bluuebunny/crossref_metadata_2025 huggingface dataset:
Convergencias entre Dewey y Hernández - Un análisis de los enfoques pedagógicos
Authors: Buzato Marcio
Published: April 2024

La teoría educativa de John Dewey revolucionó el enfoque del aprendizaje al abogar por una educación activa y significativa basada en la experiencia. Dewey defendía el aprendizaje basado en problemas, en el que los alumnos se implican en situaciones del mundo real para explorar, experimentar y resolver problemas prácticos. Fernando Hernández, por su parte, propone un enfoque pedagógico con proyectos interdisciplinares que fomenta la creación de experiencias de aprendizaje profundas y contextualizadas. Su metodología enfatiza la interdisciplinariedad como herramienta para crear conocimiento a partir de la interacción entre diferentes disciplinas. La convergencia entre las teorías de Dewey y Hernández se centra en la importancia del aprendizaje activo, la vinculación con la vida real y la formación de ciudadanos comprometidos. Ambos teóricos buscan superar las barreras disciplinares y subrayan la necesidad de adaptar la educación a los cambios sociales y culturales, ofreciendo así una rica perspectiva para un entorno educativo dinámico, situando al alumno en el centro del proceso de aprendizaje y promoviendo una educación significativa y contextualizada.
The effectiveness of alternative methods of commercial dispute resolution: a comparative analysis of arbitration and mediation
Authors: Omonjonova Kamila , Achilova Liliya
Published: April 2024

Alternative dispute resolution (settlement) methods, including any kind of out-of-court dispute resolution, are gaining popularity in the Republic of Uzbekistan. This article discusses the general concept of alternative dispute resolution methods, their effectiveness, and distinctive features. The article is also devoted to comparing alternative dispute resolution methods such as mediation and arbitration. This analysis revealed the similarities and differences between the two procedures.
“Farhod va Shirin” dostonlarida janrlar takomili
Authors: Ruzmetov Shahzodbek
Published: April 2024

Mumtoz adabiyotimizda poetika ilmi alohida ahamiyatga ega bo'lib, tahlil va talqinning asosiy obyekti sifatida salmoqli o'rin egallaydi. Ushbu maqolada turkiy adabiyotda mavjud ikki yirik asar - Alisher Navoiy va Lamii Chalabiylarning "Farhod va Shirin" dostonlari qiyoslanilgan. Farhod obrazining genezisi, navoiyshunoslikda amalga oshirilgan tadqiqot-lar borasida olimlarning fikrlari o'rganilib, tahlil qilingan. Shakl jihatidan Navoiy masnaviysidan farq qiluvchi Usmonli turk shoiri Lamii Chalabiy-ning "Farhod va Shirin” dostonidagi lirik janrlar xususida so'z yuritilib, vazn va shakl nuqtayi nazaridan farqli o'rinlar tahlilga tortilgan. Qiyoslar natijasida dostonlarning kompozitsiyasiga xos xususiyatlar, qahramonlar tasviri, voqealar ifodasida she’r navlarining o'ziga xosligi masalalari ochib berilgan. Har ikki ijodkorning mavzuga yondashishdagi o'xshash va farqli tomonlari aniqlanilgan. Badiiy mahorat masalasi, asar arxitektonikasi hamda hajm nuqtayi nazaridan ijodkorlar ijodi qiyosiy o'rganilib, ilmiy xu-losalar chiqarilgan.
Badiiy asarda xarakter
Authors: Turdiyeva Yulduz
Published: April 2024

Mazkur maqolada badiiy asardagi xarakter tushunchasi haqida atroflicha fikr yuritilib, uning ilmiy va nazariy ta'riflari tahlilga tortiladi. "Xarakter"ga xos jihatlar, mezonlar asosan, Luqmon Bo'rixonning "Jazira-madagi odamlar" romani asosida ko'rib chiqilib, yozuvchining xarakter yaratishdagi individual uslubiga ham e'tibor qaratiladi. Bu o'rinda qiyo-siy-tahliliy metod asosida Ulug'bek Hamdamning "Ota" romanidan ham unumli foydalanilib, xarakter yaratishda ishtirok etuvchi vositalarning qay tarzda qo'llanilish darajasi bu ikki romandan keltirilgan parchalar orqali qiyosiy solishtirilib baholanadi.
Poetik mazmun yangilanishida individual ijodiy tafakkurning o‘rni (Tavallo adabiy merosi misolida)
Authors: Raxmonova Dildora
Published: April 2024

Ushbu maqolada poetik shakl va mazmun munosabati, individual ijodiy tafakkur haqidagi qarashlar tahlili o'rin olgan. Poetik mazmun tushunchasi har bir ijodkorning o'ziga xosligini belgilab beruvchi asosiy tendensiyalardan ekanligi Tavallo ijodi misolida yoritib beriladi. Tavallo ijodida ham mumtoz poetik obrazlar: gul, bulbul; zamondosh ijodkorlari kabi Vatan, ilm-ma’rifat masalalari badiiylikni ta’minlashga xizmat qilgan bo'lsa ham, individual ijodiy tafakkur orqali ularni yangilay oldi. An’anaviy obrazlarga yangi ma'no yuklash asnosida mazmuniy novatorlikka erishgan Tavallo adabiy merosi muayyan tasniflarga turkumlangan holda maqolada keng tahlil etiladi.
Erkin A’zamning “Zabarjad” kinoqissasida qahramon botinidagi evrilishlar tasviri
Authors: Yoqubov Islomjon
Published: April 2024

Ushbu maqolada Erkin A'zamning kinodramaturg sifatidagi mahorati "Zabarjad’’ kinoqissasi misolida o'rganilgan. Unda Erkin A’zam "kichik odam’’ning ko'ngil kechinmalarini axloqiy-ma’rifiy konflikt asosida tasvirlangani yoritilgan. Ijodiy-estetik konsepsiyasini tadqiq qilish asosida bu asar nainki kinodramaturg ijodi, balki keyingi yillar o'zbek adabiyotida ayol obrazini yaratish yo'lidagi muhim yutuqlardan biri ekani asoslangan. Erkin A’zam kinoqissalarida zamondoshimiz qismati jamiyatdagi ijtimoiy-iqtisodiy, ma'rifiy-axloqiy muammolar bilan bog'liq tarzda tasvirlanishi asardan keltirilgan misollar asosida tahlil etilgan. Mazkur maqolada "Zabarjad" kinoqissasida jahon dramaturgiyasi an'analariga, modernistik va postmodern uslubiga xos unsurlarga murojaat qilinishi kuzatilgan. Ilgari surilgan fikr-mulohazalar muxtasar holda xulosalangan.
Teacher Education Graduates’ Work Productivity and Performance in Relation to their Employers’ Satisfaction
Authors: Hornido Renie Carl R. , Continedo Angelyn P. , Baluyos Genelyn R. , Gacasan Anacleta A.
Published: April 2024

