bluuebunny/crossref_metadata_2025 huggingface dataset:
Derecho y políticas ambientales en el País Vasco (Segundo Semestre 2021)
Authors: Lazkano Brotóns Iñigo
Published: December 2024

Derecho y políticas ambientales en el País Vasco (Segundo Semestre 2021)
Jurisprudencia ambiental en el País Vasco (Segundo semestre 2021)
Authors: Lazkano Brotóns Iñigo
Published: December 2024

JURISPRUDENCIA AMBIENTAL EN EL PAÍS VASCO Segundo semestre 2021
Derecho y políticas ambientales en Andalucía (Primer Semestre 2022)
Authors: Mora Ruiz Manuela
Published: December 2024

Derecho y políticas ambientales en Andalucía (Primer Semestre 2022)
Jurisprudencia Ambiental de la Unión Europea (Segundo semestre 2023)
Authors: Giles Carnero Rosa
Published: December 2024

Jurisprudencia Ambiental de la Unión Europea (Segundo semestre 2023)
JURISPRUDENCIA AMBIENTAL EN EL PAÍS VASCO Segundo semestre 2023
Authors: Lazkano Brotóns Iñigo
Published: December 2024

Crónica de la jurisprudencia dictada por el Tribunal Superior de Justicia del País Vasco, publicada en el CENDOJ entre el 15 de abril y del 15 de octubre de 2023
Derecho y políticas ambientales en el País Vasco (Primer semestre 2024)
Authors: Lazkano Brotóns Iñigo
Published: December 2024

Derecho y políticas ambientales en el País Vasco (Primer semestre 2024)
Jurisprudencia ambientel en el País Vasco (Primer semestre 2024)
Authors: Lazkano Brotóns Iñigo
Published: December 2024

Jurisprudencia ambientel en el País Vasco (Primer semestre 2024)
Futbolda Dar Alan Oyunlarında Sözel Teşvik: Pozitif ve Negatif Antrenör Teşvikinin Psikofizyolojik ve Teknik Analizi
Authors: Yiğit Hüseyin , Soylu Yusuf , Arslan Erşan , Kilit Bülent
Published: December 2024

Bu çalışmanın amacı pozitif ve negatif sözlü antrenör teşvikinin futbolda 4x4 dar alan oyunu üzerindeki psikofizyolojik ve teknik etkilerini araştırmaktır. Çalışmada, dar alan oyunlarına katılan 16 amatör genç erkek futbolcu (yaş: 16.75 ± 0.45 yıl) yer almıştır. Dar alan oyunları aynı antrenman tasarımı ve düzeni ile iki antrenman uygulaması sonucunda tamamlanmıştır. Birinci uygulamada antrenörler pozitif sözel teşvik kullanırken, diğer uygulamada negatif teşvik ile oyuna müdahale etmiştir. Oyunlar sırasında kalp atım hızı, keyif, algılanan zorluk derecesi, zihinsel yorgunluk, ruh hali ve teknik aktiviteler ölçülmüştür. Çalışmanın bulgularına göre pozitif antrenör teşvikinin, kalp atım hızı, kalp atım hızı yüzdesi, algılanan zorluk derecesi, keyif, canlılık ve yorgunluk ruh hallerine ek olarak başarılı pas ve top kazanma gibi teknik aktivitelerde de artışa neden olurken (p
Bireyselleştirilmiş Öğretim Modelinin Ortaokul Öğrencilerinde Algılanan Beden Okuryazarlığına Etkisi
Authors: Aksoy Emre , Aygüneş Aslıhan , Mirzeoğlu A. Dilşad
Published: December 2024

Bu çalışmanın amacı bireyselleştirilmiş öğretim modelinin ortaokul öğrencilerinde algılanan bedensel okuryazarlık düzeylerine etkisinin incelemesidir. Çalışmaya 2023-2024 eğitim-öğretim yılı güz döneminde, Düzce Merkez İlçede bulunan bir ortaokuldaki 49 sekizinci sınıf öğrencisi katılmıştır. Ön test-son test kontrol gruplu deneysel desende tasarlanan çalışmada; deney grubunda dersler Bireyselleştirilmiş Öğretim Modeli ile kontrol grubunda ise Doğrudan Öğretim Modeli ile yürütülmüştür. Çalışmada veriler; Sum ve ark. (2018) tarafından geliştirilen ve Yılmaz ve Kabak (2021) tarafından Türkçe’ye uyarlanan “Ergenler için Algılanan Bedensel Okuryazarlık Ölçeği” ile toplanmıştır. Elde edilen verilerin normal dağılım göstermesi sonucu parametrik testlerden bağımsız gruplar t testi ve tekrarlı ölçümlerde iki yönlü varyans analizi kullanılmıştır. Bulgular “Kendini Algılama ve Özgüven” alt boyutunda deney ve kontrol gruplarının benzer puanlara sahip olduğunu, fakat ölçümler arasında son test puanları lehine istatistiksel açıdan anlamlı fark olduğunu ortaya koymuştur. “Başkaları ile İletişim ve Kendini İfade Etme” alt boyutunda ise grup x ölçüm ortak etkisinde iki modelin de son testler lehine olumlu etkiye sahip olduğu belirlenmiştir. “Bilgi ve Anlama” alt boyutundan elde edilen bulgular ışığında grup fark etmeksizin katılımcıların puan ortalamalarının arttığı, fakat iki grup arasında anlamlı bir farkın olmadığı tespit edilmiştir. Sonuç olarak; çalışmada kullanılan her iki öğretim modelinin de algılanan bedensel okuryazarlık düzeyi üzerine olumlu etkileri olduğunu söylemek mümkündür.
The Relationship Between Dietary Nutrients and Sleep in Elite Athletes: a Pilot Study
Authors: Eroğlu Melike Nur , Köse Beril , Sabur Öztürk Büşra
Published: December 2024

