bluuebunny/crossref_metadata_2025 huggingface dataset:
The Role of Magnetic Resonance Enterography for Detection and Differentiation of Pediatric Inflammatory Bowel Diseases
Authors: ALMUS Eda , YAPICI Özge
Published: December 2023

Background/Aims: Inflammatory bowel diseases (IBD) are of two types: Crohn’s disease (CD) and ulcerative colitis (UC). The differential diagnosis of these two diseases is important because their treatment strategies are different. The present study aimed to evaluate the Magnetic Resonance Enterography (MRE) findings of pediatric patients who were clinically diagnosed with CD or UC.
Material and Method: The patients under the age of 18, who underwent MRE examination, were retrospectively screened. Fifty five of those patients, who were clinically diagnosed with CD or UC, were included in the study. Bowel wall thickening, mesenteric fat tissue changes and complications were evaluated, and the findings were recorded. The sensitivity and specificity of MRE in the diagnosis of CD and UC in IBD patients were calculated.
Results: Three of the patients clinically diagnosed with CD (7.3%) and six patients who had UC (42.9%) had involvement from the rectum to the proximal colonic segments (continuous lesions). Of those diagnosed with CD, 11 (26.8%) had skip lesions. In patients with IBD, the sensitivity of MRE for the diagnosis of CD was 56.1% and the specifity was 100%. The sensitivity of MRE for the diagnosis of UC was 42.9% and the specificity was 90.2%.
Conclusion: MRE is helpful to identify the signs and complications of inflammatory bowel diseases. Although MRE has low sensitivity to differentiate between CD or UC in pediatric patients, it may help with its high specificity rates.
Calculation of the Choroidal Vascularity Index and Tissue Distribution Indexes in Different Retinal and Choroidal Regions by Employing Digital Image Processing Techniques in Optical Coherence Tomography Images
Authors: İNAM Onur , SOMER Deniz , ÜNEY Güner , SOYLU Abdullah
Published: December 2023

Objective: In this study, it is aimed to investigate the optical coherence tomography images of healthy subjects for various parameters and tissue distribution indexes.
Materials and Methods: 100 eyes of 50 healthy case’s optical coherence tomography (OCT) images have been employed for analysis. Total retinal area (TRA), dark retinal area (DRA), light retinal area (LRA), dark area percent (DAP) and light area percent (LAP) as retinal measurements; total choroidal area (TCA), luminal choroidal area (LCA), stromal choroidal area (SCA), luminal area percent or choroidal vascularity index (CVI) and stromal area percent (SAP) as choroidal measurements have been investigated for vertical and horizontal OCT scans. 6500 µm of the total retinal and choroidal area have been binarized and analyzed in 100 µm intervals and further divided into three main parts: inner, middle, and outer.
Results: CVI value for the entire vertical scan is 69.2±2.6, whereas the entire horizontal scan is 70.1±2.7 (p=0.019). Entire inner part CVI of the vertical scans are calculated as 74.5±4.6 and in horizontal scans as 74.8±5.0 (p=0.678). Vertical CVI of the entire middle part has higher values as 67.2 ± 3.9 than the horizontal scans as 66.0±4.1 (p=0.025). This was conversely recorded at the entire outer part, which the vertical CVI value is 66.6±4.3 and horizontal CVI value is 70.3±4.7 (p<0.001). Although there was no statistically significant difference for any of the TRA comparisons for entire region of interest, entire inner, entire middle and entire outer parts between vertical and horizontal scans (p=0.386, p=0.422, p=0.309 and p=0.352 respectively), vertical TCA measurements were significantly higher than the horizontal scans (p=0.010, p=0.013, p=0.012 and p=0.008, respectively).
Conclusion: CVI and other parameters and tissue distribution indexes could be a valuable tool for differentiating and evaluating the retinal and choroidal conditions in different scan regions.
The Concurrent Effect of Building Height Diversity and Cool Pavement Materials on Air Temperature Near the Surface of an Urban Facade: A Case Study of Shahriar Street In Esfahan, Iran
Authors: Gholami Zahra , Jalilisadrabad Samaneh
Published: December 2023

The rise in urban temperatures is a significant threat to the urban heat island effect, increasing building energy demand. This increase is worrisome because the supply of renewable energy is a big challenge. The approach to improving the urban microclimate offers a promising solution. This research investigates the concurrent effect of urban morphological parameters and physical characteristics of urban surfaces, such as cool materials, on the urban microclimate near the building's facades in an urban street. This evaluation was conducted by ENVI-met(v4). The results show that the concurrent effects of increasing building height diversity and by using cool pavement materials are more helpful in reducing the average air temperature of an urban street. Because the amount of shade and wind speed increased as building height variety increased, the absorption of solar radiation decreased as pavement material albedo increased. As a result, these two parameters reduced air temperature by 0.8 °C. Also in the combined scenario of increasing building height diversity and by using cool pavement materials, the air temperature near the building's facades was reduced by 1°C on the first and second floors and by approximately 0.5°C on the upper floors.
Desafios do agente comunitário de saúde na execução de ações de promoção da saúde com a população ribeirinha
Authors: Santos Alan Fernandes , Motta Letícia Guímel do Carmo , de Matos Maria Jhenifer Andrade , de Freitas Rêgilla Vitória Cavalcante , Silva Wesli Assis , Coêlho Prisca Dara Lunieres Pêgas , Figueiredo Silvana Nunes , Dos Santos Enock Barroso
Published: December 2023

