bluuebunny/crossref_metadata_2025 huggingface dataset:
Terrorist activity research methodology. Part 1: research basics
Authors: Abisova Kristina
Published: June 2024

Introduction. The article is devoted to the description of the terrorist activity research methodology. In order to realise the cognitive experience in modern conditions, to reflect the essential characteristics of the studied objects and phenomena, their complexity and specificity of their deployment in the context of current social processes, i.e. as human-dimensional systems, it is necessary to use effective means and mechanisms of cognition corresponding to the cognitive task. The cognition of the internal specificity of terrorism, as well as the peculiarities of its manifestation in terrorist activities involves the use of effective, proven cognitive approaches, their principles and methods of research. These principles can serve as a true methodological guide in cognition and adequately reflect the essence of modern terrorism not only in the theoretical aspect, but also in law enforcement practice and law-making. Methods. The methodological basis of the research was formed by fundamental bases and postulates of philosophical methodology: universal categories, principles and regularities of dialectical and activity approaches, general scientific methodology of system approach. Results. The author substantiates that the epistemological basis of the research of terrorist activity is a number of fundamental principles of cognition: 1) cognisability, 2) objectivity, 3) determining role of practice in cognition, 4) creative activity of the subject of cognition, as well as the methodological basis - universal categories and principles of dialectical, interval and activity approaches, the methodology of system approach, and a complex set of general logical and concrete-scientific methods.
Determining the causal link in negligent causing death to a patient by medical personnel
Authors: Igonina Elena
Published: June 2024

Introduction. The doctrine of causality is of great importance for substantiating the criminal liability of a number of persons for committing a crime. This research considers the problem of establishing a causal link between defects in providing medical aid, found in the acts of medical personnel, and the death of a patient. The purpose of the research is to study the criminal-legal problems arising in the qualification of iatrogenic crimes committed through reckless complicity. Problem formulation. In law enforcement practice, charges for negligent causing death to a person are brought against the subjects who provided medical aid and committed defects in its rendering. It is not always taken into account that these defects are not causally related to the patient’s death. Methodology. In the process of research the following methods were applied: analysis, synthesis, deduction, induction, systemic, comparative-legal, formal-legal, logical. The research is based on the dialectical method of cognition of social processes and the method of system-structural analysis. Results. The author presents the concept of negligent causation of harm, defines and identifies its features, reveals the essence of the criminal-legal institute under consideration, analyses judicial and investigative practice and presents the author’s classification of types of negligent causation. The author justifies that no theory of causal link does not fully satisfy the needs of law enforcers, including the qualification of acts of medical personnel in cases of negligent causation of harm. The author concludes that the impact of each such defect is different in relation to the consequences.
Technologies of developing education and upbringing in the process of mastering humanitarian disciplines in educational organisations of the Ministry of Internal Affairs of Russia
Authors: Marchenko Gennady
Published: June 2024

Introduction. The relevance of the issues of application of developing learning and education technologies in the process of studying humanitarian sciences in educational organisations of the Ministry of Internal Affairs of Russia is obvious. In the course of training courses, research work and educational activities the world outlook guidelines of cadets and trainees are being formed, the value content of future professional activity is being determined. In this article, the author reveals the origin of the theory of “nurturing learning”, traces the main trends of its development in European and domestic pedagogical science, draws conclusions about the need to use developing learning and educational technologies in this area of pedagogical activity. The paper reviews the practice of implementing these technologies on the sample of conducting training sessions on the disciplines of the humanities cycle with cadets and students of the St. Petersburg University of the Ministry of Internal Affairs of Russia. Methods. The study used the general scientific dialectic method; theoretical and cognitive methods of cognition and information processing - generalisation, systematisation, classification, comparison; empirical method of analysing the content of the conducted training sessions. Results. The main provisions of the article were reported by the author within the framework of the exchange of pedagogical experience at the scientific and methodological seminar “Pedagogical strategies of personality education in the context of the implementation of educational programs”, held on November 14, 2023 on the basis of the Moscow University of the Ministry of Internal Affairs of Russia named after V. Y. Kikot. The seminar was attended by the Deputy Minister of Internal Affairs of the Russian Federation, Colonel-General of Police V. L. Kubyshko, heads of educational organisations of the Ministry of Internal Affairs of the Russian Federation and a number of civilian educational organisations in the field of humanitarian and law-related knowledge.
Legal infantilism (experience of theoretical and legal analysis of socio-legal phenomenon)
Authors: Kordobovskaya Ksenia
Published: June 2024

Introduction. Anincreasing trend of illegal acts including grave and especially grave crimes, violent crime, a growing number of participants involved in criminal activity, the growth of criminal damage have become sustainable characteristics of criminological situation of modern Russia. The identification of the causes of the current situation affected the importance of the factors of choosing the model of legal behavior by the individual. The important feature of legal behavior is the developed legal consciousness of the individual and the existence of legal consciousness deformations, characterized by legal nihilism, legal idealism and legal infantilism. The phenomenon of “legal infantilism” has not been thoroughly examined in law despite the worksof legal scholars V. R. Petrov, P. P. Baranov, D. E. Marchenko, and A. M. Tsaliev. Manifestations of legal infantilism, the degree of its influence on the current criminological situation makes it necessary to search for and implement means of counteracting its formation. Methods. The main methodological principles of the research were the breadth of learning of legal processes and phenomena, the unity of theory and practice. System and value methodological approaches were the basic methods of research. The method of integrity allowed to determine the characteristics of legal infantilism, forms of its manifestation and prerequisites for its emergence identified by scientists during the historiographical analysis. Results. The research revealed that legal infantilism as a phenomenon has not received legal systematic examination so far.The article characterizes approaches to the analysis of the phenomena “infantilism” and “legal infantilism”. The paper revealed the significant influence on the ideas concerning legal infantilism by the achievements of medicine and the absence of a comprehensive study of legal infantilism in modern jurisprudence.Different types of infantilism (personal, psychological, social) are characterized; legal infantilism is considered to be a type of social infantilism, a specific form of manifestation of deaxiological legal consciousness. The reasons for the formation and forms of manifestation of legal infantilism were determined. The article makes the conclusion about the usefulness of developing a strategy to counteract the formation of legal infantilism in the legal consciousness of Russian citizens, the structural elements of which should be scientific and legal, legislative and law enforcement components.
Some aspects of guaranteeing people’s trust by institutions of direct democracy
Authors: Gutorova Alla
Published: June 2024