Sleep is essential for physical recovery and performance in athletes, and diet is one of the major factors influencing sleep. However, the relationship between dietary nutrients and sleep in elite athletes is not well understood. This study aims to examine the association between nutrient intake and sleep quality in elite athletes. A total of 115 elite athletes (75.3% (n=78) males; mean age: 68.70±10.91 years) from five sports (swimming, canoeing, archery, volleyball and taekwondo) were included in the study. All athletes were at national/professional competitive level. Sleep quality was measured using the Richard-Campbell Sleep Scale (RCSQ). Food consumption was recorded over 24 hours and the data were analysed using nutritional software (Nutrition Information Systems (BeBiS version 8.1)). The daily sleep duration of the participants was 7.50 ± 0.92 hours. The RCSQ score was 62.54 ± 22.49 and 28.6% of the participants had poor sleep quality. The good sleeper group had higher intakes of energy (kcal), protein (g/kg and g) and tryptophan (g/kg and g) (p < 0.05). Nutrient intakes in elite athletes are associated with sleep and may play a role in sleep disorders. Research should investigate causal relationships between nutrient intake and sleep, and the efficacy of dietary interventions to improve sleep in elite athletes with nutrient deficiencies.
USE OF THE SBA PLUS METHOD TO SOLVE SOME NONLINEAR FRACTIONAL SCHRÖDINGER EQUATIONS IN THE SENSE OF CAPUTO-HADAMARD
Authors: KABORE Germain , SOME Windjiré , Himeda Abdarahman Abakar , Abbo Bakari , SO Ousséni , SOME Blaise
Published: December 2024

In this paper, we construct exact analytical solutions, where they exist, of some nonlinear fractional Schrödinger equations in the sense of Caputo-Hadamard. Our results are obtained using an improved version of the SBA method.
THE ROLE OF UKRAINE IN ENSURING EUROPEAN SECURITY
Authors:   Taras Shevchenko National University of Kyiv, Kyiv, Ukraine, TIUTIUMA Yaroslav
Published: December 2024

Background. This paper is dedicated to exploring the role of Ukraine in ensuring European security. Key aspects of Ukraine's interaction with European partners and its contribution to addressing contemporary security challenges and threats in the region are examined. With the strengthening of geopolitical and economic ties in the modern world, Ukraine's role in European security has become pivotal. In the context of integration into European structures and active participation in international initiatives, Ukraine influences the formation of a secure space on the continent.

Methods. The research is based on the analysis of diplomatic and political events, the assessment of the effectiveness of Ukraine's interaction with European countries, and the study of strategies and measures aimed at strengthening European security through Ukraine's involvement.

Results. The study reveals that Ukraine plays a crucial role in ensuring security in Europe through its active participation in international peacekeeping missions, the development of strategic partnerships with European countries, and the implementation of reforms to enhance the efficiency of its security systems.

Conclusions. Ukraine plays a key role in shaping and strengthening European security. Its efforts in collaborating with European partners and participating in international initiatives are significant factors for stability and security in the region, requiring further development and deepening of strategic partnerships.
Pregnancy vomiting obscuring other disease: a clinical case of Wernicke encephalopathy
Authors: Sinayskaya Ekaterina A. , Zemlina Natalya S. , Murashko Andrey V. , Zinovieva Olga E. , Prokhorov Dmitry E.
Published: December 2024

The article presents a clinical case of Wernicke encephalopathy occurring as complication of excessive pregnancy-related vomiting (hyperemesis gravidarum). This disorder has developed due to thiamine (vitamin B1) deficiency. The correct diagnosis is challenging due to the similarity of clinical manifestations with several other disorders. Timely diagnosis and early treatment reduce the risk of severe course and irreversible complications that can lead to the potentially adverse outcome. This case is remarkable due to the appearance of the disease in a 32-year-old pregnant woman with excessive vomiting. The patient demonstrated the classic symptom triad found in only 16% of patients with Wernicke encephalopathy. Primarily ataxia and nystagmus appeared, and later memory impairment with confabulations was recorded. Magnetic resonance imaging of the brain revealed bilateral symmetrical areas with increased MR signal intensity in T2 (SE and FLAIR) sequences in the mediodorsal nucleus (MD) of thalamus, subependymal microglia of the III ventricle, and periaqueductal gray. The treatment of Wernicke encephalopathy was immediately initiated with the use of intravenous thiamine 200 mg 3 times daily. The beneficial treatment effect was reported. Further pregnancy proceeded unremarkably and resulted in the birth of a live term girl. During the postpartum period, the patient reported persisting instability when walking, which increased with closed eyes, and non-systemic dizziness.
Use of titanium implants in the surgical treatment of complete uterine or vaginal prolapse in elderly and senile patients after hysterectomy
Authors: Ishchenko Anatoly I. , Chushkov Yurу V. , Ishchenko Anton A. , Khokhlova Irina D. , Dzhibladze Tea A. , Komarova Anna D. , Tevlina Ekaterina V. , Moskvicheva Anastasia P. , Koryagina Anna D. , Baburin Dmitrii V.
Published: December 2024

