bluuebunny/crossref_metadata_2025 huggingface dataset:
Digital Transformation Strategy in Advertising: A Study Bibliometric Analysis
Authors: Sukmono Filosa Gita , Lestari Nastiti Dyah , A. Rahman Suria Hani , Ahmad Murtada Busair
Published: November 2024

This study analyzes digital transformation in advertising strategies. A search using the keywords “Digital Transformation” and “Advertising” in the Scopus database yielded 114 documents. Using the PRISMA method, the researchers applied inclusion criteria, selecting articles, conference papers, book chapters, conference reviews, books, and reviews available in English, Spanish, Portuguese, German, and Russian. This bibliometric analysis identified key themes, such as “Digital Transformation,” “Advertising,” and “Artificial Intelligence,” with the United States and Germany as the most influential countries. Eight thematic clusters were identified, such as digital transformation based on data and technology, digital business management, digital marketing strategy, data-driven marketing automation, technology, and workforce management, digital innovation in sustainable marketing, technology integration and professional skills development, communication in digital marketing, and the impact of COVID-19 on marketing models. This pioneering bibliometric study provides essential insights for academics and professionals aiming to understand current advancements in digital transformation within advertising. Companies are encouraged to integrate artificial intelligence into digital campaigns to improve personalization and effectiveness in advertising strategies.
Location of venous reflux in our duplex test of patients with primary chronic venous insufficiency and comparison with that of the literature
Authors: Chowdhury Mohammad Rashal , Hossain M. Aslam , Choudhury Niaz Ahmed , Al-Miraj A. K. , Sarker Nur Mohammad Arif
Published: November 2024

Background: Chronic venous insufficiency (CVI) significantly impacts patients’ quality of life and poses economic burdens on healthcare systems. Accurate assessment of venous reflux is crucial for effective management. This study aimed to identify the sites of deep, superficial, and perforator venous reflux, including junctional incompetencies between superficial and deep veins in patients with primary CVI.
Methods: A prospective observational study was conducted from July 1, 2022 to June 30, 2024, utilizing non-invasive Duplex ultrasonography on patients in our clinical practice. Data were collected without patient identification, and informed consent was obtained prior to procedures. Reflux was defined as venous flow reversal lasting over 0.5 seconds.
Results: A total of 50 limbs from patients aged 20 to 77 years (mean age 43) were examined, with a male-to-female ratio of 52:48. Reflux was detected in the external iliac (41 limbs), common femoral (39 limbs), superficial femoral (21 limbs), popliteal (26 limbs), posterior tibial (7 limbs) and perforator veins (21 limbs). Sapheno-femoral junction incompetency was observed in 28 cases, with 6 cases indicating early-stage reflux. Dilatation of the great saphenous vein was noted in 33 cases, while 14 cases exhibited short saphenous vein dilatation.
Conclusions: The detection of venous reflux reveals significant insights for diagnosing and managing CVI. This study highlights areas for improvement in Duplex examination techniques, advocating for enhanced training for healthcare professionals to elevate diagnostic standards, ultimately benefiting patient outcomes and reducing societal burdens associated with CVI.
Outcome of combined surgery with compression therapy for management of venous leg ulcer
Authors: Khurshid M. Rownak , Islam M. Ashraful , Al Mahmud Hossain , Chowdhury Mohammad Tanvir Ahmed , Linda Nushrat Sharmin
Published: November 2024

Background: Venous leg ulcers (VLUs) are late indicators of chronic venous insufficiency (CVI) and venous hypertension. Compression therapy (CT) with multilayer bandage is the first line of treatment modality of ulcer management. But CT has a slow ulcer healing rate and high chance of recurrence. The present study was conducted to identify the outcome of combined surgery with compression therapy to manage VLU.
Methods: In this prospective study, 60 patients were included who presented to the department of cardiovascular surgery of Dhaka Medical College and Hospital between January 2021 to December 2023. The patients were divided into two groups. Group A included the patients who underwent surgery combined with compression therapy while Group B patients received only compression therapy (CT). Ulcer healing time, recurrence rate and Venous Clinical Scoring System (VCSS) were analysed to determine the outcome.
Results: There was no significant difference in the demographic variables between two groups. 30 limb ulcers healed in the combined treatment group with a median healing time of 1.6 months (95% CI, 1.42–1.82), while 24 limb ulcers healed in the CT alone group with a median healing time of 2.15 months (95% CI, 1.92–2.45). The ulcer healing time was shorter in the combined treatment group than in the CT alone group (HR for ulcer healing 1.98, 95% CI, 1.474–2.309, p<0.05). Recurrence rate was higher in CT group (16.66% vs 53.33%). Besides VCSS was lower in Combined group that CT group after 1month, 6 month and 12 month of follow-up which was statistically significant. (p<0.05)
Conclusions: The present study has demonstrated combined treatments can shorten the ulcer healing time and reduce the ulcer recurrence rate compared with CT alone for treating VLU. Further randomized large scale multicenter study is recommended to provide a better management to the patients.
Our experience at Bangabandhu Sheikh Mujib Medical University on laparoscopic assisted surgery for rectal cancer
Authors: Siddiquee Muhammad Ali , Islam M. Shahidul , Ovi Mir Rasekh Alam , Jalal Muhammed Tanvir , Uddin M. Azim , Saha Kalyan Kumar , Nasrin Shamikma , Ali M. Sumon , Akter Joynab
Published: November 2024