Introduction. Constitutional law uses such institutions of direct democracy as referendum and plebiscite for the public law-making and resolution of issues of public importance. The institutions of direct and representative democracy cannot be opposed, but are designed to mutually complement each other. Methods. The methodological basis of the study was a set of methods of scientific cognition: comparative-legal, historical-legal, complex analysis, comparison and generalisation. Results. The author proposes to introduce the term “consultative people’s vote” into scientific turnover and legislative practice, which can be used as an alternative to a referendum. Referendum, plebiscite and consultative people’s vote can be used to express people’s trust or distrust in the authorities, since the problem of trust (or the emergence of doubt in trust) is one of the key issues in their organisation. Especially in the conditions of insufficient interparty competition, their importance as a form of expressing citizens’ trust in the political course and personalities of political leaders increases commensurately. Taking into account different points of view, the author gives in the article his own definition of these terms and defines the criteria that enable to distinguish these very close concepts, as well as subjects to theoretical analysis the possibility of restrictions on the permissible issues to be submitted for referendum (in terms of state personnel policy).
Service-Learning in the Context of Karol Wojtyła’s Theory of Participation
Authors: Ecler-Nocoń Beata , Kozubek Mariola Teresa , Cinque Maria
Published: June 2024

Objectives of the research: The aim of this article is to explore how Karol Wojtyła’s theory of participation can enhance our understanding of ‘Service Learning’ (SL) and its potential benefits for education and personal development resulting from the implementation of SL in higher education.
Research methods: The research was based on an analysis of publications on Service-Learning, a hermeneutic examination  of Karol Wojtyła’s writings on participation, and a case study using SL.
A short description of the context of the issue: Service-Learning is defined as reflection and action to transform reality, as serving in solidarity with the application of learning content and as learning by serving the community. This article presents the principles of Service-Learning through community participation, exposing the benefits of this approach in education.
Research findings: Karol Wojtyła’s theory of participation serves as a creative inspiration for the theoretical basis of Service-Learning. Its principles can introduce SL project participants to personalistic values. The concepts of service, community, common good, solidarity, dialogue and opposition play a key role in this confrontation. By combining service with the learning process, SL can contribute to the development of project participants in terms of both knowledge and social skills.
Conclusions and recommendations: In drawing conclusions regarding the potential benefits of implementing the Service-Learning method in education, the authors emphasise that values, in accordance with Wojtyła’s philosophy, are a key element of personal and social development. In the context of SL, people can find fulfilment through relationships with others, which is the answer to contemporary educational challenges. The authors recommend further research into different forms of SL implementation in order to better understand and maximise its potential in fostering  participation and social service.
Interdisciplinary Cooperation for the Support of Families With School-Age Children
Authors: Wojtanowicz Katarzyna
Published: June 2024

Research objective: The aim of this article is to demonstrate the role and importance of interdisciplinary cooperation in supporting families with school-age children.
The research problem and methods: Two research questions were posed in response to the research objective: What is the role of interdisciplinary cooperation for the support of families with school-age children? What are the benefits of interdisciplinary cooperation for the support of families with school-age children? The answers to those questions were obtained through the qualitative method, namely focus group interviews.
The process of argumentation: The research process is epistemic and comprises an analysis of the author’s research. It refers to the characteristics of the functioning of families with school-age children and the difficulties and challenges faced by those families. This presentation of the theoretical and research assumptions of interdisciplinary cooperation among family support institutions addresses the need to support families with school-age children.
Research results: The analysis of the research data revealed the significant role and benefits of interdisciplinary measures to support families with school-age children. The analysis and synthesis of the literature on the subject and of the author’s research focused on school education and the family support system.
Conclusions, innovations, and recommendations: The research presented herein aligns with the recommended development of social policy, including the development for the benefit of the family, for building readiness and openness in the family support services, and for undertaking interdisciplinary cooperation. Another important result of this analysis is recommendations for the effective development of an interdisciplinary model of action in education and family support.
A Systematic Literature Review on Cultural Arts Education and the Cultivation of Cultural Values
Authors: Zufriady Zufriady , Kurniaman Otang , Suarman Suarman , Islami Nur , Munjiatun Munjiatun
Published: June 2024

