bluuebunny/crossref_metadata_2025 huggingface dataset:
Adrenal Infarction - An Early and Late Complication of COVID-19: A Case Report
Authors: Gigi Mariam , Kebadze Keti , Beriashvili Mariam , Dvaladze Mariam , Vardosanidze Elene , Abuladze Ana , Gigolashvili Tamar , Modebadze Melita
Published: December 2024

Progressive respiratory failure and the hyperinflammatory response are among the primary causes of death in COVID-19. Although various organ system complications have been identified post-COVID, among which one of the most important endocrine disorders is hypothalamus-pituitary-adrenal gland connection disruption, there is still little information about virus-induced adrenal gland tropism. Among the multisystemic effects of the COVID-19 pandemic, researchers are focusing on adrenal hemorrhages and infarcts. The aim of the article is to present and discuss clinical case of autoimmune adrenal gland failure developed post-COVID. The impact of COVID-19 was studied in 3 phases: The phase of acute active infection, Immediate post-infection phase and Long-term recovery phase. Adrenal insufficiency associated with COVID-19 has been reported in the literature in the context of hemorrhage and infarction. As a result of the studies, it was determined that the administration of large amounts of hydrocortisone to patients during the acute active phase of COVID-19 makes it impossible to fully evaluate the function of the gland. After stopping treatment with hydrocortisone, adrenal insufficiency was detected 1 month following the infarction. It has been established that during the long-term recovery phase, the possibility of insufficient cortisol is observed in most patients. In this case, the cause is central adrenal insufficiency. Considering all this, we can say that adrenal gland failure is a late phase complication of COVID-19. After transmission of COVID-19, complications are associated with insufficient production of cortisol by the adrenal gland. It is important to evaluate issues in post-COVID patients to avoid life-threatening adrenal crises.
Translation of Cultural Terms in Literary Work “Ini Banyuwangi Sri Tanjung Hidup Kembali”
Authors:   Faculty of Humanities, Udayana University, Jalan Pulau Nias 13 Denpasar, Bali-Indonesia, Isnu Maharani Sang Ayu , Aryani I G A Istri ,   Faculty of Humanities, Udayana University, Jalan Pulau Nias 13 Denpasar, Bali-Indonesia
Published: December 2024

This research is descriptive qualitative research entitled “Translation of Cultural Terms in Literary Work “Ini Banyuwangi Sri Tanjung Hidup Kembali-This is Banyuwangi Sri Tanjung Comes to Life”. This writing is written based on the phenomenon of difficulties in translating cultural terms in many literary works. To be able to provide good translation results, a translator must understand the culture of the source language (SL) and also the target language (TL).

The aim of this research is to identify cultural terms of the literary work. This research also tries to examine the translation strategies applied to translate cultural terms in this literary works.

The research method applied for this research is a documentation method with note taking technique. This research applies Newmark’s theory to identify cultural terms and also the Translation Strategy to examine the translation strategies used to translate cultural terms.

The research results showed that there were thirty-two cultural terms translated from the source language (Indonesian) into the target language (English) and contained three categories of cultural terms proposed by Newmark. The categorization of cultural terms found are ecological culture, material culture, and social organization. The translation strategies applied in translating cultural terms of this literary work are found seven of eight strategies mentioned by Newmark. The dominant strategy applied is adaptation strategy, followed by word for word and literal translation strategy. The least strategy applied is idiomatic translation.
Latent Autoimmune Diabetes of Adults Presenting as Recurrent Diabetic Ketoacidosis
Authors:   Professor, Department of General Medicine, Sri Siddhartha Medical College Hospital and Research Centre, Tumakuru, Karnataka., R S Shankarappa , kumar N Manoj ,   Resident, Department of General Medicine, Sri Siddhartha Medical College Hospital and Research Centre, Tumakuru, Karnataka.
Published: December 2024

Diabetes mellitus encompasses a spectrum of metabolic disorders characterized by
hyperglycaemia, resulting from genetic and environmental interactions that impair insulin
secretion, glucose utilization, and production. The World Health Organization revised
its diabetes classification in 2019 to include six categories: Type 1 -insulin-dependent, Type
2 -insulin-resistant, hybrid forms e.g., Latent Autoimmune Diabetes in Adults -LADA and
ketosis-prone diabetes, other specific types, unclassified diabetes, and hyperglycaemia first
detected during pregnancy. LADA is a hybrid form of diabetes characterized by gradual
autoimmune beta-cell destruction, commonly misdiagnosed as Type 2 diabetes. Diagnostic
criteria include onset after 30 years, islet autoantibodies e.g., GAD, and delayed insulin
dependence. LADA risk factors include low BMI, autoimmune history, and progressive
hyperglycaemia despite oral antidiabetic therapy. High-risk patients undergo GAD antibody
testing for confirmation. Accurate identification of LADA is essential for appropriate
management, as it bridges features of Type 1 and Type 2 diabetes.