Teacher education graduates’ work productivity and performance contribute to high levels of employer satisfaction in the field of education. This study determined the teacher education graduates’ work productivity and performance in relation to their employers’ satisfaction in the Division of Ozamiz City of Misamis Occidental during the school year 2022-2023. The respondents of this study were 80 teachers and 24 school heads. The researchers used descriptive-correlational research design and the Individual Work Productivity Questionnaire (IWPQ), Individual Performance Commitment and Review Form (IPCRF), and Employer Satisfaction Survey Questionnaire (ESSQ) as instruments. Mean, Standard Deviation, Pearson r Product Moment Correlation Coefficient, and Stepwise Multiple Regression Analysis were the statistical tools. Results showed that graduates were excellent in terms of their contextual productivity and adaptive performance, and task performance was very satisfactory. It also showed that they had outstanding overall work performance based on their IPCRF rating prescribed by the Department of Education. In addition, there was a significant relationship between the graduates’ work productivity and their employers’ satisfaction in terms adaptive skills. However, among the other variables, no significant relationship was found between the graduates’ work productivity and their employers’ satisfaction. Lastly, results showed that work performance is a significant predictor of employers’ satisfaction. The findings shed light on the complex dynamics that exist between work productivity, performance, and employer satisfaction, offering practical recommendations for organizations to enhance overall workplace effectiveness.
Micro Enterprises’ Level of Awareness and Intention to Avail Provisions of BMBE Act of 2002, Magna Carta for MSMEs and Go Negosyo Act
Authors: Figueroa Derick S. , De Guzman Dana Shane , Gonzales Anlie P. , Guerrero Mharvie Blaise B. , Pimentel Bredgitt Kyle V.
Published: April 2024

Micro enterprises perform a critical role in local communities through providing low-income populations greater prospects for employment and a livelihood, thereby increasing their quality of life. Ninety-nine and fifty-eight hundredths of business enterprises in the Philippines are classified as micro-enterprises based on employment and asset size. The Philippines has recognized the importance of micro-enterprises and has passed laws such as the BMBE Law of 2002, Magna Carta for MSME of 2008, and Go Negosyo Act of 2014 to support the establishment, integration, and sustainability of these businesses. Microenterprises, despite their economic importance, frequently do not know about the laws and regulations that are intended to encourage and promote their expansion. The purpose of the study was to evaluate Tarlac City’s microenterprises’ profile, awareness, and intentions. A structured questionnaire was used to survey one hundred micro-enterprises. The results show that most micro-enterprise owners are married, female, have completed high school level, work in the apparel industry, and have been in business for one to three years. Results of the study revealed that micro enterprise owners have low level of awareness when it comes to the salient features and provisions of the Go Negosyo Act, Magna Carta for MSMEs, and BMBE Act. Business regulators and different departments of the government assisting the micro entrepreneurs will play a vital role in educating the micro enterprise owners of their privileges. Considering the attractiveness of the incentives and benefits promised by the three laws, micro entrepreneurs were interested to avail of these given the right orientation and assistance.
The Body and Gender in Perspective
Authors: Eddison Mawusi Foster
Published: April 2024

The concept of body and gender brought contentious discourses in ethnomusicological studies and analysis over the centuries and has become a central issue for consideration in the 21st century. This discourse is based on gender and bodies’ evolvement in ethnomusicology and how relevant these issues are to 21st-century ethnomusicologists. The paper employed existing literature to discuss theories and conceptual analysis of bodies, gender, and ethnomusicology from different societies, status, sexual orientation, and value divergence. The findings reiterated that ethnomusicological discourse presently sees the physical body and social body as a connecting process to multiple types of power relations such as social control and gender formation. Most importantly, cultural identity, gender, and sexuality in cross-cultural enclaves such as homosexuality and transgender in Africa pose an ideological, cultural, and legitimacy quandary to ethnomusicologists in the 21st century. Therefore, ethnomusicological discourse must have a comprehensive method for resolving ethical dilemmas in cross-cultural and social phenomena.
Towards an Inclusive Society: De-Centering Heteronormativity in Tendai Huchu’s the Hairdresser of Harare and Chinelo Okparanta’s Under the Udala Trees
Authors: Kamwamba Atanazio Ernest
Published: April 2024

The portrayal of queer sexuality in African literature is something that is getting more and more attention, as a way of highlighting what happens in various societies in the world. This paper explores the portrayal of queer individuals in two African novels: Tendai Huchu’s The Hairdresser of Harare and Chinelo Okparanta’s Under the Udala Trees. Having observed that in the two novels queer individuals are forced to mask their sexuality and adopt heteronormative public personae in order to fit into mainstream society, this paper observes the two authors have used diaries and letters to accord agency to their repressed queer characters. The paper argues that diaristic and epistolary writing, in which individuals of queer sexuality reveal their intimate feelings for each other, are strong tools which the authors have used to accord agency to their repressed queer characters. The paper also uses Andy Alaszewski’s idea of “social suffering versus the diary.” Alaszewski (2006) observes that diaries provide a way of avoiding some of the moral dilemmas created when researchers solicit narratives of suffering and represent accounts which contextualize suffering within a personal biography. This study also observes the authors’ representation of heterosexual characters who accept the presence of queer individuals in their societies. It is in this line that this paper argues that the two authors offer a glimpse into a possibility of an inclusive society which accommodates people’s sexualities that are considered non-normative.
FATORES ASSOCIADOS À ADESÃO AO TRATAMENTO FARMACOLÓGICO DA HIPERTENSÃO ARTERIAL SISTÊMICA EM ÁREA COM GRANDE VULNERABILIDADE SOCIAL
Authors:   Centro Municipal de Saúde, Jabre Rocha Manso Vitoria , Mendonça Guimarães Raphael ,   Fundação Oswaldo Cruz, Marques Jacilene Maria ,   Centro Municipal de Saúde
Published: April 2024