Objectives of the research: This study investigates art education as a means of cultivating cultural values and aims to address questions regarding the methodologies employed in previous research on cultural values. The research presented herein constitutes a Systematic Literature Review (SLR) on cultural education, utilizing the PRISM method adopted in 2020.
Research methods: This article conducts a Systematic Literature Review (SLR) on cultural education using the PRISM method adopted in 2020. The search was conducted using Perish or Publish (PoP) for Scopus-indexed international journals and the Garuda portal from the Ministry of Education and Culture, focusing on journals indexed in Sinta.
Contextual Background: Because the cultural processes continually evolve in response to the forces that influence culture, cultural acculturation serves as a foundation for arts and cultural workers’ efforts to inculcate the values of local wisdom within educational settings.
Research findings: Data collection spanned from 2010 to 2022, resulting in the retrieval of 14 international articles and 16 national articles based on their titles and abstracts, totaling 30 articles. These articles originated from various countries, including Belgium, the Czech Republic, Germany, Korea, Poland, Taiwan, China, Istanbul, Slovenia, Turkey, Estonia, and Indonesia. Analysis of the articles revealed that music arts education constituted 27%, arts and culture 33%, local wisdom 14%, dance education 17%, art education 3%, and theatre education 3%. In terms of research methodologies, the study identified action research at 5%, Research and Development at 10%, quantitative research at 10%, qualitative case study research at 7%, literature review at 7%, and qualitative research at 56%.
Conclusions and recommendations: Through this SLR, the researcher aims to pave the way for future in-depth research in arts and culture education or for exploring novel approaches.
Efektivitas Anti Mikroba Air Ion Perak terhadap Derajat Keasaman (pH) Streptococcus mutans
Authors: Setiawati Herautami C. Y. , Wicaksono Dimas P. , Dewi Ardianti M. , Sinaredi Betadion
Published: June 2024

Abstract: Silver ion water has been known as an effective material for inhibiting and killing pathogenic bacteria. However, there are still few studies on silver ion water, especially those related to oral pH in dentistry. This study aimed to determine the effectiveness of silver ion water against Streptococcus mutans in decreasing the environmental pH. This was an experimental and laboratory study with a control group post-test only design, using Streptococcus mutans stereotype C strain UA 159 incubated in brain hearth infusion broth (BHIB). Samples were divided into eight groups with several concentrations of silver ion water (2.5 ppm, 5 ppm, 7.5 ppm,10 ppm, 12,5 ppm, 15 ppm) and two control groups (silver ion water 0 ppm and aquadest). All groups were incubated for 24 hours in 37oC, and then their pHs were measured with a pH meter. The normality test showed a p-value of >0.05, meaning that the data were normally distributed. The Mann-Whitney test showed a p-value of <0.05, meaning that there was a difference in each group. Significant increases of pH were found in silver ion water of 12.5 ppm (mean pH 5.670) dan 15 ppm (mean pH 6.772). In conclusion, silver ion water of 12.5 ppm and 15 ppm can effectively inhibit the decrease in pH caused by the metabolism of Streptococcus mutans.
Keywords: silver ion water; Streptococcus mutans; pH
  
Abstrak: Air ion perak telah dikenal efektif untuk menghambat dan membunuh bakteri patogen, namun penelitian tentang air ion perak masih sangat terbatas, terutama yang berhubungan dengan pH rongga mulut di bidang kedokteran gigi. Penelitian ini bertujuan untuk mengetahui efektivitas air ion perak menghambat Streptococcus mutans dalam menurunkan pH. Jenis penelitian ialah eksperimental laboratorik dengan group control post-test only design, menggunakan Streptococcus mutans stereotype C rantai UA 159 yang diinkubasi di dalam media brain hearth infusion broth (BHIB). Sampel dibagi dalam delapan kelompok, masing-masing diberi air ion perak sebanyak 2,5 ppm, 5 ppm, 7,5 ppm, 10 ppm, 12,5 ppm, 15 ppm, dan dua kelompok kontrol (air ion perak 0 ppm dan akuades). Seluruh kelompok perlakuan dan kontrol diinkubasi selama 24 jam dengan suhu 37oC, kemudian pH-nya diukur menggunakan pH meter. Uji normalitas menunjukkan p<0,05 yang berarti data berdistribusi normal. Uji Mann Whitney menunjukkan p<0,05 yang berarti terdapat perbedaan bermakna antar kelompok perlakuan. Efek peningkatan derajat keasaman (pH) yang bermakna terlihat pada pemberian air ion perak sebanyak 12,5 ppm (rerata pH 5,670) dan 15 ppm (rerata pH 6,772). Simpulan penelitian ini ialah air ion perak dengan konsentrasi 12,5 ppm dan 15 ppm efektif menghambat penurunan pH yang disebabkan oleh metabolism Streptococcus mutans.
Kata kunci: air ion perak; Streptococcus mutans; pH
EARLY ACTIVATION PATHWAYS IN PATIENTS UNDERGOING OPEN HEART SURGERY WITH MULTICOMPONENT GENERAL ANESTHESIA COMBINED WITH HIGH THORACIC EPIDURAL ANESTHESIA
Authors:   Baku Health Center, Baku, Azerbaijan, Hajiyev E , Ibrahimov S , Rahimov U , Abdulkarimov V , Abbasov F
Published: June 2024

Background: Early mobilization of patients in the postoperative period after open heart surgeries, significantly decreases the risk of complications, accelerates the restoration of functional capacity, shortens the length of hospital stay, and reduces treatment costs Materials and methods: Open heart surgeries were performed on 60 patients at Ankara "Bayındır" Hospital, Central Clinical Hospital, and Baku Health Center were included in the study. Patients were divided into two groups. 30 of them underwent the procedure with the use of multi-component balanced general anesthesia and intravenous fentanyl analgesia in the postoperative period. The other group of 30 patients underwent catheterization under high thoracic epidural anesthesia, with the administration of ropivacaine prior to induction and, in the postoperative period, ropivacaine and fentanyl. We conducted a study on central hemodynamic parameters and analgesic effects. Results: Thirty of them underwent the procedure with the use of multi-component general anesthesia and intravenous fentanyl analgesia in the postoperative period. The other group of 30 patients underwent catheterization of the high epidural space with the administration of ropivacaine before induction and, in the postoperative period, ropivacaine and fentanyl. We conducted a study on central hemodynamic parameters and analgesic effects. Conclusion: It has been established that for patients in the second group according to the Enhanced Recovery After Surgery strategy, hemodynamic support and effective pain management can contribute to early patient mobilization after surgery. Early mobilization, in turn, can expedite recovery and reduce the length of hospital stay, ultimately leading to potential cost savings.
ASSOCIATION BETWEEN TOTAL BILIRUBIN LEVELS WITH INCIDENCE OF ATHEROSCLEROSIS: SYSTEMATIC REVIEW AND META-ANALYSIS
Authors:   “University Medical Center” Corporate Fund, Astana, Kazakhstan, Bekbossynova M , Ivanova-Razumova T , Daniyarova G , Khamitov S
Published: June 2024