BACKGROUND: With increasing life expectancy, the need to improve the quality of life in elderly and senile women has become more urgent. Pelvic organ prolapse is a significant concern, particularly because this pathology tends to progress in the postmenopausal period. Surgical treatment of pelvic organ prolapse using only the patient’s own tissues often results in recurrence of the disease. This highlights the need for developing new surgical techniques that utilize durable and biologically inert materials, such as titanium implants.
AIM: The objective of this study is to analyze the effectiveness and reliability of surgical correction of complete uterine or vaginal prolapse after hysterectomy in elderly and senile women.
MATERIAL AND METHODS: A total of 65 women, aged between 65 and 86 years old, were examined and underwent surgery using two newly developed original surgical techniques. Group I (31 patients) underwent surgery with the use of a titanium mesh implant, while Group II (34 patients) underwent surgery with the use of a combination of the aforementioned mesh implant with two non-absorbable ligatures.
RESULTS: The outpatient follow-up was carried out on Months 1, 6, 12, 24, 36 and 48 after surgery. The comprehensive examination, comprising questionnaires, gynecological examination and transperineal post-surgery ultrasound, demonstrated that the surgical treatment was satisfactory, as evidenced by an improvement in the women's quality of life. During Month 1 after the surgery, 32 patients (49.2%) reported intermittent perineal pain and/or aches in the area of the inguinal folds, while 15 patients (65.0%) experienced frequent attempts to urinate. These symptoms abated with time. No recurrences of the disease or mesh-associated complications were recorded during the follow-up period.
CONCLUSION: The study demonstrates the efficacy and reliability of newly developed surgical techniques for treating complete uterine and vaginal prolapse after hysterectomy in elderly and senile women. The accumulated clinical experience attests to the fact that severe pelvic organ prolapse in elderly patients with concomitant somatic diseases can be successfully treated via surgical intervention. This has the potential to relieve women from the range of symptoms associated with the disease and normalize the functioning of pelvic organs. The introduction of such surgeries into clinical practice will improve the quality of life of elderly and senile patients.
Correlation between inflammatory biomarkers in biological fluids in patients with ovarian endometriosis
Authors: Mangileva Yana A. , Kudryavtseva Elena V. , Polushina Larisa G. , Shakiryanova Elvira I. , Potapov Nikolay N. , Kovalev Vladislav V.
Published: December 2024

BACKGROUND: To date, there are no available screening techniques allowing to distinguish groups of women with the risk of endometriosis. Therefore, many researchers are searching for meaningful biomarkers for non-invasive diagnosis. The peritoneal fluid is subject to multidirectional changes in patients with external genital endometriosis, although its sampling requires invasive procedure. Testing of the inflammatory markers in saliva is a simple and safe method of particular interest, given that its sampling is non-invasive.
AIM: To assess the correlations between the level of inflammatory biomarkers in the peritoneal fluid and saliva in patients with ovarian endometriosis.
MATERIAL AND METHODS: A prospective cohort comparative study of 46 women with ovarian endometriosis was carried out. Inclusion criteria: confirmed diagnosis of ovarian endometriosis; age between 18 and 40 years; written informed consent for surgical intervention and for participation in the study; no prior hormonal treatment. Non-inclusion criteria: patient's refusal to participate in the study; age below 18 and above 40 years; contraindications for surgical treatment; oral inflammatory diseases. Patients were excluded if the diagnosis could not be visually confirmed during surgery or if there were histological discrepancies. All patients underwent laparoscopic cystectomy. Peritoneal fluid samples were collected during surgery. Mixed unstimulated saliva was collected before surgery in the morning, on an empty stomach. The levels of interleukins and of vascular endothelial growth factor were assessed in biological fluids.
RESULTS: The mean age of the study subjects was 32,4±6,1 years. Correlation analysis showed a direct statistically significant moderate relationship between the levels of IL-6 (r=0.548; p=0.001) and IL-8 (r=0.360; p=0.026) in the peritoneal fluid and saliva, respectively.
CONCLUSION: These data suggest that the onset and progression of endometriosis are associated with the increase of inflammatory cytokine levels both in the peritoneal fluid and in saliva. This may serve a potential tool for diagnosis and assessment of the severity of endometriosis. Evaluation of IL-6 and IL-8 levels in saliva may be useful in clinical practice in patients with external genital endometriosis.
Integrating Rational Emotive Behavior Therapy, Compassion-Focused Therapy with Cognitive Retraining in Traumatic Brain Injury: A Case Report
Authors: Mahajan Shweta Nitin , Jain Anuja , Chattopadhyay Shreshtha , Themse Shamli
Published: December 2024

BACKGROUND: This case report presents a novel approach to treating Traumatic Brain Injury (TBI) by integrating Rational Emotive Behavior Therapy (REBT), Compassion-Focused Therapy (CFT), and Cognitive Retraining (CR). It contributes to the literature by demonstrating the effectiveness of a comprehensive psychotherapeutic approach in managing complex TBI sequelae, particularly in the Indian context where such interventions are underrepresented.
CASE REPORT: A 34-year-old Indian female presented signs of emotional dysfunction, cognitive impairment, social maladaptation, shamefulness, and self-deprecation following a TBI sustained 10 years prior. A mental status examination and psychological assessments revealed cognitive deficits, emotional instability, and irrational beliefs, all related to her injury and recovery. The treatment plan integrated REBT, to address the irrational beliefs; CFT, to manage the sense of shame and the insistence to self-criticize; and CR, to improve cognitive functions. This approach was tailored to the patient’s cognitive limitations and cultural context. Interventions included challenging irrational beliefs, self-compassion imagery, and cognitive exercises adapted to her specific deficits. Outcomes were measured using the Subjective Units of Distress (SUD) scale and clinical observations. The patient showed improvements in emotional regulation, cognitive functioning, and overall quality of life, as evidenced by reduced subjective distress (SUD down from 90 to 58) and enhanced daily functioning.
CONCLUSION: This case demonstrates that an integrated psychotherapeutic approach combining REBT, CFT, and CR can effectively address the complex psychological and cognitive challenges of TBI patients. Tailoring interventions towards patient cognitive limitations and cultural context is crucial for a successful outcome. The case highlights the importance of incorporating diverse therapeutic modalities in TBI management, promoting a more holistic approach to recovery and enhancing the quality of life of TBI survivors.
COMPARATIVE EFFICACY OF BLEPHAROGEL FORTE IN THE TREATMENT OF PATIENTS WITH CHRONIC BLEPHARITIS ON THE BACKGROUND OF MEIBOMIAN GLAND DYSFUNCTION.
Authors: Prozorny Alexander Alexandrovich , Prozornaya Lyudmila Petrovna , Mashenkova Tatyana Andreevna
Published: December 2024

