bluuebunny/crossref_metadata_2025 huggingface dataset:
Challenges in congenital heart disease in the Amazon region countries: A scoping review
Authors: Almeida Sophia Livas de Morais , da Cunha Andreza dos Santos Laranjeira , Silva Renata de Castro , dos Santos Raillon Keven , Novelleto Ana Luiza Menezes Teles , Estevam Thayla Lais Lima , Carvalho Luana Izabela Azevedo de , Tuda Luísa Tiemi Souza , Souza Celsa da Silva Moura , Araujo Júnior Edward , Amorim Luciane Alves da Rocha
Published: October 2024

Introduction:

This study aimed to systematically analyze and describe the main challenges of congenital heart diseases (CHDs) in the countries in the Amazon region.

Methods:

The methodology followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist utilizing the Medline, Embase, Lilacs, and Google Scholar databases. The inclusion criteria were articles addressing any topic involving CHD in the Amazon region. Incomplete articles, book chapters, lectures, conference abstracts, and editorials were excluded.

Results:

Nine studies were identified, 7 of which were published in the last decade and were of Colombian and Brazilian origin. The methodology of the studies was cross-sectional and ecological, evaluating the regional and epidemiological factors, challenges to diagnosis and treatment, multidisciplinary team challenges, and the impact of the COVID-19 pandemic. Studies carried out by surgeons demonstrate more existing data regarding the challenges of the health-care system.

Conclusions:

There is growing interest in analyzing the situation of CHD in the region. However, only a few studies are available, mostly on ecological and cross-sectional analysis. These records show the lack of hospital infrastructure and multidisciplinary teams for the diagnosis and treatment of CHD in the Amazon region; we see an initiative by specialists from two countries (Colombia and Brazil) to demonstrate the difficulties by seeking international training programs and government aid to improve the health system situation.
Effect of Recast Cobalt Chrome Base Metal Alloy on Flexural Bond Strength of Metal Ceramic Restoration
Authors: Philip Gibi Babu , Patel Kavan A. , Bipinchandra Liya Neha , Patel Ruchita , Jacob Soniya Sara , Dhanya V.H.
Published: October 2024

ABSTRACT

Aim:

The aim of this study was to assess and compare the outcome of recasting of CoCr alloy on the metal ceramic flexural bond strength.

Materials and Methods:

50 resin patterns were fabricated and divided into 5 equal groups and casted as: Group 1 containing 0%, Group 2 containing 20%, Group 3 containing 30%, Group 4 containing 40%, and Group 5 containing 100% recast alloy. They were layered with VITA VMK 68 porcelain powder and put through to 3-point bending test using Universal Testing Machine. Data obtained was statistically analyzed using one-way ANOVA which was followed by Tukey honest significant difference post hoc test (α = 0.05).

Results:

A reduction in bond strength was noted as the percentage of recast alloys were increased. Group 5 showed a notable reduction (P < 0.001) in bond strength compared to other groups as it was performed on 100% recast alloys.

Conclusions:

Metal ceramic flexural bond strength reduced as the percentage of one-time used alloy increased. 40% of once used alloy can be considered safe to achieve optimal bond strength.
Effect of Local Anesthesia with and without the Vasoconstrictor on Blood Glycemic Level in Diabetic Patients Undergoing Tooth Extractions
Authors: Kumari Sujata , Singh Chandandeep , Jaitly Riya , Kondaveeti Suresh B. , Morsy Mohamed S. M. , Qurishi Ahtesham A. , Ojha Akshaya
Published: October 2024

ABSTRACT

Background:

Vasoconstrictors with local anesthetics provide a bloodless as well as toxicity-free area for effortless extraction tooth. This study was conducted to evaluate the effect of local anesthesia (LA) with adrenaline and without adrenaline on blood glycemic levels in patients undergoing tooth extraction.

Material and Method:

A total of 120 patients who require multiple extractions consisting of 60 healthy and 60 diabetic patients in need of multiple extractions were selected for this study. Subjects were given plain lignocaine on their 1st visit and tooth extraction was performed. After seven days lignocaine with 1:80,000 adrenaline was administered to the same patient for a similar procedure. Blood glycemic levels were estimated at regular intervals that is before and right away after the administration of LA) 10 and 20 min on both occasions.

Results:

Comparing the glucose level at 10 min and 20 min showed a statistically significant distinction (P < 0.001) in healthy subjects. Comparing the glucose level at 10 min and 20 min intervals showed highly statistically significant distinction (P < 0.001) in diabetic subjects (P < 0.001).

Conclusion:

LA with vasoconstrictor leads to an elevation in blood glycemic level in patients with NIDDM.
Correlation of perfusion index change and analgesic efficacy in transforaminal steroid injection for lumbosacral pain, a prospective observational study
Authors: Gatorwala Heley , Bangera Ananda
Published: October 2024

Background and Aims:

Low back pain is a common problem and a major burden to society. Transforaminal epidural steroid injection is one of the most effective treatment modalities for back pain. We aim to objectively quantify pain relief of lumbosacral radicular pain post transforaminal steroid injection by correlating perfusion index (PI), reflecting real-time peripheral blood flow change at the site of monitoring, controlled by sympathetic system with Numerical rate score (NRS) and SLRT improvement.