Objetivo: Caracterizar e identificar possíveis fatores associados a baixa adesão ao tratamento farmacológico em pacientes hipertensos acompanhados em programas de prevenção primária é fundamental para direcionar os cuidados e tratamento das ações em saúde, seja para implantar, propor ou ofertar serviços de saúde e até planejar recursos terapêuticos. Métodos: A coleta de dados sobre variáveis e determinantes sociais dos pacientes usuários do Sistema Único de Saúde e a aplicação de questionários de avaliação de adesão ao tratamento são ferramentas amplamente utilizadas em estudos prévios que pesquisaram tais fatores. Este trabalho utilizou desses meios em uma Unidade de Atenção Primária referenciada para tratamento de doenças crônicas não transmissíveis em Duque de Caxias, considerada um município de grande vulnerabilidade social no estado do Rio de Janeiro. Resultados: Na amostra pesquisada a prevalência da adesão ao tratamento farmacológico foi baixa. Dentre os fatores avaliados, os mais associados com a baixa adesão foram a idade avançada, a baixa escolaridade, a utilização de mais de cinco medicações por dia e a presença de uma comorbidade ou mais além da hipertensão arterial. Conclusão: A compreensão desses fatores ajuda a melhorar as estratégias oferecidas no atendimento em unidades de atendimento primário, visando uma manutenção do tratamento regular e sua adesão.
ASSOCIAÇÃO ENTRE ÍNDICE DE MASSA CORPORAL E MASSA VENTRICULAR ESQUERDA NA DOENÇA RENAL CRÔNICA NÃO DIALÍTICA
Authors:   Faculdade de Medicina de Botucatu. Departamento de Clínica Médica, Filiol Belin Matheus Antonio , Latance da Cruz Bianca ,   Faculdade de Medicina de Botucatu. Departamento de Clínica Médica, da Silva Franco Roberto Jorge ,   Faculdade de Medicina de Botucatu. Departamento de Clínica Médica, Barretti Pasqual ,   Faculdade de Medicina de Botucatu. Departamento de Clínica Médica, Burgugi Banin Vanessa ,   Faculdade de Medicina de Botucatu. Departamento de Clínica Médica, Garcia Zanati Bazan Silméia ,   Faculdade de Medicina de Botucatu. Departamento de Clínica Médica, Costa Teixeira Caramori Jacqueline do Socorro ,   Faculdade de Medicina de Botucatu. Departamento de Clínica Médica
Published: April 2024

Não há certeza se a obesidade está associada de maneira independente a maior massa ventricular na doença renal crônica (DRC) ou se essa associação depende da elevação da pressão arterial. Nenhum estudo avaliou esse objeto por meio da pressão arterial ambulatorial. Este estudo tem como objetivo investigar se a associação entre o índice de massa corporal e a massa do ventrículo esquerdo é independente dos valores ambulatoriais da pressão arterial na DRC não dialítica. Métodos: Neste estudo observacional transversal, 154 pacientes com DRC não dialítica foram avaliados quanto ao índice de massa corporal (IMC), idade, sexo, etnia, creatinina, pressão arterial ambulatorial, taxa de filtração glomerular e índice de massa do ventrículo esquerdo (IMVE) por ecocardiografia. Resultados: A idade dos pacientes foi de 62 ± 14,8 anos, 83 homens (54%) e 149 brancos. Em um modelo múltiplo ajustado para pressão arterial sistólica (PAS) ambulatorial e taxa de filtração glomerular, foi observada associação positiva entre IMC (R = 0,491; p < 0,001) e IMVE e entre PAS 24h (R = 0,193; p = 0,006) e IMVE. A massa ventricular não se associou com a taxa de filtração glomerular na regressão múltipla (R= - 0,057; p = 0,410). Conclusão: O índice de massa corporal de pacientes com doença crônica não dialítica foi positivamente correlacionado com o índice de hipertrofia ventricular esquerda, mesmo após ajuste para pressão arterial ambulatorial e taxa de filtração glomerular. Esse dado levanta a hipótese de que fatores relacionados à obesidade podem atuar desfavoravelmente sobre o coração, de forma independente e além de sua ação sobre a pressão arterial desses pacientes.
Predicción del efecto analgésico de la oxicodona por medio de pruebas sensoriales cuantitativas «estáticas» y «dinámicas» en sujetos sanos.
Authors: Eisenberg Elon , Midbari Ayelet , Haddad May , Pudd Dorit
Published: April 2024

La amplia variabilidad interindividual en la magnitud de la analgesia en respuesta a los opioides y la alta prevalencia de eventos adversos asociados con su uso remarcan la importancia clínica de la capacidad de predecir quién responderá o no al tratamiento opioide. Este estudio utiliza pruebas sensoriales cuantitativas (PSC) tanto estáticas como dinámicas en 40 voluntarios sanos con el objetivo de evaluar si esta metodología puede predecir los efectos analgésicos de la oxicodona por vía oral, en comparación con un placebo, sobre la latencia del inicio del dolor, la intensidad del mismo y la tolerancia a la prueba del dolor por criopresión. Las PSC estáticas consistieron en la medición de los umbrales del dolor producido por el calor y el frío. Las PSC dinámicas incluyeron mediciones de la magnitud del efecto similar al control inhibitorio nocivo difuso y de la suma temporal. Los resultados mostraron que la oxicodona, pero no el placebo, elevó significativamente la latencia y la tolerancia al dolor causado por el frío y redujo significativamente la intensidad del dolor.
HUBUNGAN SUPPORT SYSTEM KELUARGA DENGAN TINGKAT KECEMASAN PERAWAT DI RUANG PENYAKIT MENULAR RSUD dr SOEDIRAN MANGUN SUMARSO
Authors: Yuswowidodo Susilo , Indriyati  , Putra Fajar Alam
Published: April 2024

