bluuebunny/crossref_metadata_2025 huggingface dataset:
Fractura de tibia como complicación del uso de un dispositivo de fijación elástica en la sindesmosis
Authors: Río Marcelo , Salonia Patricio , Gabas Duilio , Gotter Guillermo , Barrera Oro Fernando , Sperone Enzo Darío
Published: April 2024

La fijación elástica en las lesiones de la sindesmosis es un procedimiento que se realiza ampliamente y brinda buenos resultados. Presentamos un caso de una fractura de tibia como complicación de la fijación elástica de la sindesmosis, su tratamiento y una revisión bibliográfica en la cual no hemos encontrado reportes sobre esta complicación.
Biocontrol de Penicillium digitatum con metabolitos secundarios de hongos endófitos en frutos de mandarina
Authors: León-Ttacca Betsabe , Arestegui-Cantoral Yasmin , Tarula-Gutierrez Brandy , Orellana-Cornejo Cesar , Luis-Vilcamiza Jorge , Flores-Pelaes Pedro
Published: April 2024

Introducción. El “moho verde” causado por Penicillium digitatum es uno de los problemas fitosanitarios que limita la producción en los cítricos. Para su control se utilizan fungicidas sintéticos, que con el tiempo  han perdido eficacia debido a la resistencia generada por el hongo. Una alternativa, al control químico, el uso de hongos endófitos con acción biocontroladora. Objetivo. Evaluar el efecto de metabolitos secundarios (MS) de hongos endófitos (HE) en la inhibición micelial de Penicillium digitatum y la eficacia de control de la enfermedad, en frutos de mandarina (Citrus reticulata) después de la cosecha. Materiales y métodos. Se realizó bajo un diseño experimental completo al azar en el laboratorio de Sanidad Vegetal de la Universidad Nacional de Cañete (UNDC), Lima, Perú. Para la prueba de antibiosis se extrajeron los metabolitos secundarios de diez cepas de HE de los géneros Trichoderma sp., Fusarium sp. y Aspergillus sp., en donde se evaluó la inhibición micelial del patógeno (%). Se asperjaron MS a una concentración del 15 % (v/v) sobre frutos de mandarina que fueron desinfectados y luego inoculados por aspersión (1x 105 UFC/cc) con el patógeno. En los tratamientos se adicionaron un biocontrol comercial, un aceite vegetal y un fungicida. Después de seis y nueve días, se evaluaron la incidencia (%)  y el índice de severidad (0,1,2,3) de la enfermedad. Los datos fueron analizados con el programa estadístico InfoStat. Resultados. Los metabolitos secundarios  de las cepas HEA-111 (Aspergillus), HEA-109 (Fusarium) y HSA-1 (Trichoderma) presentaron la mayor inhibición micelial con 95,05 %, 87,51 % y 47,47 %, respectivamente. En los frutos de mandarina tratados con los MS de las cepas HEA-109 y HSA-1 hubo un control del 80 % y 55 %, respectivamente. Conclusiones. Los MS de HE tienen efecto en la inhibición micelial de de P. digitatum y redujo el avance de la enfermedad en frutos de mandarina después de la cosecha.
ENHANCING CONVECTIVE HEAT LOSS REDUCTION IN FLAT-PLATE SOLAR COLLECTORS BY OPTIMAL INTEGRATION OF TRANSPARENT PARTITIONS IN THE AIR GAP
Authors: Dahmani Mourad , Ferahta Fatima Zohra
Published: April 2024

In a three-dimensional study, numerical simulations were carried out to quantify the natural convection heat transfer
occurring within the air gap between the absorber and the glass cover of a thermal solar collector. The study explored
various combinations of partition placement and spacing: partitions glued under the glass cover (PGG model),
partitions glued at absorber (PGA model), and partitions suspended between the absorber plate and glass cover (PS
model). Simulations were conducted with two partition spacing configurations of 0.14 m and 0.1 m. The primary aim
was to identify cost-effective methods for reducing heat losses due to natural convection in the air gap while achieving higher absorption temperatures. The comprehensive numerical analysis included assessing flow patterns, temperature distribution, and heat transfer coefficients for each configuration. The findings revealed that using a partition spacing of 1.4 m resulted in complex and unstable outcomes, making comparisons between models difficult. However, decreasing the partition spacing to 0.1 m enhanced convective resistance, fostering temperature stability within the cavity. Nevertheless, the PGA model transitioned from unstable to stable flow, resulting in a notable temperature rise, making it the most effective configuration for minimizing thermal losses in the collector's frontal section. Additionally, the PGG model configuration exhibited promising performance. Meanwhile, the PS model experienced quasi-periodic cooling due to undulating flow patterns. This study stresses the importance of balancing uniform heating and stable flow in collector systems, highlighting the need for thorough 3D analyses. Strategic adjustments to partition placement and spacing can significantly improve solar collector design.
Aiki and ido swimming. Connections between swimming and martial arts
Authors: Cynarski Wojciech J.
Published: April 2024

The historical connections between swimming and the art of war are unquestionable. The ability to swim is still valuable not only in the navy, which is quite obvious. Overcoming water obstacles requires the same from a soldier of the land forces, and special forces additionally teach efficient diving. During the Japanese Middle Ages, a samurai should, for a full education in martial skills (in Japanese: bugei), learn the rules of swimming in armour and with weapons (in Japanese: suei-jutsu) and acquire appropriate practical skills. Nowadays, in the practice of martial arts and combat sports, swimming is recommended as an excellent complementary sport. Are there other connections between the history, philosophy and cultural heritage of martial arts and swimming? In further analyses, concepts from the tradition of Japanese martial arts and references to several varieties of martial arts of Japanese origin will be used. The author presents here his own concepts resulting from his own experience, observations and conducted analyses.
Like, Share or Comment ‘Till We Die: Analyzing Football Fans’ Engagements, Identity and Loyalty on Social Media
Authors: Kaya Sabri , Argan Metin , Argan Mehpare Tokay
Published: April 2024

