bluuebunny/crossref_metadata_2025 huggingface dataset:
Oesophageal Carcinoma: Patient’s Refusal for Surgery may be the Right Choice
Authors: Chong Vui-Heng , Foo Kian-Fong
Published: November 2024

I read with interest the article by Wong et al1 on combination treatment for oesophageal squamous cell carcinoma (SCC). Treatment for the oesophageal SCC is still suboptimal with poor long-term survival and controversies remain regarding the benefit of combining different treatment modalities such as chemoradiotherapy and surgery.2-4 Wong et al concluded that preoperative chemoradiotherapy followed by surgery offered the best available option and patients’ comorbid conditions and refusal for surgery are major limiting factors. However, patients’ refusal for therapy may not necessarily be the wrong choice.
Dr Earl Lu (15 September 1925 to 2 September 2005)
Authors: Lu Mark , Low Cheng Hock
Published: November 2024

Tributes from Dr Mark Lu and Professor Low Cheng Hock
The Inaugural Centennial Lecture: Celebrating Milestones Achieved and Pondering the Road Ahead
Authors: Lim Pin
Published: November 2024

I am deeply conscious of the conspicuous honour of being invited to deliver the inaugural Centennial Lecture. This lecture has been specially established to commemorate the 100th anniversary of the founding of our Faculty of Medicine and of the National University of Singapore (NUS); it is the opening event of the main scientific programme of the special 39th Singapore-Malaysia Congress of Medicine. I thank the Academy of Medicine and the Faculty of Medicine for bestowing on me this rare honour and the opportunity to make a personal contribution to the centennial celebrations.
2005 Runme Shaw Memorial Lecture: Training Doctors for the 21st Century – A Global Perspective
Authors: Weatherall DJ
Published: November 2024

Over the last 200 years, Western medicine has gradually spread across the globe, and has either been replaced or become integrated with traditional systems of medical care. Much of this expansion occurred during the colonial times. For example, Western medicine was introduced to Singapore by Thomas Prendergast, a surgeon who accompanied Sir Stamford Raffles when he landed on the island in 1819. In 1905, the Straits and Federated Malay States Government Medical School was founded in Singapore. In 1912, the School received support from the King Edward VII Memorial Fund and in 1921, it became the King Edward VII College of Medicine. In 1949, the College of Medicine amalgamated with the Raffles College to become the University of Malaya, and became its Faculty of Medicine. In 1959, the University of Malaya established two autonomous divisions, one in Kuala Lumpur, the other in Singapore. Further changes occurred after Singapore became an independent republic in 1965.
The Role of Advancement Flaps in Peri-ocular Reconstructive Surgery
Authors: Laude Augustinus , Yip Chee-Chew
Published: November 2024

Introduction: The advancement flap is a method of mobilisation of tissue in a linear direction so as to achieve closure of a primary defect. This technique has been used extensively in the field of ophthalmic reconstruction and has undergone modifications to suit the needs of the surgery.

Methods: The PubMed database was used to search for articles using the keywords “periocular” and “advancement flaps” and we included the relevant cross references for other articles, books and chapters on the different types of advancement flaps used for peri-ocular reconstructive surgery. We present a summary of our findings in this review.

Results: We present a range of different types of advancement flaps which include the single advancement flaps, double advancement flaps and Burow’s triangle flaps. We also discuss the use of segmental artery based flap, the island pedicle advancement flap, V-Y advancement flaps and sliding tarsal flaps to repair tissue defects of the peri-orbital region. The benefits and limitations of each of these techniques are highlighted.

Conclusion: The advancement flap and its modifications are practical and simple techniques that add to the armamentarium of reconstructive procedures for the ophthalmic surgeon in the management of peri-ocular defects.
Retinal and Cardiovascular Diseases: The “Common Soil” Theory
Authors: Wong Tien Y
Published: November 2024

Retinal and cardiovascular diseases share many risk factors, such as hypertension, hyperlipidaemia and cigarette smoking. The effects of hypertension and diabetes on the retina are well known. In response to elevated blood pressure, the retinal vasculature undergoes a series of changes clinically seen as hypertensive retinopathy. Patients with hypertensive retinopathy signs are more likely to develop stroke, ischaemic heart disease, heart failure and to die from these conditions. In persons with diabetes, retinopathy is a common microvascular complication and the leading cause of blindness in working adults. Hyperglycaemia, hypertension and hyperlipidaemia are risk factors for the development and progression of diabetic retinopathy, and the presence of even early signs of retinopathy is associated with increased cardiovascular morbidity in persons with diabetes. Various cardiovascular diseases have also been associated with the development of other retinal conditions, including retinal vein occlusions, retinal arteriolar emboli and age-related macular degeneration. Ophthalmologists and physicians should therefore recognise the protean effects of cardiovascular diseases on the retina to better manage their patients.
Recent Developments of Informed Consent in Eye Research
Authors: Tay Catherine SK
Published: November 2024