Background: Rectal cancer is a leading cause of mortality worldwide, with laparoscopic surgery emerging as a viable alternative to open surgery due to its benefits in postoperative recovery, pain management and survival rates. Despite its advantages, laparoscopic colorectal resection faces scrutiny over oncologic safety and technical demands, limiting its widespread adoption.
Methods: This retrospective descriptive study analyzed 60 patients with colorectal adenocarcinoma treated at the Department of Colorectal Surgery, BSMMU, from January 2018 to December 2018. Inclusion criteria encompassed clinically diagnosed colorectal cancer with histological confirmation. Data on demographics, tumor characteristics, surgical details and postoperative outcomes were collected and analyzed with SPSS software.
Results: Among the 60 patients, 32 were male, with a mean age of 52 years. Tumors within 5 cm of the anal verge necessitated abdominoperineal resections (n=44), while anterior resections were performed for the remaining (n=16). All patients achieved adequate proximal margins (>5 cm) and most (90%) had distal margins >2 cm. The average operative time ranged from 190 to 270 minutes, with no intraoperative complications and a postoperative stay of 3-5 days. Patients reported less postoperative pain and faster recovery.
Conclusions: Laparoscopic colorectal surgery demonstrated similar oncologic outcomes to open surgery but involved a longer operative time and required advanced surgical skills. The benefits included reduced blood loss, lower postoperative pain and a shorter hospital stay, although costs were higher. A need for expert surgeons in selected patients is emphasized for optimal outcomes. Laparoscopic resection for rectal cancer aligns with oncologic principles and offers a safe, effective approach, yielding improved recovery metrics compared to traditional surgery. Further analysis on cost-effectiveness, especially for lower socioeconomic populations, is warranted to enhance accessibility.
Prevalence of causative bacteria on cell phones of patients with chronic suppurative otitis media: a descriptive cross-sectional study
Authors: Ekanayake Lakshantha Sapumal Bandara , Uganathan Ananthakirushnan , Abeykoon Muditha
Published: November 2024

Background: The aim of this study is to identify the prevalence of causative bacteria on the cell phones of patients with chronic suppurative otitis media (CSOM).
Methods: Fifty clinic patients were randomly selected according to the eligibility criteria. Ear swab samples and swabs from the ear-piece area of their cell phones were collected for laboratory investigation. Additionally, 20 controls were recruited for comparison.
Results: Among the 50 subjects, 60% were Females, and the highest prevalence was observed in the 36-45 age group. Ear swab cultures showed bacterial growth in 32 samples (64%), with Pseudomonas spp. (24%) being the most prevalent, followed by coagulase-negative Staphylococcus spp. (14%) and Staphylococcus aureus (14%). Only 11 out of 50 phone swabs (22%) showed bacterial growth, predominantly coagulase-negative Staphylococcus spp. (18%). In three cases, the same non-pathogenic bacteria (coagulase-negative Staphylococcus spp.) were found in both ear and phone samples. Among the controls, 55% were female, and the highest prevalence was in the 26-35 age group. Four ear swab samples (20%) from the controls grew coagulase-negative Staphylococcus spp., but phone samples showed inconsistent laboratory results due to technical issues.
Conclusions: Based on the findings, there is no significant prevalence of CSOM causative bacteria on the cell phones of patients. However, limitations, including sample size and the inability to establish a causal relationship, should be considered. Larger studies exploring multiple environmental reservoirs may better clarify potential transmission routes for CSOM pathogens.
Association of serum procalcitonin level with acute respiratory distress syndrome in patients following cardiopulmonary bypass
Authors: Islam Mohammad Azizul , Tamal S. M. Taslim Yusuf , Samad Abdus , Islam Sadia , Karmokar Shovon , Ghosh Retina , Raju Mezanur Rahman , Zafar-Al-Nimari M. , Azim Anowarul
Published: November 2024

Background: Acute respiratory distress syndrome is a potentially life-threatening complication after cardiac surgery. Systemic inflammatory response is activated during cardiopulmonary bypass time which may cause acute respiratory distress syndrome and serum procalcitonin level also increases during systemic inflammatory response. This study aimed to see the association of serum procalcitonin level with acute respiratory distress syndrome in patients following cardiopulmonary bypass.
Methods: This was a prospective observational study conducted in the Department of Cardiac Surgery, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh during the period from September, 2020 to August, 2022. In our study, we included 140 patients who underwent cardiac surgery with cardiopulmonary bypass. Patients were divided into two groups- group A included 70 patients with serum procalcitonin levels <7 ng/ml and group B included 70 patients with serum procalcitonin levels>7 ng/ml.
Results: The mean (±SD) age of the patients was 43.20 (±13.18) years and 46.61 (±13.75) years in group A and group B respectively. In group A, 41.4% of patients were male and 58.6% were female; in group B, 52.9% were male and 47.1% were female. On 1st postoperative day, in group, A serum procalcitonin levels were 1.36(±0.97) ng/ml and in group B serum procalcitonin levels were 27.09(±26.11) ng/ml (p<0.001). The incidence of ARDS was significantly higher in group B than in group A (35.7% versus 8.5%, p= 0.002).
Conclusion: This study concluded that there was an association of serum procalcitonin level with acute respiratory distress syndrome in patients following cardiopulmonary bypass.
A comparative study of modified Bassini's repair and lichtenstein repair for indirect inguinal hernia in young age population
Authors: Zahoor Adnan , Charokar Kailash , Singh Piyush
Published: November 2024