Football clubs have increasingly recognized the importance of social media networks as crucial tools for communication and interaction with their fans, both online and offline. The purpose of this study was to develop an all-encompassing conceptual model that scrutinizes the complex interconnection among fan engagement, team identity, and loyalty on social media channels, with a particular focus on football. Data were collected via an online survey involving 264 avid football fans associated with three prominent clubs in the Turkish Football Super League. The measurement of social media engagement encompassed three sub-dimensions: consumption, contribution, and creation. Hypotheses were tested using exploratory factor analysis, confirmatory factor analysis, and structural equation modeling. The results confirmed four out of seven hypotheses, providing evidence of significant associations between the constructs under investigation. The findings revealed meaningful connections between fan engagement, identification, and loyalty behaviors, such as liking, sharing, and commenting on social media platforms. The findings of this research bear multiple implications that offer significant insights for football managers and sports marketers seeking to enhance fan involvement through the implementation of advanced social media strategies. Furthermore, this study enhances our understanding of social media habits among fans, providing a precious asset for marketing professionals who utilize social media networks in their marketing strategies.
CLEANING VENTILATION SYSTEMS AT EXPLOSIVE HAZARDOUS FACILITIES IN OIL AND GAS INDUSTRY
Authors: Vazhdaev Konstantin V. , Martyasheva Valentina A. , Balandina Anna G. , Ibatullin Anvar U. , Rezyapov Timur R. , Osipov Dmitry A.
Published: April 2024

The article discusses the current problem of cleaning ventilation systems at oil and gas industry facilities to ensure safe operation and maintenance of equipment. Ventilation systems for explosive hazardous facilities are subject to special requirements, since contaminated air ducts and channels, as well as ventilation equipment, cause emergency situations in-doors. Therefore, ventilation systems, in order to ensure their normal operation, require constant monitoring and timely maintenance, which consists of diagnosing and cleaning air ducts and equipment. The work identifies factors destabilizing the reliability of ventilation systems at explosive sites. To ensure reliable and safe operation of ventilation systems at explosive facilities in the oil and gas industry and timely detection of defects and contaminants in air ducts, it is proposed to use modern equipment and cleaning measures significantly increasing the efficiency of ventilation systems and minimizing the negative impact of harmful substances on the environment.The main factors influencing the operation of ventilation systems have been identified, the reasons for disruption of their functioning have been identified, and a cleaning method and sequence have been developed to improve the efficiency of ventilation equipment and air ducts. It has been shown that for high-quality operation of ventilation systems, comprehensive maintenance and timely cleaning of air ducts, ventilation shafts and ventilation equipment from dirt and deposits are necessary. The recommended measures can be used to improve the efficiency of ventilation systems at explosive facilities in the oil and gas industry and other areas of production. The expected result will be a reduction in the negative impact of harmful substances on the personnel health and the environment.
Identidad social: el profesor de primaria y secundaria en Colombia 1811-1953
Authors: Torrejano-Vargas Rodrigo Hernán , Bocanegra-Acosta Henry
Published: April 2024

Objetivo. Explicar el proceso histórico de la confección de los atributos principales y secundarios de la identidad social de los profesores de primaria y secundaria en Colombia entre 1811 y 1953 desde la perspectiva del discurso del Estado nación. Metodología. Es una investigación historiográfica basada en el uso de fuentes primarias en el marco del colectivismo metodológico. Resultados. La identidad social del profesor de primaria y secundaria en Colombia fue una compleja combinación de aspectos de índole psicológico, ético, político e intelectual. Conclusión. La identidad social del profesor fue establecida por el Estado con el ánimo de conferir una imagen positiva y constructiva de paladín social del orden.
Prevalence and analysis of risk factors of udder and teat health disorders in free-grazing and zero-grazing small holder dairy cows in south wollo, Ethiopia
Authors: Mohammed Ali Adem , Abreham Fenta , Alula Alemayehu
Published: April 2024

Udder and teat health disorders (UTHDs) cause profound economic loss and have a major influence on dairy cows’ welfare and productivity. This study was carried out to identify the prevalence and risk factors of UTHDs and to investigate a potential association with clinical mastitis (CM). The prevalence of UTHDs in this study was 28.4%. The UTHDs identified were CM (15.1%), teat ulcer/cracks (7.6%), udder wound (7.3%), teat end lesions (3.1%), teat papilloma (2.6%), pendulous udder (2.3%), hyperthelia (1.6%), athelia (1.0%), udder abscess (1.0%), teat stenosis (0.8%), teat gangrene (0.8%) and udder impetigo (0.8%). A significantly higher prevalence of UTHDs was identified in Holstein-Friesian (HF) cross breeds (P < 0.001; OR = 0.134) than indigenous breeds; in cows between 4-5 years of age (P < 0.001; OR = 11.666) compared to > 7 years; in cows with good BCS (P = 0.007; OR = 0.263) than those with poor BCS and in milking (P < 0.001; OR = 4.682) and dry cows (P = 0.003; OR = 4.226) than pregnant cows. Prevalence did not differ significantly (P > 0.05) between the locations and management systems of herds. In addition, the occurrence of CM was associated with teat ulcer/cracks (P < 0.001; OR = 0.036), udder wound (P < 0.001; OR = 0.068); teat end lesions (P = 0.008; OR = 0.142); pendulous udder (P = 0.031; OR = 0.153) and udder impetigo (P = 0.040; OR = 0.058). A statistically insignificant difference was found in the prevalence of UTHDs between free-grazing and zero-grazing smallholder dairy herds. The study identifies teat ulcers/cracks, udder wounds, and teat end lesions as risk factors for CM.
Counter-Offset mode: A new paradigm in resisting differential cryptanalysis
Authors: Muhammad Faisal Nawaz , Yasir Nawaz
Published: April 2024