AIMS: To evaluate the therapeutic effect of sequential use of a line of phytoblepharohygiene products with blepharogel forte in patients with prolonged chronic blepharitis on the background of meibomian gland dysfunction.
MATERIALS AND METHODS: The material of the study consisted of the results of examination of 42 patients (84 eyes), 30 men (60 eyes, 71.4%) and 12 women (24; 28.6%) with CB on the background of MGD and "dry eye" syndrome at the age of 16-73 years.
Depending on the treatment method, the patients were divided into 2 groups: group I patients (20 patients, 40 eyes, 47.6%) received eyelid massage, phytoblepharohygiene with blepharogel 1 or 2 (in case of confirmed demodectosis). Group II patients (comparison group) (22 patients, 44 eyes, 52.4%) received eyelid massage, and phytoblepharohygiene was completed by applying blepharogel-forte containing metronidazole to the eyelids (regardless of positive or negative test for demodectosis).
RESULTS: Already from the first week in groups I and II of patients the indices characterizing hyposecretion of meibomian glands were 1.9 ± 0.2 and 1.1 ± 0.3, in comparison with the initial 2.6 ± 0.2 and 2.4 ± 0.3, respectively (p0.05). The dynamics of hypersecretion scores was similar: 1.6 ± 0.2 and 1.5 ± 0.2 after one week, compared to the initial 2.3 ± 0.3 and 2.2 ± 0.2, respectively (p0.05). The index characterizing eyelid edema at this stage of the study significantly decreased only in the second group of patients receiving blepharogel forte containing metronidazole (1.4 ± 0.2 points after a week, compared to the initial 2.3 ± 0.2) (p ˂ 0.05). Group 1 showed only persistent maintenance of the scores obtained, while Group 2 showed a steady increase.
CONCLUSIONS: The use of blepharogel forte containing metronidazole can be recommended for use in the treatment of patients with blepharitis and meibomian gland dysfunction due to a more significant therapeutic effect compared to the basic line of blepharohygiene and phytoblepharohygiene.
German Youth Culture Formation Background - Focusing on the History of Youth Literature
Authors:   The Korean Society For German History, Choi Sun-Ah
Published: December 2024

Youth culture has diversity and complexity that cannot be accessed with simple logic. From the 17th and 18th centuries, perceptions of children and adolescents began to change. Youth literary works are classified as literary genres that can directly reflect the characteristics of the times. Youth literature works are evaluated as reflecting the values of the historical era. German youth literature has been developed by contributing to the 'discovery of youth'. Hesse criticizes the school education and social system that suppresses youth in “Under the Wheel”. Interpreting education and the historical nature of youth literature through youth literature can be a new approach.
The Neue Wache Controversy and Käthe Kollwitz: Use and Misuse of German Memory Politics before and after Reunification
Authors:   The Korean Society For German History, Lee Hyun Ae
Published: December 2024

The historical significance of Käthe Kollwitz’s work was not lost during the 40 years of division, as evidenced by the fact that a small piece of her legacy has remained at the center of debates in German memory politics even after reunification. This occurred in 1993, when the federal government built the ‘Zentrale Gedenkstätte der Bundesrepublik Deutschland für die Opfer von Krieg und Gewaltherrschaft(Central Memorials for the Victims of War and Tyranny)’ at Neue Wache in Berlin and installed an enlarged replica of Käthe Kollwitz's sculpture  without much public consultation or deliberation. The controversy surrounding the construction of the ‘Central Memorial’ can be divided into three main issues. These are the evolution of Neue Wache and commemorating the fallen, the ambiguity of the “victims,” and the appropriateness of the installation of the ‘Pietà.’ This article briefly examines the first two issues, which have been explored in greater detail in the literature, before focusing on the third, which has received less attention. This article raises the following questions: what did the actors pushing for the construction of the ‘Central Memorial’ at Neue Wache want to remember or forget by displaying an object that did not fit into the neoclassical architecture, and according to what needs was the artistic achievement of Käthe Kollwitz used and misused in the German memory politics before and after reunification?
Oral clefts - dental development anomaly
Authors: Rastogi Isha
Published: December 2024

Cleft lip and palate are dental development anomalies. They are common and they should be studied by the clinicians.

To study about cleft lip and palate and know about their details in patients so as to treat them well. It is known that clefts occur as dental development anomalies. These need to be diagnosed, examined, treated successfully. When clinicians take this issue as serious, only then the patients will be benefitted.