Introdução: A estratégia de Saúde da Família (ESF) é um elemento de reorientação da Atenção Básica de Saúde (APS), e nela está inserida o Agente Comunitário de Saúde (ACS), personagem chave para manter o elo entre a equipe e a comunidade. Foi criada com a finalidade de substituir o modelo de atenção tradicional e com o intuito de reafirmar os princípios do Sistema Único de Saúde (SUS) dentre eles, o princípio da universalidade, que busca garantir o direito ao acesso a saúde para todo indivíduo que se encontra em território nacional. Objetivo: Descrever quais atividades que são realizadas pelos ACSs para garantir o acesso à saúde para a população ribeirinha. Metodologia: Trata-se de uma pesquisa qualitativa, exploratória, realizada na comunidade ribeirinha, com os ACS. Os dados foram colhidos através de entrevistas e a análise foi feita através da análise de conteúdo, isto é, foi feita a compreensão e consequentemente, a fala do entrevistado foi transcrita. Resultados: Observou-se que as dificuldades no acesso à saúde enfrentadas pela população ribeirinha são multifacetadas e podem envolver desafios tais como: o saneamento básico, a segurança e o transporte. Conclusão: Mesmo com inúmeras melhorias voltadas para o serviço de saúde, principalmente na atenção primária à população, verificam-se ainda diversas dificuldades vivenciadas pelos agentes comunitários de saúde, como extensa exposição ao sol, chuva, riscos à segurança, acesso fluvial e terrestre limitado, o que dificulta ou impede sua inserção no domicílio da população.
Impacto das diretivas antecipadas de vontade na qualidade de morte de pacientes em cuidados paliativos: revisão integrativa
Authors: Santos Priscilla Martins Hernandes , Prevital Kauana Verginia , Valarelli Murilo Hernandes , Cury Patrícia Maluf , Girardi Dennys Robson , Faria Tamara Veiga , Valentino Talita Caroline de Oliveira
Published: December 2023

Introdução: O planejamento dos cuidados para manejo adequado de sintomas, baseado na autonomia, desejos e valores do paciente em cuidados paliativos, tem como recurso de auxílio importante as Diretivas Antecipadas de Vontade (DAVs). A aplicação das DAVs pode ser uma ferramenta de auxílio na concordância entre desejos de cuidados em fim-de-vida expressos pelos pacientes, tomada de decisões compartilhadas entre paciente, família, médicos e demais profissionais da equipe de saúde, e consequentemente influenciar para uma melhor qualidade de morte dos pacientes. Objetivo: Avaliar os efeitos das DAVs na qualidade de morte de pacientes em cuidados paliativos. Métodos: Estudo de revisão integrativa utilizando as bases de dados Pubmed/Medline, LILACS e Biblioteca Virtual em Saúde (BVS). A pesquisa foi conduzida considerando os termos “Advance directives” and "palliative care" and “death”. Resultados: Após análise de elegibilidade foram incluídos 16 estudos. A metodologia observacional do tipo coorte retrospectiva foi predominante (n=9). Notou-se que, dos artigos incluídos, 12 deles responderam diretamente à pergunta de pesquisa, e destes 11 artigos confirmaram efeitos positivos na qualidade de morte e na diminuição de intensidade de procedimentos hospitalares em fim-de-vida. Conclusão: A realização das DAVs o mais precoce possível com qualidade nas informações prestadas e comunicação adequada, possibilita uma tomada de decisão compartilhada em relação aos desejos, cuidados e opções terapêuticas para o fim-de-vida. O planejamento de cuidados quando discutido podem promover uma diminuição dos cuidados agressivos recebidos em final de vida, e uma melhor qualidade de morte.
Análise descritiva de internações de crianças de 0 a 9 anos internadas no Estado do Amazonas, período de 2017 a 2022
Authors: Da Silva Greicy Almeida , Barros Marcela Soares , Monteiro Maria Eduarda Brandão , da Costa Rizia Hadassa Monteiros , Cunha Linda Karolinne Rodrigues Almeida , Coêlho Prisca Dara Lunieres Pêgas , Figueiredo Silvana Nunes , Dos Santos Enock Barroso
Published: December 2023

Introdução: A internação hospitalar é um fenômeno que que pode indicar a gravidade de uma doença ou agravo sendo medida através do indicador taxa de internação hospitalar. Objetivo: descrever o perfil epidemiológico de crianças de 0 a 9 anos internadas no estado do Amazonas no período de 2017 a 2022. Metodologia: Trata-se de um estudo epidemiológico descritivo de abordagem quantitativa com dados obtidos por meio do Sistema de Informação Hospitalar (SIH), armazenado no sistema do departamento de informática do Sistema Único de Saúde do Brasil (DATASUS e bases demográficas do Instituto Brasileiro de Geografia e Estatística (IBGE). Para análise foram feitas as taxas de incidência e frequências relativas e absolutas. Resultados: Foram notificados, no período estudado, 176.437 internações de crianças de 0 a 9 anos de idade no estado do Amazonas nas mais diversas causas. Dentre as notificações, o grupo mais afetado foi o de crianças do sexo masculino 96.752 (54.84%), menor que 1 ano de idade 75.705 (42.91%), pardas 134.565 (76.27%), com caráter de atendimento urgente 141.120 (79.98%), porém sem especificação quanto ao tipo de estabelecimento 176.437 (100%) Sendo a principal causa de internação por doenças do aparelho respiratório 50595 (28.68%). Considerações finais: internações ainda são bem recorrentes em crianças e adolescentes no estado do Amazonas necessitando de atenção para estratégias que busquem prevenir tal situação.
Analisis Perilaku Konsumen Muslim Terhadap Akad Jual Beli Istishna Dalam Ekonomi Islam
Authors: Shabrina Az Zahra
Published: December 2023