Article Details
Interação intermolecular entre caseínas bovinas e luteína
Authors:   , Sismanoglu Mariana Ishhanuhi da Silva
Published: December 2024

Devido às funções biológicas das moléculas bioativas, sua ingestão pode contribuir com efeitos benéficos à saúde. No entanto, muitas apresentam baixa biodisponibilidade e estabilidade química, o que é um fator limitante para a aplicação destas moléculas. Uma solução para aumentar a estabilidade consiste na formação de complexos entre proteínas e moléculas bioativas, como as caseínas bovinas (as- CNs, ß-CN, e k-CN) e luteína (LUT). Assim, este trabalho determinou os parâmetros termodinâmicos da interação intermolecular entre caseínas bovinas e LUT através da espectroscopia de fluorescência; avaliou o efeito desta interação sobre a atividade antioxidante da LUT utilizando o método DPPH (2,2-difenil-1-picrilhidrazila); e analisou o impacto da formação dos complexos entre caseínas bovinas e LUT sobre a fotodegradação da LUT. Verificou-se que os complexos LUT-caseínas bovinas apresentaram estequiometria 1:1 e a constante de ligação (Kb) foi da ordem de 104 mol. L-1. Baseando-se na variação da entalpia padrão de formação do complexo (?H°), a formação dos complexos foi entalpicamente conduzida, no qual os complexos as-CNs-LUT e k-CN-LUT inicialmente tinham uma ligação endotérmica, e posteriormente passaram para uma ligação exotérmica (?H° diminuiu de 0.24 kJ. mol-1 para -6.17 kJ. mol-1 e de 5.95 kJ. mol-1 para -11.20 kJ. mol-1, respectivamente), enquanto o complexo ß-CN-LUT apresentou uma ligação exotérmica (?H° diminuiu de -6.03 kJ. mol-1 para -12.87 kJ. mol-1). As caseínas bovinas mantiveram ou aumentaram a atividade antioxidante da LUT (IC50 = 73.65 µg/mL para o complexo as-CNs-LUT; IC50 = 101.21 µg/mL para o complexo ß-CN-LUT; e IC50 = 88.04 µg/mL para o complexo k-CN-LUT), e aumentaram sua estabilidade contra a fotodegradação, diminuindo a constante de degradação da LUT (Kd) para 0.0091 h-1; 0.0083 h-1; e 0.0108 h-1, e aumentando seu tempo de meia-vida (t1/2) para 76.17 h; 83.51 h; e 64.18 h, respectivamente. Estes resultados contribuem para elucidar o papel das caseínas bovinas na estabilização da LUT em matrizes lácteas e outros sistemas baseados no complexo LUT-caseínas bovinas, fornecendo estratégias importantes para melhorar a aplicação e eficácia dos complexos as-CNs-LUT, ß-CN-LUT, e k-CN-LUT em formulações alimentícias e farmacêuticas. Palavras-chave: proteínas do leite; carotenoides; complexação molecular; espectroscopia de fluorescência; atividade antioxidante; fotodegradação.
Named Entity Recognition: A Deep Dive
Authors:   Tech Evangelist, USA, Sistla Swetha
Published: December 2024

Generally speaking, Named Entity Recognition is one of the major tasks in NLP that involves the identification and classification of named entities mentioned in text, which include, among others, names of people, organizations, locations, dates, etc.
DYNAMICS OF RISK FACTORS IN THE NATIONAL AND INTERNATIONAL SECURITY ENVIRONMENT
Authors: Kaiter Edith , Dobrota Bogdan , Popa Robert-Sebastian
Published: December 2024

The past decade was marked with an embrace of both positive and negative trends that entrenched new global security threats that occasioned both international and regional risks. However, it is possible to achieve major objectives in this time lapse; yet there has been an emergent necessity to build a new architecture of international/ regional security phenomenon. Nevertheless, the contemporary world still offers numerous conflicts based on the access to resources and such aspects as ethnic, cultural, religious and ideological diversities.
The present paper now turns to one of the areas greatly affected by instability, uncertainty and disruption of the established international relations. Current conflict dynamics depict a different picture, with terrorist attacks in 2015 being clear evidence of need for different approach to the problem than the military one. They have a significant role in protecting national security as public order is a state of order within a country characterized by harmony, law and order in societies. It is essential as it relates to stability and protection and which requires national and international security to be in synergy and to admit extensive multidimensional international cooperation. This era stresses out the need to update national legislation to the international level and the development of international police cooperation. A management of public order through information is crucial to tackle existing security challenges. Thus, the protection of security and public order is currently one of the main worldwide and regional priorities in a condition of constant alteration and uncertain risks, requires an extensive and integrated interdisciplinary view on the current and future problems.
High Curie temperature in Zn(Co,Ni)Se: DFT study
Authors: Jafarova Vusala Nabi , Hashimova Nermin Neriman , Scurtu Ionut Cristian
Published: December 2024

In this work, we aimed to examine the first-principles study of correlation between chemical environment and ferromagnetism, and Curie temperature of CoxZn1-xSe and NixZn1-xSe diluted magnetic semiconductors for different concentrations of impurity atoms. The calculations are implemented by the norm-concerving FHI pseudopotential method within the local spin density approximation (LSDA) and Hubbard U method. The analysis of the total density of states curves shows the half-metallic ferromagnetic character with half-metallic band gap. The first-principles calculated total magnetic moments of CoxZn1-xSe and NixZn1-xSe systems are found to be equal to 3 and 4 µB, respectively.
The Effect of Service Quality on Patient Loyalty with Mediation of Patient Relationship Management and Moderation of Hospital Brand Image
Authors: Razzaq Muneeba , Rasheed Sana , Khan Safa , Ahmed Dr Sheraz
Published: December 2024

