hip osteoarthritis.
Fatal hyperacute left main thrombosis after aortic root surgery
Authors: Zivkovic Igor , Milacic Petar , Tabakovic Zoran , Micovic Slobodan , Milicic Miroslav
Published: May 2024

Acute aortic root thrombosis is a potentially lethal condition due to the possibility of thrombosis into the ascending aorta branches, resulting in various clinical manifestations. A 29-year-old male patient was admitted to our center with hyperacute left main thrombosis after elective Bentall procedure. Due to massive left ventricular infarction, the patient was supported by extracorporeal membrane oxygenation, but without success to recovery. The patient’s blood analyses revealed a high level of the Factor VIII. In conclusion, Factor VIII levels in the blood are elevated by genetic abnormalities, infectious diseases such as severe acute respiratory syndrome-coronavirus 2 infection, and vascular inflammation. This pathological condition may be a reason for hyperacute thrombosis.
Should wide chest wall resections and reconstruction intimidate thoracic surgeons?
Authors: Kavaklı Kuthan , Işık Hakan , Şengül İnan Merve , Sapmaz Ersin , Yeniköy Musab , Ünsal Ufuk , Kılınç Denizhan , Çaylak Hasan
Published: May 2024

Background: This study aimed to compare patients in whom wide chest wall resection and reconstruction or primary closure was performed.

Methods: A total of 63 patients who underwent chest wall resection and reconstruction between January 2018 and December 2022 were included in the retrospective study. The patients were divided into two groups: the first group, which included 31 patients (14 males, 17 females; mean age: 44.6±16.4 years; range, 16 to 71 years) who were closed primarily, and the second group, constituting 32 patients (25 males, 7 females; mean age: 54.6±17.2 years; range, 9 to 80 years) who underwent reconstruction with plates and meshes.

Results: There was no significant difference between the two groups in terms of smoking and diabetes. Primary chest wall or metastatic tumor was determined in 33 patients; benign tumor and trauma were determined in 30 patients. The difference between the two groups in mean defect diameter (p=0.009), mean number of plates used (p<0.001), and mean hospital stay (p<0.001) was statistically significant. However, there was no significant difference in terms of complications (p=0.426).

Conclusion: Wide chest wall resection and reconstruction is a safe and feasible surgical procedure when compared with primary closure.
Doubling time in pulmonary and hepatic hydatid cysts
Authors: Aydın Yener , Özgökçe Mesut , Bilal Ulas Ali , Durmaz Fatma , Kaşali Kamber , Eren Suat , Aksungur Nurhak , Eroğlu Atilla
Published: May 2024

Background: This study aims to investigate whether the concept of doubling time in hydatid cysts differs according to different parameters such as age, sex, and whether the cyst is located in the lung or liver. Background: This study aims to investigate whether the concept of doubling time in hydatid cysts differs according to different parameters such as age, sex, and whether the cyst is located in the lung or liver.

Methods: Between January 2012 and August 2023, a total of 138 hydatid cysts were retrospectively analyzed. There were 55 pulmonary (32 males, 23 females; mean age: 25.6±23.8 years; range, 2 to 77 years) and 83 hepatic hydatid cyst patients (32 males, 51 females; mean age: 31.1±22.8 years; range, 3 to 75 years).

Results: The mean doubling times for pulmonary and hepatic hydatid cysts were 73.4±41.8 and 172.6±108.8 days, respectively (p<0.001). When children (≤18 years old) and adult cases were compared for pulmonary hydatid cysts, the mean doubling times were 61.1±17.6 and 87.1±55.3 days, respectively (p=0.119), and for hepatic hydatid cysts, 110.6±48.4 and 215.6±118.3 days, respectively (p<0.001). While comparing male and female cases, the mean doubling time for pulmonary hydatid cysts was 77.6±32.2 and 67.6±52.6 days, respectively (p=0.018), while for hepatic hydatid cysts, it was 192.0±111.7 and 160.4±106.2 days, respectively (p=0.250).

Conclusion: The doubling time seems to be approximately 10 weeks in the lung and approximately 25 weeks in the liver. Hydatid cysts grow faster in children than adults in both the lungs and liver.
Effect of preoperative three-dimensional modeling on uniportal video-assisted thoracoscopic bronchial sleeve resection and early postoperative outcomes
Authors: Gurz Selcuk , Sengul Aysen , Buyukkarabacak Yasemin , Gokhan Pirzirenli Mehmet , Gul Temel Necmiye , Sullu Yurdanur , Tanrivermis Sayit Asli , Gundogdu Hasan , Basoglu Ahmet
Published: May 2024

Background: The aim of this study was to evaluate the effects of preoperative three-dimensional (3D) modeling on the performance of uniportal video-assisted thoracoscopic bronchial sleeve resection and early postoperative outcomes.