Background. Bilirubin is a byproduct of the breakdown of erythrocytes. Bilirubin levels can potentially serve as a biomarker for cardiovascular risk assessment. In this study, we would be investigating most recent manuscripts, published in the last 5 years, that studied association of serum bilirubin level to atherosclerosis progression to elicit how strongly low level of total bilirubin can prognose the disease progression. Methods. Using Pubmed search engine, all articles that included keywords “bilirubin” and “atherosclerosis” were retrieved. In total 67 search results emerged for the 2019-2023 timeline, the last 5 years.6 population-based studies that studied association between total bilirubin concentration and atherosclerosis development were used for the meta-analysis. Results. Increasing blood total bilirubin level seems to decrease the odds of developing atherosclerosis, meaning that there is an inverse correlation between total bilirubin level and arterial plaque formation or stenosis. Pooled odds ratio was found to be 0.86 (95% CI 0.83-0.9), suggesting that there is 14% decreased chance of developing atherosclerosis for each mmol/L increase in bilirubin levels. Overall, higher total serum bilirubin levels were associated with a significantly decreased risk of progression to atherosclerosis. Conclusion. The meta-analysis indicates a significant inverse association between low total bilirubin levels and the risk of developing atherosclerosis, suggesting that higher bilirubin levels may be protective against the progression of this disease.
AMBIGUITAS KEPUTUSAN ADMINISTRASI NEGARA : ANTARA DISKRESI DAN LEGALITAS
Authors: Yudit Bertha Rumbawer  , Donny Eddy Sam Karauwan  , Anthon Rumbruren
Published: June 2024

Pengambilan keputusan administrasi negara memerlukan keseimbangan antara diskresi dan legalitas. Diskresi memberikan kebebasan bagi Pejabat negara membuat keputusan berdasarkan pandangan pribadi mereka. dalam situasi yanNamun, diskresi juga berpotensi disalahgunakan. Penelitian ini dilakukan untuk mengidentifikasi dan menganalisis keseimbangan antara kebebasan bertindak dan kepatuhan hukum dalam proses pengambilan keputusan pemerintahan Indonesia. Penelitian ini menerapkan pendekatan kualitatif deskriptif. Hasil studi menunjukkan bahwa diskresi berpotensi meningkatkan fleksibilitas dan efektivitas dalam pengambilan keputusan, tetapi juga berpotensi disalahgunakan. Oleh karena itu, diperlukan suatu keseimbangan yang tepat antara penggunaan diskresi dan prinsip legalitas. Saran yang dapat diambil adalah meningkatkan kesadaran dan kemampuan pejabat administrasi dalam menggunakan diskresi secara tepat dan transparan, dan meningkatkan kualitas peraturan perundang-undangan dengan menyediakan pedoman yang lebih jelas dan terperinci. Oleh karena itu, pemerintahan dapat berjalan dengan lebih baik dan mewujudkan tujuan bernegara yang lebih baik.
Rooting behavior of pomegranate (Punica granatum L.) hardwood cuttings in relation to genotype and irrigation frequency
Authors: Salih Kocher Omer , Mohammed Aram , Faraj Jamal Mahamood , Raouf Anwar Mohammed , Tahir Nawroz Abdul-Razzak
Published: June 2024

The study was conducted to determine the best irrigation frequency for rooting hardwood cuttings of some pomegranate genotypes that are cultivated in Halabja province, Kurdistan Region, Iraq. The hardwood cuttings were collected from 11 genotypes, which were 'Salakhani Trsh' (G1), 'Salakhani Mekhosh' (G2), 'Amriki' (G3), 'Twekl Sury Trsh' (G4), 'Twekl Astury Naw Spy' (G5), 'Hanara Sherina' (G6), 'Kawa Hanary Sherin' (G7), 'Kawa Hanary Trsh' (G8), 'Malesay Twekl Asture' (G9), 'Malesay Twekl Tank' (G10), and 'Sura Hanary Trsh' (G11). The genotypes were subjected to irrigation applications by 1-day, 2-day, 7-day, or 10-day frequencies. Among pomegranates, G11, G6, and G7 produced 95, 90, and 83% rooting percentages, which were significantly higher than the rest of other genotypes. The lowest rooting percentages (28, 36, 38, and 40%) were found in G1, G5, G3, and G10, respectively. The effect of irrigation frequencies on the genotypes confirmed that a 7-day frequency was the best irrigation frequency to achieve the maximum rooting percentages (93, 86, 80, 73, 53, and 40%) in G6, G9, G2, G4, G3, and G1, respectively. In contrast, the minimum rooting percentage (20%) was recorded in G3 with a 1-day frequency and in G1 with 10-day frequency. In this study, it was found that the cuttings of G11, G6, and G7 had the best ability to form roots, and irrigation with a 7-day frequency was the best for the cuttings of all the 11 pomegranate genotypes investigated.
Evaluation of indications for Colectomy in IBD Patients
Authors: Amrani K. , Elbacha H. , Benzzoubeir N. , Errabih I.
Published: June 2024