In today’s competitive healthcare business, the impact of a hospital’s service quality on a patient’s attitude and behavior toward the hospital has become a major concern. The goal of this research is to look into the link between the hospital’s brand image, service quality, patient relationship management, and loyalty. To test the association, survey data was obtained from private and government hospitals in Islamabad and Rawalpindi that were accredited by five standards of care. Sample size was 300. SPSS was used to analyze the data. The findings reveal that the hospital’s service quality has both direct and indirect effects on the patient’s loyalty. This indicates that the hospital’s service quality not only enhances patient loyalty directly, but also enhances patient relationship management through enhanced service perception, which in turn raises the patient’s intention to return. The hospital’s brand image functions as a moderator in increasing service quality and patient loyalty. Furthermore, the findings suggest that service quality has an impact on patient loyalty through a pathway that incorporates patient relationship management as a mediator. As a result, according to this study, hospital managers should aim to develop and maintain the image of good hospitals in order to increase service quality, patient relationship management, and loyalty. It’s also a good idea to look into some tactics for building and maintaining a positive self-esteem facility.
Guerrilla Warfare in the Arta Region (Epirus-Greece) During World War II. The Local Dimensions of Occupation and Civil War
Authors: Tzoukas Dr. Vangelis
Published: December 2024

In this paper we examine the role of history and geography in the “Greek entanglement” of the 1940s and in the insurgencies of the period with regards to the development of armed resistance groups in the region of Arta, in Western Greece, during World War II. The Greek “andartiko” i.e. guerrilla movement against the Axis forces (1941-44) was in fact based in a long established tradition of violence, in local and family ties and in certain networks of power (found mostly in the mountainous regions of the country). From this point of view counter-insurgency policies that were adopted by the Germans were based on the assumption that the social base of the insurgents was the typical mountain community (chorio). It was not an easy task fighting andartes under these conditions. The condition of war lasted almost an entire decade and the experience of andartiko and the ensuing civil war between the two main Resistance organizations (EAM-ELAS and EDES) transformed ultimately the region of Arta and Greek society in an un
Cultural Pedagogy: Teaching the Art of Baba Nyonya Beaded Shoes through Educational Management
Authors: Imron Nur Emylia Natasha Muchamad , Noh Liza Marziana Mohammad
Published: December 2024

A small piece of Malaysia’s Peranakan heritage, Baba Nyonya beaded shoes reflect a beautiful blend of culture, history and craftsmanship. This paper is a qualitative study that investigates Baba Nyonya beading as an avenue for cultural pedagogy within the dynamics of modern education in an era where heritage is observed through passive consumption rather than active practice. Cultural practices such as Baba Nyonya beaded footwear should be integrated into education systems, especially with the impact of globalization that is swallowing borders between communities and languages which require efforts to sustain cultural identities. This study explores the ways local artisans are experiencing the integration of this craft into classrooms prior to establishing their ethnographic links that may contribute toward cultural awareness, pride, and identity development. The results suggests that cultural pedagogy can help uphold traditional knowledge, promote cross-cultural understanding and root the students more strongly within their culture. Such practices, however, require further research to gain insight into their effect on the students learning cultural competencies and finding their place in an increasingly globalized world. The study encourages the persistence of traditional crafts in the academic syllabus as a way to preserve cultural treasures such as Baba Nyonya beaded shoes and passing it down through generations where it would continue enjoyed.
Strategic Orientation of Small Business Entrepreneurs: A case of Female Entrepreneurs in Indigenous Medicine sector in Sri Lanka.
Authors: WG Premarathne
Published: December 2024

This study examines the strategic orientation of female entrepreneurs in indigenous medicine sector in Sri Lanka using Miles and Snow strategic typology. The overarching objective of the study is to understand how strategic orientation of Sri Lankan indigenous female entrepreneurs in indigenous medicine sector affects innovation and differentiation and to recognize most common strategic orientation in the sector. Although indigenous sector is globally regarded for producing high quality products with genuine species, yet firms in the sector is less in its competitiveness. Quantitatively, analysing data collected from forty five Ayurveda firms, the study found that defender type is the most prevalent orientation. Further, it was found that some are reactive type and hesitant to change their practices. Moreover, findings show that they lack in innovation and differentiation thereby achieving a poor performance.
A destinação da receita de infoprodutos após a morte de seu titular
Authors: De Moro Italo Nogueira , Gomes Sergio Milanez , Pompeu Ivan Guimarães
Published: December 2024

A internet modificou a forma que o ser humano se relaciona, comunica, comercializa e até mesmo como ocorrerá a transmissão de seu patrimônio após a morte. Esses avanços trazidos pela internet e as relações ou transações digitais é objeto do presente trabalho, visto que, apesar de relevante, é um tema pouco abordado na seara jurídica. Desse modo, tem-se o intuito de analisar o destino de recursos de infoprodutos após a morte de seu titular com a finalidade de colaborar com a produção acadêmica acerca do tema, assim como a divulgação cientifica. Por meio de uma pesquisa bibliográfica, doutrinária e legislativa buscou-se compreender qual o destino dos lucros decorrentes dos infoprodutos após a morte de seu titular, assim como fazer uma análise multidisciplinar entre o Direito, Marketing e o Empreendedorismo sobre o mercado e marketing digital com base em obras de autores como Caio Mário da Silva, Bruno Zampier, Flávio Tartuce, entre outros.
La construcción de los derechos digitales bajo el régimen de la soberanía del Estado digital
Authors: Sanmiguel Nancy Nelly González
Published: December 2024

