bluuebunny/crossref_metadata_2025 huggingface dataset:
Agronomic assessment of rice genotypes (Oryza sativa) under different levels of fertilizer application: A review
Authors: SUPRIYA  , KUMAR RAKESH , VERMA PARKASH , CHAUDHARY AMRESH , S SUDARSHAN , GARG KAMAL , PATEL SHASHANK
Published: January 2024

The current rice production system, centered around the high-input green revolution methods, tends to favour affluent farmers, leaving lower-income farmers unable to fully embrace modern agricultural techniques due to soaring input prices. In India, shrinking cultivable land and a growing population have led to intensified agronomic practices like heavy chemical fertilizer usage mainly impacting soil health and crops productivity especially rice. This trend has discouraged poorer farmers from rice cultivation due to diminishing factor productivity and profitability amidst rising input expenses, posing significant concerns about sustainability and economic viability. In this context, the review aims to assess how rice (Oryza sativa L.) genotypes perform when exposed to varying levels of fertilizer application, providing valuable insights into their adaptability and potential for increased productivity and soil fertility. It was investigated how different fertilizer levels, specifically nitrogen, phosphorus, and potassium, affects important agronomic practices, yield-related parameters, and grain quality in various rice genotypes. A diverse set of genotypes represent a broad spectrum of genetic background and adaptation strategies, including those known for their efficiency in using nutrients. Highlighting how the robustness of certain genotypes under conditions with limited nutrients maintained satisfactory yields and grain quality. In contrast, some genotypes demonstrated superior performance under higher fertility conditions, resulting in significant yield increases, larger grain sizes, and improved nutritional profiles. These approaches optimize fertilizer application, reduce the environmental impacts associated with excessive nutrient use, and ultimately enhance overall rice production.
Arbuscular mycorrhizal fungi association and root rot disease in mungbean (Vigna radiata) growing areas of Haryana
Authors: SARAN MAHENDRA KUMAR , CHUGH RAKESH KUMAR , RAJ KUSHAL , MEHTA SATISH KUMAR , YADAV PANKAJ , KUMARI DEEPAK
Published: January 2024

The study was carried out during rainy (kharif) seasons of 2021 and 2022 at Chaudhary Charan Singh Haryana Agricultural University, Hisar, Haryana to provide a comprehensive understanding of how the presence and activity of arbuscular mycorrhizal (AM) fungi may influence the development of root rot in mungbean (Vigna radiata L.) crops in different mungbean-growing areas of Haryana. Root colonization by AM fungi in Hisar, Bhiwani, Mahendragarh, and Charkhi Dadri districts of Haryana ranged from 16.45 to 24.07%, 7.71 to 16.73%, 7.02 to 21.43% and 7.59 to 22.28%, respectively. This variability underscores the diverse interactions between mungbean plants and AM fungi in these distinct geographical regions, reflecting the influence of environmental factors and local soil conditions on mycorrhizal associations. Sporocarp numbers in these districts ranged from 76.5 to 131.5, 37 to 102, 54 to 119.5 and 65.5 to 118 per 100 g of soil, respectively. These findings emphasize the dynamic nature of AM fungal populations and their potential impact on the overall soil health and plant-microbe interactions in mungbean cultivation. Similarly, root rot incidence in these districts varied from 6.59 to 11.62%, 7.48 to 11.29%, 7.05 to 11.43% and 5.88 to 11.76%, while root rot intensity ranged from 2.77 to 4.82%, 2.70 to 4.61%, 2.06 to 4.61% and 2.43 to 4.85% in Hisar, Bhiwani, Mahendragarh, and Charkhi Dadri districts, respectively. This variability in root rot incidence and intensity highlights the susceptibility of mungbean crops to this detrimental disease and emphasizes the importance of region-specific strategies for disease management.
Women Pirates Learning Through Legitimate Peripheral Participation
Authors: Taber Nancy
Published: January 2024

In this field note article, I discuss my in-progress historical novel about privateering in the 17th century to demonstrate how adult education feminist theories of situated learning have influenced my fiction-based research. I introduce situated learning in gendered communities of practice, explain women’s experiences in (para)military organizations, and describe fiction-based research. I then compare theoretical concepts and quotations with excerpts from my fiction to explore feminist situated learning adult education theories, women in non-traditional roles, fiction-based research, and how women’s lives from the 17th century connect to those in the 21st. I conclude with a discussion of how adult educators can use fiction to engage with theory in their own teaching and research. In ways similar to Watson (2016), who argues that “fiction offers sociologists a medium for doing sociological work” (p. 434), in this article, I explore how fiction can offer adult educators a medium for doing pedagogical work.
The Complete Genome Sequence of Ceratonia siliqua L. (Fabaceae, Fabales), Carob
Authors: Chlyah Omar , Mdarhi Meriem Alaoui , El Ghoubali Douae , Kieras Michael , Pirro Stacy , Ghazal Hassan
Published: January 2024