Perawat adalah tenaga kesehatan yang secara langsung kontak dengan manusia. Kontak secara langsung dapat meningkatkan resiko infeksi penyakit menular sehingga kecemasan perawat dapat meningkat seiring dengan resiko penularan penyakit. Support system keluarga sangat diperlukan untuk membantu perawat yang bertugas di ruang penyakit menular agar kecemasan yang dirasakan tidak semakin meningkat. Tujaun untuk mengetahui hubungan support system keluarga dengan tingkat kecemasan perawat di ruang penyakit menular RSUD Dr. Soediran Mangun Sumarso. Jenis penelitian adalah penelitian deskriptif korelasional dengan rancangan penelitian menggunakan cross–sectional. Sampel seluruh perawat yang bertugas di ruang penyakit menular sebanyak 32 orang. Pengambilan sampel menggunakan total sampel. Instrumen penelitian menggunakan kuesioner support system  keluarga dan kuesioner kecemasan menggunakan Hamilton Rating Scale for Anxiety (HRS-A). Analisis data menggunakan uji Kendall tau. Hasil penelitian menunjukkan sebanyak 14 responden mendapat support system keluarga yang baik (43,8%) dan 18 responden dengan support system keluarga yang cukup (56,3%). Sebanyak 7 responden tidak mengalami cemas (21,9%), 13 responden mengalami cemas ringan (40,6%) dan 12 responden mengalami cemas sedang (37,5%). Hasil uji Kendall tau diperoleh nilai signifikansi  p = 0,001. Kesimpulan: Ada hubungan support system keluarga dengan tingkat kecemasan perawat di ruang penyakit menular RSUD Dr. Soediran Mangun Sumarso.
HUBUNGAN WAKTU TUNGGU (LENGTH OF STAY) DENGAN TINGKAT KECEMASAN PADA KELUARGA PASIEN DI IGD RS ORTOPEDI PROF DR R SOEHARSO SURAKARTA
Authors: Fitrianto Adi , Widiyono  , Sutrisno
Published: April 2024

Salah satu bentuk mutu pelayanan yang sering dikeluhkan keluarga pasien adalah waktu tunggu. Waktu tunggu adalah waktu pasien tiba di IGD yang dimulai dari pendaftaran sampai administrasi atau dari proses triase sampai selesai pelayanan di IGD. Menunggu dapat memberikan suatu reaksi emosional bagi keluarga pasien, seperti kecemasan. Penelitian ini bertujuan untuk mengetahui hubungan antara waktu tunggu (length of stay) dengan tingkat kecemasan keluarga pasien di IGD RS Ortopedi Prof. Dr. R. Soeharso Surakarta. Penelitian ini menggunakan pendekatan kuantitatif dengan jenis penelitian deskriptif korelatif. Rancangan penelitian yang digunakan adalah cross sectional. Sampel penelitian ini adalah keluarga pasien yang memenuhi kriteria inklusi penelitian sebanyak 60 responden. Teknik pengambilan sampel dilakukan secara purposive sampling. Analisis data dilakukan dengan uji normalitas Kolmogorov-Smirnov, yang dilanjutkan analisi uji korelasi Spearman. Pengumpulan data menggunakan kuesioner HADS dan lembar observasi. Berdasarkan hasil analisis diperoleh p-value 0.047<0.05 yang menunjukkan terdapat hubungan antara waktu tunggu dengan tingkat kecemasan keluarga di IGD RS Ortopedi Prof. Dr. R. Soeharso Surakarta.
GAMBARAN REGULASI EMOSI PADA KORBAN BULLYING DI SMK MUHAMMADIYAH KARTASURA
Authors: Setiawan Ezra Addo , Ernawati Sri
Published: April 2024

Penelitian ini bertujuan untuk mengetahui secara lebih dalam mengenai bagaimana regulasi emosi yang ditunjukkan pada korban bullying serta untuk mengetahui mengapa korban bullying tidak melakukan tindakan balasan atas apa yang diterimanya. Metode yg digunakan ialah metode deskriptif kualitatif. Penulis yang akan menjadi instrument dalam penelitian dan analisis dilakukan secara terus menerus dari awal penelitian hingga analisis data. Subjek dalam penelitian ini terdiri dari 7 orang yang dimana 5 siswa korban bullying kelas 11 SMK Muhammadiyah Kartasura dan 2 guru BK sebagai informan pendukung. Pengumpulan data dalam penelitian ini dengan metode interview/wawancara dan observasi. Berdasarkan hasil wawancara dari ke 7 subjek, dapat diperoleh bahwa hampir semua korban bullying di SMK Muhammadiyah Kartasura sebagian besar mendapat bullying secara verbal seperti body shamming, mengejek dengan nama ortu dan sangat jarang adanya bullying secara fisik. Para korban lebih menghiraukan bullying yang diarahkan ke mereka. Korban memiliki regulasi emosi yang cukup baik dalam menghadapi perundungan, tidak mengambil keputusan yang gegabah.Dari hasil penelitian ini dapat ditarik kesimpulan bahwa subjek yang menjadi korban bullying di SMK Muhammadiyah Kartasura memiliki regulasi emosi yang baik dalam mengatasi suatu permasalahan. Hal ini disebabkan karena subjek memiliki kemampuan untuk menahan diri dan tidak terpengaruh dampak negatif dari bullying tersebut membuat subjek tetap dapat berpikir dengan baik serta mampu mengontrol emosinya. Dengan mempertimbangkan dampak yang lebih buruk dari membalas pelaku maupun melaporkan ke guru atau orang tua, membuat korban belajar menahan emosinya
Ensuring data confidentiality and integrity in edge computing environments : A security and privacy perspective
Authors: Kale Rohini Suhas , Hase Jayashri , Deshmukh Shyam , Ajani Samir N. , Agrawal Pratik K , Khandelwal Chhaya Sunil
Published: April 2024

This study examines, from a security and privacy standpoint, the significant obstacles to maintaining data integrity and confidentiality in edge computing contexts. Data security at the edge becomes critical as more and more edge devices proliferate and generate large volumes of sensitive data. The review of the literature looks at edge computing security problems that currently exist and discusses fixes to protect data integrity and confidentiality. The article explores various vulnerabilities, emphasizing the necessity for strong security systems, including data exposure risks and integrity concerns. It examines secure communication protocols, access control methods, and encryption techniques as crucial risk-reduction instruments. Anonymization and differential privacy are two privacy-preserving techniques that are investigated to find a middle ground between user privacy and data value. The article provides real-world insights through case studies and actual implementations, and it lays out metrics and evaluation criteria for determining how successful security measures are. Finally, the report highlights the need of addressing data security in changing edge computing settings and offers future directions and research difficulties.
Implementing optimization and fine-tuning emergency response strategies in cryptographically enhanced IoT-infused medical infrastructure for rapid response
Authors: Amin Sherif Tawfik
Published: April 2024