Se abarca la expectativa de los derechos digitales en torno a la construcción del concepto de la soberanía del Estado dentro del ciberespacio, con el fin de ejercer su limitación así como la coercibilidad; se observan los parámetros de ubicación del Estado frente a la intermediación de los derechos digitales por la falta de avance y creatividad dentro del campo de la innovación, provocando la publificación de los servicios públicos, en específico de la tecnología, por parte del sector privado, quien actualmente posee el dominio digital de la construcción de la presencia del Estado electrónico o digital
La inteligencia artificial: una herramienta que revoluciona la compra pública
Authors: Colmachi Juan Francisco Diaz
Published: December 2024

La inteligencia artificial en la administración y en la contratación pública particularmente es inminente. Es necesario estar preparados para esta vinculación que se ve venir de manera rauda. Existen ventajas y posibles riesgos que son necesarios alertarlos previo a que la tecnología llegue a cubrir de manera completa aquellas actuaciones donde los sistemas tecnológicos logren realizar actividades que tradicionalmente han sido realizados por lo humanos, en este artículo intentamos plantear una problemática sobre la que es necesaria discutir con el fin de que la Administración este a la altura de asumir los nuevos retos y sobre todo de manera oportuna, preservando el bien común y sobre todo el derecho de los ciudadanos a adecuados servicios públicos.
O devido processo tecnológico na prestação de serviços digitais (tratamento de conteúdo digital) sob responsabilidade das big techs
Authors: Montenegro Ricardo de Holanda Melo
Published: December 2024

O artigo aborda uma perspectiva introdutória sobre o devido processo tecnológico e a prestação de serviços digitais de tratamento (moderação) de conteúdo digital, realizados pelas plataformas digitais e “Big Techs” aos consumidores.  O estudo apresenta ordens de discussões para o devido processo tecnológico, uma mais ampla, que se relaciona a algoritmo, a tomada de decisões automatizadas, e outra relacionada as atividades de moderação de conteúdo, transparência e informação adequada, privacidade, controle de acesso a conteúdo digital. Questiona em que medida há responsabilidade pela falta de transparência e de requisitos mínimos para realizar o Tratamento de Conteúdo Digital – TCD. O foco da pesquisa é identificar lacuna regulatória e conhecer o panorama internacional sobre regulação de plataformas e serviços digitais, investigar e elencar achados de assimetrias de informações no TCD sob responsabilidade das grandes empresas de tecnologias (Big Techs), apresentar caso concreto com impacto coletivo que retrata a falta de transparência, a ausência de requisitos que descumprem o devido processo tecnológico e violam o princípio da paridade de armas. Ao final, direciona a discussão técnica e as considerações finais para o aprimoramento de requisitos ao devido processo tecnológico e formas de ampliar o direito de consumidores no tratamento de conteúdo digital.
Una aproximación a la operatividad de los principios generales del Derecho en el control de la potestad reglamentaria
Authors: Maza Jose Ignacio Herce
Published: December 2024

El estudio del control de la potestad reglamentaria ante la dinámica de motorización legislativa que vivimos en nuestros días. Es de interés, actualidad y relevancia la reflexión sobre los instrumentos de control de una potestad discrecional, como es la normativa de la administración, de gran intensidad en la libre dinámica de los ciudadanos. Una de las técnicas de control de mayor operatividad contrasta el contenido de la norma con los imperativos de los principios generales del Derecho, que como ha señalado el Tribunal Supremo de España, son el oxígeno que respiran las normas jurídicas.
Entre e LAI e a LGPD: os deverses de transparência e de proteção de dados pessoais pela Administração Pública brasileira
Authors: Santos Fábio , Ziliotto Mirela Miró
Published: December 2024

O presente estudo tem por objetivo analisar o conflito aparente entre o dever de transparência da Administração Publica e o direito fundamental à proteção ao tratamento de dados pessoais. Assim, pelo método hipotético-dedutivo, apresentaram-se os contornos dogmáticos do direito de acesso à informação e do direito à proteção de dados pessoais, propondo-se a compatibilidade entre a Lei de Acesso à informação e a Lei Geral de Proteção de Dados Pessoais . Foram analisadas as hipóteses de tratamento de dados pessoais pelo Poder Público, buscando sanar o aparente conflito entre os preceitos fundamentais do direito de acesso à informação e do direito à proteção de dados pessoais, considerando em especial a publicidade inerente aos dados tratados no Portal Nacional de Contratações Públicas. Ao final, foram apresentadas as conclusões, no sentido de que ambas as leis que regulamentam os direitos fundamentais objeto de análise do presente estudo operam pela lente da redução de assimetria informacional nas relações entre Estado e cidadão. Diante disso, o dever do Estado de preservar a transparência não permite concluir que os dados pessoais possam ser publicizados de forma inconsequente e desnecessária e, tampouco, que a proteção daqueles seja justificativa vazia para impedir o acesso à informação.
Tecnologias desconhecidas e a (não) atuação da União em relação à aquisição de vacinas da covid-19 no Brasil: o retrocesso social no serviço público de saúde
Authors: Santos Luasses Gonçalves dos , Souza Lívia Sedrez de , Batista Rebeca Lopes
Published: December 2024