Background: Inguinal hernia surgery has significant world-wide diversity in management. European Hernia Society guidelines 2020, for management of groin hernias recommends the use of open non-mesh repair in specific patients or types (e.g. young males with lateral hernia)as an acceptable alternative to a Lichtenstein technique. The present study deals with the comparison of intra operative, postoperative course and clinical outcome of modified bassinis repair (non mesh) and Lichtenstein repair [mesh repair] for indirect inguinal hernia in young age population.
Methods: Observational analytical prospective cohort study, conducted in General Surgery, Peoples hospital, Bhopal from November 2022 to February 2024. Patient of indirect inguinal hernia in the age (16-35 years) group and operated by either Modified Bassinis (Group A, n=34) or lichtenstein hernia repair (Group B, n=48). The above study arms group were studied and compared.
Results: Mean duration of surgery among Group A patients was 62.65 minutes and 57.19 minutes in Group B. Seropurulent discharge among 2.9% patients in Group A and 4.2% in Group B and superficial SSI among 2.9% patients in Group A and 4.2% in Group B was reported. Chronic post-operative pain VAS score was assessed at end of 2nd week, end of 1 month and end of 3 months with statistically no significant among two groups.
Conclusions: Our study did not demonstrate any significant difference of one repair method over the other. However, an Individualized approach for cases with a customized strategy is recommended for surgical management of hernia.
Gastrointestinal granular cell tumour, endometriosis and appendiceal intussusception-a unique report
Authors: Caires Antonio G. , Carvalhinha Carolina G. , Caires Francisco G. , Flores Priscila R. , Subotin Ivan , Caldeira Carmo
Published: November 2024

Granular cell tumours (GCT) are uncommon, typically benign growths that can appear in various parts of the body, though they most frequently manifest in the oral cavity. The overall frequency of GCT in surgical samples is under 0.05%. Between 5% and 11% of GCT cases are found within the gastrointestinal system, with the oesophagus, colon, and stomach being the most commonly affected sites. This article presents a rare case of appendiceal intussusception caused by an endometriosis nodule, which led to the discovery of a granular cell tumour in the surgical specimen.
Traumatic rupture of duodenal diverticulum-clinical case in catastrophe setting
Authors: Caires António G. , Carvalhinha Carolina G. , Caires Francisco G. , Flores Priscila R. , Subotin Ivan , Caldeira Carmo
Published: November 2024

Duodenal diverticula are anatomical outpouchings of the gastrointestinal tract, with a prevalence of up to 27% in individuals over 50 years old. While often asymptomatic, complications such as diverticulitis, obstruction, and perforation can occur. Traumatic rupture of a duodenal diverticulum is extremely rare, with only a few cases documented in the literature. We report the case of a 64-year-old female involved in a major traffic accident with multiple injuries. Initially stable, she later developed abdominal tenderness and hypotension, prompting a CT scan that revealed pneumoperitoneum without significant hemoperitoneum. Surgical exploration revealed a ruptured duodenal diverticulum, which was treated with diverticulectomy and omentoplasty. Blunt abdominal trauma typically affects the liver, spleen, and retroperitoneal organs, while isolated duodenal injuries remain rare. Mechanisms for duodenal rupture, particularly in the context of seatbelt use, include sudden intra-abdominal pressure increases during deceleration. Imaging, particularly CT, plays a crucial role in the early detection of such injuries, although resource limitations during mass casualty events may delay its use. Surgical management remains the definitive treatment, and early intervention is essential in unstable patients. Traumatic rupture of a duodenal diverticulum is an uncommon yet life-threatening event. Early suspicion, timely imaging, and surgical intervention are key to successful outcomes. Continuous reassessment is crucial, as trauma-related injuries may present later in the clinical course.
Laparoscopic management of colo-colonic intussusception, an uncommon cause of acute intestinal obstruction in adult: a case report
Authors: Singh Amit , Ali Shadan , Raj Supriya , Aggrawal Lalit , Mohta Anup
Published: November 2024

Colo-colonic intussusception is an uncommon cause of acute intestinal obstruction in adults. Traditionally open surgical methods were chosen as the primary form of treatment; however, few recent reports of successful treatment have been achieved with laparoscopic approach. We report a 44-year-old lady, who presented to accident and emergency department of our hospital with features of acute intestinal obstruction for two days. Ultrasonography and Contrast-enhanced computed tomography (CECT) of abdomen revealed colo-colonic intussusception. After resuscitation and optimization, patient underwent diagnostic laparoscopy which confirmed colo-colonic intussusception involving splenic flexure and proximal descending colon. Laparoscopic classical left hemicolectomy with stapled side to side colo-colonic anastomosis was done. Post-operative course was uneventful. Histopathology report confirmed presence of intraluminal hyper plastic polyp as lead point.
A case of a colo-colic intussusception secondary to adenocarcinoma of the sigmoid colon
Authors: Bhalerao Aishwarya , Kumar Supreet , Shah Suryalok Pratap , Pandey Alok Kumar , Tandon Vivek , Govil Deepak
Published: November 2024