In today’s healthcare landscape, connecting medical facilities to the Internet of Things (IoT) has led to transformative changes. This study focuses on optimizing and refining emergency response strategies within IoT-enabled medical systems through cryptographic improvements. The proposed framework aims to strengthen rapid response mechanisms to better handle critical scenarios more efficiently. Using cryptographic techniques ensures the security and integrity of data transmission, protecting sensitive medical information. Our approach involves developing a sophisticated optimization algorithm tailored for emergency situations’ unique demands. This algorithm refines response strategies based on real-time data collected from IoT sensors, allowing dynamic adjustment to evolving conditions. Additionally, cryptographic protocols reinforce the communication channels, reducing the risk of unauthorized access or data manipulation. Through simulation and actual validation, the effectiveness of our proposed framework is demonstrated in enhancing medical infrastructure’s responsiveness during emergencies. By combining IoT capabilities with cryptographic measures, this research contributes to more resilient and secure emergency response systems’ evolution, ultimately advancing healthcare delivery’s effectiveness in critical situations.
War in Ukraine: Impact on global agri-food trade
Authors: Kutsmus Nataliia , Zinchuk Tetyana , Usiuk Tetiana , Prokopchuk Oksana , Palamarchuk Tetiana
Published: April 2024

The conditions and trends of the global agri-food market are elastic to crises and conflicts involving major market players, which threatens food security by blocking sustainable international trade opportunities due to the destruction of production capacity and value chains, as well as supply channels to consumer countries. The purpose of this study was to investigate the specific features and consequences of the impact of the Russian-Ukrainian armed conflict on world agricultural trade and food security at the national and global levels. The scientific conclusions are the result of the application of economic and statistical (time series, index, and factor analysis) and dialectical (induction and deduction, analysis, and synthesis) methods of scientific cognition. It was found that the universal features of wars include the ability to influence the global economy, create new geopolitical and economic uncertainty, rapidly increase prices for critical resources (energy), and ensure destabilisation of global value chains. As a result, the disruption of sustainable trade flows caused by military conflicts is an important source of changes in the global economy and the situation of individual countries and regions. It was proved that military operations on the territory of Ukraine led to restrictions in agriculture and forced adaptation of agribusiness to the factors of critical vulnerability. There are trends towards a reduction in production and the breakdown of conventional supply chains for agri-food products due to the destruction of the logistics infrastructure, which, together with a reduction in exports of agricultural products and fertilisers from Russia, has led to a rise in world food prices. As a result, the “price” of the Russian-Ukrainian war for the global economy is being formed, with growing hunger and poverty, as well as the environmental footprint of military operations. The practical significance of the findings of this study lies in the possibility of their application in strategic planning and substantiation of the areas of post-war reconstruction of the national economy in general and its agricultural sector specifically, as well as the restoration and strengthening of Ukraine’s role in global food chains and combating hunger
A ADEQUAÇÃO DA CONTABILIDADE AOS NOVOS PADRÕES DE SUSTENTABILIDADE ASG (AMBIENTAL – SOCIAL – GOVERNANÇA)
Authors: Ferraz Claudiano , Ciriaco Driely , Filho João Biron , Carmo Eronildo
Published: April 2024

O presente trabalho tem o objetivo de analisar as práticas contábeis em empresas que estão adotando um novo modelo em que buscam melhorar os processos internos com medidas de cuidados com o meio ambiente, a responsabilidade social e as práticas de governança. Do ponto de vista do consumidor, a realidade é mais latente e o público procura priorizar as empresas que se dedicam aos temas socioambientais. A contabilidade tem um papel de extrema importância nesse novo entendimento, que é o de incitar o processo de engajamento das empresas e seus contadores a adotar entre os seus desafios, a responsabilidade quanto às mudanças climáticas, além do aspecto social e governança, fatores que passam a ser cada vez mais exigidos. A pesquisa de campo feita em uma empresa de recicláveis, onde foi aplicado um questionário fechado cujos dados foram confrontados com os obtidos nas publicações. O artigo possibilitou o entendimento de um novo modal para as normas contábeis ao demonstrar como os futuros profissionais contábeis poderão e deverão atuar, observando os entendimentos e normas ASG, para cumprir sua missão de fornecer dados concretos sobre contabilidade ambiental. Palavras-chave: Práticas contábeis. Responsabilidade social. Governança. Meio ambiente.
Secure Cloud Storage with Deduplication Technique
Authors: Ms. Aishwarya S. Khutwad  , Mr. Ajay P. Ganore  , Mr. Shubham B. Ganore  , Mr. Vishal P. Shinde
Published: April 2024

Data de-duplication refers to providing cloud providers with a way to manage the uncontrollable data and the challenges of cloud storage. The success of IOT and social media led us to face big data challenges. Big data is interesting but also becomes a critical challenge for cloud service providers. Data storage and management become also the topic of discussion where big data generate business opportunities as well as come with big issues for the cloud providers. In this paper, we discussed the issues of redundant data and techniques to prevent data redundancy on the cloud. A third-party auditor checks the user’s data for correctness and gives the accuracy of the data that is stored in a cloud server. The communication and computation overheads were reduced. The deduplication technique is used to check whether the file that users need to store in cloud storage already exists on the cloud server.
A Review on Conversational Question Answering (CQA)
Authors: Mr. Jeevan Tonde  , Dr. Satish Sankaye
Published: April 2024

The internet is constantly changing how people communicate with one another, manage their daily lives, and share the information. As a result of digitization, automated Question Answering Systems are becoming more important in extracting useful information from the knowledge sources. In general, Question Answering (QA)mechanisms are intended to answer a specific question only once (so-called single-turn).However, to satisfy a user's information needs, the Conversational Question Answering (CQA) system must grasp the given context and engage in multi-turn QA. While single-turn QA leads the majority of current research, multi-turn QA has rapidly gained prominence due to the availability of large-scale multi-turn QA datasets and the development of “pre-trained language models”. In this research paper, we have presented a comprehensive review on the Conversational Question Answer (CQA) field which includes need of CQA followed by categorization of QA system, list of available datasets and various evaluation metrics.
FarmTech Connect
Authors: Ms. Samrudhi Sanjay Kulkarni  , Ms. Srushti Vidyadhar Bagale  , Ms. Bhagyashri Somshekhar Boragi  , Ms. Sidra Abdul Saeed Shaikh  , Ms. Sarika C. Nimbalkar  , Mr. Sagar Somayya Hiremath
Published: April 2024