O artigo analisa a não atuação da União na pandemia da Covid-19, explorando os impactos da disseminação do SARS-Cov-2, o direito fundamental à saúde e o papel do Sistema Único de Saúde (SUS) ao longo dessa conjuntura. O exame das ações e omissões desse ente federativo se alicerça sobre uma análise do Relatório Final da Comissão Parlamentar de Inquérito da Pandemia, verificando- -se a existência de discursos negacionistas advindos do Poder Executivo Federal, em contraposição ao status fundamental do direito à saúde. O cerne do estudo está na violação da cláusula de proibição de retrocesso social em relação à recusa e atraso na aquisição de vacinas da Covid-19 no Brasil. Esse princípio estabelece que a garantia concreta dos direitos fundamentais não pode ser reduzida ou retirada, o que adquire relevância ao se analisar a estrutura da saúde socialmente conquistada no âmbito nacional, especialmente no que diz respeito ao Sistema Único de Saúde (SUS) e a oferta de imunizantes. Assim, a atuação omissiva da União, durante a pandemia, representa um retrocesso social, o que permite ser averiguada a legitimidade do protagonismo que os estados passaram a ter em relação à compra de imunizantes, destacando-se sua autonomia no contexto do federalismo cooperativo
Os regimes de responsabilização civil no novo Marco Legal para Inteligência Artificial: o Projeto de Lei nº 2.338/23
Authors: Manso Adriano Marques , Junqueira Calixto Marcelo
Published: December 2024

Este artigo examina propostas de regulação da responsabilidade civil por danos causados por sistemas de inteligência artificial (IA) no Brasil, perpassando o projeto de lei n.º 21/2020 e tendo como foco o novo texto de Marco Legal da IA, o PL n.º 2.338/2023. Objetiva-se contribuir para o debate legislativo com uma análise textual e crítica dos regimes de responsabilização delineados pelo PL n.º 2.338/2023 e a antecipação de questões e dificuldades a serem enfrentadas pelos agentes da cadeia de desenvolvimento e operação e vítimas de sistemas de IA. Além disso, identificam-se posturas que deverão ser adotadas pelos agentes de sistema de IA e autoridades competentes para o funcionamento equilibrado do sistema de responsabilidade proposto no PL n. 2.338/2023.
Gobernanza de datos, herramientas digitales en el mundo del trabajo y la economía: análisis del régimen legal y sus perspectivas
Authors: Rodriguez Ana Rosa
Published: December 2024

El presente artículo se propone describir el escenario global actual en materia de regulaciones sobre datos personales analizando la relación entre ellos y las herramientas tecnológicas, modelos de negocios basados en procesamientos de macrodatos y el mundo del trabajo. La creciente importancia de los datos en el ámbito laboral y económico ha generado la necesidad de un enfoque riguroso en términos de regulación y protección explorando las vías para optimizar el uso de las herramientas digitales en el entorno laboral con el objetivo de promover la innovación y el crecimiento económico mientras se garantiza la protección de los derechos individuales y la privacidad de los datos. Se analizan los marcos regulatorios vigentes a nivel global con implicancia importantes para las políticas públicas y las estrategias empresariales en la era digital.
Morbidity and mortality during delivery on a scarred uterus in the obstetric gynecology department EHS Batna, Algeria
Authors: Abdessemed Asma
Published: December 2024

Introduction. The existence of a scar uterus is a risk factor for obstetric morbidity in
subsequent pregnancies. The objective of this work was to evaluate the morbidity and
mortality during delivery in a scar uterus in our department, in order to reduce it and
improve the maternal and fetal prognosis. Methods. We conducted a descriptive,
retrospective, single-center epidemiological study at the EHS mother-child Batna from
January 1, 2018 to December 31, 2019, which involved women with a scar uterus of
obstetric origin with a pregnancy age greater than 22 Weeks of amenorrhea. Results.
During this period; 28407 women delivered in our department; of which 3002 were
carriers of a scar uterus (10.56%). The overall complication rate was 6.10% regardless
of the mode of delivery: Uterine rupture with 19 cases of dehiscence of the scar
(0.63%) and 9 cases of complete uterine rupture (0.30%). 2.60% of women had
delivery hemorrhage and 1.13% required transfusion. Hemostasis hysterectomy was
necessary for 9 women (0.30%). We observed 7 cases of placenta accreta, a rate of
0.23%, the wounds of the surrounding organs were caused in 3 cases (0.17%), the
iterative laparotomy was performed in 2 cases (0.11%). Cervical tears complicated 5
vaginal deliveries (0.36%). Infectious complications (endometritis, surgical site
infection, deep abscesses, episiotomy suture infection) were encountered in 1.77% of
cases (n=53). A delay in admission duration of more than 7 days was necessary for
1.17% of women (n=35). No maternal deaths were reported. On the fetal side, we
counted 3000 live births of which 94.77% had an Apgar score at 5 minutes greater
than or equal to 7. The neonatal mortality rate was 1.87%. Conclusion. Women with
a scar uterus are more and more numerous; the prognosis of delivery on a scar uterus
is burdened with numerous complications, the most important of which is uterine
rupture. However, the maternal-fetal prognosis can be improved by good monitoring
of pregnancy, a careful selection of candidates for vaginal delivery and a close
monitoring of the uterine test.
Carbon monoxide: socio-economic characteristics of households at high risk of CO poisoning, of Ben Badis town, Sidi Bel Abbes, Algeria, winter 2020-2021
Authors: BAKHTI Abdelkarim
Published: December 2024