We present the whole genome sequence of Ceratonia siliqua L. Illumina paired-end reads were assembled by a de novo method followed by a finishing step. The raw and assembled data are publicly available via GenBank: Sequence Read Archive (SRR24502586) and assembled genome (JASKGM000000000).
As concepções filosóficas e suas aplicações no curso de licenciatura em educação física: Estudo de caso
Authors: Carballo Fábio Peron
Published: January 2024

As transformações do conhecimento são objeto de estudo de diferentes pedagogias que visam contribuir para a formação, sobretudo humana do indivíduo. Não é diferente com a Filosofia. Esta área do saber busca caminhos - alternativas pedagógicas - para o processo de ensino-aprendizagem, no Ensino Superior se torne compreensível tanto para discentes, principalmente do curso de Educação Física, uma vez que priorizam somente o aspecto técnico- prático. Dessa forma afirma-se que o objeto da disciplina de Filosofia no Curso de Educação Física é, essencialmente, constituir a ligação do jogo e do esporte ao corpo e ao movimento
Approaches to the kangaroo method in the humanization of newborns: A systemic review
Authors: Alves Santiago Xavier Ediane , Lima Dias Monique , Rocha da Cruz Rebeca , Dos Santos Conceição Roselane
Published: January 2024

Introduction: Due to technological advances in Neonatal Units not being sufficient to provide humanized care and not meeting the needs of newborns, the Kangaroo Method was created by the Ministry of Health with the aim of providing newborns with quality care. Objective: To describe the approaches of the Kangaroo Method in the humanization of the newborn, through a qualitative systemic review. Methods: Using the terms "kangaroo method", "humanized care" and "newborns", publications were selected from the PUBMED, LILACS and SCIELO databases, as well as dissertations and manuals from 2017 to 2023. Results: 45 materials were found, of which 25 were excluded after applying the criteria defined for the textual production of this article, 5 because they were not related to the topic, leaving 6 articles selected to read the abstracts, leaving 9 studies. Final considerations: The Kangaroo Method has stages that aim to promote humanized care for the NB by establishing a bond between the NB and the mother through contact with the mother's or father's body, as well as providing humanized care for health professionals in terms of reducing morbidity and mortality in premature neonates.
Prevention of venous thromboembolism in surgical patients: A proposal for a protocol based on the reality of a university hospital
Authors: Budtinger Filho Ricardo , Giacomelli Lucas , Abdias Sampaio Ferreira Aurélio , Missassi Heller Thainara , Ambrosi Eduarda , Giacomelli Lucas , Beatriz Firmino Werner Laura , Massayuki Wakasugui Sobrinho Antônio
Published: January 2024

Introduction: Venous thromboembolism (VTE) results from the formation of thrombi in the endothelial space, following factors related to endothelial injury, venous stasis and coagulation disorders. This scenario can result in deep vein thrombosis (DVT) and pulmonary thromboembolism (PTE), which is the third leading cause of cardiovascular death worldwide. Given the possibility of preventing VTE in the majority of in-hospital cases, it is recommended that every hospital has a formal strategy for VTE prevention, including in patients undergoing elective surgery. To this end, it is possible to use risk stratification scales, both for the development of VTE and the baseline risk of bleeding in post-operative patients. Objective: To provide an institutional protocol that is systematized and updated according to the main national and international literature on the prevention of venous thromboembolism in elective surgeries at the Júlio Muller University Hospital (HUJM/ UFMT). Materials and Methods: A protocol was drawn up based on a systematic analysis of up-to-date scientific evidence on thromboprophylaxis in elective surgeries, adapted to the routine of the Júlio Muller University Hospital (HUJM/UFMT), using the UpToDate, Pubmed and Cochrane Library platforms, as well as the Guidelines of the Brazilian Society of Angiology and Vascular Surgery (SBACV) and the American College of Chest Physicians (ACCP). Conclusion: The patient's risk of developing VTE is largely due to avoidable or predictable risk factors, depending on the type of surgery, mobilization time and risk of bleeding. The use of a protocol for the prevention of venous thromboembolism through risk stratification will allow greater individualization of the patient in relation to established prophylaxis, based on scientific evidence. Further studies on the subject are still needed, especially in the setting of elective surgery.
Solitary fibrous tumor of the pleura: A rare case report
Authors: Budtinger Filho Ricardo , Ambrosi Eduarda , Missassi Heller Thainara , Beatriz Firmino Werner Laura , Giacomelli Lucas
Published: January 2024

The solitary fibrous tumor of the pleura, first conceptualized in 1870, is a rare mesenchymal neoplasm that represents less than 5% of all tumors originating in the pleura. It is most common between the sixth and seventh decade of life, affecting men and women equally, with no associated hereditary or environmental risk factors.
Effects of strength training program in the treatment of chronic non-specific low back pain
Authors: Aparecido Magalhães Roberto , Gabriel Bertoletti Jean , Luísa Morais Amancio Ana , Borges da Cruz Gustavo , Delbim Lucas , Martelli Anderson
Published: January 2024