Methods: A total of 10 patients (5 males, 5 females; mean age: 53.8±16.9 years; range, 18 to 75 years) who underwent uniportal video-assisted thoracoscopic bronchial sleeve resection with preoperative 3D modeling between April 2021 and November 2023 were retrospectively analyzed. Preoperative 3D modeling was prepared using computed tomography with an open-source 3D software program. Demographic, clinical, intraoperative, and postoperative data of the patients were recorded. Anatomical landmarks identified by preoperative 3D modeling were compared with intraoperative findings.

Results: The anatomical landmarks created with the 3D model were in 100% agreement with the intraoperative findings. The procedures performed were three left lower lobes, three right upper lobes, one middle lobe, one right lower lobe, and one parenchyma-sparing intermediate bronchial sleeve resection. Bronchial sleeve resection was completed using uniportal video-assisted thoracoscopic technique in 90% of patients, with only one patient requiring conversion to open thoracotomy. The mean resection time was 264.2±40.5 min, and the mean anastomosis time was 86.0±20.3 min. Anastomosis times decreased with increasing experience (p=0.008). Postoperative atelectasis was observed in two patients, and there was no mortality. The mean follow-up duration was 12.2±11.8 months.

Conclusion: Preoperative 3D modeling significantly contributed to the successful implementation of uniportal video-assisted thoracoscopic bronchial sleeve resection surgery. In the future, with advancements in simulation programs, patient-specific 3D modeling is expected to benefit the identification of anatomical landmarks for bronchial sleeve resections.
REVISÃO ACERCA DO DESENVOLVIMENTO NEURONAL INFANTIL NA EXPOSIÇÃO PRÉ-NATAL À AGENTES ANESTÉSICOS
Authors: Medeiros Heitor José Silva , Freire Rodrigo José Bumussa , Souza Ândrey Gabriel Nunes de , Beu Alexandre Theodoro , Wanderley Camila de Sousa , Kasuga Carolina Ayumi , Grasel Gabriella Regina , Santiago Hellen Thatiane Macena Rodrigues , Neves Letícia Sabrina , Silva Lizandra Alves de Almeida , Chernicharo Luciana Peluzio , Alves Marina Luiza dos Santos Duarte Siqueira , Oliveira Marisa Priscila Silva , Moura Mauro Junior Melo , Cerqueira Pedro Henrique , Resende Paula Palhares de , Souza Rodrigo Pinheiro de , Pinheiro Ricardo Luiz dos Santos , Basegio Vinícius Muller , Oliveira Vítor Andrade de
Published: May 2024

Introdução: Este artigo realiza uma revisão abrangente sobre o impacto da exposição pré-natal a agentes anestésicos no desenvolvimento neuronal. Objetivo: Avaliar as evidências existentes que relacionam a neurotoxicidade de anestésicos e sedativos com alterações no desenvolvimento cerebral durante períodos críticos da gestação. Metodologia: Essa revisão integrativa da literatura, foi realizada por busca em base de dados de artigos que correspondessem ao tema proposto. Incluiu-se avaliação dos artigos elegíveis na íntegra, excluindo aqueles que não se enquadram nos objetivos do estudo, teses e dissertações, sem contabilizar duplicatas.  Resultados e Discussão: Os resultados dos estudos laboratoriais e em modelos animais demonstram que a exposição a anestésicos pode induzir apoptose e estresse oxidativo, afetando negativamente o desenvolvimento cerebral fetal. Contudo, os resultados em humanos são variados, com estudos indicando desde ausência de efeitos significativos até associações entre exposição anestésica e alterações comportamentais e cognitivas em crianças. A discussão destaca que, embora estudos robustos sugiram que exposições breves e isoladas podem não ser prejudiciais, exposições repetidas ou prolongadas apresentam maiores riscos. Conclusão: Enfatiza a necessidade de mais pesquisas para uma compreensão completa dos riscos associados à anestesia pré-natal. Recomenda-se que futuros estudos adotem desenhos metodológicos mais rigorosos e considerem fatores confundidores potenciais para isolar o efeito específico dos anestésicos sobre o neurodesenvolvimento.
Percepción de los estudiantes sobre micro-cusos basados en educación Transdigital
Authors: Palacios-Díaz Rosalba , Vicario Solórzano Claudia Marina
Published: May 2024