Introduction. Accidental carbon monoxide (CO) poisoning affects Algerian
households in different regions of the country every year, with health facilities
recording between 3000 and 4000 cases a year, most often affecting women and
children, with a fatal outcome of around 10%. Material and methods. Our study
began with the completion of a number of studies which highlighted the importance
of studying the phenomena influencing this public health problem. It was carried out
by the epidemiology and preventive medicine department of the Ben Badis public
hospital in Sidi Bel Abbes, between November and December 2021, to study the
socio-economic characteristics of households with one or more risk factors for
accidental CO poisoning, during visits to repair, install or overhaul a heating appliance
or household appliance using natural gas, butane, wood or fuel oil. Results. Of the
households visited, 67% had at least one risk factor, most of which were related to
poor installation and non-maintenance of equipment, with only 12% declaring that
they were ill-informed about CO risks and incidents. Households where owners are
informed have significantly higher figures for risk factors (P<0.05). Conclusion. Three
quarters of households use stoves as a source of heat, given the accessibility of town
gas. 67% of these stoves installed and put into service present one or more risk
factors. These results confirm the need to step up efforts to combat this problem,
based on raising public awareness and enforcing regulations on the installation and
periodic maintenance of heating appliances.
Epidemiological and clinical profile of shock states admitted to medical emergencies at the Oran University Hospital
Authors: ALACHAHER Djamel
Published: December 2024

Introduction. Shock represents a frequent reason for admission at the emergency
department of the Oran’s hospital, it’s considered as a serious state because in the
absence of an adapted treatment, vital prognosis can be immediately engaged. The
main objective of our study is to evaluate the epidemiological and clinical
characteristics of our patients admitted for non-traumatic shock. Materials and
methods. A clinical and epidemiological, descriptive, prospective and monocentric
study performed in the medical emergency department of the CHU Oran interesting
any patient over the age of 15 years old admitted for a state of not traumatic shock
during a period of 3 years (January 2015 to December 2017). Results. 156 patients
with a shock were collected in our study, i.e. a frequency of 21 % of all admissions, an
average age of 65.13 ± 17.70 years [17- 106] and a sex ratio of 1.05; comorbidities
are dominated by hypertension (59.7%) and diabetes (39%).The reasons for
consultation were represented by the general state alteration (74.3%) and disorders of
consciousness (50.64%). The average SBP and MAP values on admission were very
low (53.20±30.75 mm Hg and 37.86±22.49 mm Hg, respectively), an average heart
rate of 100.78 ± 28.59, Hypovolemic shock remains the most common form (39.70%)
followed by cardiogenic shock (23.70%). However, the mechanism remains
undetermined in 21.20% of cases. Conclusion. Shock is a frequent and potentially
deadly pathology that requires means of exploration and the development of treatment
protocols.
Oncogeriatric assessment and management of elderly patients with cancer
Authors: MIRAOUI Dalila
Published: December 2024

Cancer is a frequently occurring disease among elderly people. The heterogeneity of the
elderly population in terms of comorbidities and functional status may largely explain the
difficulty in establishing management recommendations. The Comprehensive Geriatric
Assessment is a multidimensional assessment of general health status; comorbidities;
functional status; nutritional, and cognitive parameters. The Comprehensive Geriatric
Assessment is a tool used to discriminate between different groups of patients with different
frailty levels (fit, frail, vulnerable). The treatment of the cancer is dependent on these
categories.
The rising trend of gossypiboma; a call for more caution during surgeries – a case series
Authors: Ilikannu Samuel
Published: December 2024

Gossypiboma has been defined as a mass of cotton matrix that is left in the body
unintentionally during a surgical procedure. This condition is underreported because
of the attendant medico-legal implications associated with it. We report three cases of
gossypiboma that presented in our facility in one year. The preoperative diagnosis of
a foreign body was made in two of the cases via ultrasound while in one case it was
misdiagnosed as a degenerated cervical fibroid. A high index of suspicion, alongside
prompt diagnosis and management, is key in the management of gossypiboma.
Prevention via routine double surgical sponge counting, implementation of the World
Health Organization (WHO) surgical safety checklist and the use of electronic methods
of sponge counting could be helpful in abating this menace.
The world and Russia, Russia and the world: on the inescapability of one trend in western-centric discourse
Authors: Neimark M. A.
Published: December 2024

Unprecedented macrosystemic transformations are taking place in the world. The result of crisisconflict local, regional and geopolitical divisions, isolations and splits has been the systemic degradation of the existing world order. Key centers of power are shifting towards the NonWest. The overstrain of the US hyperpower status is approaching a critical point. The fragmentation of the geopolitical space and its chaos have reached a maximum that threatens global strategic security.
Houthis: Arabia’s fighting force?
Authors: Frolov A. V.
Published: December 2024

Today, the Yemeni Houthis represent a rather significant fighting force in the Arabian Peninsula and the Red Sea, capable of defending their interests and challenging not only regional centers of power, but also external powers, including the United States.
Seyyahlıktan Sırt Çantalı Gezginlere: Dijital Medya Çerçevesinde Gezginin Dönüşümü ve Türk Gezginler Üzerine Bir Değerlendirme
Authors: Ünal Mehmet Anıl
Published: December 2024