Low back pain is defined as any pain that occurs between the last costal arch and the lower gluteal fold, and may have different intensities and durations, being considered chronic if it lasts for more than 12 weeks, becoming non-specific if its cause is not identified, compromising the quality of life of affected individuals. Currently, Strength Training (TF) has been included in the treatment of chronic non-specific low back pain, in order to improve the condition of people suffering from this condition. Thus, the objective of this research was to verify the impact of PT on the treatment of low back pain, highlighting the main aspects based on the inclusion of this practice in everyday life, showing the benefits arising from this method. For the present study, a review of scientific articles was carried out using the PubMed, Scielo and Google Scholar databases to complement information on low back pain and PD. Several evidences were found that positively contribute to the improvement of low back pain with the use of PT in pain conditions, increased functional capacity, improvement in activities of daily living (ADL), gain in muscular resistance, strength and hypertrophy, in addition to individuals showing themselves more active. It is concluded that TF proved to be effective in the treatment of non-specific chronic low back pain, improving its symptoms such as pain and disability, however, if applied by an unqualified professional and incorrectly, it can be harmful to health.
What do pre-school children think about human ageing?
Authors: Nayare de Oliveira Maia Francisane
Published: January 2024

This article aims to present the conceptions of children between four and five years of age, regularly enrolled in Early Childhood Education, the first stage of Basic Education, about the elderly and human aging. In this sense, a bibliographic and field research was carried out. For data collection, Children's Literature books were used, which explored the theme in a playful and accessible way for the age of the students, so that it was possible to collect children's reports about their conceptions about human aging. Afterwards, the collected material was analyzed in the light of the bibliographic reference pertinent to the theme. According to what was analyzed, the results indicate that the theme of human aging is distant from the school environment and therefore appears in a superficial way within school contents, contributing to children presenting conceptions loaded with stereotypes about the elderly. It was also possible to observe that the children present different conceptions of the terms "elderly and old", which drew a lot of attention during data collection. The word "old" appeared in a pejorative way, while "elderly" children saw as people capable of performing activities. It is important to develop school curricula that work adequately with the theme of human aging from Early Childhood Education, as school is an intergenerational environment. Finally, it is through contact with the theme that the child may have different conceptions about the elderly and human aging.
Risks and vulnerabilities of injectable administration in health promotion settings with the impact of lack of biosafety
Authors: Santos Natália Figueiredo dos
Published: January 2024

Biosafety is a set of measures aimed at preventing, minimizing or eliminating risks inherent to activities in occupational environments. Several problems have been reported regarding the lack of biosafety, especially in health care facilities that have sectors associated with the manipulation of injectables and other invasive procedures. Therefore, describing the performance of the pharmaceutical professional in relation to biosafety management directs a technical qualification seeking to identify, minimize and even eradicate risks and vulnerabilities associated with these invasive practices with the possible exposure of biological fluids to which they are exposed. Thus, the objectives of this study were to analyze and discuss the risks and vulnerabilities of injectable administration in health promotion environments, indicating the impact of the lack of biosafety. To this end, we conducted a small literature review, in addition to a field research among pharmacists in the Lakes Region, State of Rio de Janeiro, where an online questionnaire with 19 closed questions on the theme already explained above was applied. Our results found a wide variety of studies related to the theme, corresponding to the data found in the participation of 20 pharmacists who were technicians in charge, working in pharmacies with injectables or who had already worked in this practice. The results were impactful because they confirmed the fragility of many professionals who work with injectable injections. Lack of knowledge in current legislation, other disabled professionals performing these activities without proper preparation, among other difficulties. In view of the results obtained in the research, it is concluded that there is a need to broaden the discussion on occupational risks, work accidents and vulnerability in the practices of health professionals, with the objective of developing health policies for pharmaceutical professionals.
Effects of aging on vocal function: A systematic review
Authors: Moreira Victor Hugo Tetilla , Esposito Mario Pinheiro , Xavier Tarcisio Redes , Ferrer Rayna Gonçalves , Esposito Izabela Pinheiro , Ferreira Thales Victor Fernandes , Santos Karina Alencastro dos
Published: January 2024

Introduction: Aging is a natural and inevitable process that affects all areas of the body, including vocal function. The voice plays an important role in communicating and expressing emotions. A variety of physiological and biomechanical changes can impair vocal function with aging. In view of the above, this study is justified by its academic, scientific, and social relevance, with the aim of exploring in detail the effects of aging on vocal function, including associated structural and physiological changes and their social and emotional implications. Objective: To demonstrate, through the scientific literature, the effects of aging on vocal function. Methodology: This is a systematic review research, carried out according to the indications of the PRISMA method. Data collection took place in the scientific bases: LILACS, SCIELO and MEDLINE. Results and Discussion: The discussion about the effects of aging on vocal function is crucial for us to understand how the natural aging process affects such a fundamental aspect of human communication. It was evidenced through the analysis of the selected sample, the main aspects for the present discussion. The natural aging of the voice occurs progressively in parallel with other bodily functions and is influenced not only by the anatomy and physiology of the body, but also by the lifestyles that individuals lead throughout their lives. Conclusion: Understanding the effects of aging on speech function has advanced significantly, but knowledge gaps still need to be filled. More research is needed to validate the effectiveness of different therapeutic interventions and to develop innovative approaches to facilitate voice quality improvement in older adults.
Colorectal surgery: Surgical approaches and postoperative rehabilitation strategies
Authors: Canali Bruna Vergani , Silveira Laís Tinoco , Brito Gabriele de Lima Gazani , Ribeiro Nathalia Rodrigues , Mujahed Guilherme Badawi Urio , Fernandes Ana Carolina Shinkawa , Mujahed Isaac Badawi Urio , Fiore Denilson , Bretas Júnior Ademar
Published: January 2024

