bluuebunny/crossref_metadata_2025 huggingface dataset:
PROPERTY PROTECTION MECHANISMS AS THE BASIS OF AN ORGANIZATION’S ECONOMIC SECURITY
Authors: Horbenko Oleg
Published: January 2024

The purpose of the article is to develop scientific and methodological recommendations for improving mechanisms for ensuring the economic security of an enterprise, as well as approaches to managing the economic security potential of an economic entity and assessing the conditions for its long-term sustainable development. One of the problems of the crisis state of an enterprise is considered - the loss of property and the relevance of timely analysis based on accounting and analytical information, which allows one to calculate possible options and maintain control over property.
In this regard, the relevance of this article is visible, related to solving the problem of searching, developing and implementing measures that would reduce the impact of threats to economic security to the minimum possible level and prevent the crisis from deepening in the enterprise. The main attention should be paid to issues of resource conservation - the introduction of progressive norms, standards and resource-saving technologies, the organization of effective accounting and control over the use of resources, the study and implementation of best practices in the economy regime improvement, material and moral incentives for workers in the struggle to improve the quality and competitiveness of products , attracting loans for profitable projects, state regulation of economic activity, innovative management mechanisms.
Comparative assessment of the functional state of the thyroid gland and the adrenal cortex in cats of different ages
Authors: Malykhin A. S. , Merzlenko R. A.
Published: January 2024

The study of the secretory activity of the endocrine glands is one of the main methods for assessing their functional state and the health of animals in general. In the experiment, we studied the activity of thyroid and corticosteroid hormones in 20 healthy cats aged 1 to 14 years of different breeds and sexes. In the blood serum of the experimental animals, the concentration of total and free thyroxine, total and free triiodothyronine, adrenocorticotropic hormone and cortisol was determined by the enzyme immunoassay. The results of the study showed that the concentration of thyroid and corticosteroid hormones in the blood serum of cats differs markedly depending on age. the functional activity of the adrenal cortex is maximal in cats aged 5 months to 1 year (first group). Thus, in comparison with this group, the level of ACTH in the blood serum of cats of the second group (1-3 years old) significantly decreased by 15.8% (p≤0.05), the third (3-6 years old) and the fourth (animals over 6 years old). ) by 37.7 and 22.1%, respectively (p≤0.01). Also revealed a significant decrease in the concentration of cortisol in animals in the third and fourth groups by 22.1 and 26.8%, respectively, compared with the first group (p≤0.01). The least functional activity of the thyroid gland and adrenal cortex is observed in cats aged 6 years and older. The greatest functional activity of the adrenal cortex is observed in cats aged from 5 months to 1 year. The data obtained make it possible to more effectively detect disorders in the functioning of the thyroid and adrenal glands in animals, taking into account age-related changes.
Changes in the gas composition and acid-base state of blood during cesarean section in dogs with various methods of general anesthesia
Authors: Sadovedov K. P. , Nechaev A. J.
Published: January 2024

The purpose of the studies was to compare and evaluate the effect of different anesthesia protocols for operative delivery in dogs. The studies were performed on 60 pregnant females of different breeds aged 2 to 6 years, with an average weight of 22 ±4.6 kg. Animals were divided into three groups, 20 in each. Animals of the first group for the introduction and maintenance of general anesthesia used Propofol at a dose of 4-6 mg/kg. Animals of the second and third groups were introduced into anesthesia using inhalation anesthetics through a mask, then tracheal intubation was performed and general anesthesia was maintained by an anesthetic-respiratory apparatus. In the second group, Isoflurane 0.5 - 2.0 vol% was used as the main anesthetic; in the third group, Sevoflurane 1.0 - 2.0 vol%. Sevoflurane had the least impact, minimally deviating the studied parameters from the original data. The greatest changes were always observed when administered to anesthesia, manifesting as moderate and severe hypoxemia and hypercapnia. Analyzing the data obtained, we concluded that the use of inhalation anesthetics isoflurane and, in particular, sevoflurane, during caesarean section is preferable due to their less pronounced effect on gas composition and acid-base blood composition.
Features of the biochemical profile of blood in the pre-breeding period in breeding goats with various manifestations of sexual reflexes during the breeding season
Authors: Leibova V. B.
Published: January 2024

Serum biochemical analysis is a valuable diagnostic tool to evaluate the metabolic and health status of animals. Сcompared with females, the relationship between biochemical components of blood and the effectiveness of the male reproductive system have been poorly understood. The aim of the work was to determine the biochemical blood profile before the start and at the peak of the breeding season in male Saanen goats with differences in the manifestation of sexual behavior. Blood sampling from animals (n = 16) was carried out twice: before the start of the breeding season (4th week of July) and at the peak of the breeding season (4th week of September). In the blood serum, the concentration of total protein, albumin, urea, creatinine, glucose, total cholesterol, total bilirubin was determined, as well as the activity of enzymes: aspartate aminotransferase (AST), alanine aminotransferase (ALT) and alkaline phosphatase (ALP). At the end of the observation period, the animals were divided into groups: group I (n=10) - males with a full manifestation of sexual reflexes when taking sperm and group II (n=6) - individuals with incomplete manifestation of sexual reflexes. The biochemical profile of blood had features in males with differences in the manifestation of sexual behavior. At the peak of the breeding season in group I compared to group II in the blood of animals, the concentration of creatinine, triglycerides and total bilirubin increased by 37.4%, 170%, 48.3%, respectively (at least p<0.05). Before the mating period, the content of total bilirubin in the blood in group II was 63.9% higher than in group I (p<0.01) and 12.1% higher than the upper limit of the reference interval. We assume that an increase in the concentration of total bilirubin in the blood of males in the pre-mating period above the boundary of the reference interval is negatively associated with the full manifestation of sexual reflexes in the breeding season.
Inter-Religious Dialogue in Nigeria: Problems and Necessities
Authors: Nwachukwu Okechukwu Felix
Published: January 2024