Consumer behavior is a condition where consumers choose, buy and utilize products/services to fulfill their needs or desires. Consumer behavior according to Islam is comprehensive and prioritizes ethics, starting from selecting goods to their use and finally the benefits obtained from the goods consumed. Buying and selling (business) in society is a routine activity carried out all the time by all humans. However, not all Muslims carry out correct buying and selling according to Islamic law. Istishna' can be referred to as a contract that is in place between the producer of an item or something similar and the orderer, who is the first party, allowing the producer to produce the item the first party wants at a price that is mutually agreed upon. In society, buying and selling (business) is a daily activity that all people engage in. But not all Muslims follow Islamic law when it comes to purchasing and selling. Some people are completely unaware of the rules outlined by Islamic law on purchasing and selling (commerce). Islamic law is derived from the Qur'an and Hadith, which contain numerous instances and guidelines for proper business practices. Muslim
Penerapan Bisnis Digital Untuk Pemasaran Bola Ubi Kopong Diperkotaan
Authors: M A Rizky Aditya N  , Rizki Wijayanto  , Bugita Danuarta  , Tata Sutabri
Published: December 2023

The use of digital business is increasingly crucial in facing the era of globalization and technological advancements. This article discusses the implementation of digital business strategies to market a unique product, "Hollow Sweet Potato Balls," in urban areas. The research method employed is a case study, focusing on online marketing, social media, and e-commerce strategies to enhance visibility and product sales in the urban market.By leveraging these digital tools, the hollow sweet potato ball business can expand its market reach and enhance competitiveness in the competitive urban environment. The transformation into a digital business provides a better understanding for SMEs of consumer preferences and behaviors, enabling them to reach more specific customer segments. The use of social media platforms such as Facebook and Instagram also aids SMEs in marketing strategies and consumer interaction.Additionally, delivery services like GrabFood assist SMEs in adapting to the increasing demand for delivery services. In conclusion, SMEs need to adopt digital technology to adapt and thrive amidst the ongoing changes in the business landscape.
Pengelolaan Sumber Daya Manusia Untuk Meningkatkan Kerjasama Tim
Authors: Hanifah Nur Aqilah  , Rosita Pratiwi Junaidi  , Mochammad Ishaq  , Iriani Ismail
Published: December 2023

The purpose of this study is to find out how to manage human resources to improve teamwork at PT. Firdaus Kurnia Indah located in Bangkalan Regency. The research method used is qualitative research using two data, namely primary and secondary. Primary data obtained through observation and direct interviews. While our secondary data can be from a collection of literature. The results of our research show that the existence of good teamwork in a company can make cooperation that occurs within the company also run smoothly so as to avoid conflicts between other employees and superiors..
Perancangan Sistem Informasi Akuntansi Persediaan Barang Dagang Pada Toko Rianzi Menggunakan PHP Dan MySQL
Authors: Putri Permata Sari  , Liana Liana  , Nurliza Lubis
Published: December 2023

the aim of this research is to determine the merchandise inventory accounting information system used by Toko Rianzi. This research method uses descriptive research by looking for theoretical research related to the merchandise inventory accounting information system. The data collection used was observation and interviews. The type of data used is quantitative data. The results of this research are expected to provide information regarding the merchandise inventory accounting information system. The design of this merchandise inventory accounting information system uses the system development method Dynamic System Development Method with 3 main stages, namely, before the project, project life cycle and after the project. As well as 5 sub stages (feasibility study, business study, model iteration, iteration design, manufacture and implementation). Discussion of design researchThis merchandise inventory accounting information system is expected to be able to makes it easier for Toko Rianzi to make inventory reports and financial reports.
Evaluasi Sistem Informasi Akuntasi Penjualan Dalam Meningkatkan Pengendalian Internal Pada PT. Centra Nusa Indonesia
Authors: Selma Nevira Shinta Putri  , Anindya Frysa Irsyadi  , Irda Agustin Kustiwi
Published: December 2023

This research aims to evaluate the Sales Accounting Information System at PT. Celntra Nusa Indah. PT. Celntra Nusa Indonesia is a company operating in the field of coal trading (Coal Trading). From the evaluation results of the Sales Accounting Information System, it was obtained. Sales Accounting Information System at PT. Celntra Nusa Indonesia is good but still has several weaknesses. This can be seen from the clear organizational structure, but there are still weaknesses, namely that there is a combination of functions and responsibilities as follows: The cashier section which also doubles as the accounting section. The combination of these two functions can provide opportunities for employees to commit fraud by changing the accounting records to cover up the fraud. done. Division of duties and responsibilities at PT. Celntra Nusa Indonesia still has shortcomings. This can be based on research results which show that there is a division and implementation of duties and responsibilities that are not appropriate as follows: The billing department should be in charge of making extraordinary billing reports and collecting bills from customers. This is because the billing department receives proof of receipt of the invoice from the customer, where information is provided regarding the date it was received, the amount of payment and the time the invoice was paid. If this is done by the invoice department, it is still not completed. Because the invoice department has made daily billing reports.
In memoriam Zur Erinnerung di Fulvio Papi
Authors: Besostri Felice
Published: December 2023

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Un frammento di metafisica descrittiva: i presupposti dell’atteggiamento naturale
Authors: Prandi Michele
Published: December 2023

The combinatory restriction known in linguistics as selection restrictions are generally assumed to be a kind of linguistic structures, either syntactic or semantic, or at best cognitive structures. The idea discussed in this paper is that selection restrictions, although relevant for the description of complex meanings of linguistic expressions, do not belong to the structure of either language or cognition. Instead, they are criteria for conceptual consistency. They form a layer of shared presuppositions that lie at the grounds of consistent human behaviour and therefore of consistent thought and expression and belong to a natural ontology shared far beyond the boundaries of a given linguistic community.
Nec spe nec metu
Authors: Vanzago Luca
Published: December 2023

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Per Fulvio
Authors: Vergani Elisabetta
Published: December 2023

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Per il 120° Anniversario della fondazione del Partito dei Lavoratori Italiani a Genova nel 1892
Authors: Papi Fulvio
Published: December 2023