This anomaly is well known to all. Awareness and knowledge both in patients and clinicians is needed. This is a team approach. Also it requires skills on part of the clinician. Investigations, if done timely, can do miracles for this problem.
Modern radiodiagnosis redefining diagnostic accuracy in healthcare: A narrative review
Authors: Kale Preeti , Seth Namdev , Sharma Srishti , Verma Saumya , Varshney Dushyant Kumar
Published: December 2024

Radiodiagnosis has undergone a transformative evolution in recent years, redefining diagnostic accuracy and reshaping healthcare practices. This review explores the integration of advanced imaging modalities, cutting-edge technologies, and artificial intelligence in modern radiodiagnostic workflows. Key advancements, such as high-resolution imaging, functional studies, and AI-driven decision support systems, have enhanced diagnostic precision, improved patient outcomes, and streamlined clinical processes. Additionally, the article examines challenges, including data management, ethical considerations, and the need for specialized training. By bridging technological innovation with clinical expertise, modern radiodiagnosis continues to set new benchmarks in early detection, personalized treatment, and the overall quality of healthcare delivery.
Age and gender estimation by radiographic evaluation of mandible
Authors: Reddy Rishika , Nagalaxmi Velpula , Zardi Faisal Taiyeballi , Sadathullah Ayesha , Abbagalla Sunayana
Published: December 2024

The aim of the study was to measure various morphometric parameters of mental foramen, height of ramus, mandibular canal, gonial angle and maxillary sinus in digital panoramic radiographs and to correlate these findings in the determination of Gender and Age.

A total of 300 radiographs were reviewed for assessment of age and gender by evaluating mental foramen, mandibular canal, height of ramus, gonial angle and width of maxillary sinus in Digital Panoramic Radiograph.

Among all the parameters changes in height of ramus, gonial angle and maxillary sinus was found to be highly significant (p value < 0.05) as age advances.

These parameters can be used to predict the age of the individual as there were significant changes in height of ramus, gonial angle and maxillary sinus. For further studies large sample size, and recent modalities in radiology like cone beam computed tomography or Computed tomography scan are required.
Calvarial tuberculosis - A review on an uncommon presentation of a common infection
Authors: Krishnasamy Lakshmi , Singaravelu Hari Priya Durairaj , Rengarajan Santhanam
Published: December 2024

Calvarial tuberculosis is one of the rare infectious diseases that are reported scantily in the literature. This disease could be a rare variety of skeletal tuberculosis affecting the skull. The disease is seen predominantly in developing countries because of malnutrition, poor socio-economic status, immune deficiency disorders, etc. The disease is additionally found occasionally in developed countries because of the migration of individuals. We undertook a systematic review in drafting this review article. We have searched PubMed / MEDLINE, EMBASE, SCOPUS and Google scholar for studies published as original research article, case report, case series and review articles on Calvarial tuberculosis between 2000 and 2024. We also manually searched the reference lists of the included articles to include further studies on this topic. In this review, we briefly discuss the pathogenesis, clinical features, radiological features, diagnosis, and management of calvarial tuberculosis. Knowledge, awareness, and a tall file of doubt are required for early and prompt diagnosis of this scantily reported disease.
Donning of personal protective equipment under direct supervision- A quality improvement study in COVID-ICUs of a tertiary care facility, South India
Authors: Priyadarshi Ketan , Dhandapani Sarumathi , Rajshekar Deepashree , A Benedict Vinothini , Punnen Stessy Ann , Veerappan Kowsalya , Jamir Imola , Sastry Apurba S
Published: December 2024

: Personal protective equipment has a major role in reducing the transmission of infections to healthcare workers despite the fact that improper doffing techniques can pose a threat of acquiring nosocomial infections. Compliance to donning or doffing is an all or none phenomenon where lack of adherence to sequence or technique can result is transmission of infections. Conducting doffing audit with the help of trained supervisors (dofficers) can significantly improve compliance with doffing guidelines.

: This quality improvement study, was conducted at a large-scale tertiary care hospital located in South India, for a one-year period in COVID-ICUs. Doffing audit was conducted by trained dofficers in designated doffing areas for proper technique & sequence of doffing and disposal all through the shifts.

: 5834 health care professionals were supervised over 8760 hours with a total doffing compliance of 66.6%. Nurses had better overall and individual component doffing compliance. Biomedical waste segregation compliance was also high among nurses (90.4%). Most common breach is with mask removal.

: Nosocomial transmission of infections can be controlled with adherence to proper doffing techniques. Auditing and on spot interventions will help improve the compliance to doffing.
A retrospective observational study on clinical & radiological profile of patients diagnosed with RT PCR confirmed influenza infection admitted in tertiary care centre
Authors: Garg Parul , Singhal Sanjeev , Singhal Sushil Kumar , Agrawal Deeksha , Singhal Shweta
Published: December 2024

Influenza is a serious respiratory illness that can be debilitating and cause complications leading to hospitalization and death. Hence many patients need ICU management and close diagnostic monitoring in swine flu isolation ward. However fewer studies have been published describing clinical and radiological correlation in confirmed patients with H1N1 influenza admitted. Therefore we have conducted study that describes the clinical and radiographic findings in confirmed H1N1 influenza patients admitted to the intensive care unit (ICU), along with their outcome.

To evaluate risk factors, clinical and radiological profile of the confirmed cases of Influenza infection.

: In the retrospective observational study 48 patients of influenza, who were diagnosed and treated, will be identified from hospital records at a tertiary care Hospital. All relevant clinical, investigational and treatment data collected from the hospital records.

In our study, the maximum percentage of patients was in the age range of 41-60 years with male to female ratio of 1.52:1. All study patients had with fever (100%) while Cough, sputum production, wheezing, and breathlessness were other presenting symptoms. Crepitation was observed as a major sign. Other signs were pedal edema, anemia, cyanosis etc. Comorbid conditions were most commonly diabetes followed by hypertension, CAD and TB. Evaluation of Radiological investigations showed predominantly localization of bilaterally lobes. Consolidation, reticulonodular and nodular patterns were seen on X-ray. Due to illness, mortality was seen in 6(12.5%) patient out of 48patients.