La educación en línea basó sus modelos instruccionales en teorías educativas que se consolidaron en la era predigital. Con el crecimiento acelerado de fenómenos como el aprendizaje profundo, la minería de datos y la Inteligencia Artificial (IA), hay una reflexión colectiva sobre el alcance operativo de la tecnología digital. El concepto Transdigital se enfoca en utilizar redes performativas con elementos heterogéneos en asociación: todo participa al momento de aprender. Esta investigación realizó una intervención basada en un modelo de educación Transdigital utilizando micro-cursos. Se recolectaron datos cualitativos por medio de las primeras dos fases de la teoría fundamentada para el análisis: codificación abierta y axial. Los resultados mostraron que: 1) la guía docente durante el aprendizaje Transdigital; 2) la necesidad de sencillez en la educación; y 3) la presencia de la IA, son aspectos requeridos por los aprendices. Se discutió la obligación de las instituciones formales de reconocer el uso de los recursos de aprendizaje no formales por parte de los aprendices, y la efectividad de los micro-cursos basados en un modelo de educación Transdigital.
LEGAL PROTECTION OF CUSTODY RIGHTS FOR DUAL CITIZENSHIP CHILDREN AFTER THE DISSOLUTION OF MARRIAGE
Authors: Wicaksana Agus Arief , Astutik Sri , Prawesthi Wahyu , Hartoyo
Published: May 2024

The purpose of this research is first to determine the legal consequences of the breakup of mixed marriage on the custody of dual citizenship children and second, to understand the judge's considerations in handing down a decision as legal protection of child custody after the breakup of mixed marriage normative legal research methods. In the era of growing globalization, population mobility between countries has become increasingly common. This often causes mixed marriages between Indonesian citizens and foreigners to occur. Obstacles for people carrying out marriages of different nationalities, both within and outside the country, are regarding legal protection for children if in a marriage in Indonesia, for example, there is a divorce which has an impact on the division of assets, child custody, and so on. The most prominent impact of this kind of marriage is the birth of children with dual citizenship or dual citizenship. These children are citizens of more than one country at birth, and this presents unique challenges regarding their custody when parents divorce. An issue that is vulnerable and often arises in mixed marriages is the issue of the child's citizenship. Even though there are several legal regulations governing child custody, disputes over child custody often become disputes in court that require fair handling by judges. In this research, the judge decided that custody of a dual-citizen child would be given to the biological mother by applying the principle of the best interests of the child.
Otorrinolaringología General Vol. 6
Authors: Ruiz Illapa Karla Lilibeth , Rodríguez Manssur Yamid Fernando , Montenegro Bravo Alyssa Valentina , Villavicencio Villavicencio Johsette , Maya Castro Monica Alejandra , German Montenegro Paula Melissa , Iglesias Fuentes Jennyfer Nathaly , Aguilar Piguave Mildred Carolin , Vaca Jácome Diego Alejandro , Briones Fajardo Jenny Marisela
Published: May 2024

El libro "Otorrinolaringología General Vol. 6" representa una valiosa adición a la serie dedicada a la especialidad de otorrinolaringología. En esta sexta entrega, el autor [Nombre del autor], con amplia experiencia y renombre en el campo, proporciona una actualización exhaustiva y detallada de los avances más recientes en el diagnóstico y tratamiento de las enfermedades del oído, nariz y garganta.
Abordajes y Técnicas Quirúrgicas Tomo 6
Authors: Neira Borja James Edward , Neira Verduga Jaime Andres , Palma Leguisamo Miguel Angel , Lema Sanango Gabriela Marisol , León Ruiz Liliana Katherine , Vega Carrión Chrystian Vicente , Muñoz Navarrete Silvia Jazmín , Borja Jiménez Tatiana Alexandra , Grijalva Gomez Alberto Heinz , Peñafiel Moreira Jefferson Daniel , España Mera Juan Francisco , Abad Tigre Alex Fernando , Navia Bermeo Yuliana Paola , Lascano Cumbe Aaron Moises , Cumbicos Beltrán Tatiana Katherine , Albuja Rosero Mónica Gabriela , Argüello Villamar María José , Montanero Mejía Verónica Mabel
Published: May 2024