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Detection of Malware using Phishing Alarm
Authors:   Research Scholar, Department of Computer Science and Multimedia, Lincoln University College, Malaysia., Rajeev Haritha , Chakkravarthy Dr. Midhun ,   Assistant Professor, Department of Computer Science and Multimedia, Lincoln University College, Malaysia.
Published: December 2023

Informal organizations have become one of the most well known stages for clients to connect with one another. Given the immensemeasure of touchy information accessible in informal community stages, client security assurance on interpersonal organizations has become one of the most dire examination issues. As a customary data taking procedure, phishing assaults actually work in their method for causing a ton of security infringement occurrences an aggressor sets up trick Web pages (professing to be a significant Website like an interpersonal organization gateway) to bait clients to enter their confidential data. As a matter of fact, the presence of Web pages is among the main variables in beguiling clients, and consequently, the comparability amongWeb pages is a basic measurement for distinguishing phishing Websites. we propose a clever visual likeness based phishing recognition plot utilizing tint data with auto refreshing data set in the paper. Likewise utilize another technique called Phishing-Alarm, That define phishing assaults utilizing highlights that are difficult to dodge by aggressors .Since a PWS (Phishing Website) is made in light of designated real site or other subspecies whose tint data is comparable each other, many PWSs can be thoroughly identified by following comparative hued subspecies. In view of this idea, the proposed conspire recognizes another PWS which has comparable shade data to currently distinguished PWSs. By the virtual experience with genuine dataset, we exhibit that the proposed plot further develops the identification execution as the quantity of recognized PWSs increments.
Autism Screening using Deep Learning
Authors:   School of Information Technology and Engineering (SITE), Vellore institute of Technology (VIT), Vellore, Tamil Nadu, India, Kumar V S Mohan , A Anny Leema ,   Associate Professor, School of Information Technology and Engineering (SITE), Vellore Institute of Technology (VIT), Vellore (Tamil Nadu), India.
Published: December 2023

Autism spectrum disorder (ASD) is growing among childrens. Autism is normal chronic disorder which fails a person or a child to interact with others socially. Detecting of autism through screening test is very time consuming and cost effective till now there is no cure for autism. But if it is detected earlier we canmotivate themto move socially and decrease the level of autism in them. So we detect autism using deep learning techniques so that we can detect it earlier stages.
Phytochemical and Biological Activity of Rice Bran: A Review
Authors:   HOD, Department of Pharmacy, Bhagwant University, Sikar Road, Ajmer (Rajasthan) India., Chauhan Mr. Dinesh Kumar , Sharma Dr. Neeraj ,   Department of Pharmacy, Bhagwant University, Sikar Road, Ajmer (Rajasthan) India.
Published: December 2023

Rice is most commonly food consumed by human beings all over the world. It is easily cultivated by the various countries. Rice is an annual plant. It grows in an area with a rich supply of water. The height of rice bran depends on the depth of water. 13500 years ago, Oryza sativa was the first rice plant which is cultivated in the Yangtze River basin. Rice bran is a milling product of rice. Various study shows that rice bran consists of various phytochemical constituent. This constituent consists of vitamin E, thiamine, Niacin, and minerals, Tocotrienol, oryzanol, tocopherol, gallic acid, vanillic acid, etc and nutritional components like carbohydrates, protein, fat and dietary fiber, vitamins, andminerals, etc. rice bran useful for health and contain antioxidant property due to presence of tocopherol, tocotrinol and gama-oryzanols. Traditionally rice bran is used as a treatment for various diseases like diabetes, cancer, liver disease, heart disease, etc. It is also used as a skincare product. Due to the presence of tocopherol, Tocotrienol, and gama-oryzanols rice bran is used for the treatment of various diseases or disorders like cancer, hypertension, lowering serum cholesterol, skin-related problems, insulin sensitivity, etc. during various studies shown by various scientists that rice bran has a rich source of a nutritional constituent, medicinal value as well as neutraceutical value. Various food industries use rice bran as a neutraceutical ingredient. Rice bran is rich source of gama-oryzanol. Hence it is used to improve disease conditions. Several studies prove the biological effect of rice bran improving hypertension, diabetes, hypercholesteremia, lowering cholesterol levels, cancer, skin problems, and various diseases.
Application of Hyperthermia for Cancer Treatment: Various Techniques and Recent Advancement
Authors:   Department of Pharmaceutics, Siksha 'O' Anusandhan University, Bhubaneswar, India., Panda Pratikeswar
Published: December 2023

Cancer is a disease characterized by uncontrollable cell division in a specific area of the body. It is a leading cause of death, and its prevalence is increasing. There are numerous techniques and protocols employed, including as chemotherapy, radiography, surgical tumor removal, etc. However, these procedures have a number of negative side effects that cause excruciating pain and intense anxiety in the patients. It has been increasingly difficult to find new cancer-fighting strategies during the past few decades. One of the best cancer treatment choices is hyperthermia, an ancient form of therapy that offers fresh hope when paired with engineering methods. This study examines the crucial data for the coupling with hyperthermia of various engineering techniques, which is carefully organized according to the techniques used, such as hyperthermic perfusion, frequency enhancers, ultrasonic hyperthermia, external radio-frequency devices, microwave hyperthermia, using a catheter, heat the target area before injecting superparamagnetic and magnetic nanoparticles.
Evaluation of Neopterin as a Neuroinflammatory Marker for Peripheral Neuropathy in Type 2 Diabetic Patients
Authors: Salem Israa Abdelmalik , Abdulsattar Sura  Ahmed , Alrubaye Haider Fadhil
Published: December 2023