Material and Methods:

A prospective observational study, conducted at K.S Hegde Medical Academy, Mangaluru, from June 2021 to June 2022 as a time-bound study. After IEC clearance (IEC certificate number) for the procedure and study, patients undergoing transforaminal epidural steroid injection for lumbosacral radicular pain were enrolled, excluding those meeting the exclusion criteria. PI change and NRS score improvement were noted at 0, 5, 10, 15, and 30 minutes along with pre and post-procedure SLRT. Results were analyzed.

Results:

A total of 40 patients were analyzed. PI change at 30 minutes was 2.113 from a baseline of 0.217. Median NRS of 5, improved to 0 and the mean SLRT of 45.17 to 61.45 at the end of 30 minutes. All changes are statistically significant with P (<0.01). correlation between the PI change with NRS is mild (-0.312).

Conclusion:

PI change ratio shows an overall improvement in pain levels objectively, in a non-invasive, easy, and reliable way. Simultaneous improvement in both NRS and SLRT is clinically significant but cannot predict a correlated quantitative measure of pain relief.
Adrenaline bolus rescue for refractory carcinoid crises during surgical manipulation of metastatic neuroendocrine tumor of pancreas: A case report
Authors: Murugesan Aruna Manaswini , Nandagopan Nikkila Mai , Senthilnathan Muthapillai , Kumar Mekala Ranjith
Published: October 2024

Carcinoid crisis is a potentially fatal condition with severe hemodynamic instability. A 25-year-old female with metastatic pancreatic neuroendocrine tumor with recurrent carcinoid crises was posted for surgical debulking. Intraoperatively, the patient was on crisis during manipulation of the lesion by the surgeon, which was unresponsive to octreotide, infusions of phenylephrine, and norepinephrine agents. The patient was then effectively managed with adrenaline blouses at 10 µg along with infusion of adrenaline. Use of inotropes and vasopressors is not encouraged in carcinoid due to release of inflammatory mediators which can precipitate the hemodynamic instability. Here, we managed her with adrenaline boluses and infusion.
Torrential intraoral bleed in a mandibular arteriovenous malformation: Resuscitation under nonoperating room settings
Authors: Chaudhary Ravi , Jain Gaurav , Arjunan Deepak Kumar , Bhattarai Ananda
Published: October 2024

Arteriovenous malformation (AVM) of the head and neck, though rare, can present significant clinical challenges, particularly during dental procedures. This case report details the acute management of a 7-year-old girl with an AVM in the right mandible, with sudden, severe, torrential intraoral hemorrhage during an angioembolization procedure, necessitating immediate airway management and hemodynamic stabilization in a nonoperating room anesthesia (NORA) setting. Persistent bleeding led to a multidisciplinary intervention, including external carotid artery ligation and right hemimandibulectomy, achieving hemostasis. The case underscores the importance of meticulous planning, readiness with resuscitation and airway management equipment, and coordinated efforts among anesthesia and surgical teams in NORA settings to manage such critical situations effectively.
Maternal and Neonatal Outcomes of COVID-19 in Pregnancy in Tertiary Care Centers in Saudi Arabia: A Comparative Study
Authors: Al-Fadel Nouf , Almutairi Abdulaale , Alshameri Mariam , Albarrak Ghada , Almahmoud Shahad , Madkhali Azza , Almakhlafi Nada , Shams Taghreed , Allarakia Sabah , Al-Hashemi Hasham , Kurdi Saad , Faden Yaser , Al-Sum Hythem , Faisal Noorelahi , Alrefai Alyaa , Al Ansari Yousif , Al Mshaity Manal , Al Ghilan Nadia , Al-Ammari Maha
Published: October 2024

Background:

The coronavirus disease 2019 (COVID-19) infection has been linked to increased risks of severe maternal outcomes globally, including intensive care unit admissions and mechanical ventilation. Studies and reports suggest that pregnant women with COVID-19 face higher risks of complications. However, there is limited data directly comparing maternal and neonatal outcomes in pregnant women with and without COVID-19.

Objectives:

We aimed to compare both maternal and neonatal outcomes in pregnant women with and without COVID-19 infection.

Materials and Methods:

This is a multicenter retrospective cohort study conducted at two Ministry of National Guard Health Affairs Hospitals in Saudi Arabia, including all pregnant women, who delivered and received follow-up care at either site between March 2020 and October 2021. COVID-19 infection was confirmed by laboratory tests in the infected patients. Descriptive statistics were conducted for the cohort baseline description, and multivariable logistic regression was conducted to assess the associated risks for maternal, and neonatal outcomes.

Results:

The study included 639 pregnant women with confirmed COVID-19 infection and 644 pregnant women with no COVID-19 infection. There was no statistically significant difference in the risk of stillbirth [adjusted odds ratio (aOR) = 2.88; 95% confidence interval (95% CI) = 0.89, 11.74] or miscarriage (aOR = 0.53, 95% CI = 0.24, 1.09) between COVID-19 infected and noninfected pregnant women. On the other hand, COVID-19 infection was associated with an increased risk of low birth weight (aOR = 1.53, 95% CI = 1.06, 2.20), Apgar score-1 min <7 (aOR = 2.30, 95% CI 1.62, 3.29), and Apgar score-5 min <7 (aOR 2.84, 95% CI 1.92, 4.27).