Introduction: Informed consent is a very important ethical concept in medical and research ethics. The law of informed consent in medical negligence cases has developed over the years. Today, it is impossible to ignore the legal aspects of informed consent given the new ruling in the English case of Chester v Afshar [2005]. This landmark case has made significant inroads into the development of the concept and may have great impact on all Commonwealth jurisdictions including Singapore. The court in Chester’s case considered the modern basis of medical ethics in informed consent situations. In this article, I review legal developments in informed consent, and compare these with the more recent developments in Chester’s case and the Malaysian case of Foo Fio Na [2006]. In particular, I note that Foo’s case clearly followed the approach in the Australian case of Rogers v Whitaker case.

Methods: Literature review.

Results: I reviewed 2 recent cases – the English Chester case and the Malaysian Foo Fio Na case (wherein the Federal Court followed the Australian court in Rogers v Whitaker which involved an ophthalmology medical negligence lawsuit).

Conclusion: There is a rising global trend of relying on medical ethics principles in giving more respect to the individual patient or research human subject in the area of informed consent before they participate in clinical research studies. Following the recent legal cases on informed consent – Chester v Afshar, Foo Fio Na and Rogers v Whitaker – it has become more crucial than ever to exercise extreme care in obtaining informed consent from clinical trial subjects.
Art and the Eye: The Impact of Ocular Pathology on Their Artistic Legacy
Authors: Goh E-Shawn , Teo Wan Lin
Published: November 2024

Introduction: In the cacophony of advancing scientific opinion, we often forget the issue that lies at the very heart of our discipline of ophthalmology. The very question that first brings the patient to his eye doctor – what is it exactly that he sees? Visual sensation is possibly the most complex of senses in the human body, and artistic expression is likely to be the most accurate representation of subjective visual sensations. This review intends to bring the reader a step closer to appreciating this fascinating gift of visual sensation, which we know and experience.

Methods: Retrospective review of historical accounts by art historians on prominent works of art and the impact which their differing ocular pathologies played in the creation of their enduring artistic legacies.

Results: Succint review of prominent works of art and the likely impact of ocular pathology in the creation of these artistic legacies, thus allowing an increased appreciation of the visual sensations reported by our presenting patients.

Conclusions: Medicine’s spirited endeavours in the pursuit of treatment modalities leave us with a disproportionate lack of insight into an appreciation of our patients’ symptoms. This review will offer a view into the inner worlds of the artistically gifted, all of whom have left a legacy of enduring artistry to the world.
Report of the National Myopia Prevention and Control Workgroup 2006: A Summary
Authors: Leo Seo-Wei , Ling Yvonne , Wong Tien-Yin , Quah Boon-Long
Published: November 2024

Introduction: The National Myopia Prevention and Control Workgroup was set up to review current scientific evidence, to review the National Myopia Prevention Programme (NMPP) and to recommend strategies to the Ministry of Health.

Methods: A Medline search was conducted to identify relevant articles. Workgroup members met with representatives from Health Promo tion Board, Ministry of Education and several world-renowned myopia researchers.

Results: Near work contributes to myopia development. Greater time outdoors significantly lowers the risk of myopia. Breastfeeding may be protective. Family history of myopia and higher IQ were associated with development of new myopia (level II evidence). Other risk factors such as PAX 6 genes, higher educational level, prematurity, Chinese race, female gender and socioeconomic status were significantly associated with myopia (level III evidence). There is no evidence to support the use of commercial products for retardation of myopia progression. Topical atropine is effective in slowing myopia progression. The NMPP overpromotes use of vision breaks with little emphasis on outdoor activity.

Conclusions: Further research with better quantification of near work is recommended. The role of vision breaks should be de-emphasised. There should be more emphasis on outdoor play and stricter regulation of commercial devices. Atropine is recommended only in cases of rapid myopia progression or high, progressive myopia. The frequency of vision screening can be reduced. Future research efforts should focus on specific risk factors, reassessment of selected programmes and new treatment options. Reading material summarising the workgroup’s findings can be distributed.
The Emerging Challenge of Age-related Eye Diseases in Singapore
Authors: Ng Deborah HL , Sangtam Tiakumzuk , Au Eong Kah-Guan
Published: November 2024

Introduction: Eye diseases directly or indirectly related to ageing, such as cataract, glaucoma, age-related macular degeneration (AMD) and diabetic retinopathy constitute a significant cause of ocular morbidity in the elderly population. There is an increasing prevalence of age-related eye diseases (AREDs), a pattern that has already been evident in other developed country such as the United States of America. As a country reputed for her rapid progression to the status of a developed country, Singapore is not likely to be an exception to this trend.