This study introduces the Counter-Offset mode, a novel advancement in block cipher encryption techniques designed to enhance the traditional Counter mode’s resistance to differential cryptanalysis. By integrating a unique input transformation mechanism, the Counter-Offset mode significantly improves upon the security features of the conventional Counter mode without compromising its efficiency and ability to process data blocks in parallel. Through a rigorous security analysis, we demonstrate that this innovative mode not only maintains the essential advantages of its predecessor—including parallelizability and low overhead—but also offers increased protection against cryptanalytic attacks. Our findings suggest that the Counter-Offset mode presents a compelling solution for applications requiring high security without the expense of reduced performance. This work lays the groundwork for future investigations into its application across various cryptographic systems, highlighting its potential to address emerging security challenges in the digital age.
Investing In Paradise Protocol v1
Authors: Thind Gobind
Published: April 2024

This research employs a mixed-methods approach to investigate the long-term socio-economic benefits of investing in sustainable tourism infrastructure and practices in Moorea. Data collection methods include structured surveys distributed to local residents and hospitality businesses, in-depth interviews with key stakeholders, and analysis of relevant documents and literature. The collected data will be analyzed using statistical methods for quantitative data and thematic analysis for qualitative data. The expected results aim to provide comprehensive insights into the economic impacts, environmental considerations, and community well-being associated with sustainable tourism in Moorea. Additionally, the findings will contribute to informing policymakers, stakeholders, and the local community about the importance and potential of sustainable tourism development in balancing economic growth with environmental and social sustainability.
“The Flower and the Wall”: Poet‐Activist Wiji Thukul and Progressive Martyrdom in Post‐Suharto Indonesia
Authors: Miller Stephen L. , Sibarani Rifka A. O.
Published: April 2024

Since the fall of Major-General Suharto’s “New Order” regime, Indonesia has struggled to deal with its authoritarian legacy. This article argues that in the quarter of a century since his disappearance, the Indonesian poet-activist Wiji Thukul (1963–1998?) has become a martyr for the still unfulfilled progressive ideals of the Reformasi (reform) movement that helped to bring down that regime in 1998. Using the developing body of theory around “secular” or “political” martyrdom, this article examines the process by which this status has been achieved, situating its development alongside the emergence of the Refusing to Forget movement, as well as comparing and contrasting his fate with that of two other candidates for the label of Reformasi martyr: those of the labour activist Marsinah (1969–1993) and the human rights lawyer Munir Said Thalib (1965–2004). It argues that Thukul’s role as a martyr has been significant in maintaining progressive public discourse about the human rights abuses of the Suharto period, as well as the continuing illiberalism of the period since the end of the regime, and that Thukul remains relevant to efforts to stimulate and nurture the fragile democratisation project that was initiated in the late New Order period. In particular, the authors see Thukul’s brand of grassroots creative practice as playing a central role in his emergence as a progressive icon and in giving his life and work international significance.
Hyper‐Precarious Lives: Understanding Migration, Global Supply Chain, and Gender Dynamics in Bangladesh
Authors: Shewly Hosna J. , Bal Ellen , Laila Runa
Published: April 2024

This article examines the lived experiences of precarity in Bangladesh’s ready‐made garments (RMG) industry, focusing on female migrant workers employed in Dhaka and surrounding industrial areas. Over the past three decades, the growth of the RMG sector has attracted economically disadvantaged rural women, distancing them from their traditional domestic and agricultural roles. This sector predominantly employs young women due to their perceived flexibility, low wages, and limited union involvement. Additionally, their status as “unskilled” workers in the lowest echelons of a gender‐stratified labour market, along with the influence of socio‐cultural power dynamics, constrains their capacity to negotiate their positions effectively. Drawing on in‐depth ethnographic research conducted in Dhaka and Gazipur, this article unravels the intricate interplay between insecure labour conditions, the impact of the global supply chain, and gender dynamics. It underscores the pivotal significance of socio‐cultural power dynamics in understanding the vulnerability experienced by female migrant labourers. We assert that a comprehensive understanding of precarious work requires recognising the inherent link between precarious employment and precarious life within the broader context of socio‐cultural power dynamics, gender norms, and societal relations.
Journey Begins in One’s Own Room – Imaginary Topographies in Oswald Egger’s Artist Book "Either I only dreamed the trip on the Mississippi or I’m dreaming now"
Authors: Sommerfeld Beate
Published: April 2024

The article attempts to read Oswald Egger’s prose text: „Either I only dreamed the trip on the Mississippi or I’m dreaming now” (2021) as travel literature. Egger’s artist book, which relates an imaginary trip to the Mississippi in text and image, is not a travelogue in the traditional sense, but a highly complex and auto-referential work that plays with the transgression between the real and the imaginary. Using Egger as an example, the article discusses the hermeneutic movements of travel and writing and the media transformation of real and fictional journeys, exploring both the mobility patterns and the corresponding writing and image processes.
Ansiedad frente a exámenes, un tipo de ansiedad fóbica que se presenta en el contexto académico
Authors: Cano Acosta Nilda Celeste
Published: April 2024