"Abordajes y Técnicas Quirúrgicas Tomo 6" es una destacada continuación en la serie de manuales quirúrgicos que ha sido reconocida por su exhaustividad y calidad educativa. Esta sexta entrega, coordinada por el respetado [Nombre del autor], ofrece una revisión integral y actualizada de los enfoques y técnicas quirúrgicas más avanzadas. El libro se presenta como una herramienta indispensable tanto para cirujanos en formación como para profesionales experimentados que desean mantenerse al día con las innovaciones en su campo.
ANALISIS KINERJA KEUANGAN PERUSAHAAN TERBUKA SEBELUM DAN SESUDAH AKUISISI (STUDI KASUS PADA PT. ELANG MAHKOTA TEKNOLOGI TBK TAHUN 2012-2022)
Authors: Soesanto Slamet , Rochendi Teddy , Fatmasari Avivah Fauzi
Published: May 2024

Business expansion is carried out with various strategies, one of which is through acquisitions. This research aims to identify differences in financial performance before acquisition and after the acquisition as measured by the financial ratio approach at PT Elang Mahkota Teknologi Tbk (Emtek), an integrated group company with three main business activities: Media, Telecommunications, and IT Solutions, and Connectivity. In this research, the author uses a quantitative approach by processing secondary data from financial reports published on the company's official website five years before and after the acquisition. The analysis technique uses descriptive statistical methods, data normality, and difference tests. This research shows significant differences after the acquisition in the current ratio, quick ratio, total assets turnover, and return on equity. Meanwhile, there are no significant differences before and after the acquisition in the cash ratio, debt-to-assets ratio, debt-to-equity ratio, long-term debt-to-equity ratio, net profit margin, return on assets, and return on equity
PENGARUH RASIO LIKUIDITAS, RASIO AKITIVITAS, RASIO SOLVABILITAS, DAN RASIO RENTABILITAS TERHADAP KINERJA KEUANGAN PADA PT. DUA PUTRA PERKASA PRATAMA
Authors: Iswati Sri , Salamah Salamah
Published: May 2024

This study aims to determine the effect of liquidity ratios, activity ratios, solvency ratios, and profitability ratios on the financial performance of PT Dua Putra Perkasa Pratama. The research used the quantitative method. The data used in this study are secondary data from PT Dua Putra Perkasa Pratama's financial statements, namely the income statement and balance sheet for the period 2015–2017. The research results state that the liquidity ratio, activity ratio, solvency ratio, and profitability ratio have a significant effect on financial performance. The liquidity ratio, activity ratio, solvency ratio, and profitability ratio simultaneously have a significant effect on the financial performance of PT. Dua Putra Perkasa Pratama for the period 2015–2017.
Coordinación Académica y Administrativa del Sistema de Enseñanza Abierta en una Institución de Educación Superior en México
Authors: Gallegos Cázares Susana , Aguilar Aldama Iveth Irene , Levet Rivera Carlos Enrique , Mendoza Díaz Ramar , Fabre Armando Adriano , Sosa Morales Edmundo , Quintero Bastos Tania Beatriz , Enríquez Corona Rocío , Zurita Morales Augusto Cesar
Published: May 2024

El Sistema de Enseñanza Abierta (SEA) tiene características especiales, haciendo una diferencia principalmente cronológica para la ejecución de los Programas Educativos. El tiempo es el activo más importante para los estudiantes, ya que en un día de clases presenciales deben solventar las necesidades académicas de manera efectiva, estas matrículas de estudiantes inscritos en un sistema abierto constituyen en gran parte sociedades trabajadoras o con problemáticas socioeconómicas puntuales. Por lo tanto, el trabajo de una coordinación de estas características se debe enfocar desde las vertientes universitarias, con liderazgo, trabajo mayormente académico, ejecución gestora integral y con atención a infraestructura física, humana y administrativa para la solvencia de una gran comunidad universitaria que logre un proceso satisfactorio de Enseñanza – Aprendizaje. Trabajar en coordinación con el personal de alta dirección y gestionar de manera ágil los procesos burocráticos, manejar información correcta, fluida y transparente de ingreso, destino y aplicación de recursos económicos, representación responsable directiva, confirmación de instancias legales, coordinación y vigilancia de funciones y funcionamientos.  Todo lo anterior como base de trabajo para gestionar y fomentar una coordinación académica con calidad.
Análisis comparativo de las escalas predictoras de vía aérea difícil en pacientes adultos. Revisión de la literatura
Authors: Aguilar Villota Santiago Xavier , Arroyo Mera María José , Pazmiño Pisco Jenny Marcela , Enríquez Guapaz Álvaro René
Published: May 2024