Methods: A literature search was carried out pertaining to AREDs and its impact on the community and the imposed economic burdens.

Results: AREDs form a substantial proportion of the current public health disease burden due to the high morbidity and rehabilitation costs associated with visual loss. Although the exact figures are unknown, it is predictable that the increased prevalence of AREDs will result in greater consumption of healthcare resources. Several risk factors have been implicated in the development of AREDs.

Conclusions: Through the modification of risk factors, patients may be able to prevent or delay the onset of visual loss associated with AREDs. It is therefore the onus of every health professional to be aware of the impact of AREDs and to rise to this emerging challenge by encouraging patients to take a more active role in the management of their ocular health.
Развитие Нравственного богословия в XIX веке в Санкт-Петербургской духовной академии
Authors: А.И. Ранне
Published: November 2024

Статья посвящена проблеме поиска путей развития Нравственного богословия моралистами Санкт-Петербургской духовной академии в XIX веке. Особое внимание уделено вопросу о соотношении нравственности и аскетической практики. Если с христианской точки зрения нравственная деятельность немыслима без аскетической практики, то следует ли аскетику рассматривать, как самостоятельный путь стяжания Благодати Божией? Аскетика — это основание нравственной деятельности, обусловленной Высшим Благом, как об этом говорится в притче о Страшном суде, либо же это аскетический путь отшельников пустыни, практика которых должна быть распространена на всех? М. М. Тареев обратил внимание на противоречие, которое присутствует в изложении этой проблемы у протопресвитера Иоанна Янышева в первом и втором изданиях его Православно-нравственного богословия. Рассматривая аскетизм как необходимое условие нравственного отношения к Богу, человеку и природе, протопресвитер Иоанн Янышев во втором, дополненном издании обратился к святоотеческому опыту великих христианских аскетов в изложении святителя Феофана Затворника.

The article is devoted to the problem of finding ways to develop moral theology by the 19th century moralists of the St. Petersburg Theological Academy. Particular attention is paid to the issue of the relationship between morality and ascetic practice. If, from a Christian point of view, moral activity is unthinkable without ascetic practice, then should asceticism be considered as an independent way of acquiring the grace of God? Is asceticism the basis of moral activity conditioned by the Supreme Good, as stated in the parable of the Last Judgment, or is it the ascetic path of the hermits of the desert, whose practice should be extended to everyone? M. M. Tareev drew attention to the contradiction that was present in the interpretation of this problem by Protopresbyter John Yanyshev in the first and second editions of his Orthodox Moral Theology. Considering asceticism as a necessary condition for a moral attitude towards God, man and nature, Protopresbyter John Yanyshev in the second, expanded edition turned to the patristic experience of the great Christian ascetics as presented by St. Theophan the Recluse.
Factor Analysis of the Instrument of Internal Quality Assurance to Non-Formal Education Institutions for Achieving Sustainable Development Goals (SDG)
Authors: Tohani Entoh , Fathurohman Muhamad , Setiana Dafid Slamet , Hardianto Deni
Published: November 2024

Objective: The research aims to discover and analyze the factors which affect internal quality assurance in non-formal education institution as the basis for the preparation of standardized internal quality assurance instrument in non-formal education institutions.
 
Method: This research uses quantitative research method with confirmatory factor analysis as data analyzing technique. The research utilizes research population in community learning center (CLC) around Yogyakarta province and Kalimantan Utara province. The samples are selected randomly from 117 institutions.
 
Results and Discussion: The result shows that the institution’s internal quality is influenced by 21 factors. These 21 factors explain 123 variable items with 82,264% rate. In conclusion, the 123 variable items can form beneficial internal quality assurance instrument for non-formal education institutions internally and externally by taking into account of the conditions for successful implementation of internal quality assurance using the instrument.
 