Colectomy in IBD may be necessary in several conditions, the main cause being the acute severe colitis (ASC). The aim of this work is to study the role of surgery in the management of IBD, in particular colectomy, and to determine its main indications. This is a retrospective study conducted over a 5-year period from July 2018 to July 2023 involving 424 patients followed up for IBD. We included in our study patients of both sexes, with documented Crohn’s disease (CD) or ulcerative colitis (UC) and who benefited from colectomy, we excluded patients whose follow-up could not be ensured. Of the 45 patients (10.61%) colectomized, the mean age at colectomy was 35 years [18-56], the predominance was female with an F/H sex ratio of 1.25, 34 patients had UC (75.5%) and 11 followed for CD (24.5%). The main indication for surgery was corticoresistant ASC in 31 patients (46.5%). Other indications were: 5 strictures (11.1%), 4 occlusions (8.8%), 3 colonic fistulas (6.6%) and 2 abscesses (4.4%). There were no immediate postoperative deaths. Anastomotic leakage occurred in 4 patients (8.8%) and small bowel stenosis in 2 patients (4.4%). In patients with CD, the flare-up subject to surgery was inaugural in 2 patients (18.18%); the mean period between the onset of symptoms and surgery was 3 years and 2 months. In the case of UC, 10 patients (29.41%) had a flare-up at the start of surgery, with an average delay of 6 years and 1 month. At follow-up, 5 patients (11.1%) had a recurrence or exacerbation of the disease. This was the most frequent indication for a subsequent protectomy or permanent ileostomy during the follow-up period. Collaboration between the gastroenterologist and the surgeon is essential to recognize the optimum time to propose surgery, so as not to increase patient morbidity and mortality.
Clinical Presentations and Complications among Cholesteatoma Cases
Authors: Islam Dr. Md. Mahbubul , Tasrif Dr. Samir Mohammad , Shahidullah Dr. Md. , Imtiaz Dr. S M Nafeez , Sakender Dr. Md. Sha , Rahman Dr. Md. Sahidur , Nath Dr. Mridul Deb
Published: June 2024

Background: Cholesteatoma is an abnormal collection of keratin-producing squamous epithelium in areas such as the middle ear, epitympanum, mastoid, or petrous apex. This three-dimensional epidermoid structure grows independently, replacing middle ear mucosa, and resorbing and replacing underlying bone. This study aimed to assess the clinical presentations and complications among cholesteatoma cases. Methods: This was a prospective observational study that was conducted in the Department of ENT & Head Neck Surgery, Shaheed Suhrawardy Medical College & Hospital, Dhaka, Bangladesh, from 01 January 2023 to 31 December 2023. The study enrolled a total of 43 cases with cholesteatoma using a random sampling technique. Data analysis was performed using MS Office tools. Results: The most prevalent symptoms observed were ear discharge in 93.0% of cases and hearing impairment in 74.4%. Notably, 81.4% of cases showed involvement of the pars flaccida. The most common complications were postauricular abscesses (14%) and postauricular sinuses (11.6%). Among the patients, 18 underwent CT scan evaluations, with findings including circumscribed cavities with ossicular erosion in 16 cases and space-occupying lesions in the brain in 2 cases. Conclusion: In cholesteatoma cases, ear discharge and hearing impairment are prevalent symptoms, while postauricular abscesses and sinuses are common complications. Pars flaccida involvement is frequent, and CT scans may be necessary for accurate diagnosis in many patients.
Nursing Interventions for the Prevention and Management of Diabetic Foot Ulcers among Patients at Rajshahi Medical College Hospital
Authors: Rahim Md. Abdur , Azad Md. Abul Kalam , Begum Most. Mukta , Devnath Hemanta Kumar , Nisha Zarin Sanzida Ahmed
Published: June 2024

Background: Diabetic foot ulcers (DFUs) present a significant challenge in diabetic patient care, often leading to severe complications if not managed effectively. Nursing interventions are crucial in preventing and managing DFUs, yet nurses must assess current practices and Knowledge. Objective: This cross-sectional descriptive study aimed to investigate Nursing Interventions for the Prevention and Management of Diabetic Foot Ulcers among Patients at Rajshahi Medical College Hospital. Method: Data was collected using a researcher-developed questionnaire comprising socio-demographic and knowledge-related sections. The study was conducted from January 2020 to December 2021, involving a total of n=112 nurses selected as participants, distributed across different age groups. Result: This study analysis revealed that 65% (n=73) of nurses demonstrated adequate Knowledge regarding DFU prevention and management, while 35% (n=39) showed gaps in understanding key interventions. Furthermore, among nurses with less than five years of experience, 78% (n=29) exhibited adequate Knowledge compared to 58% (n=44) of nurses with more than five years of experience. Additionally, 70% (n=40) of nurses who received specialized training in diabetic foot care demonstrated adequate Knowledge, while 60% (n=33) of those without such training showed adequate Knowledge. Conclusions: Nursing interventions are essential for preventing and managing DFUs among diabetic patients. While a significant portion of nurses exhibit adequate Knowledge, there is room for improvement, particularly in implementing evidence-based interventions. Targeted educational interventions and regular updates on best practices are crucial to enhancing nurses ability to address DFUs effectively.
وقاية العامّة من التّحريض الالكتروني ضد الأمن الوطني (دراسة في ضوء الهدي النبوي)
Authors: ماريه بسام محمد عبد الرحمن
Published: June 2024