Una predicción adecuada de una vía aérea difícil permite al profesional médico determinar un abordaje adecuado al momento de planificar una orointubación, disminuir las complicaciones y limitar los intentos de intubación endotraqueal fallidos en la práctica clínica. Se utilizó un estudio de revisión de la literatura mediante un modelo descriptivo transversal. Las escalas tanto clínicas como métricas que valoran únicamente una característica morfológica en el paciente pueden ser muy imprecisas; la escala de Mallampati y la de Mordida del Labio superior pueden considerarse la mejor opción para la valoración en la cabecera del paciente, aunque con una sensibilidad y especificidad baja por sí solas. Las escalas que utilizan varios parámetros de valoración pueden ser de mayor utilidad, la escala de El-Ganzouri evalúa la mayoría las características clínicas necesarias para predecir una VAD, tiene alta sensibilidad para determinar una VAD, la escala IPID también es un buen predictor de vía aérea difícil en la práctica habitual comparada con la valoración de laringoscopía directa. Pese a que las escalas de evaluación predictivas en la cabecera del paciente pueden ser de ayuda, se recomienda que la evaluación de la vía aérea siempre que sea posible, se sustente en otros métodos de evaluación no clínicos como ultrasonido de la vía aérea superior.
La prevención, una forma de evitar el daño al medio ambiente, considerada desde la perspectiva del derecho tributario
Authors: Pino Villarruel Augusto , Redroban Ortiz Carlos , Ortega Ullauri Daniela
Published: May 2024

En el marco del cuidado del medio ambiente, se realizó el análisis de una acción de amparo constitucional en Ecuador con el objeto de esgrimir de ella una forma de evitar el daño al medio ambiente que pueden causar las empresas dedicadas al procesamiento de alimentos, este análisis realizado desde la perspectiva del Derecho Tributario a través de un estudio de caso presenta los datos concluyentes de una Sentencia de la Corte Constitucional que aplicó la ponderación como sistema de valoración de derechos para hacer prevalecer el derecho a vivir en un medio ambiente sano y productivo. Sus resultados muestran que si bien, el daño al medio ambiente es real, latente y perjudica a la sociedad, se considera que es causado, entre otras cosas, por la insuficiencia de incentivos tributarios a las personas naturales y/o jurídicas que en sus procesos productivos o en su vida diaria contaminan.
ՍՈՒՐ ԹՈՔԱՅԻՆ ԷՄԲՈԼԻԱՅՈՎ ՀԻՎԱՆԴՆԵՐԻ ԿԼԻՆԻԿԱԿԱՆ ԵՎ ԲՈՒԺՄԱՆ ԳՆԱՀԱՏՈՒՄԸ։ ԵՐԿՈՒ ՏԱՐՎԱ ԴԻՏԱՐԿՈՒՄ ՀԵՐԱՑԻ ԹԻՎ 1 ՀԻՎԱՆԴԱՆՈՑԱՅԻՆ ՀԱՄԱԼԻՐՈՒՄ
Authors: Malkhasyan I.E. , Sisakian H.S. , Hovhannisyan M.R. , Vardanyan A.K. , Avetsiyan Q.A. , Martirsyan G.E. , Terteryan A.M. , Hovakimyan M.H.
Published: May 2024

Pulmonary embolism (PE) is a condition characterized by high in-hospital mortality rates and often goes undiagnosed. Despite advancements in both treatment and diagnosis, many patients still receive unclear, evidence-directed treatment in both hospital and outpatient settings. Although significant progress has been made in managing acute pulmonary embolism, the risk of acute clinical deterioration and mortality remains high.
Data collected from Yerevan State Medical University Hospital in Armenia on acute pulmonary embolism presentations, along with a two-year follow-up, were used to assess outcomes and treatment modalities.
Current clinical guidelines recommend anticoagulation treatment for low- and intermediate-risk PE patients, while systemic thrombolysis or thrombectomy is recommended for high-risk PE patients. Despite adherence to guideline-based treatment, high-risk PE patients with advanced right ventricular failure and hemodynamic instability continue to experience high in-hospital mortality rates (33.3%). Early identification of high-risk patients and tailored treatment approaches may help reduce in-hospital mortality. Further studies are necessary to refine treatment strategies for such patients.
Distributed Ledger Technologies (DLTs) and right to health: the impact of blockchain in the healthcare sector
Authors: Borroni Andrea , Zambardino Fabio
Published: May 2024

Distributed Ledger Technologies (DLTs) and right to health: the impact of blockchain in the healthcare sector.