Colorectal surgery is a multifaceted medical discipline that encompasses the treatment of various conditions, including colorectal cancer, inflammatory bowel diseases, and diverticulitis. This review article examines surgical approaches and post-operative rehabilitation strategies in this field of medicine. Concerning surgical approaches, we highlight laparoscopy and robotic surgery as alternatives to open surgery. Laparoscopy offers benefits such as shorter hospital stays and faster recovery, but the choice of surgical technique should be personalized, taking into account the complexity of the case and the surgeon's experience. Robotic surgery, while promising, faces challenges related to costs and the learning curve. Regarding post-operative rehabilitation strategies, we emphasize the importance of a multimodal approach, which integrates physical therapy, pain management, psychosocial support, proper nutrition, and early mobilization. Personalizing care based on the individual needs of the patient is crucial for a successful recovery. In conclusion, colorectal surgery requires carefully considered decisions and holistic care to achieve effective outcomes and improve patients' quality of life. Ongoing research and the evolution of techniques are essential for enhancing clinical practice in this field. Individualized care and interdisciplinary collaboration are key to ensuring the success of colorectal procedures.
Dental trauma in childhood: A literature review
Authors: Uchôa Sue Ann Castro Lavareda , Corrêa Suelen Castro Lavareda , Corrêa Davi Lavareda , Corrêa Vânia Castro
Published: January 2024

Dental trauma is a frequent incident in early childhood, categorized by the World Health Organization (WHO) as a public health problem, ranging from small cracks in the enamel to permanent tooth loss. The purpose of this study is to review the literature on the aspects of dental trauma in the primary dentition. Trauma to primary teeth occurs in preschool children and is often linked to behavioral characteristics, such as curiosity and restlessness, leading children to explore environments that are conducive to falls, resulting in an increased incidence of injuries. Success in post-traumatic treatment is directly associated with the provision of emergency care at the time of the incident. The delay in care can lead to a series of complications, depending on the type of trauma suffered by the tooth. In view of this perspective, in order to avoid complications resulting from trauma and delay in treatment, there are specific protocols and guidelines that can be employed. Each treatment approach is targeted at a specific type of trauma. In addition, in more severe cases, when there is severe trauma, a multidisciplinary treatment should be considered.
IoT & long-range radio (LoRa) based air quality sensing through hyper-automation to manage critical temperature-reducing blood and plasma product wastages
Authors: Roy Mrinmoy , Thadakaluru Siva Sai
Published: January 2024

Background: Each year, about 7 lakh units of blood and its components are estimated to be wasted in India before being used. Due to a communication gap between blood banks, donors, regulators, hospitals, and recipients, blood is wasted in India. Blood loss could significantly negatively influence the nation's healthcare system. A blood bank only accepts a minimal amount of unavoidably outdated blood and its constituent parts due to the internal obligation to maintain blood supplies and the regularly shifting demands on the inventory. Most blood banks' operations, including regulating the Refrigerator's temperature and contents, are done by hand. Observing temperature changes before they endanger the supply is possible if the storage temperature is continuously tracked in real time. The Need: Patients may also require blood transfusions if they have cancer, sickle cell illness, anaemia, bleeding problems, or sickle cell anaemia. A cancer patient requires at least 100 units of blood. Given the ongoing need for blood products and the frequently unforeseen demands placed on the inventory, the blood bank accepts minimal inevitable blood and component ageing. Collecting 500–1000 units/bags of blood in a blood camp is acceptable and manageable; the blood may then be distributed to those in need via blood banks or centralized blood repositories. Blood is spread by blood banks to each hospital ward, expecting to be transfused within 30 minutes. The RefrigeratorRefrigerator must have a suitable temperature alarm and maintain a temperature range of +2 C to +6 C. Even though some blood loss cannot be prevented, IoT solutions will assist in reducing the amount of lost blood. Aim: To control the critical temperatures of the blood bank by hyper-automation using IoT-based air quality sensors in the blood bank. Method: In this paper, we practically observe, analyze, and demonstrate how to control the critical temperatures of Hospital Blood Bank (HBB) and its wastage management system with the help of a Long-Range Radio (LoRa) based air quality sensor which works on internet of things (IoT) application connected to a no code low code secure cloud platform with dashboard, text messages, LoRa alarm units, excel data analysis and reports. Findings: Using real-time communication and temperature monitoring, reducing Blood wastage in Hospitals is possible. Compared to Manual temperature monitoring, IoT temperature monitoring through hyper-automation leads to less wastage of blood and blood products. Conclusion: LoRa allows for better penetration even in the densest of the buildings in a hospital and can get accurate values of the critical temperature in the freezers. All these proposed systems are together called hyper-automation, and they would assist in preventing blood and its components wastage.
Development of a product quality improvement strategy
Authors: Synechko Sergii
Published: January 2024