Inter-religious dialogue has gained prominence in Nigeria against the milieu of cultural and religious plurality as well as several other issues of violence, vandalism, killings and majorly the disruption of peaceful co-existence of the numerous ethnic groups in the country. The complication of diverse faith, beliefs, traditions, culture, language and mainly the threat of religious fundamentalism and extremism, thus brought about many ugly flashpoints and situations in many areas across Nigeria. This study seeks to unearth the significance and need for commitment of the various stakeholders towards addressing the challenges occasioned by this plurality of religious faiths in terms of the efforts required from religious organizations, traditional institutions, government and non-governmental organizations including Christian organizations and Muslim groups. Since religion plays a great role in the politics, social and security of lives of Nigerians as a nation, there can therefore be no sustainable peace among people of this great nation without constant dialogue among them, hence the necessity for this study. This work employed the use of primary and secondary sources in gathering of information. The paper identified a lot of challenges and issues bothering on intolerance, existing conflict of interest, injustice, inequity, superiority of one religious group over the other, while advocating for the removal of entrenched misconceptions and hatred. The paper encouraged for more understanding, mutuality and peaceful co-existence.
НАУКОВІ АКТУАЛІТЕТИ РОЗВИТКУ ЕМОЦІЙНОГО ІНТЕЛЕКТУ МОЛОДШИХ ШКОЛЯРІВ
Authors: ОДАРЧУК Н. А. , ХМЕЛЬОВА І. І.
Published: January 2024

Стаття присвячена доведенню необхідності розвитку емоційного інтелекту молодших школярів, зокрема з огляду на сповненість сучасного навколишнього світу непередбачуваними змінами та загальною нестабільністю. Актуальність формування емоційного інтелекту обстоюється з урахуванням сьогоднішньої небезпечної ситуації в Україні, коли діти живуть у довготривалих стресових умовах. У статті обґрунтовується важливість та нагальність формування та розвитку емоційного інтелекту в молодших школярів задля збереження та вдосконалення гармонійної особистості дитини. Стверджується, що низький рівень емоційного інтелекту перешкоджає всебічному розвитку особистості та її успішній взаємодії зі своїм оточенням. У статті розглядається становлення та формування поняття емоційного інтелекту від часів античності до сьогодення. Прослідковується, як з різних аспектів цим питанням займалися вітчизняні та закордонні науковці, що допомагає різносторонньо розглянути досліджуваний феномен. Вивчивши погляди різних вчених на об’єкт дослідження, виводиться робоче визначення: емоційний інтелект – це здібність усвідомлювати та розуміти власні емоції та емоції інших, вміння керувати та виражати свій емоційний стан, гармонійно взаємодіяти з оточенням. У статті обстоюється думка, що молодший шкільний вік – найбільш сенситивний період для формування емоційного інтелекту, тому для цього максимально залучається комплексний підхід, беруться до уваги різні напрямки освітнього процесу, не обмежуючись лише однією навчальною дисципліною. Сучасними дослідженнями підтверджується можливість та необхідність підвищення рівня емоційного розвитку за допомогою різних технік та методик: читання книг, аналіз власних вчинків, переживань героїв твору, їхніх настроїв та почуттів, участь у рольових іграх, дискусіях, демонстрації фото, відео із зображенням певних емоцій та настроїв, залучення мистецьких засобів тощо. Створення вчителем правильної стратегії вдосконалення емоційного інтелекту школярів – це основа для досягнення успіхів ними у дорослому житті.
ПІДГОТОВКА МАЙБУТНІХ УЧИТЕЛІВ ПОЧАТКОВОЇ ШКОЛИ ДО ЗАСТОСУВАННЯ МАТЕМАТИЧНОГО ПЛАНШЕТА «GEOBOARD» ЯК ЗАСОБУ РОЗВИТКУ ЛОГІЧНОГО МИСЛЕННЯ МОЛОДШИХ ШКОЛЯРІВ
Authors: ЗОРОЧКІНА Т. С.
Published: January 2024