Originality/Value: Non-formal education (NFE) institutions are required to continuously improve the quality education like performance in learning aspect and education management. By paying attention to the quality aspects of education, non-formal educational institutions are able to contribute to sustainable development goals. Therefore non-formal institutions should conduct internal quality management effectively with valid instruments. However, instruments that are valid and relevant to non-formal education are not yet available. So this study becomes the basis for developing internal quality assurance instruments for non-formal institutions that are valid and relevant to the needs of non-formal education institutions. Internal quality assurance instrument may become the key to non-formal education institutions to result in objective and beneficial decision for the institutions to survive.
Pemberantasan Kejahatan Perbankan Antar Negara Yang Belum Melakukan Perjanjian Ekstradisi (Studi Kasus Maria Pauline Lumowa)
Authors: Lesnussa Vanesia , Wattimena Josina Augustina Yvonne , Tahamata Lucia Charlota Octovina
Published: November 2024

Introduction: There are many phenomena of corruption where the perpetrators flee abroad, making it difficult to eradicate corruption. Based on data from Indonesia Corruption Watch (ICW) there are more than 30 fugitives for corruption who have fled abroad and resulted in state losses of around IDR 53 trillion. Indonesia as a country prone to corruption requires international cooperation in dealing with cross-border crimes such as economic crimes in the banking sector.Purposes of the Research: This paper aims to analyze and find out the extradition mechanism in banking crimes for countries that have not entered into an extradition treaty. As well as to analyze and find out legal remedies to return criminal assets to the state according to law return of criminal assets to the state according to international law.Methods of the Research: The research method in this writing is a qualitative analysis method, the type of research is normative research, the research approach used is the statutory approach, the case approach, and the concept approach. The procedure for collecting legal materials uses primary legal materials, secondary legal materials and tertiary legal materials.Results of the Research: The results of the study show that the mechanism or procedure for extradition requests between countries that have not entered into an extradition agreement is the same as the mechanism or procedure for extradition requests with extradition agreements, while legal remedies for returning assets resulting from criminal acts to countries according to international law there are two ways of resolution, namely, first through mutual legal assistance and secondly based on good relations between the two countries this has been regulated in Article 51 and Article 58 of UNCAC 2003
Pencemaran Pada Selat Internasional dan Tanggung Jawab Negara Pemilik Kapal
Authors: Samuel Wayan Dharmayana , Kainama Marthinus , Peilouw Johanis Steny Franco
Published: November 2024

Introduction: The many phenomena of sea pollution that often occur, especially in international straits as a result of ship activities, make this problem an urgent matter. Considering that Indonesia is an archipelagic country with a total of 17,500 islands and 70% of the sea area and only 30% of the land area.Purposes of the Research: The purpose of writing in this research is to know and understand the regulation of international law of the sea for pollution that occurs in international straits and to know and understand the responsibilities of ship-owning states based on international law.Methods of the Research: Qualitative analysis research method, normative legal research type, problem approach using three problem approaches namely statutory approach, conceptual approach and case approach. Source legal materials primary legal materials, secondary legal materials and also tertiary legal materials.Results of the Research: The results of the study prove that pollution in international straits has been regulated in an international law, namely in the 1982 UNCLOS, and in terms of the responsibility of the ship owner state adheres to the principle of absolute responsibility (strict liability) as stated in the 1969 CLC but not all cases can be Using this principle, only cases that have a large impact on the environment can use this principle, for example the case of an oil spill in a country's marine environment.
Hak Waris Anak Dari Ibu Pengganti (Surrogate Mother) Ditinjau Dari Hukum Islam
Authors: Sukur Ahmaf Fuzail , Latupono Barzah , Angga La Ode
Published: November 2024

Introduction: According to Article 832 of the Civil Code, it is known that legal and illegitimate blood and the spouse with the longest life are entitled as heirs. Islamic Sharia establishes the rules of inheritance in an orderly and fair manner. When a person, male or female, is legally assigned to possess. Islam also provides for the right to transfer one's property after death to his heirs and all his relatives, without distinguishing between male and female.Purposes of the Research: The purpose of this study is to know and explain the legal position of children from surrogate mothers in terms of Islamic Law. 1). To know and explain the inheritance rights of children from surrogate mothers in terms of Islamic Law. 2). As one of the academic requirements to obtain a law degree at the Faculty of Law, Pattimura University.Methods of the Research: This research uses a type of normative juridical research that is analytical descriptive.Results of the Research: 1. The legal status of surrogate mothers in Islamic law is that in Islamic law, a child born to a surrogate mother belongs to the mother who conceived and gave birth to the child, even though the egg is not hers. Children born through this process are also assigned to pregnant and giving birth mothers, that is, mothers whose womb is rented out. A child born with surrogacy cannot be combined with a woman who has a mother egg or embryo in the child, because according to Islamic law, surrogacy is not permissible or haram. 2. The right of inheritance of the surrogate mother's child in the sense of Islamic law is the right of inheritance of a child born to a surrogate mother, because in the Qur'an it is explained that the woman who gives birth and the pregnant woman has the right to take care of her, because in the blood of the child flows the blood of the woman who contains her.
Peran Detasemen Khusus 88 Anti Teror Kepolisian Negara Republik Indonesia dalam menanggulangi Paham Radikalisme Di Kota Ambon
Authors: Siauta Dody Alfayed , Titahelu Juanrico Alfaromona Sumarezs , Leasa Elias Zadrach
Published: November 2024