Background: Elevation of the marker neopterin is associated with the progression and consequences of diabetes. Although the clinical relationship between the high levels and peripheral neuropathies other than diabetic peripheral neuropathy is unknown, it has been linked to them. Objective: To evaluate the difference in serum neopterin levels between diabetic individuals who have peripheral neuropathy and those who do not. Methods: This seven-month cross-sectional study at the Diabetic Center began in December 2022 and included 126 patients with the second type of diabetes mellitus. Following verbal consent, the included patients were subjected to neurological and physical evaluations. Along with the blood pressure, the weight and height were noted. Glucose, TG, CH, HDL-c, fasting insulin, and neopterin were all analyzed using serum. Formulas were used to compute BMI, LDL-c, and VLDC. Results: When diabetic individuals with peripheral neuropathy were compared to those without, the serum levels of neopterin in the former group revealed a marginally higher level than in the latter, but this difference was not statistically significant. Conclusion: Neopterin levels were not altered in diabetic individuals with peripheral neuropathy, indicating that it is not a reliable indicator of the condition.
From papyrus to flexible electronic devices: The revolution of cellulose nanofibrils
Authors: Tanguy Nicolas Roland , Le Lagadec Ronan
Published: December 2023

The isolation of cellulose nanofibrils as a native element from cellulose fibers, the main component of paper, has provided novel and exciting opportunities for the development of electronic devices that are flexible and more environmentally friendly. An important field of work has targeted the use of cellulose nanofibrils as the support to produce flexible electronics owing to the material's advantageous properties, including high mechanical strength (stronger than most plastics), high optical transparency, and good thermal stability. Moreover, in recent years cellulose nanofibrils have been explored as a functional component for the development of flexible electronic devices, including as a replacement for the dielectric layer in transistors, or as the electrolyte for energy storage devices. Considering the stunning properties of cellulose nanofibrils, and the increasing importance of reducing the environmental impact of existing electronic devices cellulose nanofibrils are expected to play a crucial role in the development of next-generation flexible electronics.
DOI: https://doi.org/10.54167/tch.v17i4.1333
Regenerative
Authors: Dewerse Rosemary , Haines Roxanne , McGregor Stu
Published: December 2023

This article details and discusses Regenerative Development, a concept developed by the Regenesis Group, as a means for enabling church health and renewal. Across 2020-2023 Cityside Baptist in Auckland, Aotearoa New Zealand, worked with Regenerative Development Practitioners through three phases of application. The process and what emerged challenges usual perspectives on church growth and revitalisation priorities around vision, outcomes and the community and context in view.
Tantangan dan Peluang Pembelajaran Jarak Jauh (PJJ) di Saat Pandemic Covid-19
Authors: Sadat Fahad Achmad
Published: December 2023

Ada perubahan yang luar biasa pada pembelajaran di masa Covid-19 ini. Segenap tingkat Pendidikan seperti dipaksa untuk berubah agar bisa beradaptasi dengan baik aga bisa menyesuaikan pembelajaran secara daring dari rumah. Hal ini merupakan sesuatu yang tidak biasa dilakukan oleh para penggerak Pendidikan. Artikel ini menngikuti penelitian berdasarkan Pustaka (Library Research) yang mana berisi banyak materi yang difokuskan pada satu atau beberapa subjek. Artikel ini berisi data dari sumber primer serta data dari sumber sekunder. Dikenal dengan penelitian yang berdasarkan pustaka karena berbagai data atau berbagai bahan yang dibutuhkan dalam proses penulisan artikel ini berasal dari berbagai pustaka entah itu berupa buku, kamus, jurnal, dokumen, majalah dan lain sebagainya. Hasil penelitian ini ditemukan bahwa: Pertama, Sarana prasarana pendukung pembelajaran berupa jaringan internet dalam hal ini dikenal dengan Learning Management System (LMS) harus segera ditingkatkan oleh pihak sekolah. Kedua, Kapasitas pendidik yang mendukung pelaksanaan pembelajaran secara daring juga harus ditingkatkan melalui program pelatihan yang terkait dengan proses penggunaan Learning Management System (LMS). Ketiga, platform teknologi juga perlu diperluas secara berkesinambungan agar pembelajaran jarak jauh bisa berjalan dengan lebih leluasa.
Opettajaopiskelijoiden suhtautuminen yrittäjyyskasvatukseen: Oivalluksia vai korulauseita?
Authors: Lepistö Jaana , Rönkkö Marja-Leena
Published: December 2023