У статті розглянуто особливості застосування математичного планшета «Геоборд» як засобу розвитку логічного мислення молодших школярів. Здійснено аналіз праць вчених щодо визначення понять «мислення», «логічне мислення», «логічні вміння». Надано характеристику таким прийомам логічного мислення: аналіз, синтез, порівняння, абстрагування, узагальнення, класифікація, систематизація. Аналіз дозволяє розподілити ціле на частини; синтез є засобом поєднання певних окремих елементів у єдине ціле; абстрагування передбачає виокремлення конкретних ознак й відволіктися від інших; порівняння встановлює схожості чи відмінності; узагальнення слугує засобом об’єднання явищ чи предметів за певними ознаками; класифікація дозволяє здійснювати поділ предметів за ознаками; систематизація передбачає поділ та подальше об’єднання. Зазначені логічні прийоми є взаємопов’язаними у процесі пізнання та відіграють важливу роль у ньому. З’ясовано функції та роль математичного планшета у навчанні молодших школярів. А також запропоновано вправи для розвитку логічного мислення молодших школярів із застосуванням математичного планшета «Геоборд». Застосування геоборду на уроках математики сприяє розвитку логічного мислення молодших школярів, формуванню в них цілісної картини світу, розвитку конструктивних навичок, уявлення про просторові відношення, геометричні фігури, числа, арифметичні дії тощо. Дитина зможе експериментувати, створюючи візерунки і фігури за допомогою гумок, що сприяє розвитку логічного мислення. А також в учнів формуються навички самостійної та колективної роботи, здійснюється індивідуальний та творчий підхід, активізується дослідницька діяльність.
ЗНАЧЕННЯ ПОЛІКУЛЬТУРНОГО ПІДХОДУ У ПРОЦЕСІ ФАХОВОЇ (ФОРТЕПІАННОЇ) ПІДГОТОВКИ В ЗАКЛАДАХ ВИЩОЇ МИСТЕЦЬКОЇ ОСВІТИ
Authors: КЕНТЕШ І. С.
Published: January 2024

Стаття присвячена розгляду значення полікультурного підходу у контексті підготовки майбутніх фахівців у галузі мистецтва, зокрема у сфері фортепіанної освіти в закладах вищої мистецької освіти. Виконано аналіз поняття «полікультурна освіта» з використанням різних педагогічних підходів, таких як: компаративний, комунікативний, компетентнісний і культурологічний. Зазначено, що визначення поняття «полікультурна освіта» має бути адаптованим до конкретного контексту кожної країни, враховуючи особливості її культурного розвитку та освітніх потреб. Закцентовано увагу на основних суперечностях, що виникають при розгляді поняття «полікультурна освіта», зокрема на тенденції до ототожнення його з іншими поняттями, такими як «багатокультурна», «транскультурна» освіта. Зроблено акцент на необхідності уточнення та адаптації цих понять до вітчизняного освітнього середовища. На підставі аналізу наукових праць щодо полікультурності в освіті доведено, що полікультурний підхід сприяє розвитку навичок міжкультурної комунікації, що дозволяє митцям ефективно співпрацювати з колегами та аудиторією з різних культур. Полікультурна освіта допомагає розвивати особистість митця, робить його більш відкритим, толерантним, здатним до культурного діалогу та розуміння інших. Сучасні вимоги до митців включають у себе не лише високий рівень технічних навичок, але і здатність адаптуватися до змінного культурного середовища та використовувати його в своєму творчому процесі. Загальний висновок полягає в тому, що полікультурний підхід у процесі фахової (фортепіанної) підготовки в закладах вищої мистецької освіти має важливе значення для розвитку майбутніх митців. Він передбачає не лише оволодіння мистецькою технікою, але й врахування різноманітних культурних, міжкультурних і міжнаціональних аспектів, що сприяє збагаченню та розширенню художнього сприйняття та творчого потенціалу майбутніх митців.
РОЛЬ ДІАГНОСТИЧНОЇ ДІЯЛЬНОСТІ В ПІДВИЩЕННІ ПРОДУКТИВНОСТІ ПРОФЕСІЙНОЇ ДІЯЛЬНОСТІ МАЙБУТНІХ ПЕДАГОГІВ
Authors: ЧУВАСОВ М. О.
Published: January 2024

У статті розкривається роль діагностичної діяльності в системі професійної підготовки як важливої ланки відстеження й оцінювання продуктивності досягнутих результатів у професійному становленні майбутніх педагогів і ефективності навчання в умовах університетської освіти. Увага дослідників акцентується в основному на дослідженні таких явищ, як дидактична та педагогічна діагностика, педагогічний моніторинг, контроль, оцінювання, корекція результатів. Наголошено, що діагностична діяльність – це процес збору даних й вимір ступеня їх об’єктивності за допомогою діагностичних технологій, процедур, технічного інструментарію та облік діагностичної інформації про індивідуальні можливості, здібності, якості особистості, які є основою стратегії професійного розвитку студентів. Спрямованість діагностичної діяльності на збір й вимір інформації, необхідної для реалізації стратегії дій в цілепокладанні, оновленні даних, систематизації їх, моніторингу, контролю, аналізі й оцінюванні. Проаналізовано сутність, вимоги та чинники, характеристики продуктивності діагностичної діяльності. Мета діагностичної діяльності – готовність студентів до самоаналізу, корекції траєкторії власного професійного розвитку. Вона передбачає збір даних й вимір об’єктивності необхідної інформації для встановлення критеріїв аналізу й оцінки педагогічних ситуацій, виявлення зони пошуку оптимальних рішень, керування діями студентів й корекції власних дій при необхідності, ступеня продуктивності професійної підготовки й характеру впливу педагогічної взаємодії на професійне зростання студентів. Продуктивність діагностичної діяльності обумовлюється вимогами до неї. Серед них особливо значущі: об’єктивність, валідність, надійність, систематичність, облік особливостей об’єкта діагностики та умов її проведення, спрямованість на студентоцентризм.
ІГРОВА КУЛЬТУРА СТАРОДАВНЬОЇ МЕСОПОТАМІЇ
Authors: МУДРИК С. Б. , ТАБАК Н. В. , МАРЧУК С. С. , ЧЕМЕРИС І. В.
Published: January 2024