Introduction: Densus 88 AT Polri received information and succeeded in thwarting a plan for amaliah or an act of terror against one of the churches in Ambon City, Maluku Province. As long as they survive, both the terrorists and the families of the suspected terrorists are still the responsibility of Densus 88 Polri.Purposes of the Research: to examine efforts to overcome radicalism and the obstacles faced by the Special Detachment 88 Anti-Terror of the Indonesian National Police in Ambon City. The type of research used in this research is empirical juridical. The research location is the Maluku Regional Task Force Densus 88 in Ambon City.Methods of the Research: empirical juridical. The research location is the Maluku Regional Task Force Densus 88 in Ambon City.Results of the Research: efforts to tackle radicalism by the Special Detachment 88 Anti-Terror of the Indonesian National Police in Ambon City are through a preventive strategy, namely carrying out surveillance activities; including closed supervision of suspected terrorists with the aim of collecting as much information as possible from suspected terrorists, both the personal data of the suspected terrorists and the daily activities of the suspected terrorists. The second is carrying out social identification activities (Idensos) as a deradicalization effort, namely by visiting ex convicts by providing assistance to ex convicts with the aim that ex convicts can be helped and can continue a better life as Indonesian citizens who are far from radicalism. Third, counter-radicalization efforts, namely collaborating with the Office of the Ambon City Ministry of Religion to provide counseling to various schools so that they can avoid radicalism. The next strategy is to carry out repressive efforts, namely taking action against suspected terrorists who will carry out acts of terror commonly called amaliah acts, both those that are still in the planning stages and after the implementation of terrorist acts. In addition, the obstacles faced by the Special Detachment 88 Anti-Terrorism of the Indonesian National Police in Ambon City include a lack of personnel both conducting surveillance and social identification, the lack of informants from the public who have direct contact with suspected terrorists, terrorist families and ex-terrorist convicts who are not willing to return to the notion of nationalism and still hold fast to the thoughts and understanding of radicalism.
Ethical issues in information society: Examining copyright and plagiarism concerns from librarians’ perspective
Authors: Dodo Martins , Saidu Abubakar
Published: November 2024

This article focuses on copyright and plagiarism issues while examining the ethical aspects of information creation, sharing, and usage in the developing information society. It looks at the idea of an information society and how growth in society depends on information and communication technologies. It is noted that the protection of artists' works and the promotion of innovation depends heavily on intellectual property rights, yet plagiarism is recognized as a major issue, especially at universities level. The negative impacts of plagiarism and copyright infringement on people and society are examined as well as the ethical ramifications of these actions. The paper emphasizes the significance of ethical concerns in resolving these difficulties and argues for striking a balance between authors' rights and public access to knowledge. It suggests actions such as; information literacy and correct citations campaigns, research clinics and advocacy programmes, development of plagiarism policy, plagiarism advocacy and campaigns to support intellectual honesty and encourage academic integrity. The paper recommends that; emphases should be placed on librarians’ role in copyright education since they play a key role in educating the academic community on copyright and research integrity; librarians’ should promote information literacy in the academia since plagiarism usually is the product of poor academic endeavor and there should be clear policy; enforcement on copyrights ownership and fair use rules particularly in the area of photocopying, scanning or digital sharing, also, there should be should collaboration with faculty to promote a culture of scholarship and research integrity by organising workshops or conferences on how to avoid plagiarism and copyright infringements among others
Malpractice in the public sector and its impact on labor outsourcing: a critical analysis for innovation in public management
Authors: De Araujo Edna Torres
Published: November 2024

This study investigates dishonesty in the public sector and the outsourcing of labor as a management solution, seeking to understand its impact on the efficiency and motivation of civil servants. Using an exploratory qualitative approach, semi-structured interviews were conducted with civil servants from five public organizations in northern Brazil. The results indicate that slacking off results from a disconnection between organizational objectives and the expectations of civil servants, a lack of recognition and limitations in the development of competencies. Although outsourcing is adopted as an immediate response to a lack of motivation, the study reveals that it has long-term negative consequences, including the loss of intellectual capital and the weakening of organizational culture. The article proposes an intervention framework based on appreciation, human development, encouraging autonomy and clear communication. This framework aims to promote management practices that reduce absenteeism and improve employee engagement. The relevance of this study lies in expanding the understanding of the relationship between organizational culture and motivation in the public sector, highlighting the impact of outsourcing on internal cohesion and proposing a more sustainable management model. Recommendations include training managers, implementing continuous recognition practices and promoting autonomy. Limitations of the study involve the sample being restricted to a specific region and the absence of quantitative data. Future research could expand these findings to other contexts and evaluate the effectiveness of the proposed framework, with a view to improving public management and the quality of the services provided.
Enhancing communication skills through e-course platforms
Authors: Aripova Elena
Published: November 2024