Experimentar ansiedad frente a exámenes desencadena una respuesta emocional acompañada de cambios fisiológicos que el estudiante siente ante una situación percibida como amenazante, específicamente ante una evaluación, examen escrito u oral; actualmente, se la cataloga dentro de las fobias específicas. El individuo que busca evitar o eludir dicho escenario cae en la conducta de procrastinación. Esto afecta su rendimiento académico y acarrea consecuencias graves de salud mental, el estudiante comienza a percibirse afectado en su autovalia, autoestima y en su ambiente social, que muchas veces lo lleva a contraer trastorno depresivo e ideación suicida. El presente artículo es un estudio de revisión bibliográfica y su objetivo fue describir la experiencia de la. ansiedad frente a exámenes como fobia específica situacional, las consecuencias de dicho padecimiento, su comorbilidad con otros trastornos psicológicos y los tratamientos disponibles. Fueron analizados y comparados unos 26 artículos científicos, basados en ensayos controlados de manera aleatoria, otros son estudios controlados de caso único, publicados en importantes revistas electrónicas de impacto. La búsqueda se realizó utilizando las palabras clave. Como conclusión, se destacó la importancia del conocimiento de esta patología, a fin de realizar un diagnóstico precoz y prevención en psicoterapia, evitando así un mayor deterioro en la salud mental de los estudiantes. No obstante, es necesaria la realización de más investigación controlada al respecto.
Cáncer de vesícula biliar, experiencia del Servicio de Cirugía General del Hospital Nacional de Itauguá del 2010 al 2020
Authors: Echagüe Teresa , Franco Jessica , Forcado Pedro
Published: April 2024

Introducción: El cáncer vesicular es una neoplasia infrecuente mundialmente, exceptuando países donde la mortalidad por su causa es alta como Chile, a pesar de ello es el tumor biliar más común, con una incidencia aproximada de 0,8-1,2% y casi exclusivamente en mujeres. Objetivos: Describir la frecuencia, perfil demográfico, clínica, tratamiento y hallazgos anatomopatológicos del cáncer vesicular en pacientes del Hospital Nacional de Itauguá del 2010 al 2020. Materiales y métodos: Se encontraron 19 casos confirmados por biopsia, pero solo 15 fichas estaban completas. El estudio fue retrospectivo, descriptivo y observacional, muestreo no probabilístico de corte transversal. Resultados: De la muestra final (N=15), 13 pacientes fueron mujeres, la edad promedio fue de 60 años. Del total, 4 pacientes ingresaron para cirugía programada con diagnóstico de colecistopatía crónica litiásica y los otros 11 tenían sospecha de tumor vesicular y/o ictericia o colangitis aguda de origen neoplásico probable, todos fueron operados, el motivo de consulta más frecuente fue dolor en hipocondrio derecho, el 99 % fueron adenocarcinomas por anatomía patológica. Conclusión: La etiología principal del cáncer vesicular fue la colelitiasis, es de baja incidencia a nivel nacional, la mayoría de nuestros pacientes se encontraban en estadios terminales, o con poca oportunidad para la resección R0, por lo cual son de mal pronóstico y hasta hoy en día son de difícil detección en etapa inicial. En algunos casos como en 4 de nuestras pacientes el diagnóstico es fortuito mediante el hallazgo histológico en piezas de colecistectomía que fueron intervenidos en principio por patología benigna.
Melioidosis: A new emerging infection in West Coastal Maharashtra
Authors: Napa Preetham , Lokapure Sumedh Sudhakar , Kulkarni Ajit , Keni Ajay , Kulkarni Amol , Deshpande Sanjay Ram , Machnurkar Kaustubh , Wasgaonkar Gopal
Published: April 2024

Melioidosis is a zoonotic infectious disease caused by a gram-negative bacterium . It is an endemic disease in Southeast Asia and Northern Australia, but under reported from India. This study was conducted to determine the geographical epidemiology, risk factors, clinical presentations associated with melioidosis.

It is retrospective study of six culture proven cases of Melioidosis from a tertiary care hospital.

The six cases of melioidosis were from same geographical location from western coast of Maharashtra. The age group ranged from 3 years to 55 years but more predominant group was within 30-to-50-years. All were males (100%), no female patient was affected. Majority of cases were presented to the hospital in rainy season, from June to September, coincides with season of heavy rainfall. Alcoholism (83.33%) and diabetes mellitus (66.66%) were major risk factors involved. Fever (100%) was most common presenting symptoms. The organ space abscess (50%) involving lymph node, liver and spleen were common followed by disseminated disease and pulmonary melioidosis. All patients were treated with ß-lactam antibiotics as intensive therapy followed by oral cotrimoxazole as eradication therapy.

Melioidosis is an emerging infection in India specially in the coastal region with very heavy rainfalls. Male gender is prone to develop the infection with diabetes and alcoholism are additional risk factors. The clinical presentation may vary from localised organ space abscess to septic shock with high mortality. The accurate diagnosis and prompt treatment play key role in managing melioidosis.
Evaluation of Leukocyte esterase and Nitrite dipstick tests with routine urine microscopic analysis in detecting urinary tract infections
Authors: Hans Agam , Yadav Abhishek , Kaur Parneet , Kumari Archana
Published: April 2024

: Urinary tract infection is a global health problem affecting all age groups. is the most common cause of UTI followed by , staphylococcus haemolyticus and enterococci etc. The gold standard for detecting an UTI is the presence of pathogen in urine along with clinical symptoms and pyuria. Nitrite (NIT) and leukocyte esterase (LE) tests are two important dip stick tests used for screening UTI.