In the aftermath of the pandemic, untreated H1N1 influenza an infection that, in a matter of minutes or hours, can cause acute respiratory distress syndrome Meticulous diagnosis based upon clinical signs and symptoms and biochemical and radiological examination with early treatment may further decrease the mortality rate.
Study of histopathological spectrum of lesions of gall bladder with clinico radiological correlation
Authors: Borade Devika Suresh , Kanetkar Sujata R , Patil Nanda J , Jagtap Sunil V
Published: December 2024

The gallbladder is frequently affected by a spectrum of diseases, ranging from benign inflammatory conditions to aggressive malignancies.Histopathological examination is the cornerstone of diagnosing gallbladder diseases, providing detailed insights into the cellular and tissue-level changes that occur in various conditions. However, the diagnostic process is significantly enhanced when histopathological findings are correlated with clinical and radiological data. Such a multidisciplinary approach not only improves diagnostic accuracy but also improves treatment strategies, leading to better patient outcomes.

This study aims to investigate the histopathological spectrum of gallbladder lesions and to establish correlations with clinic-radiological findings, thereby advancing the understanding of gallbladder pathology and its management.

To study the histopathological spectrum of lesions of gall bladder with clinic radiological correlation

The most common histopathological diagnosis was chronic non specific cholecystitis with cholelithiasis seen in 48 cases out of 100 cases (48%). Total 70 cases out of 100 (70%) were calculous out of which 65.71% cases were of chronic cholecystitis, 24.28% cases were of acute cholecystitis and 10% cases were of gall bladder carcinoma with n=70. Out of 100 cases, 90% cases had mixed stones, 7.15% cases had cholesterol stones and 2.85% cases had pigment stones.

There were 7 cases (7%) of gall bladder carcinoma amongst 100 cases. All 7 cases were of adenocarcinoma of the gall bladder out of which 2 cases showed serosal invasion and infiltration.

Multidisciplinary approach is required in the diagnosis and management of gall bladder diseases, integrating clinical, radiological and histopathological findings to ensure accurate diagnosis. Each and every cholecystectomy specimen must be sent for histopathological examination and studied meticulously, as some unusual findings bearing implications on treatment and prognosis may be seen, regardless of the reason for which cholecystectomy is performed.
Dengue virus: Investigate serological and hematological indicators for predictions
Authors: Bhojani Priya Laljibhai
Published: December 2024

Timely and accurate diagnosis of dengue fever is essential for both efficient treatment and prevention of severe symptoms. Investigating hematological and serological markers for dengue virus infection is the goal of the current investigation.

: A laboratory-based cross-sectional study was carried out among patients who visited SVP Hospital in Ahmedabad, Gujarat, between January 2022 and December 2023. Hematological parameters were assessed and blood samples from suspected dengue cases were analyzed using the rapid diagnostic immunochromatography (ICT) approach. Continuous variables were compared between groups infected with dengue and those that were not using the Mann-Whitney U test. A binary logistic regression analysis was performed to evaluate the correlation between dengue positive and other factors.

Dengue-positive participants showed low mean corpuscular hemoglobin (MCH) and mean corpuscular hemoglobin concentration (MCHC), thrombocytopenia, leucopenia, erythrocytosis, and high hemoconcentration in comparison to dengue-negative people. On the other hand, dengue positivity was significantly predicted by platelet count, total leucocyte count, MCH, MCHC, neutrophil count, and lymphocyte count, according to binary logistic regression.

: The features and demographics of dengue-positive cases were determined in this investigation, along with their associations with hematological markers. Moreover, by helping medical professionals diagnose and treat dengue patients faster, the discovered predictive indicators can lessen the disease's effects.
Reproducibility of the Bethesda system for reporting thyroid cytopathology (TBSRTC): An observational study of 100 patients
Authors: Panda Kishori Moni , Naik Reena , Mohiddin Mohd Ghouse
Published: December 2024

: FNAC is the most commonly used screening test to classify patients with thyroid nodules into six Bethesda categories (category I-VI) and for therapeutic decision making. The 2023 edition of TBSRTC, further simplifies these categories, using single name and describing more clear diagnostic criteria for each of the categories. The aim of this study is to investigate the interobserver reproducibility and usefulness of this classification scheme.

: FNAC smears from 100 patients with thyroid nodules from october 2022 to September 2024, over a period of 2 years were analysed retrospectively, which were reviewed and reclassified by two pathologists independently according to 2023 TBSRTC. The interobserver reproducibility was statistically assessed using Cohen’s kappa.

: Interobserver agreement was seen in 95 cases (95%) and disagreement was seen in 5 cases (5%). The concordance rate was 100% in the Bethesda I and Bethesda VI, 95% (76 cases) in Bethesda II, 66% (02 cases) in Bethesda III, 66% (08 cases) in Bethesda IV and 66% (02 cases) in Bethesda V. So, interobserver variation was seen among Bethesda II, III, IV and V. Overall Cohen’s kappa value showed excellent agreement.