Conclusion:

This study concludes that infants born to pregnant women with COVID-19 infection were more likely to have neonatal complications compared with those born to noninfected women. Future prospective studies could include the long-term effects of maternal and neonatal COVID-19 infection.
Evaluation of the Effectiveness of Adjunctive N-Acetylcysteine Nebulizer in Critically Ill Patients with COVID-19: A Pre-post Study
Authors: Al Ghamdi Ghassan
Published: October 2024

Background:

The uncontrolled inflammatory immune response associated with SARS-CoV-2 can lead to cytokine storm and acute respiratory distress syndrome. N-Acetylcysteine (NAC) nebulizer therapy is being considered as a potential treatment option in coronavirus disease 2019 (COVID-19) patients due to its mucolytic, antioxidant, anti-inflammatory, and antiviral properties. However, the use of NAC in critically ill COVID-19 patients has not been extensively studied. Therefore, a study was conducted to evaluate the effectiveness of adjunctive NAC on respiratory function in critically ill patients with COVID-19.

Materials and Methods:

A pre-post retrospective study included critically ill patients with COVID-19 admitted to the intensive care units and received NAC nebulizers between March 2020 and July 2021. The primary outcome was to assess the PaO2/FiO2 (P/F) ratio differences before and after NAC administration. Other outcomes were considered secondary, such as the positive end-expiratory pressure (PEEP), tidal volume, and invasive mechanical ventilation (MV) status. A paired t test or Wilcoxon signed-rank test was used based on the data distribution. A P value of <0.05 was considered statistically significant.

Results:

The results revealed that a total of 1081 critically ill patients with COVID-19 were screened during the study period, and only 44 were included. Most of the patients were male (75%) with a median age of 58 years (range = 48.5–76.5 years). Before NAC initiation, the median P/F ratio was 136.55 (with a range of 92.15–207.3), whereas 24 h post-initiation, it increased significantly to a median of 159.7 (with a range of 109.6–270.2; P = 0.02). In contrast, no statistically significant differences were observed in PEEP, tidal volume, and invasive MV status before and after NAC initiation.

Conclusion:

This study concludes that adjunctive NAC therapy in critically ill patients with COVID-19 was associated with improved P/F ratio 24 h:24-h post-initiation. This improvement occurred without significant differences observed in PEEP, tidal volume, and invasive MV status. However, it is essential to conduct randomized control trials to validate these findings and determine their clinical significance.
Adherence to Empiric Antibiotics Prescription Guidelines in Hospitalized Patients with Pneumonia at Secondary Care Hospitals in Al Jouf Region, Saudi Arabia
Authors: Almadhi Atheer Mufadhi , Alotaibi Manayer Naif , Tambuwal Sirajo Haliru , Al Sharaan Mohammed Fahad , Eid Alruwaili Waleed , Alrowily Maily , Al Anazi Abdullah Salah
Published: October 2024

Background:

Adherence to therapeutic protocols is essential for the effective treatment of pneumonia, as it contributes to decreased mortality rates, shorter hospital stays, and reduced antibiotic therapy duration. Despite its significance, there remains a high rate of nonadherence to these guidelines worldwide. Presently, no data exist regarding physician adherence to pneumonia management guidelines in the Al Jouf region of Saudi Arabia. Thus, our objective was to evaluate compliance with empirical antibiotic prescription guidelines for patients with pneumonia.

Materials and Methods:

This retrospective, multicenter, cross-sectional study was conducted from December 2021 to May 2023 in three secondary care hospitals in the Al Jouf region, Saudi Arabia. Data on patients admitted with a diagnosis of pneumonia were extracted from the electronic medical records and pharmacy departments of the hospitals using structured proforma. The results are presented using descriptive statistics as frequencies and percentages. Differences in proportions were compared using a one-sample t-test, with the level of significance set at P < 0.05.

Results:

A total of 197 patients were studied, with a male-to-female ratio of 0.9:1. Most patients were admitted with nosocomial pneumonia 126/197 (63.9%). Cephalosporins, glycopeptides, and quinolones are the most commonly prescribed classes of antibiotics. Most patients with community-acquired pneumonia (CAP) were prescribed a combination of ceftriaxone and moxifloxacin, whereas most patients with nosocomial pneumonia received meropenem and vancomycin. Adherence to the guidelines was low. A higher adherence to the guidelines was observed in patients with CAP.

Conclusion:

The study indicated low adherence to guidelines for the management of inpatients with pneumonia in the Al Jouf region, Saudi Arabia.
Assessment of Medication Labeling Compliance in Outpatient Pharmacy: A Study in Riyadh, Saudi Arabia
Authors: Arafah Azher
Published: October 2024

This study assessed outpatient medication labels in 19 hospitals in Riyadh, Saudi Arabia, focusing on critical information necessary for safe and effective medication use. The study utilized a structured observation form based on guidelines from the Saudi Food and Drug Authority and the Institute for Safe Medication Practices. The form included indicators related to label identification, instructions, and layout. Compliance rates for each indicator were calculated, revealing varying levels of adherence across different hospitals. High compliance rates were observed for indicators such as the date of dispensing (100%), directions of use (100%), and typing directions in Arabic (100%). However, lower compliance rates were noted for physician and pharmacist information, drug information, and additional medication details, with rates ranging from 0 to 78.9%. Specifically, the inclusion of physician and pharmacist registration numbers had a compliance rate of 0%. The study highlighted significant gaps in standardizing medication labels, emphasizing the need for including essential information such as total quantity dispensed, number of refills, warning labels, medication indication, and storage conditions. Additionally, the use of barcodes, hospital logos, and Tallman letters was found to be inconsistent. In conclusion, the findings underscore the necessity for standardizing outpatient medication labeling practices to improve patient safety and medication management. This study calls for collaborative efforts, knowledge sharing, and the implementation of best practices to achieve consistent and accurate medication labeling in Saudi Arabia.
Frobenius Morphisms and Stability Conditions
Authors: Chang Wen , Qiu Yu
Published: October 2024