As India is an agricultural country so it is important to provide some advanced features for the farmers such as upload crop photos, farmer will connect with expert by chat or call. With the help of such features farmer can easily find the solution for their problem and interact with the help of android application easily, Farmers may easily post photos of their plants and crops to this portal, which is mobile-friendly. We provide a solution for farmers which helps farmers to increase their products. Lots of farmer are unaware about the solution about the particular problem so they not able to increase their profit so lots of difficulty they will face in day-to-day life. To overcome from the above drawback, we build android application that helps interact easily. The method is intended to provide these farmers with direct access to certified specialists with knowledge in agriculture, plant and crop diseases, and other related fields. This platform's main objective is to provide farmers with vital support in handling issues pertaining to their plants and crops. Farmers may more easily share photos of their plants with recognized professionals, who can then provide exact advice and recommendations
Nutritional Composition of Some Selected Commercial Juice Made in Nigeria
Authors: Jegede Raphael , Suleiman Mohammed Salisu , Ogohi Dorathy Agar , Audu Godwin , Suleiman Abdulrahman , Shaibu Isaac
Published: April 2024

Introduction: Nutrient-fortified food play a crucial role in addressing nutritional deficiencies among infants and children, making them more appealing for consumption. Research focuses on baby foods, particularly reconstituted juice drink, which serve as significant sources of essential minerals and vitamins. However, the nutrient composition of these products varies, leading to differences in quality. The objective of this study is to assess the disparities in the nutritional content of various children's juice drink available in the Nigerian market.
Methods: Proximate analysis was carried out according to the standard procedure of Association of Official Analytical Chemists (AOAC) to evaluate the nutritional composition of the selected juice drink. Minerals content were determined using Atomic Absorption and Flame Spectroscopy Techniques. The determination of the Vitamin A content in the samples was conducted following a modified Spectrophotometric Method. For Ascorbic Acid (Vitamin C), the Vitamin C content in the samples was assessed utilizing a Spectrometric Method coupled with 2,4 Dinitrophenyl hydrazine (DNPH) procedures.
Results: Examination of the proximate and mineral analyses of ten chosen fruit juice brands revealed notable variations. Capri sonne exhibited the highest moisture content at 94.2%, while Hollandia Yogurt has the lowest at 81.3%. Chapman, Nutri Milk, and Viju Apple Flavor Milk shared the highest ash content at 0.5%, whereas Hollandia Malt, Piko Orange, and Piko Strawberry displayed the lowest at 0.01%. Nestle Malt boasted the highest crude protein concentration at 4.38%, with Capri sonne recorded the lowest at 0.18%. Hollandia Yogurt and Hollandia Malt demonstrated the highest crude fiber content, while Vitavite Multivi, Piko Orange, and Piko Strawberry showed the lowest. Regarding total carbohydrates, Hollandia Yogurt topped the list at 14.6%, while Vitavite Multivi ranked lowest at 6.57%. Nestle Millo contained the highest vitamin C content at 25.7%, whereas Piko Strawberry has the lowest at 3.82%. Caprosonne registered the highest vitamin A content at 0.6%. In terms of mineral analysis, Hollandia Yogurt exhibited the highest sodium percentage at 22.6mg/g, while Nestle led in calcium, iron, and magnesium content at 120.4mg/g, 1.7mg/g, and 25.5mg/g, respectively. It can therefore be inferred from the outcome of this study that, Milo Nestle is the best drink for children due to its higher protein, carbohydrate, vitamins (A and C) and minerals (Ca, Mg, Fe, Na) contents, followed by Hollandia Malt as compared to other juice studied.
Rewe vereinheitlicht die IT-Landschaft
Authors: Tewes Werner , Klug Denise
Published: April 2024

Die Rewe Group startet ein milliardenschweres Modernisierungsprojekt. Rewe, Penny und Billa bekommen im Zuge dessen homogene IT-Systeme.
Lebensmittel erstmals billiger als im Vorjahr
Authors: Stockburger Manfred
Published: April 2024

Nach zwei Jahren hoher Inflation gibt es laut der offiziellen Statistik erstmals wieder rückläufige Preise bei Nahrungsmitteln. Seit dem Höhepunkt der Inflation im März 2023 hatte sich lediglich die Teuerungsrate verringert.
Neue Produkthaftung macht Rückrufe riskant
Authors: Falker Gerrit-Milena
Published: April 2024

Die überarbeitete EU-Produkthaftungsrichtlinie ist so gut wie in trockenen Tüchern. Sie droht, Rückrufmaßnahmen zu beeinträchtigen und sieht umfangreiche Offenlegungspflichten vor.
Ernährungspläne der Parteien für Europa
Authors: Deglow Hans-Jürgen
Published: April 2024

In der Coronazeit und zu Beginn des Ukrainekrieges wurde die Systemrelevanz der Ernährungs- und Agrarwirtschaft von der Politik beschworen. In den Programmen zur Europawahl fristet das Thema eher ein Nischendasein.
Gegenwind für Temu & Co
Authors: Biester Silke
Published: April 2024

Gegen asiatische Online-Marktplätze wie Temu und Shein regt sich zunehmend Widerstand. Branchenverbände sowie Verbraucherschützer werden aktiv.
«Winlay» – eine nachhaltige Verpackungslösung
Authors: Frutig Markus
Published: April 2024

Die Welt der Verpackungen durchläuft einen steten Wandel und immer mehr Unternehmen suchen nach umweltfreundlichen Alternativen. In diesem Kontext stellt «Winlay» einen weiteren Fortschritt dar. Aus nachwachsenden und recycelten Fasern gefertigt, bietet diese neue Faserform-Verpackungslösung eine kunststofffreie, vollständig recycelbare Option, die sowohl die Umwelt als auch die Bedürfnisse der Konsumenten im Luxussegment berücksichtigt. Von Markus Frutig, Chefredaktor packAKTUELL
Branding neu gedacht: Verpackungsdesign im Wandel
Authors: Schmidt Henning
Published: April 2024

Die neuesten Trends und Innovationen im Verpackungsdesign werden auch dieses Jahr wieder auf der internationalen Messe Fachpack in Nürnberg zu sehen sein. Henning Schmidt, Geschäftsführer vom Honeypot Designstudio der taste GmbH, wirft bereits heute einen Blick auf die aktuellen Entwicklungen.
«Green Planet»
Authors: Frutig Markus
Published: April 2024