يعدّ التّحريض الالكتروني من الجرائم الخطيرة، التي تهدّد الأمن الوطني للمجتمعات، وعادةً ما يقع في مصائده بعض الجهلاء من العامّة، فينقلون تلك الأخبار وينشرونها فيساهمون من حيث لا يشعرون في تنفيذ مآرب الإرهاب الالكتروني، وللتوعية من خطورة التحريض الالكتروني وتفادي آثاره، جاءت هذه الدّراسة بعنوان" وقاية العامّة من التّحريض الالكتروني ضد الأمن الوطني"، تهدف إلى التّعرف على وسيلة التحريض في الإرهاب الالكتروني وأهمية التصدي لها، وبيان خطرها للوقاية منها، والكشف عن وسائل وأساليب التحريض، وبيان منهج السنة النبوية في وضع التدابير الوقائية والعلاجية للتصدي لجريمة التحريض بجميع أشكالها لتعزيز الأمن الوطني، من خلال الدراسة الاستقرائية الوصفية، وقد اشتملت الدراسة على تمهيد ومبحثين، ومن أبرز النّتائج التي وصلت إليها الّدراسة؛ أن وسيلة التحريض من أخطر وسائل نشر الفتنة لزعزعة الأمن الوطني وخاصة إذا كانت عن طريق النشر الالكتروني، وأن من أهم أساليب التحريض نشر الأراجيف والشائعات، وأن السنة النبوية وضعت التوجيهات والتدابير الحكيمة للتعامل مع التحريض، من خلال حماية الأمن الوطني بالإعداد والتزويد، والالتفاف حول الجماعة وضبط النفس، وأوصت الدّراسة بضرورة تكثيف مثل هذه الدّراسات في مجال الابتزاز والتشهير الالكتروني، وإضافة لوائح قانونية أخرى رادعة لقمع وسائل نشر التحريض.
Selective Beta-Blockers on Chronic Obstructive Pulmonary Disease: A Literature Review
Authors: Van An Thi Minh , Ahmad Nawaid
Published: June 2024

Chronic obstructive pulmonary disease (COPD) and cardiovascular disease (CVD) are usually coexisting. While beta-blockers are the indispensable management of an array of cardiovascular diseases, inhaled beta-receptor agonists are the central treatment for COPD patients. This review aims to assess the effect of beta-blockers on exacerbation rate, mortality, and quality of life among the COPD population. After the search on Cochrane Library, Pubmed, and Scopus, 15 relevant full-text articles published between 2012 and 2022 were included. We compared selective beta-blockers versus either non-users or non-selective agents. The results showed that selective beta-blockers did not increase the mortality and exacerbation rate in the COPD population and evidence on health-related quality of life is still sparse. However, more RCTs should be carried out for more precise information.
Rehabilitation Management for Sarcopenia in Chronic Obstructive Pulmonary Disease: A Literature Review
Authors: Widjanantie Siti Chandra , Lestari Fiona , Nusdwinuringtyas Nury , Susanto Agus Dwi
Published: June 2024

Chronic obstructive pulmonary disease (COPD) is a prevalent and debilitating chronic respiratory condition that not only affects the lungs but has far-reaching systemic consequences; one such consequence is the heightened risk of developing sarcopenia, a condition characterized by progressive loss of skeletal muscle mass and strength. Recent studies have highlighted the significant prevalence of sarcopenia among COPD patients, with rates ranging from 7.9% to 66.7%. This association underscores the importance of early identification and intervention to mitigate the adverse outcomes related to both conditions. Managing COPD patients with sarcopenia is fraught with challenges, primarily due to the multifaceted nature of both conditions. Sarcopenia exacerbates the decline in respiratory function and physical performance in COPD patients, complicating treatment and management strategies. The complexity is further amplified by the need for personalized treatment plans that address these conditions' pulmonary and musculoskeletal aspects. Precise assessment and re-evaluation are essential to ensure optimal outcomes and enhance physical and functional well-being. Rehabilitation for COPD patients with sarcopenia involves a multidisciplinary approach, focusing on exercise training, nutritional support, and pulmonary interventions. Pulmonary rehabilitation programs, tailored to individual patient needs and capabilities, have shown promise in improving exercise capacity, functional performance, and overall health status, thereby enhancing the quality of life for these patients.  In this literature review, we will discuss the elevated risk of sarcopenia in COPD patients, highlight the significance of rehabilitation management, and emphasize the pivotal role of precise assessment and re-evaluation in optimizing the care provided to this population.
Carcinoembryonic Antigen (CEA) and Cancer Antigen 125 (CA-125) as Diagnostic Biomarkers for Malignant Pleural Effusion
Authors: Harsini Harsini , Kurniawan Yoseph Dwi , Sutanto Yusup Subagio
Published: June 2024

Background: The etiology of pleural effusion is very important in malignant pleural effusion management and prognosis. Pleural fluid cytology examination is a simple diagnostic tool and has been widely used to differentiate the etiology of pleural fluid with high specificity albeit its relatively low sensitivity. The use of tumor markers for malignant pleural effusion in Indonesia is still sparse. This study was intended to determine the sensitivity and specificity of CEA and CA-125 examinations in diagnosing malignant pleural effusion.
Method: This was an observational analytic study with a cross-sectional approach to find the diagnostic value of CA-125 and CEA of pleural fluid in malignant pleural effusion. Subjects were patients with suspicion of malignant pleural effusion who underwent treatment in the emergency room, polyclinic, and inpatient ward at RSDM from October - November 2022.
Results: CEA value with a cutoff of ≥32.00 had a sensitivity of 83.3%; specificity of 87.8%; PPV of 90.9%; NPV of 77.8% with an accuracy of 85.0% (P=0.001), a CA-125 value with a cutoff of >152.40 had a sensitivity of 83.3%; specificity 81.3%; PPV 87.0%; NPV 76.5%; with an accuracy of 82.5% (P=0.001). An increase in CEA and CA-125 signified a significant risk of malignant pleural effusion (P<0.05). Patients with increased CEA and CA-125 had 105 times the risk of developing malignant pleural effusion.
Conclusion: CEA ≥32.00 and CA-125 >152.40 are potential biomarkers to predict malignant pleural effusion with CEA having better specificity than CA-125.
SOSYAL MEDYANIN ÇEVRİMİÇİ SATIN ALMA NİYETİNE ETKİSİNDE TEKNOLOJİ KULLANIM DÜZEYİNİN ARACI ROLÜ
Authors: Özbey Kazım Yasin , Çavdar Ertuğrul
Published: June 2024