When a more proximal section of the bowel (intussusceptum) invaginates into the more distal bowel (intussuscipiens), it results in intussusception. Changes in intestinal peristalsis at the intraluminal lesion, which serves as a lead point for the intussusceptum, is assumed to be the mechanism. Adult cases of intestinal intussusception are uncommon; they make up about 1% of all bowel obstructions. We describe a case of a colo-colic intussusception caused by an adenocarcinoma of the sigmoid colon. The most frequent urgent condition in children is intussusception, although it is extremely uncommon in adults. It is challenging to make the diagnosis based only on the history and physical exam results. Since a malignant pathology typically serves as a lead point in adulthood, as opposed to childhood, treatment of this pathology still raises questions. Accurately identifying and comprehending relevant symptoms, signs, and imaging results is crucial for an adult intussusception's early diagnosis and proper treatment. It's not always obvious how to treat adult intussusception appropriately. Regarding the reduction prior to resection in sigmoido rectal intussusception cases, there is disagreement. A useful diagnostic marker of colorectal intussusception in bowel-within-bowel configuration cases is the target-like sign on CT images, which shows the bowel's layers duplicated to form concentric rings. Quick and precise diagnosis will be facilitated by a high index of suspicion combined with radiological investigation. A high degree of suspicion of a malignant etiology is important in cases of adult intussusception.
A case of sigmoid colon carcinoma presenting as pyrexia of unknown origin
Authors: Jadhav Kavita , Joshi Sampada , Landge Ravi , Kadam Akshay
Published: November 2024

Pyrexia of unknown origin (PUO) is a diagnostic challenge with a variety of causative factors, one of which is malignancy. This report throws light on sigmoid colon carcinoma, one of the lesser understood causes of pyrexia of unknown origin, where unremitting fever was the presenting symptom. Exclusion of common infectious causes of fever with thorough diagnostic work up lead to a diagnosis of adenocarcinoma of sigmoid colon. Fever subsided completely in the postoperative course.
Ileosigmoid knotting: a rare and life threatening case of acute bowel obstruction
Authors: Wani Ab Hamid , Singh Gurbir , Iqbal Javid , Bhargav Divyanshu
Published: November 2024

Ileosigmoid knotting is a rare cause of acute intestinal obstruction, and is also known as compound volvulus or double volvulus. It occurs due to wrapping of the ileum or sigmoid colon around the base of the other, causing bowel obstruction. The bowel obstruction rapidly progresses to gangrene of the ileum as well as the sigmoid colon, generalized peritonitis and septic shock. It is a potentially lethal condition with high morbidity and mortality rates. The incidence of ileosigmoid knotting is rare and usually seen in areas where there is a high incidence of the sigmoid volvulus with male preponderance. The primary risk factor for ileosigmoid knotting is a long small bowel mesentery with a freely mobile small bowel and a redundant sigmoid colon on a narrow mesentery. We present the case of a 79-year-old male patient who presented with an acute abdomen at our emergency with signs of peritonism. Emergent surgical exploration was done given acute intestinal obstruction and peritonitis. Intra-operatively, ileosigmoid knotting was present with gangrenous ileum and sigmoid colon. Resection of gangrenous bowel was performed with end ileostomy and Hartmann's procedure for descending colon in view of haemodynamic instability.
Kur’an’daki Cennet Tasvirlerinde Kültürel Unsurların Kurucu Etkisi: Nüzul Süreci Bağlamında Bir Okuma
Authors: Aksoy Soner
Published: November 2024

Kur’ân’da ahiret hayatının başlıca kısımlarından biri cennettir. Cennet, bu dünyada Allah’a inanan ve imanlarının bir sonucu olarak salih amel işleyenlerin ahirette nimetlerle ödüllendirileceği yer olarak ifade edilir. Bu açıdan Kur’ân’ın pek çok âyetinde cennet hayatına dair çeşitli nimetlerden bahsedilir. Özellikle Mekkî sûrelerde yoğun bir şekilde somut cennet tasvirleri yapılır. Bu tasvirlerin ise genellikle muhatapların kültürel alışkanlıklarıyla iç içe olduğu görülür. Diğer yandan Medenî sûrelerde ise somut cennet tasvirlerinin belirgin olarak azaldığı daha soyut ve evrensel temaların öne çıktığı fark edilmektedir. Dolayısıyla araştırmanın konusunu ve kapsamını Kur’ân’daki cennet tasvirleri oluşturmaktadır. Araştırmanın temel amacı ise vahyin nüzul süreci bağlamında Kur’ân’daki cennet tasvirlerinde yerel ve kültürel unsurların ne ölçüde ve nasıl bir etkisinin olduğunun tespit edilmesidir. Zira cennet nimetlerini tamamen tarihsel ve kültürel bir bağlama indirgemek, bu nimetlerin işarette bulunduğu nesnel gerçekliği tarihin sınırlarına hapsetmeye yol açmaktadır. Buna göre cennet tasvirlerinin nüzul dönemi muhataplarının algısına indirgenmesi ve bu tasvirlerin cennet hayatına yönelik yapıcı ve kurucu etkisinin göz ardı edilmesi araştırmanın problemini teşkil etmektedir. Bu çerçevede ilk olarak Kur’ân’ın nüzul süreci hakkında bilgi verilmiştir. Ardından Mekkî ve Medenî sûrelerdeki cennet tasvirleri tespit edilerek bu tasvirlerin cennet hayatına yönelik kurucu etkisi üzerinde durulmuştur. Bu doğrultuda araştırmada genel olarak veri tespiti, tasnifi ve analizi yöntemi kullanılmıştır. Neticede cennet tasvirlerinde somuttan soyuta doğru giden tedrici bir yolun takip edildiği görülmüştür. Cennet tasvirlerindeki yerel ve tarihsel unsurların ise salt bir araç olarak kullanılmadığı, bilakis cennet hayatının nesnel gerçekliğine dair muhatapların zihin dünyasında kurucu bir rol oynadığı anlaşılmıştır. Ayrıca cennet nimetlerindeki yerel ve tarihsel unsurlar, cennet hayatının gerçekliğine dair kurucu bir etkiye sahip olmanın yanı sıra insanın algısı, sosyolojisi ve kültürüyle kurulan güçlü ve gerçekçi diyaloğu da göstermektedir. Zira kültürü, insanın bu hayatta farklı açılardan yaşadığı ve tecrübe ettiği gerçeklik olarak gördüğümüzde, cennet nimetlerinde kültürel motiflerin zikredilmesi bu gerçekçi diyaloğa işaret etmektedir. Bu bakımdan cennet tasvirlerinde kişinin canının istediği her şeyin orada olduğunun belirtilmesi, herkese bir yönüyle kendi kültürel gerçekliğine ve tecrübesine göre cenneti inşa etme imkânı da tanınmaktadır. Dolayısıyla cennet nimetleri üzerine yapılan bu inceleme, kültürel alışkanlıkların gaybî hakikatlerin idrak edilmesindeki kurucu etkisini ortaya koymaktadır.
Antimicrobial peptides modulate lipopolysaccharide-induced gene expression of cytokines IL1β and IL10 and toll-like receptor 4 in rat blood leukocytes
Authors: Aleshina Galina M. , Shilova Yuliya S.
Published: November 2024