In einer Welt, die immer stärker unter dem Klimawandel leidet, wächst die Dringlichkeit, in allen Lebensbereichen nachhaltige Lösungen zu finden. Im Bereich der Verpackungstechnologien ist mit 'Green Planet' eine äusserst interessante Lösung entstanden – eine echte Alternative zu Verpackungen aus fossilen Rohstoffen. Von Markus Frutig, Chefredaktor packAKTUELL
«Weg frei für die politische Diskussion»
Authors: Frutig Markus
Published: April 2024

Bund, Kantone und Sozialpartner haben den Weg freigegeben für die Erarbeitung einer Vernehmlassungsvorlage zur Stärkung der höheren Berufsbildung mittels der Einführung der Titelzusätze «Professional Bachelor» und «Professional Master». Dieser Entscheid stand im Zentrum des jährlichen Spitzentreffens der Berufsbildung vom 20. November 2023.
Industrie-Roboter machen Tempo
Authors: Maurer Bettina
Published: April 2024

Die Automatisierung in der Industrie schreitet voran, der weltweite Bestand an Industrie-Robotern hat einen Höchststand erreicht. Deutschland gehört beim Einsatz von Robotern zur Weltspitze.
Die Messe-Saison ist eröffnet
Authors: Maurer Bettina
Published: April 2024

In den nächsten Wochen und Monaten stehen zahlreiche weitere Messen im In- und Ausland an, die für Unternehmen aus den Bereichen Coating und Converting, ihre Zulieferer und Anwender von Interesse sind – und Sichtbarkeit, neue Kontakte, Know-how und Geschäftsabschlüsse ermöglichen. Wir stellen einige vor.
Digitale Sensorkommunikation mit IO-Link, SPE und Sensor-to-cloud: Einfach smart
Authors:   Michael Wiener
Published: April 2024

Moderne Technologien wie Single Pair Ethernet (SPE), IO-Linkund Sensor-to-Cloud-Kommunikation haben enormes Potenzial.Vor allem die Machine-to-Machine (M2M) Kommunikationgewinnt als ein wesentliches Element der Industrie 4.0 unterKosten- und Effizienzgesichtspunkten immer mehr an Bedeutung.
Development of a Software Package for Computing Psychometric Properties of Multiple Choice Tests Using Norm-Referenced Approach.
Authors: Osonwa Kalu Eke , Agu Ngozi N. , Ejiofor Virgy E. , Osonwa Uduma E.
Published: April 2024

This work is on the development of a software package for computing the psychometric properties of multiple choice tests using norm-referenced approach. Focus was on item indices which are difficulty, discrimination and distracter indices. There are no easily affordable statistical packages in the Nigerian market for the computation of these indices. Most studies involving them have always been done manually due non-availability of affordable statistical software. Hence, the researcher was motivated to embark on this investigation. Three research questions were formulated to guide this study. Analysis of the existing system was done on BILOG-MG statistics. This study deployed the following methodologies: mathematical, structured systems analysis and design methodology (SSADM), the object-oriented analysis and design methodology (OOADM) and prototyping. The design for the study was instrumentation. The population for the study was 225 students which consisted of all the JS3 students of 2016/2017 session in Port Harcourt, Rivers State. The researcher made use of two instruments for the study. The first was the Rivers State Basic Education Certificate Examination (BECE), 2017 multiple choice questions in Mathematics. The second was a group of system software: HTML, PHP, JavaScript and MySQL. The responses of the students were used to test the effectiveness and efficiency of the software package developed in this study. Data analysis was done first with manual computation and second with the software package that was developed. The manual computation took the researcher 180 hours while the electronic computation with the developed software took only six hours to complete. The findings from the results of the study showed that the developed software was accurate in computing the difficulty, discrimination and distactor indices of the test items and it has a very high rate of accuracy. The study recommended that the developed software should be used to compute the difficulty, distractor and discrimination indices of multiple choice tests.
PHẪU THUẬT NỘI SOI KHỚP VAI ĐIỀU TRỊ VÔI HOÁ GÂN CHÓP XOAY
Authors: Nguyễn Hữu Mạnh , Vũ Đức Việt , Trần Quyết , Trần Trung Dũng
Published: April 2024

Giới thiệu: Vôi hoá gân chóp xoay (CX) là tình trạng bệnh lý ít gặp hơn so với các bệnh lý khác vùng vai. Bệnh gây ra bởi tình trạng tích tụ caxi trong gân cơ CX hoặc có thể xuất hiện một phần ở túi hoạt dịch trong khoang dưới mỏm cùng vai khi khối vôi hoá lan rộng ra xung quanh gân. Bệnh thường được biểu hiện với dấu hiệu lâm sàng là tình trạng đau vai cấp tiến triển nhanh rầm rộ trong giai đoạn tái hấp thụ gây khó chịu và hạn chế vận động nhiều cho người bệnh. Ca lâm sàng: Chúng tôi xin giới thiệu 02 trường hợp được chẩn đoán là vôi hoá gân CX, đã thất bại trong điều trị bảo tồn và được chỉ định phẫu thuật nội soi lấy bỏ khối vôi hoá. Sau phẫu thuật triệu chứng đau và tầm vận động cải thiện rõ rệt, trên phim X-quang chụp kiểm tra lại không còn hình ảnh khối vôi hoá. Bàn luận: Bệnh hay gặp ở lứa tuổi trung niên và đau cấp vùng vai là triệu chứng nổi bật của bệnh. Điều trị chính của bệnh là bảo tồn bao gồm nghỉ ngơi, vật lý trị liệu và dùng NSAID. Phẫu thuật nội soi được đặt ra khi khối vôi hoá gây đau mãn tính không cải thiện bằng các phương pháp điều trị khác.Việc xác định chính xác vị trí khối vôi hoá trên nội soi và lấy bỏ tối đa khối vôi hoá là rất cần thiết trong phẫu thuật. Kết luận: Phẫu thuật nội soi là phương pháp ít xâm lấn giúp lấy được toàn bộ khối vôi hoá, bệnh nhân (BN) sau phẫu thuật cải thiện triệu chứng lâm sàng và phục hồi tầm vận động nhanh và rõ rệt. Phim chụp cộng hưởng từ rất cần thiết trong việc xác hình thái và vị trí khối vôi hoá.
ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG U LYMPHO HODGKIN TRẺ EM TẠI VIỆN HUYẾT HỌC - TRUYỀN MÁU TRUNG ƯƠNG GIAI ĐOẠN 2017 - 2023
Authors: Phạm Thị Ngọc , Hoàng Thị Hồng , Nguyễn Quang Tùng , Mai Lan
Published: April 2024