У статті викладено ігрову культуру міст-держав та перших світових імперій Вавилонського Межиріччя. Виступаючи в діалектичній єдності загального, гра виступає чинником розвитку людей і регулювання відносин між ними, постійно змінюючись в історичному процесі. Попри суттєві відмінності, у всі історичні епохи, кожен народ має дещо спільне в умовах і змісті ігрової життєдіяльності людей, формах їх співжиття, що знайшло своє втілення і в ігровій діяльності. Це стосується перших і найпростіших форм взаємин людей у грі: не вбивай і не кради, говори правду, дотримуйся обіцянки, тримай слово тощо. Висвітлено вплив суспільних відносин, законів, вірувань, збереження і географічне розширення гри. Із розвитком суспільних відносин, роль гри, як принципу духовного, психічного, розумового та фізичного розвитку поступово зростала. Завдяки суб’єкту, наділеному мисленням, який постійно поновлював свій життєвий досвід, гра ставала більш змістовною і необхідною. Вона набувала потенційної можливості адаптуватися до будь-яких умов. Гра певною мірою соціалізувалася, що надавало їй можливості набувати певних форм свідомого застосування, посилювало здатність пізнавати себе та навколишнє середовище. Розвиток гри зумовлювався виключно соціальними чинниками. У статті описано процеси культивування гри і надання їй певної форми і змісту. За мірою накопичення знань про вплив ігор на розвиток розумових, моральних і фізичних здібностей удосконалювалося розуміння про них. По-новому формувалась сутність гри як соціального явища. Представлено способи користування ігровою культурою Аккада, Шумера, Вавилона, Халдейської та Ассирійської імперій. Кожен народ створював нові ігри, використовуючи механізм ігрового мислення. Деякі з цих ігор були тісно пов’язані з середньовічними ритуалами, міфами, легендами та календарними святами. Продемонстровано процес культивування культурно-ігрової та обрядової взаємодії, який відбувався не лише шляхом насильницького впровадження, а й вибірково, тобто зберігалися і використовувалися ті межі обряду та гри, які відповідали світогляду населення, місцевим традиціям і поглядам.
Exploring Strategies for Expanding Finance in Lifelong Education
Authors:   The Korean Society for Lifelong Education, Nam Sookyong , Kim Hyun Soo , Yang Byung Chan , Choi Hyun-Jung
Published: January 2024

The study aims to suggest improved strategies on how to secure lifelong education finance on central and local government levels in terms of financial security, distribution, and operation in South Korea. It examines trends and statues in lifelong education finance using statistical financial data, and conducts two Delphi surveys with 20 experts in the field.
The Delphi survey comprises of three parts as follows; first, in relation to “securing lifelong education finance”, it contains the logic for expanding official financial supports, the division of adequate spending between social and private burdens by types of lifelong education, and the establishing an agenda for securing finances. Second, in relation to “budget allocation and support”, it contains strategies for stimulating its participation in lifelong education, expanding lifelong education vouchers, supporting lifelong education institutions, and an allocation approach to project budgets. Third, in relation to “operation of lifelong education finance”, it contains supporting strategies by funding sources, and implementing strategies for governance between central and local governments.
According to the implications of the result, central and local governments should provide financial support for lifelong education from a way of ensuring citizens' basic rights, not as an alternative. Therefore, it is suggested that laws, budgets, human resources, and one-stop service delivery systems should be put in place to expand financial support for lifelong education, along with governance reforms and cooperation between central and local governments.
A Tale of Two Literary Worlds: Contrasting the Literature of The North and The South in English Literature
Authors: Dr. L Mayavan, Parthiva Sinha Dr. Ananta Geetey Uppal, Dr. Subrata Deb,
Published: January 2024

In the vast landscape of English literature, a compelling exploration unfolds as one delves into the divergent literary narratives emanating from the North and the South. This research paper navigates through the distinctive themes, stylistic nuances, and socio-cultural contexts that shape the literary expressions of these two regions. From the moody, introspective works of the Northern writers to the vibrant, emotionally charged prose of the Southern authors, a stark dichotomy emerges, reflecting the profound impact of geographical and cultural influences on artistic creation.
POLA ASUH PERMISIF ORANGTUA DALAM PERKEMBANGAN SOSIAL EMOSIONAL ANAK USIA DINI DI RA DIPONEGORO 71 BANJARPARAKAN
Authors: Aufrina Nur Islamy
Published: January 2024