We generalize Deng–Du’s folding argument, for the bounded derived category

\operatorname{\mathcal{D}}(Q)

of an acyclic quiver

Q

, to the finite-dimensional derived category

\operatorname{\mathcal{D}}(\Gamma Q)

of the Ginzburg algebra

\Gamma Q

associated to

Q

. We show that the

F

-stable category of

\operatorname{\mathcal{D}}(\Gamma Q)

is equivalent to the finite-dimensional derived category

\operatorname{\mathcal{D}}(\Gamma\mathbb{S})

of the Ginzburg algebra

\Gamma\mathbb{S}

associated to the species

\mathbf{\mathbb{S}}

, which is folded from

Q

. If

(Q,\mathbf{\mathbb{S}})

is of Dynkin type, we prove that the space

\operatorname{Stab}\operatorname{\mathcal{D}}(\mathbf{\mathbb{S}})

of the stability conditions on

\operatorname{\mathcal{D}}(\mathbf{\mathbb{S}})

is canonically isomorphic to the space

\operatorname{FStab}\operatorname{\mathcal{D}}(Q)

of

F

-stable stability conditions on

\operatorname{\mathcal{D}}(Q)

. For the case of Ginzburg algebras, we also prove a similar isomorphism between principal components

\operatorname{Stab}^{\circ}\operatorname{\mathcal{D}}(\Gamma\mathbb{S})

and

\operatorname{FStab}^{\circ}\operatorname{\mathcal{D}}(\Gamma Q)

. There are two applications. One is for the space

\operatorname{NStab}\operatorname{\mathcal{D}}(\Gamma Q)

of numerical stability conditions in

\operatorname{Stab}^{\circ}\operatorname{\mathcal{D}}(\Gamma Q)

. We show that

\operatorname{NStab}\operatorname{\mathcal{D}}(\Gamma Q)

consists of

\operatorname{Br}Q/\operatorname{Br}\mathbf{\mathbb{S}}

many connected components, each of which is isomorphic to

\operatorname{Stab}^{\circ}\operatorname{\mathcal{D}}(\Gamma\mathbb{S})

, for

(Q,\mathbf{\mathbb{S}})

is of type

(A_{3}, B_{2})

or

(D_{4}, G_{2})

. The other is that we relate the

F

-stable stability conditions to Gepner-type stability conditions.
Examples of Tilting-Discrete Self-Injective Algebras Which Are Not Silting-Discrete
Authors: Adachi Takahide , Kase Ryoichi
Published: October 2024

In this paper, we introduce the notion of

\nu

-stable silting-discrete algebras, which unify silting-discrete algebras and tilting-discrete self-injective algebras, where

\nu

is a triangle auto-equivalence of the bounded homotopy category of finitely generated projective modules. Moreover, we give an example of tilting-discrete self-injective algebras which are not silting-discrete.
Some More Fano Threefolds with a Multiplicative Chow–Künneth Decomposition
Authors: Laterveer Robert
Published: October 2024

We exhibit several families of Fano threefolds with a multiplicative Chow–Künneth decomposition, in the sense of Shen–Vial. As a consequence, a certain tautological subring of the Chow ring of powers of these threefolds injects into cohomology. As a by-product of the argument, we observe that double covers of projective spaces admit a multiplicative Chow–Künneth decomposition.
Estimates for Zero Loci of Bernstein–Sato Ideals
Authors: Budur Nero , van der Veer Robin , Van Werde Alexander
Published: October 2024

We give estimates for the zero loci of Bernstein–Sato ideals. An upper bound is proved as a multivariate generalisation of the upper bound by Lichtin for the roots of Bernstein–Sato polynomials. The lower bounds generalise the fact that log-canonical thresholds, small jumping numbers of multiplier ideals, and their real versions provide roots of Bernstein–Sato polynomials.
Multivector Fields on Quaternionic Kähler Manifolds
Authors: Moriyama Takayuki , Nitta Takashi
Published: October 2024

In this paper we define a differential operator as a modified Dirac operator. Using the operator, we introduce a quaternionic

k

-vector field on a quaternionic Kähler manifold and show that any quaternionic

k

-vector field corresponds to a holomorphic

k

-vector field on the twistor space.
Evaluating the Relationship between System Output and Station
Reliability in Serial Production Lines: A Methodological
Approach
Authors: Tang Herman
Published: October 2024