In modern competitive conditions, product quality is becoming one of the main indicators that users pay attention to when choosing a product. Thus, it is relevant to analyse the process of forming a high-quality production strategy. The purpose of this study is to analyse the methods of forming a strategy for improving product quality based on examples of individual companies. The main research methods used in the study were: analysis, forecasting, historical, etc. The paper examines certain methods of product quality management, namely: Lean Management, Six Sigma, Theory of Constraints, and Total Quality Management. Their features, purpose of use, and implementation stages were outlined. In particular, it was shown that the main goal of Lean Management is to reduce time and costs to ensure high quality standards, while Total Quality Management is more focused on investigating customer preferences and optimising the internal motivations of company employees. Thus, it was concluded that each of the methods can be used by different companies at different times and lead to different performance indicators. This indicates the relevance and necessity of conducting separate research by the company's managers to choose the approach that will be most effective for them. In addition, the implementation of these methods in individual enterprises was evaluated, and the problems and advantages that were obtained from them were described. The conducted research brings new knowledge to the theory of marketing, and its conclusions can be used by companies in practice, for example, during the process of creating their own competitive strategy in the market
Determinant of Shopee Xpress consumer satisfaction in Jakarta Greater Area
Authors: Medyawati Henny , Novanda N.
Published: January 2024

Logistics plays an important role in facilitating corporate trade by providing the necessary services to deliver goods from producers to consumers. Therefore, it is important to consider consumer attitudes and behaviours related to consumer satisfaction with the services provided by logistics companies. The research aims to analyse the effect of service quality, price perception, and promotion on consumer satisfaction of Shopee Xpress consumers and to determine which variables are the most dominant. The analysis method used in this research was partial least square. The test stages conducted were convergent validity test discriminant validity, composite reliability, Cronbach’s alpha, R-square, F-square, predictive relevance, goodness of fit, and path coefficient. The data used in this research were obtained from questionnaire instruments and valid data of 120 respondents were collected. The sampling method in this research is nonprobability sampling with the technique of purposive sampling. The results showed that the variables of service quality and promotion influenced consumer satisfaction, but the variable of price perception did not influence consumer satisfaction and the most dominant variable on consumer satisfaction is the promotion variable. The variables of service quality, price perception, and promotion affected Shopee Xpress consumers around the Jakarta Greater Area simultaneously. The research results prove that the three variables studied determine consumer satisfaction with users of the Shopee Xpress delivery service in the Greater Jakarta area. This research is focused on companies where more people will choose to use the services provided, supported by promotions and the perception of adequate prices, and the results provide practical recommendations for improving the quality of service of these same companies in the future
Managing social intelligence from the perspective of optimising labour market pricing
Authors: Liadskyi Ihor , Diadyk Tetiana
Published: January 2024

The objective assessment of their labour value by future employers is a pressing concern for all students and graduates of higher education institutions. Young people frequently overestimate their salary expectations, leading to substandard service provision, or conversely, accept low-paying jobs resulting in emotional burnout due to lack of motivation. The purpose of this study was to identify how students with developed social intelligence assess their earnings prospects during their studies, in the first years after graduation and in adulthood. For this, a survey of students was conducted using the TROMSØ test and specially designed questions that helped to identify the respondents’ subjective assessment of the value of their working time. The study found a statistically significant relationship between social intelligence and labour market pricing. This dependence is particularly pronounced for wage expectations immediately after the graduation (p≤0.01**). However, no correlation was found between social intelligence or its components and ambitions for the level of pay during study. It was found that students are willing to look for part-time work for any financial motivation. As for the level of salary that would fully satisfy them in adulthood, the average salary is three times higher than the minimum wage in Ukraine and equals USD 580. By understanding the level of a person’s social intelligence, one can build an effective hiring system, gaining an additional tool for assessing possible salary ambitions. This will help to optimise the work of the HR department and understand the range of financial incentives needed required to stimulate a particular employee
The Delphi Delirium Management Algorithms. A practical tool for clinicians, the result of a modified Delphi expert consensus approach.
Authors: Ottens Thomas H. , Hermes Carsten , Page Valerie , Oldham Mark , Arora Rakesh , Bienvenu O. Joseph , van den Boogaard Mark , Caplan Gideon , Devlin John W. , Friedrich Michaela-Elena , van Gool Willem A. , Hanison James , Hansen Hans-Christian , Inouye Sharon K. , Kamholz Barbara , Kotfis Katarzyna , Maas Matthew B. , MacLullich Alasdair M.J. , Marcantonio Edward R. , Morandi Alessandro , van Munster Barbara C. , Müller-Werdan Ursula , Negro Alessandra , Neufeld Karin J. , Nydahl Peter , Oh Esther S. , Pandharipande Pratik , Radtke Finn M. , De Raedt Sylvie , Rosenthal Lisa J. , Sanders Robert , Spies Claudia D. , Vardy Emma R.L.C. , Wijdicks Eelco F. , Slooter Arjen J.C.
Published: January 2024

Delirium is common in hospitalised patients, and there is currently no specific treatment. Identifying and treating underlying somatic causes of delirium is the first priority once delirium is diagnosed. Several international guidelines provide clinicians with an evidence-based approach to screening, diagnosis and symptomatic treatment. However, current guidelines do not offer a structured approach to identification of underlying causes.