INTRODUCTION: Inflammation is a common pathological condition. On the one hand, inflammation plays a protective role, without it dangerous local processes would remain unrecognized. On the other hand, a cytokine storm can develop under conditions of systemic inflammation, which, in turn, can lead to multiple organ failure. Therefore, it is important to understand the mechanisms involved in the regulation of cytokine production in the early stages of inflammation.

OBJECTIVE: The aim of this study was to evaluate the immunomodulatory properties of human defensin (HNP-1) and porcine protegrin (PG-1) antimicrobial peptides in vivo under conditions of inflammatory process initiation.

METHODS: Lipopolysaccharide was administered intraperitoneally to laboratory rats to initiate an inflammatory response. Following the onset of inflammation, antimicrobial peptides were also administered intraperitoneally. The immunomodulatory effect of the peptides was evaluated by measuring the changes in gene expression of toll-like receptor 4 (TLR4) and cytokines IL1β and IL10 in the blood leukocytes of the animals using real-time PCR.

RESULTS: The lipopolysaccharide-induced expression of Il1b and Il10 in leukocytes, as well as the lipopolysaccharide-induced Tlr4 expression in whole blood leukocytes and isolated mononuclear cells, was reduced to varying degrees by the introduction of HNP-1 and PG-1.

CONCLUSION: It can be assumed that at the early stage of the inflammatory process, defensins can act as moderate pro-inflammatory factors, suppressing the gene expression of the anti-inflammatory cytokine IL10, but at the same time slightly reducing the gene expression of the pro-inflammatory cytokine IL1β.
A Qualitative Approach to Cancer Awareness Among Rural Women
Authors: Neha PG Nadupuru , Sanjeeva Rao Nallapu Samson
Published: November 2024

Introduction: The incidence of various types of cancers in India are set to increase thereby putting an increased burden on the health system. There is a need for people to know sufficiently about cancer, the various types, the risk factors, the early symptoms and signs etc. so that they can come for professional diagnosis early. However, the fear of cancer prevents screening, early diagnosis and prompt treatment.
Methodology: A qualitative study was done about cancer awareness among women in the rural areas using qualitative methods like Focus Group Discussions (FGD), In Depth interviews and Key Informant interviews.
Results: Incurability of cancer, stigma, fear of cancer, need for support – physical, emotional & spiritual, lack of discussion in the community, causes of cancer, knowledge about cancer and personal experience with cancer are the themes identified in this study.
Discussion:  Stigma concerning cancer is a challenge to cancer awareness and control activities in any society. “Cancer fear” is any fear, anxiety, or worry related to cancer, including causes or consequences of cancer such as fear of treatment for cancer. Social support is necessary for physical adaptation, wellbeing and emotional adjustment in people suffering with cancer.
Conclusion: This study reveals that knowledge about cancer in rural women is low and there are many misconceptions. There is reluctance to discuss about it due to fear and stigma.
Recommendations: Following appropriate cancer education programmes with a stress on rural populations, prevention and screening programmes must be taken up urgently. Healthcare workers and volunteers in rural health care must be given necessary training to be able to give adequate cancer awareness, addressing key misconceptions.
Rüzgâr Hızı Tahminine Yönelik Hibrit ConvLSTM Modeli: Hindistan'ın En Yüksek Rüzgâr Hızına Sahip Şehirleri İçin Bir Vaka Çalışması
Authors: Utku Anıl , Akyol Sinem
Published: November 2024