Accurately predicting system output performance is essential for manufacturing
system design. However, traditional approaches that rely solely on the
reliability of individual workstations may lead to inaccuracies, especially for
a serial production line that includes several workstations with low
reliability. This study investigates how prediction inaccuracies arise from
intricate interactions among workstations, as revealed through discrete event
simulation (DES). To resolve this issue, a novel methodology is proposed,
leveraging DES and dual regression analyses to develop an adjustment factor.
This paper details the application of this methodology across a range of
reliability levels (85–99%) and workstation counts (5–10), conducting
sensitivity analyses and validating the results. This approach offers a
practical tool for improving the efficiency and precision of a system output
prediction in design contexts. Additionally, the paper discusses the
methodology’s limitations and suggests avenues for future research.
Rings, Sealing, Cast Leaded-Tin Bronze, 80Cu - 16Sn - 5Pb As Cast
Authors:   AMS D Nonferrous Alloys Committee
Published: October 2024

This specification covers a cast leaded-tin bronze in the form of sealing rings (see 8.5).
The Different Aspects of the Relationship between Plato’s Philosophy and the Eleatic School
Authors: Migliori Maurizio
Published: October 2024

This text exposes and analyses the refer- ences to the Eleatics starting from the hints to Gorgias and Zeno in the Phaedrus 261c–d and from the eristic arguments of Euthydemus which are evidently influ- enced by the way of arguing of the Eleatics. Naturally, the greatest attention is reserved for the dialectical dialogues: with a real coup de théâtre, the Eleatics pass from being (almost) unknown figures to becoming masters. First Parmenides and then the Stranger of Elea give Socrates important suggestions about method and content. This sequence is even more exceptional because it is the only case in which we find some internal references in Plato’s corpus, where the author usually never mentions his own writings. These analysis highlights, among other issues, the impor- tance of dialectics, the treatment of not being as dif- ferent, the denial of the so-called parricide by the Stranger of Elea.
The Disintegration of “Power/Knowledge”. Post-Socialist Studies as Decolonial Studies? A Personal Point of View. Part 3: Soft and Hard Variants of Post-Colonial Studies
Authors: Kiossev Alexander
Published: October 2024

The relationship between post-colonial and post-socialist studies is extraordinarily complex. Post-colonialists might argue that it can be approached from different perspectives as well as different power positions of knowledge production. As a result, I have chosen a specific trajectory that intersects and challenges the static power positions and is able to trace the debates and the unfolding of the complex problem over time. As a long-time scholar in this area, and moreover one who has taken many different roads in both fields, I will describe this relationship from the perspective of my own scholarly biography.

However, my professional career has spanned several decades and surpassed the transient trends and fashions within this scholarly field. As such, it can only be depicted as an extensive narrative comprising multiple episodes, published in sequence across the double issue of the journal Studia Litteraria, devoted to forms of engagement in contemporary Southern and Western Slavic literatures. Part 3 discusses soft and hard variants of the complex “powers/knowledge”.
The Happiness of Sisyphus or the Need to Revise one’s Own Engagement: The Case of Ivan Lovrenović
Authors: Kaniecka Dominika
Published: October 2024

The subject of my analysis is a review of the public engagement of Sarajevo writer and intellectual, Ivan Lovrenović. I am primarily interested in his transition from engaged interventionism to explaining the milieu of postbellum Bosnia and Herzegovina, evident in his writings, and his self-reflection on his own particular engagement. Essential for my analysis is the moment of the author’s transition from a phase of active participation in the public debate regarding the form of the state, i.e., Bosnia and Herzegovina and its cultural community, to the position of an outsider by choice, i.e., withdrawing to the sphere of “good solitude”. This stage, however, does not mean resignation from the attitude of the committed intellectual and complete abandonment of activism for change within the social and political space. In my opinion, Lovrenović does not turn away from the world in which he lives, nor does he rid himself of a sense of responsibility. Rather, he gradually shifts from journalism towards literary fiction. The main interpretative material spurring the present analysis is Lovrenović’s Sizifova sreća [Sisyphus’s Happiness, 2018], which overall offers an interesting example of the revision of his public engagement, while a broader timeframe of my reflections covers the years 1994–2018.
Narrative Strategies for Reclaiming the Memory of Historical Events in Theodora Dimova’s Novel The Defeated
Authors: Pytlak Magdalena
Published: October 2024

This essay analyses The Defeated (2019), the latest novel by Bulgarian writer Theodora Dimova, as well as the ways in which literary narrative can affect collective memory. Dimova’s book references events that unfolded in Bulgaria in the aftermath of the communist coup on 9 September 1944. The analysis relies on methodology developed in the field of memory studies, focusing on collective memory (A. Assmann, J. Assmann), as well as the interrelationship between literature and memory (Erll). The concept of postmemory, as described by Hirsch, is also critical to the arguments presented here, alongside trauma and affect studies (LaCapra, Caruth).
Pengaruh Manajemen dan Profesionalisme Perawat Terhadap Kepuasan Pasien di Poliklinik Rawat Jalan Rumah Sakit Tk II Dr. R. Hardjanto Balikpapan
Authors: Ramadani Ramadani , Yuliaty Farida
Published: October 2024