In the 21st century, communication skills are essential for personal, social, and professional success. This article explores how the E-Course Platform enhances communication skills for learners both with and without disabilities by leveraging AI-driven tools and inclusive design. Through various activities, such as interactive storytelling, discussions, and real-time feedback, the platform fosters both verbal and written communication skills. Additionally, it provides accessible communication tools, including text-to-speech and voice recognition, to support learners with disabilities. This article discusses how these adaptive technologies promote inclusivity and engagement, contributing to the overall development of communication skills.
IoT-Enabled Secure and Scalable Cloud Architecture for Multi-User Systems: A Hybrid Post-Quantum Cryptographic and Block Chain-Based Approach towards a Trustworthy Cloud Computing
Authors: Adeoye Seun , Adams Russel
Published: November 2024

Cloud computing remains one of the most significant advancements in resource provision to organizations in the latest decades since they initiate conveniences on demand access. The adoption of the IoT has brought about a new era of collaborative computing by employing a pool of linked smart sensors and devices that will produce and analyze great amounts of data, thus creating new related problems in terms of size and security, hence increasing even more the importance of traditional security measures. Therefore, in this paper, we synthesize a new SSCA that combines IoT and cryptographic mechanisms, to build highly available and secure cloud systems, which makes these systems multi-users and fully usable by many users at the same time. The design resolves to a distributed structure where sever al cloud nodes will address user s requests proficiently and it uses Multicast and Broadcast Rekeying Algorithm (MBRA) to maintain the privacy and the confidentiality of the users’ detail, employing a cryptosystem that integrates MBRA, Post Quantum Cryptography (PQC) and block chain. The architecture using IoT devices collects data from the distributed sensing resources through the data storage layer; it enforces the security integrity of the information collected by employing the MBRA-PQC encryption algorithms; the blockchain provides the security for the confidential data by storing it in unalterable and dispersed registers. The proposed approach is then demonstrated with different data sets and its performance is measured based on the response time, the throughput and scalability, security and reliability. The outcome of the expressions reveals the efficiency of the proposed SSCA compared to MHE-IS-CPMT as it reduced by 1. 67 seconds and 0. 97 seconds at 250 and 1000 devices respectively. Similarly, the result as AUC value for SSCA showed a better improvement than the MHE-IS-CPMT, EAM, SCSS, and SHCEF models with improvements in percent at 25-user level: 6. 30%, 6. 90%, 7. 60%, and 7. 30%, respectively as well as; at 50-user level: 5. 20%, 9. 30%, 11. 50%.
Chasing Trends: The Dynamic Fashion Choices of Klang Valley Adolescents
Authors: Hassan Normaziana binti , Shawalludin Syahrini , Jamaludin Juaini , Chee Adrian
Published: November 2024

This study actively examines the fashion preferences of adolescents in Klang Valley, Malaysia, by highlighting the influences of local and global brands, streetwear culture, sustainability awareness, and the impact of social media and peer dynamics. Adolescents balance their support for local brands, like Fashion Valet, which embody national identity, with a preference for global fast-fashion brands, such as Zara and H&M, known for offering trendy and affordable clothing. Streetwear culture significantly shapes their self-expression, while sustainability is gaining importance, as thrift shopping becomes popular for its eco-friendly appeal. Social media platforms, especially Instagram and Tik Tok, play a crucial role in shaping fashion choices through influencer promotions and peer interactions, continually driving new trends. Peer influence further directs their preferences as adolescents seek both social acceptance and individuality within their social circles. Despite a rising interest in sustainable fashion, cost and accessibility still pose challenges, leading many adolescents to opt for fast fashion due to its affordability. The study reveals that adolescents in Klang Valley are shaped by a mix of cultural identity, global trends, and digital engagement, reflecting a dynamic and evolving fashion environment. The findings provide key insights into the factors driving adolescent fashion choices in Malaysia and enhance the understanding of youth consumer behavior in the region.
POTENCIAL ANTIMICROBIANO DE EXTRATOS VEGETAIS COM FOCO NA ODONTOLOGIA
Authors: Rodrigues Jose Augusto , Figueiredo Nathalia de Freitas , Da Cruz Daniele Ferreira , Cardoso Sabrina França , Denuncio Giovanna , Salomé Amanda Kelly de Lima , Gomes Aline Paim de Abreu Paulo , de Figueiredo Luciene Cristina
Published: November 2024