A panel of 37 internationally recognised delirium experts from diverse medical backgrounds worked together in a modified Delphi approach via an online platform. Consensus was reached after five voting rounds. The final product of this project is a set of three delirium management algorithms (the Delirium Delphi Algorithms), one for ward patients, one for patients after cardiac surgery and one for patients in the intensive care unit.
In pursuit of continuity: Maji Maji war and nationalistic movement in 1940s-1950s in Southern Tanganyika
Authors: Malekela Samson Peter
Published: January 2024

Dar es Salaam School’s Historians in the 1960s and 1970s established that the Majimaji war fought 1905-1907 had an undeviating connection with nationalistic movements which culminated in Tanganyika’s (Today's Tanzania mainland) independence on December 9th, 1961. This implies that Majimaji and the later nationalistic movements are inseparable since the war started the independence struggles initiatives. Nationalist view was challenged but only until early 1990 when new interpretations emerged and the former was regarded as outlived since its main purposes of building the nation and instilling nationalism to the people were outmoded. It is more than five decades, since Nationalist School presented their interpretation. This paper seeks to check if the contemporary generation perceives the Majimaji in similar consonant with the Dar es Salaam School of African History when nation building through the recovery of African traditional values and instilling patriotism were paramount. Since neither society nor history is static, a study aiming at writing the history of the people by the people through verification. The study is qualitative employing both, primary and secondary sources of data. Oral accounts serves as primary source and documentary reviews from books and journal articles constitutes secondary source. The findings shows that the contemporary peoples’ understanding of the Majimaji war in juxtaposition with nationalistic movements in 1940s and 1950s. Furthermore, it has been reveled that the people in Songea, Southern Tanganyika still have the nationalist view on Majimaji war apparently due to different factors but not limited to it’s nature, history memory, role of the elites and pedagogical practices. Its put forward that Majimaji war has a special place in the history of Tanganyika due to its connectedness, continuity and Change in socio-economic and political aspects. It has also been discovered that Majimaji war had a link with nationalistic movements and its continuity and change prevail to post-independence period.
Impact of lean manufacturing practices on the performance of manufacturing industries
Authors:   Iqra University, Pakistan, Razzaq Danial
Published: January 2024

In this paper, we aim to check the impact of lean manufacturing practices on the performance of the manufacturing industry in Pakistan. The three practices involve customer involvement, supplier involvement, and 5s and their effect on the industry's performance. For this purpose, we used a random sampling technique with a sample of 20 questions, a question-based questionnaire designed under the supervision of expert supply chain specialists from different manufacturing industries and authentic research journals. The key finding of this research paper is that we have seen the positive significance of lean practice on the performance of Pakistan's manufacturing industry.
Relationship of supplier development and proactive product recall with quality performance
Authors:   Iqra University, Pakistan, Ali Sajid
Published: January 2024

A few manufacturers outsource their productions, making the assurance of the health and well-being of manufactured items more difficult. The limited capacity of existing regulatory bodies, the constant increase in bulk imports, and the complexity of global sourcing have caused severe quality performance problems in the supply chain. Therefore, the relationship between supplier development and proactive product recall with quality performance was examined. Quantitative variables were used in this research because of the nature of the topic. This study is explanatory and assumed based on established hypotheses. Supplier development and quality performance were analyzed using regression. The findings found that the two sorts of quality management practices that we studied in this research are proactive product recall and supplier development. Proactive product recall, if utilized appropriately, may alleviate the company's harmful effects as it is a cure activity that happens once a quality problem has occurred, or, in other words, it is a reactive approach.
Complications after TaTME in rectal cancer surgery
Authors:   Department of Endoscopic Endocrine Surgery and Coloproctology Military Medical Academy Sofia, Penchev Dimitar , Ivanov Plamen ,   Clinic of Endoscopic,Endocrine surgery and Coloproctology, Department of Surgery, Military Medical Academy, Sofia, Popivanov Georgi ,   Clinic of Endoscopic,Endocrine surgery and Coloproctology, Department of Surgery, Military Medical Academy, Sofia, Mutafchiyski Ventsislav ,   Clinic of Endoscopic,Endocrine surgery and Coloproctology, Department of Surgery, Military Medical Academy, Sofia
Published: January 2024