A total of 202 patients who presented with clinical symptoms of UTI from January 2023 to December 2023 were evaluated for urine routine and culture examination. LE and NIT dipstick tests were evaluated and change of colour was considered positive. Microscopic examination of urine was performed manually and urine culture with count of > 10 CFU/ml was considered positive. Statistical data was analysed using IBM SPSS v 29.0.2.0 (20) and Microsoft Excel. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy were calculated for both tests.

: LE had a sensitivity of 47.22% whereas NIT was much less sensitive (15.27%). Specificity of NIT (99.23%) was higher in comparison to LE (81.53%). NIT had overall better PPV and NPV (91.66%, and 67.89%) as compared to LE (58.62% and 73.61%). The accuracy of LE and NIT were 69.3% and 69.8% respectively. A positive correlation was also seen with increasing WBC count and positive urine culture.

: Urine culture along with clinical and routine analysis is necessary for definitive diagnosis of UTI but importance of dipstick chemical examination should not be underestimated. LE and NIT have an additional benefit of quick results in comparison to culture which takes at least 24 hours.
Lymphangioma of ovary: A case report
Authors: Mohanty Shushruta , Behera Lipika , Mohapatro Ajit Surya , Dalai Abhisek
Published: April 2024

Ovarian lymphangioma are unusual benign tumours characterized by proliferation of lymphatic channels. The exact etiology and the true occurrence is not well understood. We here in discuss a case of ovarian lymphangioma in 45 yr old female who presented with chief complains of abdominal pain. USG revealed features suggestive of right complex ovarian cyst, that was then excised and send to pathology department for histological analysis. Histopathological examination revealed an ovarian lymphangioma which was further confirmed by IHC marker CD31 that highlighted the endothelial nature of lymphatic channels. Patient was disease free 6 months post surgery and is on regular follow up till date.
Peripheral blood smear diagnosis of invasive candidiasis in a patient of myelodysplastic syndrome/myeloproliferative neoplasm treated with hypomethylating agent: A case report
Authors: Fokmare Akanksha Sanjay , Parikh Rupali Shripal , Marathe Paresh R , Gupta Siddesh Tribhuvan
Published: April 2024

Patients with haematological malignancies undergoing treatment with hypomethylating agents are predisposed to opportunistic infections, including Candidiasis. We present the case of a 73-year-old female patient diagnosed with Myelodysplastic/Myeloproliferative neoplasms who was receiving a hypomethylating agent as part of her treatment regimen. During the course of her treatment, peripheral blood smear examination revealed the presence of budding yeast cells, consistent with Candida species. Subsequent culture confirmed the diagnosis of Candidiasis.

The development of Candidiasis in patients with haematological malignancies receiving hypomethylating agents poses a significant clinical challenge due to overlapping symptoms with other infections and chemotherapy-induced myelosuppression. Peripheral smear examination serves as a rapid and cost-effective adjunctive diagnostic tool for the early detection of Candidiasis in these patients. Timely detection of Candidiasis in this population is critical for appropriate management and improved outcomes.
Digital governance in transforming health systems and health policy in India
Authors: Kar Manoj , Ram Sipra
Published: April 2024

The cornerstone of a thriving nation is the health of its citizens, and Universal Health Coverage (UHC) stands as a vital measure of success of its health systems in promoting inclusivity and well-being. The 21st century has seen a growing focus on reshaping health systems around individuals, with integration of data and digital technologies offering significant opportunities for advancing concept of ‘digital governance in transforming health systems’. However, despite the challenges faced by health policymakers, a tangible transformation in 'digital health governance' is still underway.

This policy review explores India's digital governance initiatives aimed at revolutionizing healthcare accessibility and delivery to contribute to the realization of UHC. It sheds light on national digital health programs like National Digital Health Blueprint (NDHB), National Digital Health Mission (NDHM), Ayushman Bharat Digital Health Mission, and global health interventions. Addressing challenges such as limited infrastructure and hesitancy toward digital adoption, the paper emphasizes solutions like capacity building and awareness generation as discussed within the national health systems framework. It underscores the importance of optimal governance models fostering interdisciplinary collaboration among key stakeholders, including government, startups, hospitals, and academic institutions. The ultimate goal is to offer insights into strategic digital transformations, supported by robust public policies and governance mechanisms, which can shape a more equitable, efficient, and digitally empowered healthcare ecosystem. This, in turn, contributes to the progress of UHC in India by 2030 (UN-SDGs).
Epistemología y meta-epistemología histórica
Authors: Martínez Rodríguez María Laura
Published: April 2024