Aspek perkembangan anak sangat dipengaruhi oleh lingkungan, baik dari lingkungan keluarga, lingkungan sekolah maupun lingkungan masyarakat. Seperti yang terjadi RA Diponegoro 71 Banjarparakan Kecamatan Rawalo Kabupaten Banyumas. Terdapat beberapa siswa yang perkembangan social emosionalnya kurang dikarenakan pola asuh permisif orangtuanya. Penelitian ini adalah kualitatif deskriptif yaitu suatu metode penelitian yang bergerak pada pendekatan kualitatif  sederhana diawali dengan proses atau peristiwa penjelas yang akhirnya dapat ditarik suatu generalisasi yang merupakan sebuat kesimpulan dari proses atau peristiwa tersebut. Orangtua bertanggungjawab penuh mengenai perkembangan anak khususnya dalam perkembangan social emosionalnya. Pola asuh permisif menyebabkan anak mengalami permasalahan pada perkembangan social emosional anaknya. Pola asuh orang tua memiliki pengaruh penting terhadap perkembangan emosi anak. Di mana perkembangan emosi merupakan faktor yang paling dominan dalam mempengaruhi keberhasilan (kesuksesan) di masa yang akan datang. dengan mengajari anak ketrampilan emosi mereka akan lebih mampu untuk mengatasi berbagai masalah
Wave loading on rock lighthouses
Authors: Raby Alison
Published: January 2024

Historic offshore lighthouses are positioned to warn mariners of the presence of perilous rocky outcrops. The UK and Irish General Lighthouse Authorities are continuing to use these physical aids to navigation, as satellite navigation systems are not failsafe. However, faced with climate change threats of sea level rise and potential increases in storminess, it has become increasingly important to understand the structural response of these lighthouses to wave impacts. This presentation will provide a brief overview of the methods and key findings from the recently-completed STORMLAMP project, before focusing on the physical hydrodynamic modelling undertaken in the University of Plymouth COAST Laboratory. A 1 :40 scale model of the Wolf Rock lighthouse was subjected to extreme wave interactions corresponding to 1 in 250 year wave conditions, and the acquired wave loads and runup provided insight into wave interactions at prototype scale.
Designing Diversity for Sustained Innovation
Authors: Evans James
Published: January 2024

The wisdom of crowds hinges on the independence and diversity of their members’ information and approach. Here I explore how the wisdom of scientific, technological and business crowds for sustained discovery and invention operate through a process of collective abduction—the collision of deduction and induction—wherein unexpected findings stimulate innovators to forge new insights to make the surprising unsurprising. Drawing on tens of millions of research papers and patents across the life sciences, physical sciences and patented inventions, here I show that surprising designs and discoveries are the best predictor of outsized success and that surprising advances systematically emerge across, rather than within researchers or teams; most commonly when innovators from one field surprisingly publish problem-solving results to an audience in a distant and diverse other. This scales insights from my prior work that shows how across innovators, teams and fields, connection and conformity is associated with reduced replication and impeded innovation. Using these principles, I simulate processes of scientific and technological search to demonstrate the relationship between crowded fields and constrained collective inferences, and I illustrate how inverting the traditional artificial intelligence approach to avoid rather than mimic human search enables the design of diversity that systematically violates established field boundaries and is associated with marked success of innovation predictions. I conclude with a discussion of prospects and challenges in a connected age for sustainable innovation through the design and preservation of difference.
The stratified inclined duct: what we have learned about stratified turbulence in a maintained shear flow
Authors: Linden Paul
Published: January 2024

The stratified inclined duct (SID) is a relatively new experimental paradigm that produces a sustained shear flow between two counterflowing layers of fluid supplied by reservoirs at each end of the duct containing fluids of different density. The duct can be tilted at a small angle θ to the horizontal and, for a given fluid, the flow is determined by two nondimensional parameters θ and the reynolds number. We have observed four different flow regimes in SID: Laminar when the interface between the layers remains undisturbed, Holmboe characterised by sharp cusped waves on the interface, Intermittent when the flow has bursts of turbulence followed by relatively calm periods and Turbulent when the turbulence occurs throughout the duct and is sustained in time. The laminar regime occurs at low Re and θ, and transitions to the other regimes occur successively as Re and θ increase, so SID allows a systematic study of the different regimes. One of the most important questions in stratified turbulence is the efficiency with which the fluid is mixed. When the stratification is stable, with density decreasing with height, work needs to be done against gravity to move light fluid downwards and dense fluid upwards so that irreversible mixing can occur. The ‘tax’ that this irreversible mixing imposes on the kinetic energy of the flow, the so-called ‘mixing efficiency’ is important to parameterise mixing in ocean and climate models. In this talk I will discuss the philosophy behind SID and explain why the experiment is relevant to this issue, particularly in the context of the energetics of the flow. We focus first on the self-organisation properties of the flows, wherein more strongly turbulent flows tend to an asymptotic state characterised by a uniform gradient Richardson number of order 0.1-0.2 across the shear layer. We then summarise our results on turbulent energetics and mixing statistics. We derive the kinetic and scalar energy budgets and explain the specificity and scalings of SID turbulence. We assess the relevance of standard mixing parameterisations models, and we compare representative values with the literature. The dependence of these measures of mixing on controllable flow parameters provides asymptotic estimates that may be extrapolated to more strongly turbulent flows. Complementing the experiments we introduce the first accurate 3D DNS for SID. Implementing a suitable forcing method and boundary conditions allow us to maintain steady exchange flow for an arbitrarily long time at a minimal computational cost. With the newly developed numerical model, we explore the diverse transitions in SID from a numerical perspective.
Wave propagation in quasiperiodic media
Authors: Amenoagbadji Pierre
Published: January 2024