Introduction: Transanal endoscopic total mesorectal excision is an innovative surgical technique for the treatment of low rectal neoplasms. The method can improve both oncological outcomes and reduce the frequency of perioperative complications. However, there is no strong evidence to support such claims, and high-quality studies in the field are needed. Material and Methods: The study included 32 patients with rectal cancer who underwent transanal total mesorectal excision with laparoscopic assistance at the Department of Endoscopic, Endocrine Surgery and Coloproctology, Military Medical Academy in Sofia, Bulgaria, between 2017 and 2022. Perioperative complications were presented and classified according to the Clavien & Dindo classification. Results: The mean age of the sample was estimated to be 66.09±8.94 years, with males accounting for 56.3%. No perioperative mortality was observed, and the postoperative complications rate was around 15% in the study group. Data were entered and processed using IBM SPSS Statistics® v20. Descriptive methods were used for the analysis of results for parametric and non-parametric variables. Conclusion: Based on the presented results and literature review, we can conclude that perioperative morbidity and mortality are comparable between the transanal and laparoscopic methods.
ANÁLISE DA CONCENTRAÇÃO DE MOAGEM DE USINAS DE CANA-DE-AÇÚCAR NO BRASIL NA SAFRA 2022/2023
Authors: Silva Bruce Wellington Amorin da , Santos Luana Inada Souza , Lourenzani Wagner Luiz
Published: January 2024

The objective of this research was to analyze the industrial concentration and determine the market structure of sugarcane industries based on the milling data from the 2022/2023 harvest season in Brazil. Thus, a quantitative approach of applied nature, descriptive objective, and bibliographic and documentary research were adopted. Concentration measures such as the Concentration Ratio – CR(k), Hirschman-Herfindahl Index – HHI, and equivalent number – vH were used for concentration calculation. The results indicate that there is a company that holds a significant portion of the national milling, but the market is considered unconcentrated, characterized by monopolistic competition and relatively light competition.
Molecular Metal Nanoclusters for Water Oxidation Catalysis and Future Potential
Authors: Munir Akhtar , Abdul Nasir Jamal , Haider Ali , Adeel Asghar Muhammad , Zubair Muhammad
Published: January 2024

Fossil fuels, currently the leading source of energy, subsidize a lot of CO2 to the environment, causing many environmental issues including the greenhouse effect. To address these challenges, there is a need to develop alternative and renewable energy resources for a sustainable future. Water, being a renewable source, is a promising candidate because of its ability to produce H2 (HER-cathodic reaction) and O2 (OER-anodic reaction) by providing electricity. However, the overall efficiency of water splitting is limited due to the high overpotential for half-cell anodic reaction, thus becoming a hot area of research to beat its sluggish thermodynamics and slow kinetics. Molecular nanoclusters (MNCs) are emerging materials because of their unique optical, catalytic, magnetic, and electronic properties. These unique properties are due to various factors including electronic shell closing (Jellium model), geometric shell closing, high surface-to-volume ratio, and super atomic behavior, unlike their bulk counterparts. This chapter will summarize the well-developed research information on MNCs and their potential for OER. It will create a link between the reported and ongoing work, consequently helping the researchers to identify future research directions in nanocatalysis for making the water-splitting process an economically viable process for H2 production.
Exploring Standard and Alternative Sites for Left Ventricular Assist Device Inflow Cannula and Outflow Graft Placement
Authors: Dimitrov Kamen , Zimpfer Daniel
Published: January 2024

Left ventricular assist device (LVAD) therapy is an essential tool in the armamentarium for managing refractory heart failure. The traditional LVAD placement involves insertion of the inflow cannula (IC) at the left ventricle’s true apex and attachment of the outflow graft (OG) to the ascending aorta (AA), which ensures alignment with physiological blood flow and minimizes complications. However, patient-specific anatomical variations and prior medical interventions necessitate considering alternative IC and OG placement techniques. This chapter reviews the standard and alternative IC and OG placement sites and emphasizes the importance of adapting LVAD component placement to individual patient needs, highlighting the potential of alternative techniques in improving outcomes. Despite the predominance of standard sites due to their proven efficacy, the heterogeneity of patient conditions underscores the need for flexible, patient-tailored approaches.
Pelvic Floor Awareness and Adult Re-Toilet Training in the Treatment of Lower Urinary Tract Dysfunction
Authors: Fleischmann Nicole
Published: January 2024

Toileting habits are established early in life, during the process of toilet training. Children who overuse their guarding reflex can develop voiding dysfunction and incontinence, which they typically outgrow. However, unhealthy behaviors, such as enhanced holding and straining to void, are common in the adult general population, suggesting the persistence of old habits that have the potential to create symptoms throughout a woman’s life. Women with poor toileting habits frequently ignore bodily sensations, and use voiding postponement and abdominal straining to eliminate, without relaxing the pelvic floor. Continuous pressure on the pelvic floor tissues during elimination can create structural changes in the pelvic anatomy, particularly after childbirth. Educating women about pelvic floor function, bladder retraining, and full pelvic floor relaxation during voiding and defecating are the goals of treatment. In this chapter, we review a simple and strategic process in which the provider teaches relaxation of the puborectalis muscle, with the aid of diaphragmatic breathing, so that coordinated elimination can develop. Although pelvic floor awareness and education may not benefit all cases, women should be warned that chronic pelvic muscle clenching and straining are potentially destructive to the pelvic floor and sphincter muscle function.
SCAI SHOCK Stage Classification: What is Missing from the Latest Update?
Authors: Bozkurt Biykem
Published: January 2024