Lorraine Daston ha señalado la influencia que The emergence of probability de Ian Hacking ha tenido en su trayectoria intelectual y en su elección de la etiqueta epistemología histórica para describir su trabajo. Hacking, por su parte, ha respondido a estos señalamientos que, en primer lugar, Daston y sus colegas no hacen epistemología, sino que más bien estudian conceptos epistemológicos como objetos que evolucionan y mutan; en segundo lugar, que su trabajo sobre la probabilidad no es epistemología histórica sino, en todo caso, lo que él llama metaepistemología histórica o, mejor aún, ontología histórica. En el presente trabajo, analizo en qué forma entienden Daston y Hacking el tipo de investigación que denominan respectivamente epistemología y metaepistemología histórica, y exploro sus convergencias y divergencias con el fin de establecer posibles relaciones, intereses y antecedentes compartidos. Por último, sostengo que la obra de Hacking puede ser visualizada como resultado de investigaciones que caracterizan a la epistemología histórica, como consecuencia de su interés, estimulado por la lectura de Michel Foucault, en el análisis de las condiciones históricas de posibilidad para la emergencia de conceptos y objetos científicos.
Aspectos metafísicos y epistemológicos en la naturaleza e identidad humanas
Authors: Santibáñez Ramírez Pablo
Published: April 2024

A partir de una presentación general del concepto de especie aplicado a los humanos, este texto expone dos nociones generales sobre la naturaleza humana: la tipológica y la filogenética. Una vez expuestos los fundamentos de cada noción, se defiende una distinción entre naturaleza humana e identidad humana como dos aspectos que se han confundido respecto a este problema, pero que cumplen distintos roles en las explicaciones, por lo que se proponen como dos nociones complementarias. Así, la naturaleza humana estaría definida en términos metafísicos y daría cuenta de la realidad biológica de los humanos desde un punto de vista filogenético, mientras que la identidad humana estaría definida en términos epistemológicos y daría cuenta de los conocimientos que tienen los humanos sobre ellos mismos, aludiendo a aspectos contingentes.
Odpowiedzialność w procesie wychowania
Authors: Rynio Alina
Published: April 2024

Publikacja traktując odpowiedzialność jako wartość konstytutywną i egzystencjalnie znaczącą przybliża jej aspekt pedagogiczny obejmujący kształtowanie postawy odpowiedzialności dzieci, młodzieży, dorosłych, rodziców, nauczycieli, katechetów czy zarządzających oświatą i wychowaniem. W pierwszej części autorka szuka odpowiedzi na pytanie: dlaczego nie można być dobrym uczniem, dobrym rodzicem, a tym bardziej dobrym obywatelem czy nauczycielem bez dojrzałego podjęcia wychowania i samowychowania do odpowiedzialności? Chcąc dać odpowiedź na tak postawiony problem, analizuje czym w swojej istocie jest uczniowska i nauczycielska odpowiedzialność.
W części drugiej, mając na uwadze to, że uczymy się poprzez przykłady, autorka publikacji przywołuje mało znaną, choć zweryfikowaną życiem wielu osób koncepcję współczesnego wychowania do wolności opartego na formowaniu postawy odpowiedzialności. Jest to koncepcja pozostawiona przez zmarłego w 2005 r. ks. Luigiego Giussaniego – założyciela znanego w całym świecie włoskiego ruchu kościelnego Comunione e Liberazione. W koncepcji tej interesujące wydają się podstawowe wymiary wychowania do odpowiedzialności. Są nimi: wychowanie do uwagi, wychowanie do odważnej akceptacji prawdy, wychowanie do postawy pytającej, wychowanie do ciekawości i pozytywnego odniesienia do rzeczywistości, związek wychowania do odpowiedzialności ze wspólnotą, autorytetem i krytycznie rozumianą tradycją czy spotkanie z ludźmi prawdziwie odpowiedzialnymi jako sposób poszerzania pola własnej odpowiedzialności.
W części finalnej autorka dostrzegając konieczność respektowania odpowiedzialności jako ważnej kategorii ludzkiego życia i celu wychowania integralnego, sygnalizuję kilka kluczowych kwestii związanych ze skutecznym wychowaniem do odpowiedzialności w edukacji XXI wieku.
To Restore the Proper Sense of Education in the Face of Contemporary Cultural Threats: The Example of the Media
Authors: Łobacz Małgorzata
Published: April 2024

Nowadays, we are increasingly confronted with numerous attempts to eliminate an education that takes into account all dimensions of human life, that shows the way to personal maturity, that helps to overcome the existential imperfections of man. Consequently, in the socio-cultural reality surrounding us, traditional values such as goodness, truth and beauty are being neglected, and the dignity of the human person and their freedom is being disregarded. This situation is not facilitated by media organisations and their increasingly “progressive” offers aimed at children and youth. From an early age, young audiences are introduced to a world of aggression, evil, aesthetics of darkness and corruption, a world dominated by the cult of ease, pleasure and prosperity. Deprived of proper guideposts, role models and authorities in the sphere of education, they often uncritically accept what is offered to them.
In the face of these contemporary cultural threats, today there is a particular need to restore the proper sense of education understood as perfecting the human being, actualising the fullness of their humanity, discovering what is important in them, a journey towards goodness, truth and beauty. Only a process of education understood in this way, aiming at the full development of the human being, has a chance of protecting them from a mutilated humanity.
The Influence of Self-Service Technology on Customer Word-of-Mouth in Retail
Authors: Leung Larry SK
Published: April 2024

In light of the vital role of word-of-mouth (WOM) in ensuring the success of retail establishments, this study investigates the influence of self-service technology (SST) on customer WOM within the Australian retail sector. Utilizing the theory of planned behavior (TPB) and the technological acceptance model (TAM), we analyze this relationship. Our research underscores the pivotal role of SST satisfaction as a mediator, clarifying how perceived control, ease of use, and usefulness impact WOM intention. Furthermore, employing structural equation modeling, we discern that perceived ease of use, usefulness, and perceived control exert differential effects on both SST satisfaction and WOM intention. These findings hold practical significance for store managers looking to leverage SST for the enhancement of customer recommendations and the fortification of retail success.
Tuberculous spondylitis: Macromorphological and radiological studies on a skeleton from the Late Iron Age monument of Nor Armavir, Armenia
Authors: Khudaverdyan Anahit Yu. , Yengibaryan Azat A. , Hmayakyan Simon G. , Tiratsyan Nvart G. , Hmayakyan Margar S. , Vardanyan Shota A. , Antonyan Anna P. , Kocharyan Vahan R.
Published: April 2024