Penelitian ini bertujuan untuk mengetahui pengaruh manajemen organisasi dan profesionalisme perawat terhadap kepuasan pasien di Poliklinik Rawat Jalan Rumah Sakit TK II Dr. R. Hardjanto Balikpapan. Pelayanan kesehatan yang premium dan mudah tidak selalu menjamin kesetiaan dan kepuasan pasien. Oleh karena itu, penting bagi manajemen rumah sakit untuk secara berkesinambungan meningkatkan profesionalisme perawat dalam memberikan pelayanan kesehatan. Penelitian menggunakan pendekatan kualitatif dengan wawancara mendalam terhadap tiga pasien di poliklinik rawat jalan. Hasil penelitian menunjukkan bahwa manajemen organisasi dan profesionalisme perawat memiliki pengaruh signifikan terhadap kepuasan pasien. Profesionalisme perawat yang melibatkan empati, komunikasi yang baik, dan keterampilan teknis merupakan faktor kunci dalam meningkatkan kepuasan pasien.
Pengaruh Lingkungan Kerja dan Motivasi Kerja terhadap Kinerja Karyawan pada PT. Pakoakuina Motorcycle Karawang
Authors: Purnama Muhamad Elki , Sungkono Sungkono , Karnama Maman Mulya
Published: October 2024

The investigation was conducted with a focus on seeing how two factors, namely “work environment and work motivation”, affect employee work results at PT Pakoakuina Motorcycle. To attain this objective, the researcher utilized a purposive sampling technique, which means that the employees selected to serve as respondents were specifically chosen based on certain criteria relevant to the research. A total of 35 employees from PT Pakoakuina Motorcycle were involved as respondents by answering the distributed surveys. The gathered data were subsequently examined with the  SEM PLS method. The findings of the analysis show that the work environment has a significant influence on employee performance, meaning that environmental conditions in the workplace, such as facilities, atmosphere, and relationships between employees, greatly affect employee productivity and work performance. On the other hand, the results of the analysis also show that work motivation does not have a significant influence on employee performance. This shows that although work motivation exists among employees, it does not always translate into improved employee performance within PT Pakoakuina Motorcycle
Opportunities for the integration of muslim immigrants in European Union countries
Authors: Raache Serhane , Ataouat Abdelhakem
Published: October 2024

The presence of Muslim immigrants in European Union countries has become an undeniable reality, as these immigrants have become an integral part of the demographic composition of EU societies. The strength of these immigrant communities has increased as a result of the intensification of family reunification policies, which have contributed to reshaping and expanding minorities within the European space. Consequently, questions, concerns, and doubts have arisen about the integration of these immigrants into most national communities. These apprehensions are primarily based on the legal mechanisms required to integrate these minorities into the nation-state, which is founded on citizenship rights in Europe, and on the practical measures that guarantee their integration in an appropriate form and content. On this basis, the adopted integration policies that attempt to reposition Muslims in Europe at the economic, social, and, to some extent, cultural levels raise many concerns about their ability to integrate these Muslim immigrants and about the possible opportunities for their proper integration in light of their cultural, religious, and social specificities. Through this paper, researchers attempt to examine the opportunities for these Muslim immigrants to integrate, considering the legal complexities and social problems they face, which hinder their complete integration into these societies.
Developing health-saving competence of pre-service teachers in Kazakhstan
Authors: Laulanbekov Alibi , Torybayeva Jamilya , Tusseyev Mukhamejan
Published: October 2024

This study's significance lies in the need for a perspective teacher who can solve educational objectives to preserve children's and teenagers’ health. In this context, it is crucial to cultivate the health-saving competence of pre-service teachers during the educational process at the university. The study has aimed to develop, implement and experimentally test educational conditions for developing health-saving competence of a pre-service teacher within the framework of the educational program of the pedagogical direction. The participants were 37 university teachers of physical education and 145 students from two universities in Kazakhstan. The proposed approaches and methods represent a process of future teacher training which includes the stages: initial, main and final. Instructional intervention was employed at the final stage: the authors developed and introduced a special course for prospective teachers titled "Development of Schoolchildren's Health and Modern Health-promoting Technologies”. Tests, surveys, and questionnaires have been used during the intervention to test the course efficiency. The majority of respondents (79%) consider it necessary to utilize health-promoting methods and techniques at different stages of the lesson in the process of teaching the discipline. The essential aspect in the study of the elective course was building upon students' existing knowledge in the fields of physical education, pedagogy, psychology, and subject-specific teaching methods, as well as enhancing their health-saving competencies.
Keywords: health-saving, competence, physical education, teacher, activity.
Development of an artificial intelligence-enabled non-invasive digital stethoscope for monitoring the heart condition of athletes in real-time
Authors: Omarov Batyrkhan , Omarov Bakhytzhan , Rakhymzhanov Alpamys , Niyazov Askarbay , Sultan Daniyar , Baikuvekov Meirzhan
Published: October 2024