: TBSRTC should be encouraged in our country because it reduces interoberver variability. Although there is excellent interobserver agreement seen in this study, disagreements were seen in the Bethesda categories II, III, IV and V, which corroborated with the findings of the studies done elsewhere.
Mevduat Bankalarının Finansal Performanslarının CAMELS Yaklaşımıyla Karşılaştırmalı Analizi
Authors: Topaloğlu Paksoy Semin , Çamurdan Burak , Çeviş İsmail
Published: December 2024

Bankacılık sektörü, ekonominin en önemli unsurlarından biridir ve ülkenin büyümesine ve gelişmesine öncülük eder. Özellikle son yıllarda ekonomide yaşanan küreselleşme ve teknolojik gelişmelerin etkisiyle bankacılık sektörü ciddi risklere veya krizlere maruz kalabilmektedir. Bu nedenle bankacılık sektörü, sürekli izlenmesi ve incelenmesi gereken bir faaliyet alanıdır. Riskleri henüz ortaya çıkmadan önlemek veya olumsuz etkilerini en aza indirmek amacıyla bankaları izlemek ve denetlemek için çeşitli yöntemler uygulanmaktadır. CAMELS derecelendirme sistemi de bu yöntemlerden biridir. Bu sistem ABD'deki denetim otoriteleri tarafından geliştirilmiş ve birçok ülke tarafından güvenilir bir sistem olarak kabul edilmiştir. Bu çalışmada Türkiye’de faaliyet gösteren kamu ve özel banka performanslarının karşılaştırılması amaçlanmaktadır. Küresel finansal krizin yanı sıra yakın çevremizdeki ülkelerde yaşanan siyasal ve sosyal sorunlar ile bankaların uygulamaya koydukları yeni ürün ve stratejilerin etkileri neticesinde sergiledikleri performans karşılaştırılacaktır. Bankaların bu olguları barındıran 2010-2020 faaliyet dönemlerinde sermaye yeterliliği, likidite, karlılık ve piyasa riskine karşı duyarlılıklarının değerlendirilmesi amaçlanmıştır. Performans analizi CAMELS yöntemi ile yapılmakta olup elde edilen sonuçlar, özellikle bazı özel bankaların devlet bankalarına göre üstünlüğünü sergilemektedir.
Mathematical Spatial Ability and Geometry Ability: A Correlation Study
Authors: Maghfiroh Sasqia Ulimaz , Qothrunnada Isni
Published: December 2024

Geometry is a mathematical content that requires students' spatial reasoning. The difficulty experienced by students in solving geometry problems is because students do not understand spatiality and spatial visualization of three-dimensional shapes presented in two dimensions. This research is quantitative research with the main data of XII grade students. The selection of subjects is based on the three-dimensional material taught at the XII grade level. The purpose of this research is as an initial observation of the spatial correlation with students' ability to solve three-dimensional problems. Spatial indicators in this study include spatial visualization, spatial orientation and spatial relations. The material of the third dimension is about the position of the point to the point, line and plane, the position of the line to the line and plane, the position of the plane to the plane and the distance of the line to the line and plane. The research method used is assisted by Ms.Excel to determine the correlation between spatial abilities with geometry skills of students and based on the calculation results obtained it can be concluded that there is a correlation between the spatial ability of students to the geometry ability of students in solving the three-dimensional material.
Competências para empreendedores de healthtechs
Authors: Rosa Priscila Freire Martins , Sartori Rejane , Machado Hilka Pelizza Vier
Published: December 2024

Objetivo: Apresentar um conjunto de competências para empreendedores de healthtechs. Método: É uma pesquisa de natureza aplicada, com abordagem qualitativa e objetivos exploratórios. O método empregado foi o Delphi. O estudo contou com a participação de 22 especialistas, os quais contribuíram para compreender a temática investigada. Principais Resultados: Os resultados apresentam 22 competências para empreendedores das healthtechs, categorizadas em quatro grupos: competências para atuar na saúde, competências para atuar em startups, competências para empreender na saúde e competências para inovar na saúde. Relevância / Originalidade: Este estudo apresenta uma abordagem integrada das competências no campo da saúde, inovação e startups. Outra contribuição original é o uso do método Delphi para estudar competências em healthtechs. Contribuições Teóricas / Metodológicas: Este estudo apresenta uma sistematização de competências essenciais para healthtechs, avançando em relação aos estudos anteriores, pois aborda inovação, saúde e startups de forma integrada.
Akademickie nauczanie specjalistycznego polskiego i niemieckiego języka prawa do celów zawodowych (w świetle standardów europejskich)
Authors: Biedroń Lena
Published: December 2024

Powszechna europeizacja prawa w ramach Unii Europejskiej prowadzi do konwergencji kultur i systemów prawnych, usuwania odrębności prawa krajowego, ujednolicania porządków prawnych. Znajomość wyłącznie prawodawstwa krajowego jest niewystarczająca, ponieważ problemy, z jakimi stykają się prawnicy dotyczą regulacji prawnych niejednokrotnie kilku państw. Umiejętność posługiwania się kilkoma językami obcymi umożliwia przyszłym prawnikom poznanie innych systemów prawnych oraz wykonywanie zawodu w środowisku międzynarodowym.
Glottodydaktyka europejska i polska podążają za zmieniającą się rzeczywistością kształcenia językowego. Zarówno Unia Europejska, jak i Rada Europy wspierają państwa unijne w realizacji polityki językowej spójnej z europejską polityką edukacji także w zakresie doboru metod nauczania oraz zasad kształcenia. Stworzone przez Radę Europy i Unię Europejską narzędzia stanowią próbę standaryzacji europejskiego kształcenia językowego i solidną podstawę dla praktycznego nauczania języków obcych oraz refleksyjnego stosowania innowacyjnych metod i form pracy.
Przygotowana monografia opracowana została w formacie porównawczym, zbieżnym z założeniami koncepcji glottodydaktyki porównawczej autorstwa Przemysława Gębala. Konfrontacja systemów akademickiej edukacji językowej Polski i Niemiec na tle współczesnych europejskich standardów kształcenia językowego umożliwiła szczegółowe poznanie elementów wspólnych i szeregu różnic w językowym kształceniu przyszłych prawników. Przyjrzenie się doświadczeniom edukacji językowej na kierunkach prawniczych wybranych uniwersytetów niemieckich i porównanie ich z wydziałami prawa trzech polskich uniwersytetów skłania do głębszej refleksji nad sposobami efektywnego kształcenia studentów prawa i szukania nowatorskich rozwiązań dydaktyczno-metodycznych.
Z uwagi na bliskie sąsiedztwo Polski z Niemcami i współpracę gospodarczą analiza programów kształcenia językowego w Niemczech i w Polsce może przynieść wymierne korzyści dla transferu myśli glottodydaktycznej.
Use of the performance measurement system (PMS) as a motivation, satisfaction and engagement tool
Authors: Marques Fabiane Alves , Cruz Ana Paula Capuano da , Gomes Débora Gomes de , Espejo Márcia Maria Dos Santos Bortolocci , Silva Deoclécio Junior Cardoso da
Published: December 2024