The skeleton in question derives from the Late Iron Age monument of Nor Armavir and was unearthed from burial No. 19. The deceased was buried in an unusual position. In this article, we characterize the pathological bony changes indicative of tuberculous spondylitis. The skeleton was subject to a detailed macroscopic investigation. Besides age at death estimation and sex determination, a careful palaeopathological evaluation was performed on the bone remains. In addition, volumetric (3D) computed tomography was carried out on four lumbar vertebrae (L2–5) to complement the macromorphology-based diagnosis.
Multidrug Resistance Pattern and Plasmid Profiling of ESBL and Carbapenemase Producing E. coli Isolates of Bovine Origin in Awadh Region of Uttar Pradesh
Authors: Yadav V. , Joshi R.K. , Joshi Namita , Singh S.V. , Srivastva D.P.
Published: April 2024

Background: Nowadays, the emergence and dissemination of Extended-spectrum β-lactamase (ESBL) and Carbapenemase producing Enterobacteriaceae (CPE) constitutes a major public health concern. The extensive and inappropriate use of antibiotics may lead to development of multidrug resistant (MDR) organisms. The antibiotic resistant genes are mostly situated conjugative plasmids, which are horizontally transmitted from one species to another in highly populous country like India. Methods: Total 240 samples were collected from Ayodhya and Sultanpur districts of Awadh region of Uttar Pradesh (India). Confirmation of isolates was done by PCR analysis using species specific Uid A gene. ESBL and Carbapenemase producing isolates were confirmed using DDST, ESBL-E-strip and MBL E-strip test. Plasmid profile of these isolates was performed using GeneJet Plasmid Miniprep Kit and gel-electrophoresis. Result: In this study total 186 (77.5%) isolates of E. coli were confirmed by PCR analysis. Total 130(54.16%) isolates were confirmed as ESBL and 10(4.16%) as Carbapenemase producer using E-ESBL strip and MBL-E strip test. All ESBL and Carbapenemase positive isolates were found 99-100% sensitive against chloramphenicol, polypeptides and aminoglycosides group of antibiotics and 80-100% resistance against 3rd, 4th group of cephalosporins, monobactam and penicillin group of antibiotics. Total 76.18% ESBL positive and 100% Carbapenemase positive isolates were found MDR. Plasmid profiling revealed total 63.84% ESBL positive isolates carried plasmid of molecular weight in range of 1.5 to greater than 10kb with 1-3 number of bands and 80.0% Carbapenemase positive isolates carried plasmid with molecular weight 3 to greater than 10 kb with 1-3 number of bands.
Tematyka wypowiedzi informacyjno-sprawozdawczych w rosyjskojęzycznych listach przesyłanych na okolicznościowych kartach pocztowych w drugiej połowie XX wieku
Authors: Dzienisiewicz Daniel
Published: April 2024

Artykuł ma na celu analizę rosyjskojęzycznych wypowiedzi informacyjno-sprawozdawczych występujących w treści listów przesyłanych na okolicznościowych kartach pocztowych w drugiej połowie XX wieku. Wypowiedzi konstatywne towarzyszące rosyjskim życzeniom świątecznym wysyłanym na pocztówkach nie stanowiły dotąd przedmiotu kompleksowych analiz językoznawczych, dlatego ich zbadanie może przyczynić się do uzupełnienia wiedzy o krótkich formach epistolarnych, w szczególności zaś — tematach poruszanych w tego rodzaju korespondencji. Badaniu poddano lokalizację wypowiedzi informacyjno-sprawozdawczych w strukturze listów, ich tematykę oraz pełnione przez nie funkcje. Analiza prowadzi do wniosku, że niektóre spośród zaobserwowanych zjawisk mogą mieć podłoże kulturowe, psychologiczne i/lub socjolingwistyczne.
W sieci znaczeń. Afisz teatralny w drugiej połowie XIX wieku
Authors: Kędziora Alicja
Published: April 2024

W drugiej połowie XIX wieku afisz teatralny był najważniejszym teatralnym drukiem ulotnym. Początkowo przyjmował wiele funkcji, które z czasem zostały przekazane innym materiałom, zwłaszcza programom. Afisz dostarcza informacji o samym przedstawieniu teatralnym, ale także sposobie działania teatru jako instytucji, obowiązujących go administracyjnych regulacjach i kulturze organizacyjnej oraz funkcjonowaniu teatru w świadomości widzów. Przyjmując za Gillien Russell koncepcję performatywności afisza teatralnego, w artykule przedstawione zostały płaszczyzny oddziaływania druku, konteksty jego użytkowania oraz potencjalne możliwości reprezentowania teatru w sferze artystycznej, administracyjnej i społecznej.
Web-based mindfulness course for staff working in care homes in Wales for older people with dementia
Authors: Baker Christine , Dennis Michael S. , Islam Muhammad Saifal , Russell Ian T , Huxley Peter
Published: April 2024