Yrittäjyyskasvatuksen sisällyttäminen Suomen koulutusjärjestelmän kaikille tasoille on kirvoittanut voimakkaita kannanottoja puolesta ja vastaan. Opettajankoulutuksessa yrittäjyyskasvatuksella on kaksiosainen rooli: 1) tutkia ja selkeyttää yrittäjyyskasvatuksen sisältöjä ja menetelmiä perusopetuksen näkökulmasta ja 2) aktiivisten sekä kriittisten yrittäjyyskasvattajien kouluttaminen. Opettajaopiskelijoiden näkemyksiä yrittäjyyskasvatuksesta on tutkittu vähän, joten tässä tutkimuksessa tutkimuskysymykseksi asetettiin: Millaisia näkemyksiä opettajaopiskelijat esittävät yrittäjyyskasvatuksesta? Tutkimuksen laadullinen esseeaineisto kerättiin kahtena lukuvuotena (2021–2022 ja 2022–2023) opintojakson “Yrittäjyyskasvatus perusopetuksessa” aikana. Opintojaksolle osallistui kahtena lukuvuotena 132 luokanopettajaopiskelijaa, joista 42 antoi tutkimusluvan. Esseet analysoitiin teoriaohjaavalla sisällönanalyysilla. Yleisesti opettajaopiskelijat suhtautuivat myönteisesti yrittäjyyskasvatukseen ja he pitivät yrittäjyyttä ja itsenäisen aloitteellisuuden kehittämistä tärkeinä perusopetuksen osa-alueina. Osa koki suurimmaksi haasteeksi yrittäjyyskasvatuksen toteuttamisen, joten siihen tarvittaisiin lisää koulutusta. Kun yrittäjyyskasvatus ei ole sidoksissa mihinkään tiettyyn oppiaineeseen, kokivat opettajaopiskelijat vaikeuksia hahmottaa, miten sen voi tulevaisuudessa integroida perusopetuksen opetussuunnitelman toteuttamiseen ja osaksi arjen oppitunteja. Kriittistä näkökulmaa edusti opettajaopiskelijoiden ilmaisut liittyen yrittäjyyskasvatuksen rooliin kasvattaa toimijoita yhteiskunnan ja elinkeinoelämän talouden ratkaisijoiksi. Lisäksi nähtiin, että yrittäjyyskasvatus tukee uusliberalistista, jopa ideologista ajattelua ja että se ohjaa oppilaiden ajatteluprosesseja yhdensuuntaisesti. Opettajaopiskelijat kyseenalaistavat yrittäjyyskasvatuksen sisällyttämisen koulujärjestelmään, jos sen ainoana tavoitteena on yrittäjien tuottaminen. Osallistujille heräsi kuitenkin myös oivalluksia yrittäjämäisestä pedagogiikasta ja sen mahdollisuuksista laajentaa oppijalähtöisten ja oppijoita aktivoivien opetusmenetelmien soveltamista omassa opetuksessaan. Tämä antoi uudenlaista syvyyttä heidän suhtautumiseensa yrittäjyyskasvatukseen ja sitä kautta tulevaisuuden opetustyön toteuttamiseen.
Synthesis and Use of Cellulose/SBA-15 Adsorbent Sheet for Cleaning Polychrome Surfaces on Works of Art
Authors: Rizzo Marcia de Mathias , Matos Jivaldo do Rosário
Published: December 2023

Paraloid B72™ acrylic varnish has been used in the conservation of cultural properties since 1950’s. With a Tg close to 40 oC, some substances can be adsorbed onto varnished surfaces. There are several methods for cleaning works of art, each with its own specificities. This article presents a new alternative method. The cellulose/SBA-15 adsorbent sheets act as containers for the cleaning material, allowing it to act on the surface of the pictorial layer, dissolving and adsorbing unwanted material from the painting, without causing problems such as penetration, paint abrasion, residues, etc. They were tested on original paintings and on a mimetic. The raw materials, artwork, mimetic, and adsorbent sheets, before and after application, were characterized by TG/DTG and DTA; FTIR; XRF; surface digital microscopy and stereoscopy. FTIR characterized the raw materials and adsorbent sheets. The thermal behavior of the raw materials and adsorbent sheets, before and after application, were evaluated by TG/DTG and DTA. The evaluation of the works, the mimetic and the adsorption sheets, before and after application, by XRF showed that there was no damage to the originals and the mimetic. The cellulose sheet/SBA-15 as an adsorbent for B72™ in cleaning works of art, using solvent, proved to be effective
Improved PBL Hybrid with LBL is Benificial to Fundamental Knowledge Acquisition in a Large Class Prior to Medical Internship
Authors: Li Qing , Wang Wenjia , Mi Youjun , Dai Yafei , Luo Yu , Ling Yaqin , Li Juan
Published: December 2023

Since pre-internship medical students appeared inefficient in acquiring fundamental knowledge in large classes, a hybrid instructional method of problem-and-lecture-based learning (PLBL) was designed to leverage the complementary strengths of PBL in reasoning under minimal guidance and LBL in immediate knowledge retention. We improved PBL (IPBL) in its instructional process and grading in a way that’s feasible in large classes, divided in IPBL almost 50 students into 7-10 squads as a figure simulating student counts in classic PBL class to strive for each squad member to achieve the same level of knowledge, and applied IPBL to about half of the instructional contents while LBL to another half for their complementary strengths. In this case, PLBL led to more number of test questions correctly answered by all students in a class, more students in higher test score buckets, and higher student perception scores on the methodology. PLBL facilitates fundamental knowledge acquisition in large classes within 50 students prior to medical internships.
Hernia Hiatal: una causa común de reflujo gastroesofágico.
Authors: Zumbado Víquez Silvia , Douglas Clayton Shaquille Anthony
Published: December 2023

Resumen:
Introducción: debido a que gran cantidad de pacientes se presentan en la consulta médica con síntomas que orientan hacia el reflujo gastroesofágico y al realizar un abordaje integral se ha hecho el diagnóstico de hernia hiatal. Se ha demostrado que esta patología, es una causa común del RGE. Objetivo. El presente artículo tiene como objetivo brindar una revisión bibliográfica actualizada acerca de la HH para conocer de manera precisa los síntomas haciendo un diagnóstico oportuno y brindar al paciente un tratamiento adecuado. Materiales y métodos se utilizaron las siguientes bases de datos: Up to date, Base de datos de Binasss, Clinical Key, SIBDI y los libros de texto Harrison Principios de Medicina, 21e, Gastroenterología,3e, Sugarbaker´s Adult Chest Surgery,3e y Schwartz Principios de Cirugía, 11e. Los artículos utilizados son revisiones sistemáticas y revisiones bibliográficas. La bibliografía utilizada comprende los años 2016-2022. Se utilizaron 16 fuentes bibliográficas. Ideas clave: La HH es una protrusión de una porción del estómago hacia el mediastino a través del hiato esofágico. Se clasifican en cuatro tipos y se asocian frecuentemente con el RGE. Para el abordaje diagnóstico se utilizan estudios de imágenes y los objetivos del tratamiento son la disminución de los síntomas por RGE, curar la esofagitis y la prevención de las posibles complicaciones. Conclusión: El conocimiento de esta patología y el adecuado diagnóstico se sustenta en la sintomatología característica además de la utilización de estudios de imágenes. Brindarle al paciente un adecuado abordaje farmacológico, sumado con modificaciones en el estilo de vida y en casos selectos, el tratamiento quirúrgico, repercutirán positivamente en la calidad de vida del paciente
Generalidades de glaucoma en adultos
Authors: Montero Castillo Valery , Vividea García Bryann , González Ramírez David
Published: December 2023