The revised Society for Cardiovascular Angiography and Interventions classifications reflect graduation of severity within each stage and pathway by which patients progress or recover. However, they are limited regarding the following: their predictive role to guide therapy; escalation of therapy or referral; variability in diagnostic criteria and interpretation; presence of other disease modifiers and confounders; variability of etiology and reversibility of cause; response to therapy and trajectory to be taken into risk stratification; magnitude and phenotypes of end-organ damage. Thus, we need a modified risk score to predict the necessity to escalate therapy and consider advanced therapies, such as mechanical circulatory support. Future research on validation studies and reclassification analyses is needed.
Early Unloading in V Early Unloading in Venoarterial Extr terial Extracorpor acorporeal Membr eal Membrane Oxygenation Shock: When, How, Where, and Why?
Authors: Schrage Benedikt
Published: January 2024

As extracorporeal membrane oxygenation increases the left ventricular afterload, a successful treatment plan should include strategies to address this issue. One promising approach to do so is the addition of a second device for active left ventricular unloading. However, this relatively new approach is currently only based on retrospective data. This article summarizes the current perspectives on this approach, provides recommendations for its application, and highlights the need for randomized data on this topic.
Role of Invasive Hemodynamics in Shock Management: Is a Pulmonar Pulmonary Artery Catheter Alwa y Catheter Always Necessar ys Necessary?
Authors: Kirtane Ajay
Published: January 2024

The pulmonary artery (PA) catheter can be a useful tool in the management of patients with cardiogenic shock; however, there are challenges with the use of this catheter, and clinicians must balance the risks and benefits. In addition, clinicians must properly interpret data generated from a PA catheter in the context of other data to optimize a patient's hemodynamics.
The Challenges of Conducting Clinical Trials for Patients with Cardiogenic Shock
Authors: Rao Sunil
Published: January 2024

Cardiogenic shock due to ST-segment elevation myocardial infarction is associated with high morbidity and mortality. Patients in shock are acutely ill, and clinicians may lack equipoise, thus presenting a challenge to developing high-quality evidence to guide practice. This review will summarize these challenges and offer possible solutions.
Coronary Flow and Unloading in Acute Myocardial Infarction Shock
Authors: Ishikawa Kiyo
Published: January 2024

In patients with cardiogenic shock that undergo successful coronary intervention, there are still factors complicating myocardial recovery. There is room for improvement in coronary flow using mechanical circulatory devices, specifically by left ventricular unloading. This idea was further explored in a research study using pigs. Results showed that subjects with acute myocardial infarction who have reduced cardiac contractility and/or high diastolic pressure would benefit from support strategies targeting left ventricular unloading.
Pendekatan Sastra Bahasa dalam Metodologi Tafsir “Aisyah Abd Rahman Bintu Syathi”
Authors: Ningsih Wiwik Prasetiyo , Sumbulah Umi , Hamdy Mohammad Zainal
Published: January 2024

Al-Qur'an is the Arabic language holy book that contains the highest literature. Then the interpretation of the Qur'an will be more objective if it is done with a literary approach, not a scientific or other approach. Because of the characteristics of the Qur'an itself which is the highest literature, it would be more appropriate to approach it with a language literature approach. This paper aims to describe the language literature approach that’s contained in Bintu Syathi's interpretation methodology. This research is a qualitative research with a type of literature review. The results of this study are that the language literature approach contained in Bintu Syathi' thematic interpretation methodology is never separated from extrinsic criticism and intrinsic criticism. He uses extrinsic criticism at the stage of understanding the what arroud of the Qur'an. Meanwhile, he used intrinsic criticism at the stage of understanding the mafi AlQur'an or what is in the Qur’an when interpreting the Al-Qur'an
El decorum y su utilización pedagógica en algunas obras de san Agustín
Authors: Capolino Enrico ,   Order of Augustinian Recollects
Published: January 2024

El artículo aborda una aplicación pedagógica del recurso retórico clásico del decorum en la pedagogía agustiniana. Se ofrece en primer lugar una introducción a la formación retórica agustiniana para posteriormente hacer un recorrido de la obra del Obispo de Hipona, deteniéndose en dos de los así llamados “Diálogos de Casiciaco”, concretamente en el De ordine, y el contra Académicos. El artículo analiza también desde la perspectiva del decorum la ep. 29, destacando cómo el Obispo de Hipona aplica dicho recurso retórico a la solución de conflictos. Se aborda, asimismo, el De catechizandis rudibus, en donde el decorum, desde una perspectiva pedagógica agustiniana significa poner al alumno en la sintonía de la enseñanza, ya que según el Hiponate, es preciso “conectar para enseñar”. Finalmente aborda desde esta misma perspectiva el s. Dolbeau 5, 11 (= s. 114B ).