Design and intervention: Before-and-after evaluation of web-based mindfulness trainingfor staff caring for people living with dementia in care homes. Stepped-wedge clusterrandomised design.Setting and participants: Random sample of 31 care homes for people living with dementia.Homes started mindfulness training at a random time over 35 weeks. From thesehomes 172 staff volunteered, 151 (88%) started training, and 111 (67%) completedquestionnaires after 20 weeks.Methods: Questionnaires completed at baseline, 8 and 20 weeks included job stress (WSI)and health and well-being (SF-12).Results: There were significant reductions in job stress of 0.07 (95% confidence interval[CI]: 0.02, 0.13) at 8 weeks and 0.06 (95% CI: 0.01, 0.11) at 20 weeks; and improvementsof 2.49 points (95% CI: 0.81, 4.17) in the SF-12 Mental Component Score at 8 weeksand 3.41 (95% CI: 1.88, 4.94) at 20 weeks.Conclusions: Web-based mindfulness training improved the psychological well-beingof care home staff and reduced their stress with small to moderate effects in both shortand medium term
Families and Recovery: Beyond clinical and social inclusion perspectives
Authors: Bland Robert , Wyder Marianne
Published: April 2024

This paper explores the theoretical connections between principles of social inclusion and the recovery moment in mental health, identifying points of convergence and divergence. Social inclusion and recovery, while developing from different starting points, converge in recognizing the broader personal, family and community contexts, in which mental health problems emerge, and the impacts of those problems. A significant part of the context for recovery and measures to achieve social inclusion, remains the person’s family. Current models of recovery probably overlook the distress of families in the recovery journey. The paper considers the extent to which families have a role both in supporting the recovery of a family member, and in making their own recovery journey. The paper further suggests the need for ongoing research to explore the way the family recovery journey changes over time
Acute myocardial infarction on the background of coronary artery occlusion with low-symptomatic clinical manifestations and no changes on the electrocardiogram
Authors: Pronin A. G. , Troshina A. A. , Slyusar O. I. , Serov A. A.
Published: April 2024

The article presents a clinical observation of the successful treatment of a patient with acute primary myocardial infarction against the background of occlusion of the anterior descending artery without generally accepted, with these volumes of lesions, clinical and electrocardiographic manifestations.
Features of differential diagnosis and treatment of compression radiculopathy L3, L4 and femoral nerve neuropathy
Authors: Sklyarenko O. V. , Larionov S. N. , Zhivotenko A. P. , Potapov V. E. , Gorbunov A. V.
Published: April 2024

The article discusses aspects of complex pathology – differential diagnosis of lesions of intervertebral discs of the lumbar spine and femoral nerve neuropathy. Assessment of patient complaints, careful collection of anamnesis, interpretation of clinical and neurological examination data, instrumental diagnostic data such as MRI, MSCT, and neurophysiological studies allows you to establish an accurate diagnosis and choose the most effective treatment method.
Comparison of the BI-RADS and Kaiser scales for assessing the malignancy of mammary gland formations
Authors: Surovtsev E. N. , Kapishnikov A. V. , Pyshkina Yu. S. , Galochkina M. V.
Published: April 2024

Diagnosis of breast cancer remains a largely unsolved problem, despite the introduction of screening programs. Recently, magnetic resonance imaging has become more often used not only as a clarifying method, but also as a primary method for diagnosing breast cancer. Unified assessment systems have been developed as tools to assist in decision-making based on the results of radiation examination of the mammary glands: BI-RADS and Kaiser. The BI-RADS score provides a systematic approach to the description of breast images of various modalities. The Kaiser system, on the contrary, is highly specialized and is suitable for interpreting magnetic resonance imaging data only.

Purpose. To determine the agreement of experts in assessing breast condition using the BI-RADS and Kaiser scales.

Object and methods. We examined 40 patients (average age 45 years), we analyzed 87 neoplasms and areas of changes. The studies were performed on a magnetic resonance imaging scanner with a magnetic field of 1.5 T with appropriate scanning protocols, the results were assessed by independent experts with and without experience. Spearman's correlation analysis and Kendall's coefficient of concordance were used to analyze the results.

Results. Spearman's correlation showed a relationship between BI-RADS scores and Kaiser in the inexperienced rater. The agreement between experts was higher when using the Kaiser system - 0.66, using the BI-RADS scale – 0.53.

Conclusion. The lack of correlation between BI-RADS and Kaiser scores in an experienced examiner suggests a significant contribution of specific magnetic resonance features. The agreement between experts using the Kaiser system is higher than when using the BI-RADS scale.
Magnetic resonance imaging technique to quantify biomarkers for chronic liver diseases
Authors: Savchenkov Yu. N. , Trufanov G. E. , Fokin V. A. , Efimtsev A. Yu. , Arakelov S. E. , Titova I. Yu. , Meltonyan A. R.
Published: April 2024

Background. Recently, multiparametric magnetic resonance imaging (MRI) techniques have been developed to stratify clinically significant changes in chronic liver diseases (CLD). The advantage of multiparametric MRI is the visualization of the entire organ to eliminate the variability of the results during biopsy and the assessment of the quantitative characteristics of individual parameters of the liver parenchyma. A relatively new direction is the use of multiparametric MRI for the diagnosis of CLD with quantitative determination of fat, iron and fibrous changes in the liver parenchyma.

Aim. To develop a multiparametric MRI technique for the quantitative assessment of biomarkers in CLD.

Object and methods. A multiparametric MR study was performed in 57 patients with CLD using various pulse sequences.

Conclusion. The article reflects the developed multiparametric MRI technique for quantifying biomarkers in CLD, based on data of which it is possible to abandon invasive interventions in the process of diagnosis and monitoring the response to treatment.