El glaucoma es una patología ocular que daña el nervio óptico y puede llegar a causar ceguera. Existen diferentes tipos de glaucoma, como el glaucoma de ángulo abierto y el glaucoma de ángulo cerrado. Afecta principalmente a personas mayores de 40 años y se asocia con un aumento de la presión intraocular, sin embargo, algunas personas pueden desarrollar glaucoma con presión intraocular normal. La fisiopatología implica un desequilibrio entre la producción y el drenaje del humor acuoso lo cual hace que aumente la presión intraocular. El glaucoma a menudo es asintomático en las primeras etapas y provoca pérdida gradual de la visión. El diagnóstico incluye medición de la presión intraocular y evaluación del nervio óptico. El tratamiento del glaucoma incluye terapia médica con medicamentos, terapia con láser o cirugía.
Enfoque Epidemiológico del Cáncer y Patologías Encefálicas en Tiempos de COVID-19 (2020-2021)
Authors: Godínez Armando
Published: December 2023

El cáncer de cerebro siempre ha sido uno de los tumores más difíciles de detectar. En el periodo 2020/2021 la búsqueda de tratamiento fue más compleja ya que la pandemia global (COVID-19) introdujo un factor que imposibilitó el uso de muchos instrumentos y recursos para evaluar los tumores. La unión de ambas enfermedades causó dificultades en estos períodos, donde Costa Rica no fue la excepción. 
En el presenta articulo se hablara sobre dicho tema y correlaciones de patologias encefalicas
Resúmenes sobre los mejores trabajos de graduación de la facultad de medicina en el 2023
Authors: Leiva Rodríguez María José , Matamoros Chaves Melissa , Fernández Orellana Carolina Paz , Monge Jiménez Sofía , Robles Acuña Héctor , Miranda Ovares Angie , Garita Rivas Sofía , Cairol Barquero Andrés , Duran Espinoza Allan
Published: December 2023

Este artículo contiene los resúmenes de los mejores proyectos finales de graduaci´´ón de la facultad de medicina la UNIBE
Ձմեռային երկրաչափի թրթուրների դեմ պայքարի միջոցառումների մշակում Արագածոտնի մարզի պայմաններում
Authors: Սարգսյան Մ. Ա. , Թերլեմեզյան Հ. Լ. , Հարությունյան Հ. Ռ. , Սարգսյան Ս. Մ. , Ավագյան Ա. Մ.
Published: December 2023

2019-2021թթ. իրականացված գիտափորձերի արդյունքներով հաստատվել է, որ Արա-գածոտնի մարզի Աշտարակի տարածաշրջանի խնձորենու այգիներն ունեցել են ձմեռային երկրաչափի թրթուրներով բարձր բնակեցվածություն, որոնց դեմ փորձարկված տեղական BTAM-1, BTTSH-12, BTTSH-17 և BTTSH-33 կուլտուրային հեղուկները ցուցաբերել են չափանմուշային լեպիդոցիդի դրսևորած ցուցանիշից էապես չտարբերվող կենսաբանական բարձր արդյունավետություն: Վիճակագրական վերլուծությամբ հաստատվել է, որ գիտափորձերի արդյունքները ստույգ են:
Научными исследованиями, проведенными в 2019-2021гг., установлено, что яблоневые сады Аштаракского региона Арагацотнского марза, имели высокую заселенность гусеницами зимней пяденицы, против которых испытанные местные культуральные жидкости BTAM-1, BTTSH-12, BTTSH-17 и BTTSH-33 проявили высокую биологическую эффективность, не отличавшуюся существенно от показателя эталонного варианта – лепидоцида. Статистические анализы подтвердили достоверность полученных результатов.
According to the results of the conducted scientific experiments in 2019-20211, it was confirmed that the apple orchards of the Ashtarak region of Aragatsotn marz had a high population of winter geometer moths caterpillars, against which the tested local BTAM-1, BTTSH-12, BTTSH-17 and BTTSH-33 culture liquids showed high biological efficiency – an indicator that was not significantly different from the standard lepidocide efficiency. Statistical analysis confirmed that the results of scientific experiments are accurate.
The Burden of Frequency of Hospitalization and Length of Hospital Stay by Children with Major Congenital Abnormalities That Require Surgical Treatment during the First Year of Life – a Case-control Study
Authors: Sinjeri Dorotea , Luetić Tomislav , Bašković Marko
Published: December 2023

Objective − To determine how much children with “major” congenital abnormalities during the first year of life, compared to those without them, burden the health care system more in terms of length of stay and number of admissions and discharges.Methods − The electronic records of 57 patients with major congenital abnormalities (study group) and 57 patients who were surgically treated for another condition in the first year of life (control group) were reviewed retrospectively.Results − Children with congenital abnormalities were first hospitalized at the age of 1 (IQR=5) day, compared to 121 (IQR=278) days in children without congenital abnormalities (P<0.001). The total number of hospitalizations in the study group was 2.39±1.57, while in the control group, it was 1.14±0.35 (P<0.001). The length of stay in the hospital in children with congenital abnormalities was 48 (IQR=74) days, compared to the control group, which was 3 (IQR=15) days (P<0.001). The average length of stay in children with congenital abnormalities was 22.5 (IQR=29) days, while in the control group, it was 3 (IQR=11) days (P<0.001). The average share of the length of stay in the intensive care unit in relation to the total length of stay in the hospital for the group with congenital abnormalities was 46.6%, while for the control group, it was 23.3% (P<0.001). Conclusion − Children with congenital abnormalities had a 4.9× overall longer length of hospital stay and a 3.1× longer length of stay in the intensive care unit.
Sigmoid Volvulus in a 13 Year Old Boy − Case Report
Authors: Husarić Edin , Hotić Nesad , Halilbašić Amir
Published: December 2023