This study investigates the efficacy of AI-enabled digital stethoscopes in enhancing physical performance, increasing student engagement and motivation, and improving psychological well-being among physical culture students. The experimental design involved two groups of 40 students each: the experimental group used AI-enabled stethoscopes for real-time cardiovascular monitoring, while the control group relied on traditional heart rate monitoring methods. The results indicated significant improvements in physical performance, engagement, and psychological well-being for the experimental group. Real-time monitoring facilitated personalized training adjustments, optimizing training loads and preventing overexertion, leading to superior performance outcomes. Additionally, the use of innovative monitoring tools significantly increased student motivation and engagement in physical culture classes, as reflected in higher attendance rates and more enthusiastic participation. Psychological assessments revealed that continuous health monitoring reduced anxiety levels and enhanced overall mental well-being, providing students with a sense of security and proactive health management. These findings underscore the transformative potential of integrating advanced monitoring technologies into physical education and rehabilitation programs, offering precise, real-time data that supports individualized and responsive interventions. The study concludes with a call for further research to explore the long-term impacts and broader applications of AI-enabled health monitoring tools in diverse educational and clinical settings, aiming to maximize their benefits and improve overall student and patient outcomes.
Keywords: Sports therapy, Physical culture education, Health monitoring technology, Personalized training, Student engagement, Real-time cardiovascular monitoring, AI-enabled stethoscope.
Cultural heritage sports tourism design opportunities: a bibliometric analysis
Authors: Prasetyo Yudik , Nugroho Sigit , Sulistiyono Sulistiyono , Nurhidayah Dewi , Hermawan Hedi Ardiyanto , Sumarjo Sumarjo , Prastyawan Rifky Riyandi , Perdana Satya
Published: October 2024

The development of cultural heritage sports tourism requires collaboration from the government, communities around cultural heritage, academics, and stakeholders. The implementation of cultural heritage sports tourism has been carried out by many researchers around the world. This research was conducted to provide a review of cultural heritage tourism that has been carried out and to find out future research gaps related to cultural heritage sports tourism. Harzing's publish or perish software, Mendeley Desktop, and VosViewer were used to sort and identify gaps in this research. A total of 1069 articles from 2014 to 2024 from the Scopus, Web of Science, and PubMed databases were reviewed according to a predetermined review. The review included cluster information, impact factors, types of activities, research findings, and gaps for future research. The results showed that there were eight cluster groups in the resulting analysis with seven keywords that had a high impact factor. The keywords that have high impact factors are revisiting intention, digitalization, game-based learning, location-based applications, surveys, circular economy, and immersive technologies. The findings in this study are that the development of cultural heritage attractions needs to consider visitor expectations, the content presented, government involvement, and promotion. The development of cultural heritage sports tourism has great potential.
Keywords: bibliometric analysis, sport tourism, cultural heritage, future research
Learning model in adapted physical education based on online: the bibliography analysis in publication 2018 – 2023
Authors: Burhaein Erick , Zuhdi Rasyid , Phytanza Diajeng Tyas Pinru , Irawan Yogy Ferdy
Published: October 2024

This study aims to determine the conditions in the range of 2018-2023 related to scientific maps, publication trends, and the scope of thematic research in the field. On the theme of the online-based Adapted Physical Education Learning (APE) model, especially articles published in international journals with indexation of Scopus, PubMed, and Crossref. In addition to the research and data sources to be used in the bibliometric analysis as many as 2200 articles were found through the keywords "learning model”, “APE”, and “online" in the article title & abstract". To explore and identify key thematic areas as well as topics that appear in publications using keyword co-occurrence analysis. To support data analysis and visualization processes obtained from Harzing's Publish or Perish and VOSviewer applications. The results of this study show that the online learning model in APE is a research trend that has been in great demand in the last 5 years and is still developing. In the visualization section, high keyword density is presented in 8 clusters, namely: (1) student; (2) practice; (3) treatment; (4) study; (5) experience; (6) patient; (7) parent; and (8) strategy. Bibliometric analysis in the form of mapping provides information about publication development patterns in the field of online learning in APE. These findings contribute to future research, especially the need for in-depth research focusing on one or more themes that are still rarely studied such as treatment, risk factors, deep learning models, distress, healthy control, cyberbullying, professional health, and digital tools.
Keywords: Learning model, adapted physical education, online
Performance assessment of packed bed systems for humidity control in greenhouse applications: An experimental based AI modelling approach
Authors: Bhowmik Mrinal , Giampieri Alessandro , Roskilly Anthony Paul , Ma Zhiwei
Published: October 2024

Optimal humidity control is essential for enhancing crop yields and ensuring favourable growth conditions in greenhouse agriculture. Packed bed devices are effective tools for regulating humidity levels; however, accurately assessing their performance, especially for temperate oceanic climates, is yet explicitly unexplored. The current paper presents a packed bed system using water as the working fluid to increase humidity during winter for greenhouse cultivation.
An experimental setup is developed, and a detailed parametric study is conducted. Also, an artificial intelligence (AI) based multi-layer perceptron neural network (MLPNN) is designed to evaluate the performance of packed bed systems under varying environmental conditions with different inlet air flow rates (176 m³/hr, 286 m³/hr, 383 m³/hr, and 428 m³/hr). The results show that the system achieves a significant 50% increase in humidity ratio, transitioning from an inlet humidity ratio of 6 g/kgda to an outlet ratio of 9 g/kgda when operating with water at an average temperature of 15.7°C and a flow rate of 12.8 kg/min. The MLPNN is trained with 112 non-repeated datasets and observed that a topology of 2-10-10-1 includes 2 input neurons, 2 hidden layers with 10 neurons each, and 1 output neuron, has high prediction accuracy in estimating Δωa values for the packed bed system. The predictions closely align with experimental data, showing a maximum discrepancy within ±2.5%. This research advances the use of packed bed systems by providing a comprehensive framework for assessing and improving humidity control in greenhouse environments.
Development of a milk-containing drink fermented with chickpea extract
Authors: Ahangaran M. , Marinenkova G. A. , Ionova I. I. , Savinov Ya. M. , Mashentseva N. G.
Published: October 2024