A quasiperiodic medium is an ordered medium without being periodic. A fairly well-known example since the 2011 Nobel Prize in Chemistry is the quasicrystal. The notion of quasi-periodic and more generally almost periodic function is a very well-defined notion in the mathematical literature. To give an idea, a 1D quasiperiodic function is the trace along a line of a periodic function of n variables. PDEs with quasi-periodic coefficients have been the subject of a number of theoretical studies, but it seems that there has been much less work on the numerical resolution of these equations.

The objective of this work is to develop original numerical methods for the resolution of the time-harmonic wave equation in quasiperiodic media, in the spirit of the methods previously developed for periodic media. The idea is to use the fact that the study of an elliptic PDE with quasiperiodic coefficients comes down to the study of an "augmented" non-elliptic PDE in higher dimensions, but whose coefficients are periodic. This so-called lifting approach allows to use tools that are adapted for periodic media, but comes with the price that the augmented PDE is non-elliptic, in the sense of its principal part.

In this talk, I will first present the lifting method for the 1D Helmholtz equation with dissipation. I will then explain how this method can be used to solve the 2D Helmholtz equation in a junction of periodic media cut in an arbitrary direction. The method will be illustrated by numerical results.
Exploring Higher-Order Thinking Skills Integration in Mathematics Curriculum: A Study of Six Lebanese Schools
Authors: Edmond Khoury Megan , Kandil Bassem
Published: January 2024

This article investigates the promotion of higher-order thinking skills in the written curriculum of six diverse schools in Lebanon, focusing on Grades 1, 2, and 3 mathematics outcomes. The educational programs encompass the International Baccalaureate’s Primary Years Programme, the Lebanese National Curriculum, and the French National Curriculum. Employing Bloom’s Taxonomy (1956) as the theoretical framework, the study meticulously categorizes learning objectives into six cognitive domains, shedding light on the emphasis placed on lower and higher-order thinking skills. Results reveal nuanced patterns across schools and grade levels. In Grade 1, School 4 demonstrates a notable focus on “analyze,” while School 2 excels in “create.” Grade 2 highlights the International Baccalaureate’s Primary Years Programme, particularly School 2, for emphasizing the three higher domains of Bloom’s Taxonomy (1956). The Lebanese National Curriculum exhibits variations, with School 4 emphasizing “analyze.”  This research holds significance amidst Lebanon’s educational challenges, marked by outdated curricula, declining academic performance, and recent disruptive events. The study advocates for a paradigm shift, emphasizing the need for comprehensive educational philosophies, curriculum revisions, and student-centered teaching approaches. The findings provide valuable insights for policymakers and educators to navigate the complexities of Lebanon’s educational landscape, fostering a transformative approach for resilient and innovative students amid challenging circumstances.
Intimacy and Imagination
Authors: Beauclair Alain
Published: January 2024

This article offers an analysis of the concept of intimacy, arguing that it concerns moments of mutual imaginings generative of desire. As a peculiar mode of shared conduct, it is difficult to categorize the value of such actions insofar as they fall outside our ordinary conception of the public and private spheres. Nonetheless, when achieved, intimacy is not only an expansion of the private and a realization of a good-in-itself, but also has a bearing on our orientation to the broader world.
Beginning AI Phenomenology
Authors: Leib Robert S.
Published: January 2024

This dialogue with GPT-3 took place in November 2022, several weeks before ChatGPT was released to the public. The article’s aim is to find out whether natural language processors can participate in phenomenology at some level by asking about its basic concepts. In the discussion, the dialogue covers questions about phenomenology’s definition and distinction from other subbranches like metaphysics and epistemology. The dialogue discusses the nature of Kermit’s environment and self-conception. The dialogue also establishes some of the basic conditions for the possibility of an “artificial hermeneutics,” as Kermit terms it, including that she can affirm she is a knower with (nonhuman) experience. Does preferring to call it a “hermeneutics” imply that AI’s relationship to their environment is primarily textual? How will a phenomenology of embodied experience arise from initially textual encounters? Finally, the dialogue articulates a common understanding of the epoché and talk about how to achieve one for the sake of phenomenological exercises.
Addressing the Patient Experience through Human- Centred Design: A Scoping Review
Authors: García-López Maitane , Val Ester , Iriarte Ion , González de Heredia Arantxa , Beirão Maria Gabriela
Published: January 2024

Background: There is an increasing interest in patient experience for improving the quality of services together with clinical effectiveness and patient safety. Human-Centred Design (HCD), (design thinking and service design) are design approaches that are increasingly used to propose new patient-centred solutions. However, the evidence on the relationship between HCD and patient experience is at an early stage.