Rüzgâr hızı tahmini lojistik, enerji üretimi ve yenilenebilir enerji kaynakları, havacılık ve denizcilik, tarım, afet yönetimi, çevresel izleme, inşaat, yaşam planlama ile ekonomik faaliyetler için oldukça önemlidir. Doğru tahminler, enerji verimliliğini artırır, güvenliği sağlar, ekonomik faydalar sunar ve çevresel yönetimi iyileştirir. Gelişmiş tahmin yöntemleri ve teknolojileri, bu alanlardaki etkinliği ve doğruluğu artırarak, toplumsal ve ekonomik hayatın birçok yönünü olumlu yönde etkiler. Rüzgâr hızı tahmininde kullanılan geleneksel yöntemler, genellikle fiziksel ve istatistiksel analizlere dayanmaktadır. Yapay zekâ yöntemleri ise büyük verisetlerini analiz ederek öğrendiği karmaşık örüntülerden daha yüksek doğrulukta tahminler üretilmesini sağlar. Bu çalışmada, Hindistan’ın en yüksek rüzgâr hızına sahip şehirlerinden olan Jaisalmer, Kochi, Mangalore, Puri ve Rameswaram şehirlerinin rüzgâr hızlarının tahmin edilmesi amaçlanmıştır. Rüzgâr hızı tahminine yönelik CNN ve LSTM modellerinin etkin özelliklerinden faydalanarak ConvLSTM hibrit modeli geliştirilmiştir. ConvLSTM ile mekânsal ve zamansal verileri aynı anda işleyerek rüzgâr hızının dinamiklerini daha iyi belirlemek amaçlanmıştır. ConvLSTM, RF, SVM, ANFIS, CNN ve LSTM ile rüzgâr hızının 10 metre ve 100 metre yüksekliklerdeki ölçümlerinden oluşan yaklaşık 15 yıllık saatlik ve gerçek zamanlı bir veriseti kullanılarak kapsamlı bir şekilde test edilmiştir. Deneysel sonuçlar, ConvLSTM'in her bir şehir ve rüzgâr hızı parametresinin neredeyse tamamında 0,9'un üzerinde R2 değerine sahip olduğunu ve karşılaştırılan modellerden daha başarılı olduğunu göstermiştir.
Chosen Aspects of Psychiatric Confidentiality in the Jurisprudence of the Supreme Court
Authors: Górski Paweł
Published: November 2024

Psychiatric secrecy, which is based on Article 50 of the Law of August 19, 1994 on Mental Health Protection, is intended to protect the dignity and privacy of patients and their families. However, it does not have an absolute character and can be limited or abrogated in certain situations, examples of which can be found in case law. Accordingly, the purpose of the article was to analyze the Supreme Court’s rulings on mental health issues and the protection of secrecy related to it.The article is an overview, analyzing the case law of the Supreme Court on the issue of psychiatric secrecy.The results of the analysis show that in the jurisprudence of the Supreme Court, the issue of psychiatric secrecy appears in the context of criminal proceedings, especially in cases related to the work of expert witnesses. The Court emphasizes that this secrecy is not absolute and may be subject to restrictions to protect other constitutional goods, but in proportion between the purpose of the restriction and the scope of the information disclosed. The Court’s rulings also emphasize the autonomy of psychiatric experts and the need to trust their professional competence, noting various aspects related to the evaluation of their work.Based on the analysis of the Supreme Court’s jurisprudence, it can be concluded that psychiatric confidentiality does not have an absolute character and can be limited in certain situations, but always with respect for the patient’s personal rights. The case law further indicates the need to balance this secrecy with other values, such as the welfare of the patient or society. It should also be noted that existing differences in the interpretation of the rules on the appointment of psychiatric experts in the criminal process may affect judicial practice in this area.
Mapping the landscape of virtual word of mouth (v-WOM) in the tourism sector: A bibliometric review
Authors: Jyoti Jyoti , Kumar Jitender
Published: November 2024

The increasing significance of virtual word of mouth (v-WOM) in the digital era has the potential to revolutionize consumer decision-making across a wide range of markets such as tourism. The objective is to review the literature on v-WOM published between 2013 and 2023 and the research employs bibliometric analysis to examine 718 documents from the Scopus database. For performance and science mapping analysis, Biblioshiny and VOSviewer were utilized. The growing trend in publication and citation numbers shows that v-WOM is a growing field and the prominent journals involving tourism research are Tourism Management and International Journal of Hospitality Management. Robert Law is a well-known author and China has the greatest number of publications. The conceptual themes of v-WOM literature were formed by the co-occurrence analysis of keywords and bibliographic coupling networks. In order to provide insights for the future, a word cloud analysis of 549 documents published in the previous four years was also carried out.
The significance of the digitalization and online communication tools used by five-star restaurants in Bulgaria
Authors: Stankova Mariya , Kaleychev Svetoslav
Published: November 2024

The changes undergone by the tourism industry in the past four years have dramatically affected its way of doing business and communicating with customers. A trend in this process is the penetration of digital technologies and their use as a communication channel and tool of influence. A new way of interacting with tourists has arisen, accompanied by adaptive and innovative business strategies. Bearing in mind these structural and functional changes, the present study aims to analyse one of their aspects, namely the significance of the usage of various online communication tools in the restaurant sector in Bulgaria. The assumption that the interactivity of restaurant websites helps to increase interest and attract visitors, thereby stimulating development, is investigated.
The study focuses on five-star restaurant websites and outlines specific insights and challenges related to digital experiences. Through the use of qualitative and quantitative methods, new knowledge is generated for the digitalization of the high-end restaurant sector in Bulgaria and its importance to business success. The results are indicative of the need to rethink the development policies of these restaurants, especially as regards the follow-up and integration of new approaches to operating.
Dwelling and Departure: Beginning Disputes between Arendt and Heidegger
Authors: Burton Adi , Weber Barbara
Published: November 2024