Alanyazında sosyal medya kullanımının ve teknoloji kullanım düzeyinin çevrimiçi satın alama davranışını pozitif yönde etkilediğini belirten çalışmalar dikkat çekmektedir. Bu çalışmada sosyal medya kullanımının teknoloji kullanım sıklığını ve teknoloji kullanım düzeyini etkileyebileceği göz önüne alınarak sosyal medya kullanımının çevrimiçi satın alama davranışına olan etkisinde teknoloji kullanım düzeyinin aracı rolü araştırılmıştır. Bu amaçla Process Makro 4.2 (Model 4) kullanılarak analizler gerçekleştirilmiştir. Online olarak uygulanan anket verileri değerlendirilmiş ve 409 katılımcının verisi analize dahil edilmiştir. Yapılan analizler sonucunda sosyal medya kullanımının çevrimiçi satın alma davranışını anlamlı olarak etkilediği tespit edilmiştir. Teknoloji kullanım düzeyinin de çevrimiçi satın alma davranışını anlamlı olarak etkilediği görülmüştür. Yapılan aracılık testi sonucunda ise sosyal medya kullanımının çevrimiçi satın alma davranışı üzerindeki etkisinde teknoloji kullanım düzeyinin güçlü aracılık etkisi olduğu saptanmıştır.
G-7 ÜLKELERİNDE EKONOMİK ÖZGÜRLÜK İLE EKOLOJİK AYAK İZİ İLİŞKİSİ: QRPD YÖNTEMİ İLE ANALİZ
Authors: Biçen Ömer Faruk , Çoban Mustafa Necati
Published: June 2024

Bu çalışmada G-7 ülkelerinde ekonomik özgürlüğün ekolojik ayak izine etkisinin araştırılması amaçlanmaktadır. Belirtilen bu amaç doğrultusunda G-7 ülkeleri için 1998-2018 dönemini kapsayan yıllık veriler analize dahil edilmiştir. Analizin gerçekleştirilmesinde güncel bir yöntem olarak Powell (2022) tarafından geliştirilen QRPD (quantile regression for panel data with non-additive fixed effects) uygulanmıştır. Çalışmada bağımlı değişken olarak ekolojik ayak izi, bağımsız değişken olarak Ekonomik Özgürlük Endeksi kullanılmıştır. Yapılan analizler sonucunda araştırılan tüm kantil düzeyleri için G-7 ülkelerinde ekonomik özgürlüğün ekolojik ayak izini artırdığı bulgusu elde edilmiştir.
GELİR EŞİTSİZLİĞİNE İNSANİ GELİŞME ENDEKSİ YÖNÜYLE YENİ BİR BAKIŞ AÇISI
Authors: Kılıç Ramazan , Gökçeli Emre
Published: June 2024

Bu çalışmanın amacı, İnsani Gelişme Endeksi'nin gelir eşitsizliği üzerindeki etkisinin farklı gelişmişlik seviyesindeki ülkeler için farklı olup olmadığını incelemektir. Bu amaç doğrultusunda, gelişmekte olan ülke grubundan Brezilya ve gelişmiş ülke grubundan İrlanda için İnsani Gelişme Endeksi'nin gelir dağılımını temsil etmek amacıyla kullanılan Gini Endeksi üzerindeki etkisi, 1990-2020 yılları arasında ARDL (Autoregressive Distributed Lag) modeli kullanılarak araştırılmıştır. Çalışmanın bulguları, İnsani Gelişme Endeksi'nin kısa dönemde sadece Brezilya’daki gelir dağılımında adaleti arttırıcı etkiye sahip olduğunu göstermiştir. Uzun dönemde ise, hem Brezilya'da hem de İrlanda'da gelir eşitsizliğini azalttığını göstermiştir. Ancak, İnsani Gelişme Endeksi'nin, Brezilya'daki gelir eşitsizliğini İrlanda'ya kıyasla yaklaşık iki kat daha fazla azalttığı görülmüştür. Çalışmanın bulguları ışığında politikacılara bazı öneriler sunulmaktadır.
A SPATIAL EVIDENCE ON THE DETERMINANTS OF HIGH-TECH EXPORTS IN THE EUROPE
Authors: İğdeli Arif , Sever Erşan
Published: June 2024

The aim of this study is to analyze the determinants of high-tech exports in the 40 European countries sample from 2011-2021, while considering spatial spillover. To achieve this, a spatial panel data model was employed. The results indicate a positive impact of per capita GDP, per capita patent applications, and trade openness on high-tech exports. However, there is no significant impact of R&D expenditures, foreign direct investment, and economic freedom on high-tech exports. The results showed a differentiation when considering spatial effects. The analysis model revealed the presence of both spatial lag and spatial error. Additionally, the results suggest that high-tech exports from surrounding countries have a positive impact on the high-tech exports of the country. Based on these findings, it is recommended that policymakers work towards eliminating trade barriers between countries, ameliorating income and promoting the commercialization of knowledge.
PSIQUIATRIA OCUPACIONAL: ASPECTOS CONCEITUAIS, DIAGNÓSTICOS E PERÍCIA DOS TRANSTORNOS MENTAIS E DO COMPORTAMENTO RELACIONADO AO TRABALHO
Authors: Jucá Thaís Souto Guedes , Junior Laercio Galesso , Santiago Melina Pereira Lima , Packer Rebecca Christophoro , Angelini Vinicius Nilson , Santos Elton Pessoa dos , Ferreira Pedro Henrique de Santana , Defavari Alex Henrique , Ferrer Samir Habib Jarrouge , Oliveira Gustavo Bernardino de , Andrade Uendi Nascimento de Aquino , Herênio Caroliny Pereira , Herênio Caroliny Pereira , Lopes Rafaela de Souza , Amorim Maria Cecília Alencar de
Published: June 2024