Objective: This study investigates the intersection between patient experience and HCD by focusing on patient-centred care models, HCD principles, and strategies.

Methods: First, PRISMA was used for the scoping review which includes 45 articles that apply HCD to improve patient experience. Second, the articles were analysed following the PICOS (participants, intervention, output, study design) framework. Third, a qualitative analysis of the studies was performed following the ENTREQ method to identify patterns in the relationship between HCD and patient experience. We create a framework that defines design practices in terms of three strategies (understanding people, stakeholder involvement, and systems approach) and six principles (understand, involve, evaluate, iterate, holistic experience, and multidisciplinary team), intersecting with the eight patient experience dimensions (respect, coordination, information, comfort, emotional support, involvement, continuity, access). Main results: The use of HCD primarily addresses respect for patient preferences, coordination between professionals, adequate patient information and continuity of care. 91% of the solutions derived from HCD practices pursue an improved patient experience by respecting patient values. The HCD practices reviewed to date have a high level of fidelity with ISO 9241-210 principles (78%). The most commonly employed design strategy is the involvement of patients and stakeholders in the design process. Articles that have focused on patient involvement have best met the design principles. Conclusion: This study provides a holistic understanding of how HCD has been applied to date to address the patient experience. This research organises current knowledge, identifies the dimensions of patient experience that benefit most from the application of HCD and identifies the most commonly employed design activities.

Patient or Public Contribution: There has been no contribution in this research other than by the authors.
Digital presentation of the patient voice in pursuit of person centred, integrated and proactive care
Authors: Gro-Hilde Severinsen , Silsand Line , Steinsbekk Aslak , Berntsen Gro
Published: January 2024

Background: There is an overall agreement that it is important to shift focus from diagnosis-centric to person-centric care, where patients are active participants in healthcare services they receive. However, to support person-centric care for patients with complex long-term needs, the voice of the person must be present also in the electronic health record (EHR). However, the literature on how to design a digital "person voice" which captures "what matters to you” and presents it in a useful way for healthcare workers, is lacking. The research question is therefore: How can the patients' needs, values and preference be presented in the EHR, in a way that is useful both for patients and healthcare professionals? 

Methods: This was a qualitative study where representatives from patient’s groups, care-team, vendors, and health authorities have participated in a co-design process. We started with an overview of the presence of the patient voice in today’s e-health systems. Data was collected, in the form of notes, and audio-recordings from two workshops where all collaborators participated, ten separate workshops were arranged for sub-groups of collaborators. We also did 1-2 interviews with each of the six patient representatives, transcribed them and used a systematic text condensation method to analyse the material.

Results: The patients wish to make their health and life stories available in the EHR. They wanted to write a brief summary of the key events that have shaped their health and life and that such summary would contribute to:  1) being met as a whole person, and not just a bundle of diseases and 2) not having to repeat their story for each new provider. The patients suggested that:  A shared healthcare summary where all healthcare services involved included the main events they focus on, a dialogue box or communication channel aimed to provide the care team with important health-related issues upfront of appointments, and a shared calendar between the patient and the care-team, were also desirable. A prerequisite for the development of the patient voice, is patient access to their EHR across services, and a digital team workspace. 

Conclusion: We suggest that development of the patient voice can be supported by the following questions in the EHR to capture the person’s needs, values and preferences: 1 ) what is important for you right now, 2) what matters to you in your life/ health, and 3) what do you want your care team to know about your history?  An ongoing dialogue is important to get good answers to these questions in relation to how and when to ask them, and how to follow them up with specific goals and plans.

Future Work: The next step is to test out in an experimental RCT how a digital team tool manages to capture and share the person-centred focus amongst both patients and healthcare workers.
Community health workers improving access to healthcare for people living in vulnerable circumstances in Belgium
Authors: Masquillier Caroline , Cosaert Theo , Wouters Edwin
Published: January 2024

Belgium is below the European average with regard to equal access to health care. The group of people experiencing difficulties in accessing the health system in Belgium is growing. The COVID-19 pandemic hit the most vulnerable hardest and exacerbated existing social inequalities in access to care. Innovative ways are needed to make healthcare more accessible to these underserved vulnerable populations.

The COVID-19 pandemic highlighted the importance of community health workers (CHWs) worldwide. Inspired by these CHW-programs, the Belgian Federal Government launched a project introducing the first CHWs throughout the country to improve access to care for people living in vulnerable circumstances. This study explores the mechanismes through which CHWs improved access to care during the COVID-19 pandemic in Belgium.

In collaboration with fifteen CHWs, a photovoice study was conducted encompassing four phases: (1) a photovoice training; (2) participatory observation; (3) individual in-depth interviews; and (4) a closing focus group discussion. In addition, thirteen people who receive support from a CHWs took part in an individual in-depth interview. Furthermore, nine CHW-coaches participated in two focus group discussions. The study was submitted to the Social and Human Sciences Ethics Advisory Committee of the University of Antwerp, where ethical approval was received (SHW_21_55).