A periodontite é uma doença multifatorial complexa, sendo que o componente microbiano tem uma importância essencial em sua etiologia e progressão. O tratamento periodontal envolve o controle mecânico dos biofilmes supragengival e subgengival, mas nem todos os pacientes respondem de forma previsível ao tratamento. Dessa forma, o controle químico do biofilme auxilia na redução de patógenos periodontais durante o tratamento ou no retardo de recolonização bacteriana após raspagem e alisamento radicular. Vários produtos têm sido estudados para uso como terapia adjuvante e têm mostrado resultados satisfatórios. Dentre eles, os produtos naturais estão alcançando um patamar promissor. Assim, o objetivo desta revisão de literatura é avaliar o potencial antimicrobiano de extratos vegetais na microbiota bucal. Os efeitos biológicos da própolis, Aloe vera, chá verde, cranberry, calêndula, mirra e sálvia suportam o uso na cavidade bucal, com destaque a ação antimicrobiana no controle do biofilme subgengival em pacientes com periodontite. Essas substâncias também possuem atividades antiinflamatórias e antioxidantes. Apesar dos resultados encorajadores para o uso de produtos naturais na higiene bucal, novos estudos são necessários a fim de confirmarem por meio de estudos clínicos bem delineados sua aplicação clínica.
ANÁLISE DOS EFEITOS CARDIOVASCULARES DO USO CONTÍNUO DE CREATINA: UMA REVISÃO SISTEMÁTICA
Authors: Carlos Brenner Marques da Silva Antônio , Correia Matheus Augusto Bastos de Moraes , Fé Luiza Maria Farias Barboza Moura
Published: November 2024

A creatina (ácido α-metil guanidino acético) é um composto amplamente utilizado pelos praticantes de atividade física, em especial pelos que fazem treinos resistidos, como a musculação, com a premissa de melhorar o desempenho físico e recuperação muscular dos atletas. Seus efeitos para estes fins estão comprovados em muitos estudos na literatura, porém, seus efeitos cardiovasculares ainda não estão bem estabelecidos. Desta forma, o objetivo deste estudo é investigar sobre quais os efeitos cardíacos do uso contínuo de creatina. Para isso, foi realizada uma revisão de literatura com estudos publicados nos últimos 10 anos nas bases de dados da PubMed, Science Direct e Web of Science. Inicialmente, foram encontrados 443 estudos, os quais foram criteriosamente selecionados através dos critérios de inclusão e exclusão pré-estabelecidos, restando 11 estudos para compor a amostra final de resultados da pesquisa. Destes, 12.355 pacientes foram analisados no total, os quais estabeleceram que a suplementação de creatina oferece diversos benefícios cardiovasculares, particularmente em termos de proteção e eficiência energética cardíaca, função endotelial e adaptação ao estresse físico, enquanto apresenta um perfil de segurança favorável sem impactos adversos significativos nas funções cardíacas básicas. Conclui-se, portanto, que os efeitos cardiovasculares da suplementação de creatina são complexos e, em muitos casos, benéficos. A creatina oferece proteção contra danos cardíacos, melhora a função endotelial e pode influenciar positivamente a adaptação cardiovascular ao exercício.
ESPECTROSCOPIA NO INFRAVERMELHO PRÓXIMO (NIR) APLICADA NO MONITORAMENTO DA NUTRIÇÃO DE RUMINANTES
Authors: André Júnior José , Freitas Guedes Luciana , Felipe Martins Neves Luiz , Borges Iran , Fonseca Alves Campos Carla , Costa Araújo Caroliny , Augusto Vitória Mário , Luzia Rodrigues Fonseca Flávia
Published: November 2024

Este artigo aborda a aplicação de tecnologias de espectroscopia no infravermelho próximo (NIR) e espectroscopia de reflectância no infravermelho fecal (fNIR) na avaliação nutricional de ruminantes. A análise dessas técnicas permite um monitoramento eficiente da dieta dos animais, facilitando a identificação de nutrientes essenciais e o controle da qualidade da alimentação. As metodologias apresentadas são não invasivas e oferecem resultados rápidos e precisos, representando uma ferramenta valiosa para a gestão de rebanhos em sistemas de produção sustentável. Os resultados indicam que o uso dessas tecnologias pode contribuir significativamente para a melhoria da produtividade e a sustentabilidade na pecuária. O objetivo deste artigo é explorar a aplicação das tecnologias de espectroscopia no infravermelho próximo (NIR) e espectroscopia de reflectância no infravermelho fecal (fNIR) como ferramentas eficazes para o monitoramento nutricional de ruminantes, visando melhorar a eficiência produtiva e a sustentabilidade nos sistemas de produção animal.
PACIENTE IMUNOCOMPETENTE PORTADORA DE CRIPTOCOCOSE DISSEMINADA:UM RELATO DE CASO
Authors: Portela de Azevedo Arimatéia , Alves dos Santos Rerbert Heene , Da Silva de Oliveira Euginha Prince
Published: November 2024