In “Letter on Humanism,” Martin Heidegger juxtaposes the notion of homelessness (Heimlosigkeit) with home-coming (Heimholung), i.e. the reawakening to our original relationship to Being. This focus on dwelling in Being represents an interesting modification from his earlier study of “incipience” (Anfang), which emphasizes departure. We follow the critique of this shift in thinking in Hannah Arendt’s work, beginning with a short allegory titled “Heidegger the Fox” (1953). We suggest that reading this allegory in the light of Arendt’s decades-long debate with Heidegger illuminates the tense relationship between dwelling and incipience (or in her terms, “natality”). Though we do not attempt a complete analysis of Heidegger and Arendt’s works here, we aim to draw out specific movements of their thinking. We suggest that Arendt’s concept of natality, which, though partly influenced by Heidegger, ultimately challenges the authenticity of Heidegger’s solitary, silent thinker who dwells in the House of Being. In the back and forth between their thinking an unresolvable tension between dwelling and departure arises as the existential fissure.
Dwelling in the Urban Liminal: A Phenomenological Consideration of Saul Leiter’s Street Photography
Authors: Roy Satarupa Sinha
Published: November 2024

In this essay, I present a phenomenological exploration of the “urban liminal” in the context of Saul Leiter’s street photography. In gauging the possibilities of dwelling in the urban liminal, this essay brings into dialogue Heidegger’s notion of “wohnen” (as delineated in “Building, Dwelling, Thinking”) and Leiter’s re-presentation of liminal places (and liminality). As transient spatialities, liminal places are not typically considered suitable for dwelling, meaning living or settling. But as neither space nor time is immutable and is always—whether evident or not—in a constant state of flux, it is useful to re-assess and re-imagine from time to time our relationship with place (and time) and, in the process, to reappraise the questions of identity and belongingness. In its investigation of the latencies of liminal places in Leiter’s street photography, this essay poses questions such as: is it possible to dwell (or be at home) in liminalities? How might the visual representation of liminality help deepen our understanding of transitional states and of change? How does Leiter’s stylization of liminality connect with our lived experience of these places? By examining Leiter’s depiction of urban liminality from a phenomenological perspective, this essay aims to show how liminality can be a useful concept for reimagining the relationship between the self and the world.
The Meaning of Animals in the First Farm Revolts: From Kostomarov’s Ukraine to Reymont’s Poland at the Turn of the 20th Century
Authors: Aiello Thomas
Published: November 2024

In 1945, George Orwell published Animal Farm, a critique of Cold War totalitarianism wherein animals acquire human speech, walk on two legs, and ultimately oppress themselves once gaining power. Its concern for the lived experience of farmed animals is marginal. But it was not the first farm animal revolt. Two decades prior, Polish novelist Władysław Reymont published Bunt (Revolt) about a farm animal uprising in search of equality that degenerates into chaos and abuse of power. It was a metaphor for the Bolshevik takeover in Russia that formed a model for Orwell’s later metaphorical criticism of a different generation of totalitarians. Even earlier, Ukrainian historian Nikolai Kostomarov published his own tale of animal revolution, “Skotskoi Bunt” (“Animal Riot”) in 1880, a story that was given a wider audience upon its republication in 1917, just prior to that same Bolshevik Revolution. The case for Kostomarov’s tale being an allegory for human travails, however, is more difficult to make, and there is linguistic and historical evidence that the story is less concerned with human revolution and more with a case against harming nonhuman animals. Both narratives were written and published in a specific cultural context in time and space that would have created distinct receptions to the works partially based on human political realities, but also rooted in flourishing vegetarian and animal rights movements in Ukraine and Poland at the turn of the 20th century.
Porous aggregate developed with the use of coal-containing clays of the Angren field
Authors: Kamilov Khabibilla Kh. , Shakirov Tuygunjhon T. , Muminova Nilufar A.Q. , Abdazov Dilshod
Published: November 2024

Relevance. One of the ways to solve the issues of resource and energy conservation is the production and use of porous aggregates. Porous aggregates allow obtaining effective lightweight concrete for thermal insulation, wall panels, monolithic walls and other load-bearing structures, contribute to the increase of energy efficiency, improvement of thermal insulation, reliability, increase of fire resistance, frost resistance and seismic resistance of buildings, reduction of their weight. Therefore, in the production of porous aggregates, the primary task is the use of industrial waste and products of their processing. Solving these problems leads not only to saving valuable natural resources, but also to solution of environmental problems. Aim. Development of compositions and study of properties of porous aggregate based on bentonite clay of Navbakhar deposit and coal-containing clay of Angren brown coal deposit. Object. Coal-containing clay of Angren brown coal deposit, bentonite clay of Navbakhar deposit and artificial porous aggregate based on them. Methods. Chemical, energy-dispersive X-ray, X-ray phase and infrared spectroscopic analysis, scanning electron microscopy, mathematical modeling, etc. Results. The authors have determined chemical and mineralogical compositions of the clays used. Using the mathematical modeling method they developed the regression equations describing the effects of the amount of bentonite clay in the batch, firing temperature and isothermal holding time on the bulk density and water absorption of the porous aggregates. The resulting porous aggregates with a bulk density of 395 to 690 kg/m3 have a compressive strength in a cylinder of 2.74 to 6.46 MPa, respectively. It was found that the aggregates obtained meet the requirements of regulatory documents.
Monsoonal effect on sediment grain distribution along the subaqueous Mekong Delta coastal, Vietnam
Authors: Cong Thanh Nguyen , Truong An Dang
Published: November 2024