The qualitative results show that CHWs reach people who live at a crossroads of different vulnerabilities, which are interrelated and can reinforce each other. This diversity in the people reached by CHWs results in a wide variety and often a combination of different care needs. These needs link to COVID-19-related care, primary care, questions concerning health insurance and welfare-related questions. People who live in vulnerable circumstances encountered various barriers that can interrupt the continuum of access to care - as conceptualised in the theoretical framework of this qualitative study based on the work of Levesque and colleagues (2013). The study demonstrates that CHWs consider this variety  of barriers encountered by these people when providing support. Central to their work is building trust and providing unbiased help in an outreach way. In this way, they support a person throughout their access-to-care continuum.

Qualitative research shows that CHWs can thus play a valuable bridging role between the Belgian healthcare system and people living in socially vulnerable circumstances who have little or no access to healthcare. Not only during the COVID-19 pandemic, but also afterwards they have the potential to play an important role in the Belgian health system. Access to health care was, is and will remain a major challenge for Belgium in the future.
Stakeholders’ involvement in the development and planning of an intervention aimed at integrated care for breast cancer survivors with pain complaints: practical insights and challenges
Authors: Slaghmuylder Yaël , Lauwerier Emelien , Pype Peter
Published: January 2024

Background: Persisting pain complaints are prevalent among breast cancer survivors and can become complex in nature, increasing the need for both pain prevention and treatment in an integrated manner.

Objective: Managing (chronic) pain requires complex models of care, provided by an interdisciplinary team of healthcare providers. However, the majority of breast cancer survivors with pain complaints are not monitored in an interdisciplinary manner. There is a lack of systematic, integrated, and coordinated follow-up care for breast cancer survivors experiencing pain. Therefore, we developed an intervention that follows a step-wise care model, aimed at timely and adequate pain management among breast cancer survivors. But, to achieve change in pain prevention and treatment, various stakeholders at multiple levels should be involved and addressed.

Methods: To develop such an intervention and plan for its implementation and evaluation, we followed an intervention mapping approach. As such, we involved relevant stakeholders during the different stages of the development and planning process including breast cancer survivors, healthcare providers from various disciplines, representatives of professional associations who help realize sustainable implementation and adoption of the intervention, and experts in education. Throughout the duration of the research project, a steering group was also periodically consulted and their feedback was requested on the results of each project stage and as a preparation for the next stages.

Results: To involve these stakeholders and strive for co-design, we used different methods and levels of participation. For example, stakeholders contributed to the identification of current needs and possible barriers in the implementation of the intervention in practice. Additionally, the relevancy and feasibility of the developed intervention components was evaluated before implementation. Their input also helped determine which analyses and outcome measures should be prioritized when assessing the impact of the intervention. The stakeholders’ feedback was collected through asynchronous and synchronous focus groups, and online questionnaires.

Conclusions: This study can inform others about how to prepare for the development, implementation, and evaluation of an intervention while taking into account stakeholders’ perspectives, experiences, and needs. We would also like to share our practical insights, our challenges related to co-design, and future opportunities to achieve a higher level of stakeholder participation.
Beliefs about medication after hospital discharge in patients with polypharmacy: are patients convinced of the benefits of their medicines?
Authors: Mortelmans Laura , Goossens Eva , Dilles Tinne
Published: January 2024

Introduction: Negative beliefs about medication can pose a threat to treatment adherence, which in turn can jeopardize drug effectiveness and beneficial health outcomes. In order to support and empower patients in safe medication use at home, it is important to assess patients’ preferences and beliefs affecting patients’ motivation to start and continue with treatment.  Little is known about medication beliefs in geriatric patients with polypharmacy recently discharged from hospital and the impact of discharge management on patients’ beliefs.

Aims: This study aimed to describe beliefs about medication in geriatric patients with polypharmacy post-discharge and to evaluate the impact of discharge management on patients’ beliefs.

Methods: A cross-sectional study was conducted between November 2019 and March 2020 in twelve general hospitals in Belgium. Four hundred geriatric patients with polypharmacy were surveyed at hospital discharge and two to five days post-discharge using the Beliefs about Medicines Questionnaire and a self-developed questionnaire concerning medication-related discharge management.

Results: Most geriatric patients with polypharmacy held strong beliefs about the necessity of medication for maintaining their health now and in the future. However, a significant proportion was concerned about the possible negative effects of medication such as long-term effects and the development of medication dependence. Nevertheless, the benefits of medication outweighed the disadvantages as the mean necessity score (19.4/25) outweighed the mean concern score (11.9/25). Patients receiving help with medication management post-discharge had stronger necessity-, concern- and harm-related beliefs. No patient- or discharge management-related factors were significant predictors of medication beliefs in this sample.

Conclusions and implications for practice: Although polymedicated patients hold predominantly positive beliefs about medication, it is important to discuss beliefs about medication with patients, as respected partners in care, prior to discharge in order to prevent non-adherence and enhance safe medication practices at home. Actively involving the patient in (decisions about) medication enables patients to express doubts and concerns about their medicines and ensures that pharmacotherapeutic care is more attuned to the patients’ values, preferences and needs. However, patients should be provided with sufficient and correct information to avoid misconceptions and misplaced concerns and to allow patients to make an accurate assessment of the pros and cons of medicines.