Seyyah kavramı yüzyıllar öncesinde ortaya çıkmış ve kültürel etkileşimin gerçekleşmesinde önemli bir rol üstlenmiştir. Öte yandan, kitle iletişim araçlarının gelişimi ve ilerlemesiyle birlikte seyyahların eserleri geniş kitlelere ulaşır hale gelmiş ve kültürel etkileşim hızlanmıştır. Dolayısıyla, kitle iletişim araçlarının artışı ve çeşitlenmesi, özellikle internet aracılı iletişim ortamlarının artışıyla, seyahat etme anlayışı dönüşüme uğramış ve sırt çantalı gezgin kavramının ortaya çıkmasına yardımcı olmuştur. Sırt çantalı gezgin kavramı, belli bir plana bağlı kalmadan, en az eşyayla seyahat etmeyi amaçlayan bireylerin ortaya çıkmasıyla literatüre geçmiştir. Bu bağlamda, sırt çantalı gezginler kitle iletişim teknolojilerinden de yararlanarak, dolaştıkları coğrafyalardan izlenimlerini anında paylaşır hale gelmiş ve geniş kitlelere ulaşabilir olmuştur. Çalışma, seyyahlık kavramının iletişim teknolojilerinin etkisiyle sırt çantalı gezgin kavramına dönüşümünü irdelerken, gezginlerin Youtube kanallarında yer verdikleri video blogları çözümlemeyi amaçlamıştır. Belirlenen Youtube kanallarının içeriklerinin çözümlenmesinde metin çözümlemesi tekniği benimsenmiştir. Sonuç olarak, çalışma kapsamında belirlenmiş olan sırt çantalı Türk gezginlerin Youtube kanallarında en fazla izlenen video bloglardan ikişer içerik çözümlenmiştir. Çalışmada, içeriklerde öne çıkarılan konular, gezilen ülkeler, gidilen bölgeler, insan ilişkileri ve Türk kültürüne olan bakış açısı değerlendirilmiştir.
Semantic Based Image Indexing using Deep Learning
Authors: Drushya Bhaisare  , Yash Nakhale  , Ridam Lokhande  , Sujal Fethfulwar  , Aniket Gongle  , Dr. Dhananjay Dumbere
Published: December 2024

This paper introduces a semantic-based image indexing system utilizing a custom Convolutional Neural Network (CNN) for feature extraction and semantic embedding techniques for understanding image content. Traditional image indexing methods rely heavily on low-level visual features, often resulting in inaccurate or irrelevant results. By leveraging deep learning, our proposed system bridges this gap, allowing high-level semantic features to guide indexing and retrieval. Tested on the CIFAR-10 dataset, our approach demonstrates a significant improvement in precision, recall, and overall retrieval performance, showcasing its potential in real-world applications
Nöd och död i Norrland
Authors: Engberg Elisabeth
Published: December 2024

In 1920, Sweden experienced a severe outbreak of pandemic influenza, primarily affecting the rural areas in the north. The epicentre of the 1920 outbreak was Arjeplog, a small and remote parish that had escaped earlier pandemic waves. However, in 1920, the parish exhibited the highest influenza mortality in Sweden during the entire period of 1918–1920. This article examines the extensive press coverage of the outbreak in two newspapers, Norrskensflamman and Aftonbladet, focusing on how the events were reported, perceived, and analysed in relation to the newspapers’ political stances. The findings reveal that although their journalistic ambitions, motives and political stances differed, both newspapers expressed similar ideas about an underprivileged, underdeveloped, and uneducated north, where poor social conditions and ignorance had exacerbated the severe consequences of the outbreak. Norrskensflamman’s coverage, featuring substantial critical social analysis, became instrumental in political debate, while Aftonbladet’s reports, characterized by human-interest journalism, helped prompt the allocation of philanthropic relief.
A família dual-career em tempos de crise: Vivências das mulheres brasileiras em home office
Authors: Fernandes Thais , Andretta Danilo , Berlato Heliani
Published: December 2024

Os estudos sobre as famílias dual-career tangenciam aspectos importantes da relação trabalho-família para casais que constroem carreira e compartilham uma vida familiar. No entanto, há poucas pesquisas que exploram as dinâmicas desses casais à luz de contextos emergenciais ou de crise, particularmente do ponto de vista da mulher. Neste sentido, esta pesquisa se propôs a compreender como a mulher em dual-career vivenciou a relação trabalho-família, em regime de home office, em um cenário de pandemia. A partir de uma abordagem qualitativa, sete mulheres em dual-career foram entrevistadas durante a pandemia do coronavírus. Os relatos revelaram duas categorias principais: reflexos na esfera familiar e experiências do trabalho em home office. Na primeira categoria, destacaram-se três elementos: a divisão das tarefas domésticas, a presença de apoio externo e a relação de proximidade entre os membros familiares. Na segunda categoria, dois elementos: o convívio social com os colegas de trabalho e a adaptação de horários e ambientes. Conclui-se que a renegociação representa um fator decisivo para as mulheres em dual-career, sobretudo como forma de resistir à assimetria de gênero. Ademais, os desafios enfrentados pelas mulheres, em regime home office quando as esferas da casa e do trabalho se sobrepõem, sinalizam que as organizações precisam repensar a configuração dessa modalidade de trabalho, especialmente para as famílias dual-career. Esta pesquisa contribui para registrar as memórias deste período pandêmico para essas famílias e sublinhar questões importantes decorrentes de contextos de crise.
Translation, cultural adaptation, and psychometric evaluation of the Attention Deficit Hyperactivity Disorder Stigma Questionnaire for Portuguese speaking countries
Authors: Trigueiro Maria João , Couto Beatriz , Simões-Silva Vitor , Simões de Almeida Raquel
Published: December 2024