In recent times dairy drinks with plant extracts are in great demand, since such products, thanks to the plant component, can compensate for the deficiency of important nutrients for humans. Legumes, for example, chickpeas (Cicer arietinum L.), can be promising plant raw materials for such drinks: they are rich in biologically available protein, vitamins and dietary fiber. In addition, fermenting such drinks with lactic acid bacteria with probiotic properties can provide even greater benefits to the product. The goal of the research is to develop a technology for a milk drink containing chickpea extract, fermented with lactic acid microorganisms with probiotic properties, to increase the nutritional value and improve the organoleptic characteristics of the product. Lactic acid bacteria used in the research were previously isolated from naturally fermented products, identified and deposited in the national Bioresource Center of the All-Russian Communist Party of Moscow Scientific Research Center “Kurchatov Institute”. The strains were studied for their probiotic and technological properties, including the ability to utilize chickpea antinutritional factors. A milk-containing drink with chickpea extract was fermented with microorganisms at a temperature of 37 °C for 24 hours.

The product recipe contained 45% of chickpea extract and 55% of cow milk with a fat content of 0.5%. Two compositions were composed: No. 1 – a milk-containing drink with chickpea extract, fermented with Limosilactobacillus fermentum SB-2 and Latilactobacillus sakei SD-8; No. 2 – milk drink with chickpea extract, fermented with Lactiplantibacillus plantarum PC-7 and Leuconostoc mesenteriodes CH-5. Strains were added to the product in an amount of 1×107 CFU/ml. Both drinks met microbiological requirements and had a pleasant sour-milk taste, but the first drink had light floral notes, while the second drink left a bean aftertaste. According to the research results, composition No. 1 made it possible to obtain a milk-containing drink fermented with chickpea extract, which was the most acceptable in terms of organoleptic indicators.
Análise da confiabilidade de equipamentos de medição autônoma de tubos de aço sem costura em linhas produtivas de uma indústria siderúrgica: enfoque em manutenção centrada na confiabilidade e redução de custos
Authors: De Paula Fernando Augusto Baia
Published: October 2024

Este estudo teve como objetivo demonstrar como a manutenção com foco na confiabilidade do processo pode ser benéfica à produtividade das empresas. O estudo foi realizado abordando técnicas de investigação dentro das linhas produtivas de tubos de aço sem costura de uma empresa brasileira situada no município de Jeceaba, Minas Gerais. Foram realizados testes de aferição e calibração dos medidores de comprimento do equipamento de inspeção eletromagnética e das serras de corte de tubos do processo de produção de tubos de aço sem costura, mitigando falhas e determinando parâmetros seguros para medição dos tubos produzidos pela empresa, tornando os resultados mais confiáveis e possibilitando redução de custos produtivos. O estudo surgiu dentro do programa de desenvolvimento de estagiários promovido pela empresa, que consistia em uma série de atividades a serem desenvolvidas pelos estagiários para melhoria dos processos internos e redução de custos no processo produtivo da empresa, onde diante do trabalho desenvolvido foi possível a descoberta de uma redução de custos de aproximadamente 1 milhão de reais anuais no processo, otimizando o processo e os lucros das empresas.
Health librarians roles in mass-gatherings and disaster management in Nigeria
Authors: Nwafor-Orizu Obianuju E. , Obiozor-Ekeze Nkechi
Published: October 2024

This paper aims at highlighting the roles that health librarians can play as stakeholders in mass- gathering mishaps and disasters management. Literature review method is used, being an overview of the roles health librarians can play in the management of disasters and mass- gathering emergencies. Many new roles were identified in addition to their traditional functions, but more partnership need be established with the first responders and other stakeholders for stronger impact. Health librarians are valuable allies in disaster preparedness and response. In Nigeria, necessary steps need to be taken to properly integrate them into mainstream disaster and mass gatherings protocols to tap from their specialties.
Leveraging blended learning for desired learning outcomes in Nigerian tertiary institutions through the instrumentality of digital literacy
Authors: Akidi Juliana Obiageri , Agbese Florence Ada Oyije
Published: October 2024

Educational systems globally, especially at the tertiary level in this digital age have embraced modern technologies in teaching and learning to optimize learning outcomes. This has resulted in adopting different technology-mediated learning approaches that are supported by the use of information and communication technologies (ICTs). One example of such learning approaches is blended learning, which is a learning approach that combines online learning with face-to-face instructions most effectively for optimal learning outcomes. When embraced and implemented in a well-planned, organized way with the right attitudes, blended learning can become the future of Nigerian educational system. Thus, leveraging blended learning in the Nigerian tertiary institutions through the instrumentality of digital literacy is apt, especially in this digital age. The paper succinctly discussed the basic concepts of the study and benefits of blended learning, an overview of digital literacy and the need for acquisition of digital literacy for actualization of full potentials of blended learning. Barriers to effective implementation of blended learning in Nigerian tertiary institutions were discussed. The paper concludes that digital literacy stands in the gap of eliminating the problems often experienced in the course of deploying blended learning in the Nigerian tertiary institutions. Consequently, proactive measures and the way forward for stimulating digital literacy for effective implementation of blended learning, overcome challenges and engender desired learning outcomes were recommended.