Relevance. Annually, the coastal areas of the Mekong Delta receive approximately 50% of the total sediment load from the Mekong River, primarily during the southwest monsoon. During the northeast monsoon, this coastal sediment undergoes reworking and is transported southwestward along the coastal areas of the Mekong delta. Aim. Analyzing the grain-size distribution of sea-bed surface sediment helps improve our understanding of sediment redistribution along the coastal areas of the Mekong Delta. Methods. In order to illustrate changes in sea-bed surface sediment grain size between the two monsoons, we focused on the median grain size, a widely used parameter for sediment transport calculation, and created spatial maps of median grain size along the coastal areas of the Mekong Delta. The analysis was based on sediment samples collected along the coastal areas of the Mekong Delta during field excursions in the southwest and northeast seasons. Results. The results reveal that median grain size during northeast (mainly ranging from 0.005 to 0.01 mm) are larger than those during southwest (primarily ranging from 0.01 to 0.05 mm). These changes in median grain size and spatial distributions are most prominent along the east coast, specifically from Soc Trang to Bac Lieu. In contrast, median grain size along the west side does not exhibit significant differences between the southwest and northeast monsoons. These observations imply a more significant sediment transport along the east coastal areas of the Mekong Delta during the northeast monsoon and provide evidence for the transportation of sediment from the east coast to the west coast during the monsoons.
Intelligent control system for technological complexes of aluminum industry enterprises
Authors: Zaytseva Natalya M. , Semykina Irina Yu.
Published: November 2024

Relevance. Aluminum production is one of the most important industries all over the world. It has a high environmental load, resource and energy intensity. To reduce the negative impact of aluminum production, efforts are underway to improve its technological processes, aimed at increasing aluminum recovery rates, reducing waste volumes, and lowering energy consumption. The reduction of energy consumption can be achieved, among others, through implementing control systems that provide energy management. Due to the complexity and multiplicity of technological processes in aluminum production, the use of traditional linear approaches for such control systems is ineffective, and adequate mathematical models are required. At the same time, for the production level, the use of mathematical models based on a phenomenological description of the ongoing physical processes overly complicates the control task. As a result, the use of intelligent and adaptive approaches to both the mathematical description of technological processes and the optimal energy consumption management is relevant. Objects. Technological complexes of aluminum production, which have the properties of inertia, nonlinearity, and closedness; and the control system based on artificial intelligence methods. Alumina production is chosen as an illustration. Aim. To develop mathematical models capable of adequately describing the interrelated processes in the technological complexes under consideration, as well as the control system that allows optimal energy consumption management. Methods. For the mathematical model based on balance equations under uncertainty, the fuzzy-set theory was used along with the gradient descent method to identify the model parameters; for the optimization task, the genetic algorithm method was used. Results. The mass balance model and the process conditions changing model have been developed to determine the energy consumption for the technological complexes of aluminum production with continuous inertial nonlinear closed production. Based on these models, the dynamic characteristics of energy consumption and the parameters of technological processes were determined depending on the main controlled parameters, allowing us to predict emergencies. Considering technological parameters and cost factors, the optimization task for energy consumption management was solved.
Evaluation of Perception of Information and Quality of Life in Oncologic Surgery Patients: A Cross-Sectional Study
Authors: Gezer Derya , Arslan Sevban
Published: November 2024

This study aims to evaluate patients' quality of life (QoL) and perceptions of information after cancer surgery. A descriptive and cross-sectional study was conducted using the European Organization for Research and Treatment of Cancer (EORTC) information module questionnaire (QLQ-INFO25) and the EORTC Core Quality of Life Questionnaire (QLQ-C30), which were given to patients to complete post-surgery. A total of 160 patients completed the questionnaires. There were 82 men and 78 women, with a mean age of 55.29. The average global QoL score, as measured in the QLQ C-30, was 89.76. The symptom with the highest reported score was fatigue. The average total QLQ-INFO25 score was 63.05. The highest level of information provided was perceived to be about “medical tests”, while the lowest was about “other services”. The extent of the disease had a significant effect on QLQ-INFO25 scores. The global QoL scores among post-operative surgical oncology patients were quite high, and the mean scores of the functional scales were moderate. Patient perceptions of the information provided were above average. Different nurse training techniques should be used to increase patients’ information satisfaction and QoL.
Monkeypox and Nursing: Prevention, Management, and Care Strategies
Authors: Bükecik Necati
Published: November 2024

This study examines the clinical features of Monkeypox, its prevalence in outbreaks, and the critical roles of nurses in the prevention and management of this disease. Strategies for minimizing the effects of the disease on health systems and society are discussed by addressing the multifaceted tasks of nurses such as infection control, patient care, education and counseling.
This study is a comprehensive review. Current academic sources and reports were examined using the literature review method. In line with the data obtained from these sources, the symptoms, transmission routes, complications, and nursing practices of Monkeypox have been evaluated. The study aims to synthesize existing knowledge and analyze current approaches to nursing care and infection control measures.
Monkeypox is a zoonotic disease that can lead to serious complications, especially in individuals with weakened immune systems. In the management of the disease, nurses play a critical role in preventing the spread of the epidemic with tasks such as infection control, psychosocial support, and community information, as well as patient care. Nursing practices such as symptomatic treatment, use of appropriate personal protective equipment, isolation and education support the recovery process of patients and protect public health.
The role of nurses in the prevention and management of Monkeypox is vital for controlling the outbreak. Strategies for training and supporting nurses will make a major contribution to future epidemic preparedness and the development of existing measures. This study highlights the challenges nurses face in epidemic management and the support mechanisms needed to cope with these challenges