Introduction: Despite the growing knowledge about Attention Deficit Hyperactivity Disorder (ADHD), these people are still faced with stigma from society. Research on the stigma associated with ADHD is limited due to the lack of valid and reliable instruments. Aim: This study aimed to validate the ADHD Stigma Questionnaire (ASQ) for Portuguese people and perceiving stigma levels in a community sample. Material and Methods: The sample consisted of 762 individuals, aged between 11 and 64 years old (32.41 ±14.59 years). The validation encompassed the translation and cultural adaptation of the original version and the analysis of the psychometric properties: reliability - test-retest and internal consistency -, content validity and construct validity. Results: The internal consistency of the ASQ was very good (α = 0.93) and the test-retest values (r=0.86) support the reliability of the instrument. In construct validity, factor analysis explained 50.25% of the variance and indicated a new distribution of items 2, 3, 9 and 15 in the instrument. Women (p<0.001) and coastal residents (p=0.015) had a higher level of stigma. Conclusion: The use of the ASQ for research and clinical practice in Portuguese people is adequately supported by its psychometric properties. Targeted ADHD stigma and literacy campaigns could provide an important avenue for improving the broader community’s attitudes toward ADHD.
Geschäftsmodelle: Das mobile Labor - Partikelzähler für hydraulische Fluide
Authors:   Boris Mette
Published: December 2024

Die Partikelanalyse ist eine wichtige Methodeder vorbeugenden Instandhaltung. Stauffpräsentiert jetzt die dritte Generationseines Partikelzählers, mit dem derVerschmutzungsgrad von Hydraulikflüssigkeitenregelmäßig besonders präzise gemessen werdenkann. Hydraulische Systeme werden effizientüberwacht, um die Betriebszeiten mobiler undstationärer Anlagen zu maximieren.Dabei werden Herstellervorgaben,Dokumentationsanforderungen und Normenmit minimalem Aufwand in der Praxis erfüllt.
Consecuencias de la salida del Tratado de la Carta de la Energía: numerosos asuntos pendientes e incumplimiento de los laudos arbitrales que condenan a España
Authors: Díez Moreno M.ª Ángeles
Published: December 2024

España ha abandonado el Tratado de la Carta de la Energía, desde el pasado 17 de abril de 2024. También la Unión Europea se ha retirado de este tratado, pues considera que es un obstáculo para lograr las ambiciones de la Unión en materia de clima y seguridad energética que marcan el Pacto Verde Europeo y el Acuerdo de París. Sin embargo, esta decisión no exonerará a España de cumplir con las indemnizaciones acordadas en las distintas sedes arbitrales internacionales sobre las reclamaciones que plantearon inversores de otros Estados parte del tratado por la supresión de las primas a las renovables, que llevó a cabo el Gobierno español de 2010 a 2013, pues esta salida no tiene efectos retroactivos sobre las condenas arbitrales ya falladas, ni sobre los arbitrajes pendientes de resolución. La retirada de España está cargada de incumplimientos de los laudos arbitrales resultantes de la aplicación del artículo 26 del TCE y dejará patente la inseguridad jurídica en materia de política energética, mermando su reputación ante la comunidad internacional y perjudicando su liderazgo ante futuras inversiones energéticas.
Sustainable Development: The role of Education for its Stabilization
Authors:   Department ofEducation, Government Degree College, Sopore, Jammu and Kashmir 193201, India, Rasool Altaf , Sharma Sarika ,   Department of Teachers Training & Non-Formal Education, Faculty of Education, Jamia Millia Islamia, New Delhi-110025, India
Published: December 2024

The proposed paper examines the concept of sustainable development in detail. It throws light on how the schools can play a significant role in developing the notion regarding the environmental issues and concerns.This paper further attempts to explore the role of education for the stabilization of sustainable development.To achieve the required level of sustainable development, this paper will contribute how schools have to take up new role and greater responsibilities, and away to help the students to advance the knowledge, ability, and values relevant to conservation and preservation of sustainable development. The entire Educational programmes and school management should lay emphasis on the new issues so as to face the new emerging challenges of environmental concerns and sustainable development. The present schools must be engaged to discharge functions in relation to the conservation issues and sustainable development. It further examines that sustainable development can extend holistic progress beyond the foreseeable future without exhausting available and valuable resources.
Product Strategy and Performance among Real Estates Firms in Mombasa County
Authors: Manyeti. Cynthia , Kavale. Dr. Stanley , Kimwolo Dr. Andrew
Published: December 2024

Organizational performance refers to the ability of an enterprise to achieve such objectives as high profit, quality product, large market share, good financial results and survival at pre-determined time using relevant strategy for action. The general objective of the study was to investigate product strategy and its effect on the performance among real estate firms in Mombasa County. The specific objectives of the study were to determine the effect of product development strategy, product differentiation strategy, product diversification strategy, product segmentation strategy and product liquidation strategy and performance among real estate firms in Mombasa County. The theoretical framework of the study consisted of the Ans off theory, the grand selection strategy theory, the generic strategy theory and the balanced score card theory. The study employed explanatory research design and the target population was 125 real estate firms in Mombasa County. The sample size was 97 real estate firms derived using the Taro Yamane sampling formula. The study established that product development, product differentiation strategy, product diversification strategy, product segmentation strategy, and product liquidation strategy had a positive and significant influence on performance of real estate firms in Mombasa County. The study recommended that managers need to employ product development, product differentiation strategy, product diversification strategy, product segmentation strategy, and product liquidation strategy so as to increase the performance of real estate firms in Mombasa County.