Nghiên cứu mô tả loạt ca bệnh về đặc điểm lâm sàng và cận lâm sàng trên 22 bệnh nhi được chẩn đoán u lympho Hodgkin tại Viện Huyết học - Truyền máu Trung ương giai đoạn 2017 - 2023. Kết quả nghiên cứu cho thấy bệnh nhi trong độ tuổi từ 4 đến 15 tuổi với tuổi trung vị là 13. Tỷ lệ mắc bệnh ở trẻ nam cao hơn trẻ nữ (nam/nữ là 1,4/1). Về đặc điểm lâm sàng, triệu chứng hay gặp của bệnh bao gồm hạch to (81,8%), thiếu máu (50%) và hội chứng B (45,5%). Tổn thương hạch chủ yếu ở khu vực trên cơ hoành bao gồm hạch cổ (86,4%), hạch trung thất (68,2%), hạch nách (59,1%). Ít gặp tổn thương ngoài hạch, trong đó tổn thương ngoài hạch hay gặp nhất là u trung thất trước (18,2%). Về đặc điểm cận lâm sàng, u lympho Hodgkin kinh điển chiếm tỷ lệ cao (91,9%), trong đó hai thể bệnh thường gặp là thể xơ nốt (36,4%) và thể hỗn hợp tế bào (31,8%). Ở thể kinh điển, CD30 dương tính trong 100% trường hợp, CD15 dương tính trong 80% trường hợp. Đa số bệnh nhi vào viện ở giai đoạn muộn (III, IV), chiếm 63,7%. Tổng phân tích tế bào máu ngoại vi cho thấy 54,5% bệnh nhi có số lượng bạch cầu tăng, tăng chủ yếu là bạch cầu trung tính trong khi số lượng bạch cầu lympho trong giới hạn bình thường.
KẾT QUẢ ĐIỀU TRỊ BỆNH NHÂN THOÁI HÓA KHỚP GỐI CÓ VIÊM MÀNG HOẠT DỊCH BẰNG LIỆU PHÁP TIÊM CORTICOID KẾT HỢP UỐNG DIACEREIN VÀ GLUCOSAMIN TẠI BỆNH VIỆN A THÁI NGUYÊN
Authors: Phạm Ngọc Ân , Lưu Thị Bình
Published: April 2024

Mục tiêu: Đánh giá kết quả điều trị bệnh nhân thoái hóa khớp gối (THKG) có viêm màng hoạt dịch (VMHD) bằng liệu pháp tiêm Corticoid kết hợp uống Diacerein và Glucosamin tại Bệnh viện A Thái Nguyên. Đối tượng và phương pháp nghiên cứu: Nghiên cứu can thiệp theo dõi dọc 37 bệnh nhân THKG có VMHD được chỉ định điều trị bằng liệu pháp tiêm Corticoid kết hợp uống Diacerein và Glucosamin tại Bệnh viện A Thái Nguyên từ 10/2022 - 10/2023. Kết quả: Tuổi trung bình của bệnh nhân là 66,76±10,66. Dấu hiệu bập bềnh xương bánh chè giảm sau điều trị 1 tháng, p<0,05. Dấu hiệu cứng khớp buổi sáng, hạn chế vận động, bập bềnh xương bánh chè giảm sau điều trị 3 tháng và 6 tháng, p<0,05. Điểm đau VAS sau điều trị 1 tháng là 4,62±0,95; sau điều trị 3 tháng là 3,03±0,76 và sau điều trị 6 tháng là 1,49±0,69; p<0,05. Điểm WOMAC chung sau điều trị 1 tháng là 62,89±9,88; sau điều trị 3 tháng là 44,70±8,57 và sau điều trị 6 tháng là 21,46±6,74; p<0,05. Tỉ lệ cải thiện ít sau 1 tháng điều trị là 56,8%; sau 3 tháng điều trị là 94,6%. Sau 6 tháng điều trị, tỉ lệ cải thiện rõ là 59,5% và cải thiện ít 40,5%. Toàn bộ (100,0%) bệnh nhân không gặp tác dụng không mong muốn. Kết luận: Điều trị bệnh nhân THKG có VMHD bằng liệu pháp tiêm Corticoid kết hợp uống Diacerein và Glucosamin cho kết quả cao, kéo dài và không có tác dụng không mong muốn.
KẾT QUẢ ĐIỀU TRỊ CỦA DOCETAXEL TRÊN BỆNH NHÂN UNG THƯ TUYẾN TIỀN LIỆT DI CĂN KHÁNG CẮT TINH HOÀN SAU THẤT BẠI ĐIỀU TRỊ BƯỚC MỘT VỚI ABIRATERONE ACETATE
Authors: Đỗ Anh Tú , Nguyễn Đình Lợi
Published: April 2024

Mục tiêu: Đánh giá thời gian thất bại điều trị của Docetaxel trên ung thư tuyến tiền liệt giai đoạn di căn kháng cắt tinh hoàn sau thất bại bước 1 với Abiraterone acetate. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 40 bệnh nhân ung thư tuyến tiền liệt giai đoạn di căn kháng cắt tinh hoàn sau thất bại điều trị bước một với Abiraterone acetate, tại bệnh viện K từ 01/2014 đến 5/2023. Ước tính thời gian thất bại điều trị bằng phương pháp Kaplan-Meier. Kết quả: Tuổi trung bình của bệnh nhân là 71,5 (± 7,6), PSA trung vị trước điều trị 88,9 ng/ml (IQR: 14,4-137,8). Số chu kì Docetaxel trung vị là 5 chu kì (1-10). Tỉ lệ bệnh nhân đạt PSA decline ≥ 30%là 50% và PSA đáp ứng là 27,5%. Thời gian thất bại trung vị với Docetaxel là 4,9 tháng (KTC 95%: 1,2-8,6). Thời gian thất bại điều trị với Abiraterone < 12 tháng, số chu kì điều trị Docetaxel < 6, PSA decline < 30% là những yếu tố có thời gian thất bại điều trị với Docetaxel thấp hơn đáng kể (p< 0,001). Kết luận: Tỉ lệ bệnh nhân đạt PSA đáp ứng là 27,5%, thời gian thất bại trung vị với Docetaxel là 4,9 tháng (KTC 95%: 1,2-8,6).