This research aims at understanding how the performance measurement system (PMS) is reflected in work engagement, motivation and satisfaction. Data were collected from 11 surveys completed by coordinators and managers from a petroleum refinery located in the southern region of Rio Grande do Sul. Henri (2006) and Simons (1995) approaches on the performance measurement system were adopted together with employee behavioral indicators (such as motivation, satisfaction and engagement) as elements to conduct surveys which were subsequently under content analysis (Bardin, 2016). The results evidenced that PMS is being applied at the company through dialogue, communication, safety and training. The refinery fosters work engagement, motivation and satisfaction, making employees feel proud, content and happy to be part of the organization. This encourages them to have a better performance and carry out their activities enthusiastically and with a clear focus. The findings show that PMS is favorably applied in a diagnostic and interactive manner in the organization under study. The relevance of this research is evident since organizations continually face a rising number of internal and external challenges including the need to motivate employees to increase productivity and reinforce work engagement.
El padre Joaquín García Sánchez, OSA. Un geógrafo innato
Authors: Bernex Weiss Nicole
Published: December 2024

Este artículo presenta brevemente al insigne misionero agustino, geógrafo innato, profesor honorario de departamento de Humanidades de la Pontificia Universidad Católica del Perú, el padre Joaquín García Sánchez, OSA. Se relata su extraordinario itinerario geográfico desde su infancia caminando los paisajes de la cuenca minera de Sabero, León, España, hasta su llegada e inmersión en la Amazonía loretana. Constructor de puentes interculturales, el padre Joaquín era hombre de diálogos que se transformaron en obras (Centro de Estudios Teológicos de la Amazonía, Biblioteca Amazónica, Irapay, Shupihui, Kanatari, Monumenta Amazónica, entre otras). Durante más de 55 años se dedicó a vivir en, con y para la Amazonía desde todas sus diversidades biofísicas, socioculturales, económicas, ambientales y políticas. Sus estudios, escucha, generosidad y cercanía con los más relegados; su defensa de la paz y la democracia se conjugaron con el desarrollo de una pastoral indígena y ecoteología. Su impresionante horizonte geográfico integra las dimensiones vivas y vividas de los territorios amazónicos, las memorias y la interescalaridad. Con “Amazonium”, el padre Joaquín nos dejó una herencia científica, moral y alterética excepcional, invitándonos a hacer nuestro este sueño.
Saving Sachamama Through BioTrade: Peru’s Export of Native Biodiversity-Based Products
Authors: Rudbeck Jens , Ivanova Yovita , Maier Sylvia
Published: December 2024

Two decades ago, the Peruvian government introduced the National BioTrade Promotion Program to support the production and export of agricultural commodities that comply with UNCTAD’s principles and criteria for BioTrade. This article takes stock of some of the program’s achievements over the past 20 years and discusses the challenges that remain to scaling up biodiversity-friendly approaches to agriculture in Peru. We find that the rapid increase in export during the first ten years of the program, which drove the initial optimism about BioTrade’s potential for economic development and biodiversity conservation, has given way to a more cautious assessment as the second decade has seen the expansion of markets for Peruvian biodiversity-based products slow down considerably.
Effect of Planting Patterns and Weed Control Treatments on Growth and Yield of Spring Maize
Authors: Singh Ramandeep , Walia U.S.
Published: December 2024

Background: Weed infestation causes serious problem in the corn production and due to limiting land area different planting patterns are required to be adopted to meet the corn demand. A field trail was conducted during spring 2023 and 2024 on agricultural farm of Lovely Professional University, Punjab on “The effect of planting patterns and weed control treatments on weed biomass, growth and yield of spring maize (Zea mays L.). Methods: The study was laid out in split plot design with 3 planting methods i.e. flat planting with single row, flat sowing with paired row and ridge planting as main plots and five weed control treatments that is atrazine + pendimethalin f. b. straw mulching (6t ha-1), pendimethalin + intercropping cowpea f. b. earthing up and straw mulching, inter. dhaincha f. b. earthing up + straw mulching, two hand weeding and unweeded (control) in sub plots with four replications. Variety PMH10 was used is recommended for the spring season under Punjab conditions. Result: The results indicated that among the planting patterns, the ridge planting produced significantly higher grain yield during both the years as compared to flat sowing with single row and paired row which was due to better growth parameters in ridge sowing. However, the weed biomass was found significantly less in the ridge planting compared to flat planting. Among subplot treatments, the higher grain yield was obtained in treatments that are pendimethalin + intercropping of cowpea f. b. earthing up + straw mulching and intercropping dhaincha f. b. earthing up + straw mulching which were statistically at par with one another during 2023 and 2024 and both treatments were found to be significantly better than all other treatments. The grain yield was significantly less in the unweeded (control) treatment as compared to other treatments. The weed density and biomass was significantly less in the treatments in which mulching was used as compared to two hand weeding and the control treatments.