Objective − The aim of this report is to present the case of a child with a sigmoid volvulus. Sigmoid volvulus in pediatric patients is a rare but potentially life-threatening condition. This condition occurs when a redundant sigmoid loop, with a narrow mesenteric base of attachment to the posterior abdominal wall, rotates around its mesenteric axis.Case Report − A 13-year-old boy presented as an emergency with a 3-day history of back pain and abdominal distention. Plain abdomen X-ray showed dilated large bowel loops in the upper left quadrant. An abdominal computed tomographic scan revealed a bowel obstruction with swirling of the mesentery, which suggested a sigmoid volvulus. The redundant sigmoid colon was hugely dilated, and was resected after detortion and resection. End to end anastomosis was performed.Conclusion − This case report emphasizes the importance of clinicians keeping a sigmoid volvulus in mind as a rare, yet important differential when considering abdominal pain in young, healthy patients.
Familial Combined Pituitary Hormone Deficiency by a Mutation in PROP1 – a Case Report
Authors: Butorac Ahel Ivona , Severinski Srećko , Bilić Čače Iva
Published: December 2023

Objective This paper aimed to emphasize the importance of considering the diagnosis of PROP1 mutation in all cases where multiple members of the same family are affected by combined pituitary hormone deficiencies (CPHD).Case Report − We describe two brothers of unrelated parents with a mutation in the PROP1 gene. Both brothers presented with growth impairment - the older one at the age of 2.5 years, and the younger one at the age of 3.3 years. Central hypothyroidism and GH deficiency were established in both of them. Replacement therapy was started using levothyroxine and recombinant growth hormone. Pituitary magnetic resonance imaging was normal. Genetic analysis identified a pathogenic homozygous frameshift variant c.301_302delAG in the PROP1 gene.Conclusion − Patients with PROP1 mutation must be closely followed up to reveal other possible hormonal defects and to avoid possible life-threatening adrenal crisis in the future. PROP1 mutation should be considered in all familial forms of CPHD and in all patients who have a deficiency of two or more pituitary hormones.
ANÁLISE DA RESISTENCIA A COMPRESSÃO DO CONCRETO PELA INCORPORAÇÃO DE DETERGENTE SINTÉTICO COMO ADITIVO PLASTIFICANTE
Authors: Pessoa Thobias Ribeiro , Nardotto Rios Endrik
Published: December 2023

O presente trabalho teve por objetivo comparar as resistências de 30 corpos de prova moldados com concretos de cimento Portland com diferentes concentrações, de detergente. Foram 6 corpos-de-prova concretos de cimento Portland referência e 6 corpos-de-prova concretos de cimento Portland com aditivados plastificante. O traço utilizado foi o mesmo para as amostras das 6 (seis) dosagens estudadas. O concreto referência de cimento Portland foi moldado com concreto sem a mistura de nenhum aditivo as dosagens 01 a 05 de corpos de prova recebeu a adição de detergente sintético diferentes e, por fim, a última dosagem o Concreto com aditivo plastificante. Todos os corpos de prova foram realizados os ensaios de slump test para análise do abatimento do concreto de cada dosagem. Procedimento para moldagem e cura de corpos de prova e NRB NM 67(1997): Concreto: A moldagem dos corpos de prova e os ensaios de slump test foram feitos conforme as normas NBR 5738(2013): Concreto: A consistência pelo abatimento do tronco de cone, respectivamente, com auxílio de equipamentos do laboratório de construção civil da Unesc-Polo Colatina. Após a moldagem, os corpos de prova permaneceram armazenados em tanques com água até atingir a cura de 28 dias, para posteriormente serem rompidos com auxílio de prensa automatizada da marca EMIC modelo: PC200c. Analisando os resultados das resistências dos corpos-de-prova, pôde-se observar que as resistências das dosagens 1 a 5 foram inferior a dosagem do concreto referência, porém a plasticidade dessas dosagens (1 a 5) foi diretamente proporcional a quantidade de detergente aplica no concreto.
Groundwater quantitative status assessment for River Basin Management Plan 2022–2027 (RBMP III)
Authors: Souvent Petra , Pavlič Urška , Andjelov Mišo , Rman Nina , Frantar Peter
Published: December 2023

The Groundwater quantitative status assessment is part of River Basin Management Plan 2022–2027 (RBMP III) and is used to evaluate, according to certain criteria, the 21 groundwater bodies (GWBs) in Slovenia. GWB can achieve good or poor quantitative status. The assessment is carried out with four tests, where the impact of groundwater abstraction (pumped quantities) on: groundwater quantity and water balance, the ecological status of associated surface water bodies, groundwater dependent terrestrial ecosystems and the intrusion of saline or poor water quality into the aquifer is analyzed. The final overall assessment of each groundwater body, based on the completed tests, is determined by the criterion of the worst test assessment. Based on the results of the tests, within the assessment period, 20 GWBs in Slovenia achieved good quantitative status. GWB Dravska kotlina achieved poor quantitative status, because the pumping of groundwater causes poor quality water intrusions into the deeper aquifer of that groundwater body. Within the last assessment period 1991–2020, approx. 4 billion m3 of groundwater was available annually in shallow aquifers within groundwater bodies. Groundwater abstraction (pumper quantities) in the period 2014–2019 reached an average of 135 million m3. In the area of deep geothermal aquifers of the Mura basin, abstractions were estimated to sum up to 2.5 million m3 per year. Latest numerical simulations point out induced aquifer recharge of approx. 2.3 million m3 of thermal water.