Ao longo do desenvolvimento do capitalismo, a concepção do que seja a saúde do trabalhador modificou-se, passando do patamar da 'preocupação com a sobrevivência do corpo' para a 'preocupação com a saúde mental do trabalhador'. A gestão da saúde foi sendo incorporada às novas formas de gestão dos empreendimentos capitalistas, mas a despeito disso, o sofrimento no trabalho continua, expresso em manifestações como estresse, fadiga crônica, burnout, DORT etc. Este artigo busca identificar e analisar, através de um estudo de caso, as contradições existentes acerca das estratégias organizacionais adotadas sobre Saúde Mental no Trabalho, tendo como referência a percepção dos trabalhadores. Os resultados mostraram que os programas de saúde são baseados em intervenções pontuais, paliativas e estão relacionados ao sistema de controle da organização atuando em cima dos efeitos da organização do trabalho, não se baseando numa real preocupação com a saúde do trabalhador.
Análise do Perfil Epidemiológico de Casos de AIDS no Brasil (2020-2023).
Authors: Holanda Beatriz Almeida , Albuquerque João Pedro Alencar , Mendes João Victor Ferro Gomes , Santos Taysman Medeiros Barbosa , Fortunato Chrystiane Hernandes , Matos Amanda Nolêto de , Melo Giselly Cristina Corrêa de , Miranda Júlia Pacheco , Nascimento Mileny Goncalves
Published: June 2024

A análise da notificação de casos de AIDS no Brasil entre os anos de 2020 e 2023 revelou nuances complexas na distribuição dos casos por faixa etária e região do país. Utilizando dados fornecidos pelo Ministério da Saúde, por intermédio do Departamento de HIV/AIDS, Tuberculose, Hepatites Virais e Infecções Sexualmente Transmissíveis (Dathi), conduzimos uma investigação minuciosa da incidência da doença e suas tendências ao longo deste período. Os resultados obtidos oferecem uma visão abrangente da epidemiologia da AIDS no contexto brasileiro. Observou-se uma disparidade marcante entre as regiões, com o Sudeste liderando em termos absolutos de casos notificados, seguido pelo Nordeste, Sul, Centro-Oeste e Norte. Essa discrepância regional pode ser atribuída a uma série de fatores, incluindo densidade populacional, acesso a serviços de saúde e diferenças socioeconômicas entre as regiões. Ao desmembrar a distribuição dos casos por faixa etária, destacou-se a predominância da faixa de 40-49 anos como a mais afetada em todas as regiões. Essa constatação sugere uma possível associação entre a idade e a exposição ao vírus, bem como a prevalência de comportamentos de risco nessa faixa etária. No entanto, é importante ressaltar que as faixas etárias mais jovens e mais velhas também apresentaram números significativos de casos notificados, destacando a necessidade de estratégias de prevenção e educação abrangentes que atendam a todas as faixas etárias. Essas descobertas fornecem insights valiosos para a formulação e implementação de políticas públicas direcionadas ao enfrentamento da epidemia de AIDS no Brasil. O entendimento das disparidades regionais e dos padrões de distribuição por faixa etária é essencial para direcionar recursos e intervenções de forma eficaz, visando reduzir a incidência da doença e melhorar o acesso a serviços de saúde para todas as populações afetadas.
Aplicações da bioimpressão 3D na criação de tecidos sintéticos para testes de fármacos e toxicidade: Revisão de literatura
Authors: Sousa Aleson Pereira de , Sousa Emmily Cristina Costa de , Santos Janine Martins dos , Gomes Kíssia Ellen dos Santos , Pereira Nicole Felipe , Pereira Vitória Caroline de Souza
Published: June 2024

A técnica de bioimpressão 3D possibilita a criação de estruturas complexas e precisas que replicam as características e funções dos tecidos naturais envolvendo a bioengenharia e a biofabricação. A bioimpressão permite a criação de tecidos heterogêneos, como pele, osso e cartilagem, abrindo novas possibilidades para tratamentos avançados e estudos de doenças. O presente estudo teve como objetivo realizar uma revisão de literatura sobre as aplicações da bioimpressão 3D na criação de tecidos sintéticos para testes de fármacos e toxicidade. Para o desenvolvimento do trabalho, foi aplicado a metodologia descritiva, através da revisão de literatura por meio de pesquisas realizadas na plataforma Pubmed, SciELO e Medline, junto com a base de dados de artigos publicados entre 2010 e 2023. O processo de utilização da bioimpressão envolve a produção de "scaffolds", estruturas de suporte feitas de materiais biocompatíveis, que proporcionam um ambiente ideal para o crescimento celular. Essa abordagem não apenas tem aplicações médicas, mas também promete inovações na indústria da beleza, como o desenvolvimento de peles alternativas para testes de cosméticos. A bioimpressão também tem aplicações na indústria farmacêutica, permitindo o teste de medicamentos em tecidos humanos funcionais, reduzindo a dependência de modelos animais, melhorando a previsão de toxidade e proporcionando respostas fisiologicamente mais relevantes. Apesar dos avanços, ainda existem limitações na resolução da bioimpressão e na criação de estruturas complexas. Superar esses obstáculos é crucial para o avanço clínico da bioimpressão, tornando-a uma ferramenta valiosa na medicina do futuro.