A criptococose é uma doença fúngica sistêmica que acomete humanos e diferentes espécies de animais domésticos e silvestres é considerada rara em indivíduos imunocompetentes. Objetivo: Realizar um estudo de caso de uma paciente sem comprometimento imunológico que foi diagnosticada com criptococose disseminada. Metodologia. Estudo descritivo, retrospectivo com levantamento de informações existentes no prontuário eletrônico da paciente. Estudo de caso: Sexo feminino, 39 anos, sem relato de comorbidades ou imunossupressão, teste rápido para HIV negativo, quadro neurológico e respiratório há 3 meses, com cefaleia hemicraniana à direita, episódios eméticos, tontura, perda de consciência, perda de acuidade auditiva e visual e alergia em membros inferiores. Marido refere manipulação de aves em domicílio (galinhas). Líquor com frequentes cryptococcus. Iniciado tratamento para criptococose disseminada além de piperacilina e tazobactam para pneumonia bronco aspirativa. Tomografia de tórax evidenciando lesão em lobo médio. Evoluiu com melhora do estado clínico, recebendo alta da UTI e sendo encaminhada à enfermaria. No dia subsequente, refere dor torácica, ventilatório-dependente associada a dispneia e tosse branda, além de tremores em membros superiores e parestesia em membros inferiores. Tem sono não reparador, com hipossonia à noite, aceita bem a dieta (pastosa, assistida), com funções fisiológicas preservadas. Alta após melhora do quadro. Continua recebendo atendimento, agora, a nível de consultas periódicas no ambulatório. Conclusão: Faz-se necessário haver cuidados para o manuseio de aves, principalmente pombos e outras que vivem em ambiente urbanos.
INTERVENÇÕES DE ENFERMAGEM UTILIZADAS EM PACIENTES COM TRANSTORNOS MENTAIS NO NÍVEL DA ATENÇÃO BÁSICA
Authors: Rodrigues da Silva Helyzabeth , Rodrigues de Sousa Paula Daniele , Caminha Veloso Laurimary
Published: November 2024

A Sistematização da Assistência de Enfermagem consiste em uma forma metodológica que serve para guiar o corpo de Enfermagem para a organização, planejamento e a execução de ações sistematizadas que serão realizadas pela equipe de Enfermagem. Idealizada pela Enfermeira Wanda Horta (1970) e regulamentada no Brasil por meio da Resolução Cofen nº 358/2009, indubitavelmente é uma ferramenta de suma importância quando se trata de prestar atendimento de qualidade ao cliente. Utilizada na prestação de cuidados aos pacientes portadores de transtornos mentais, tem como objetivo promover um atendimento humanizado, organizado e planejado a esse público. Objetivo: Trazer ao conhecimento e percepção dos enfermeiros e acadêmicos de enfermagem, a necessidade dos pacientes com transtornos mentais de um atendimento mais humanizado, colocando em prática a Lei nº 10.216/2001 que garante os direitos desse grupo. Métodos: Para embasamento deste trabalho, foram utilizados dados do Ministério da Saúde do Brasil, dados epidemiológicos públicos, artigos que abordam sobre o tema e revisão de literatura. Resultados: Contribuir para o conhecimento dos Acadêmicos e profissionais de Enfermagem sobre os modelos assistenciais prestados aos pacientes com transtornos psiquiátricos, assim como os direitos desse cliente e os desafios enfrentados pelos profissionais para oferecer o melhor atendimento ao cliente psiquiátrico.
A PRESUNÇÃO DE VIOLENCIA NOS CRIMES CONTRA A LIBERDADE SEXUAL
Authors: António Massissa Domingos
Published: November 2024

Diante da democratização ocorrida em 2010 com a promulgação da actual Constituição da República de Angola e da mudança nos costumes na área sexual observada nas últimas décadas, analisa a natureza jurídica do instituto da presunção de violência quanto à idade nos crimes contra a liberdade sexual. Relata o anacronismo do actual Código Penal Brasileiro, que considera os menores de até 14 anos totalmente inscientes dos assuntos. sexuais. Estuda os princípios penais da legalidade e da taxatividade à luz da Constituição da República de Angola. Examina os principais aspectos do instituto da presunção de violência nos crimes sexuais: hipóteses legais, origem e finalidade da presunção quanto à idade. Descreve o consentimento como forma de exclusão de ilicitude nos crimes sexuais violentos. Questiona quem pode emitir consentimento válido. Descreve os principais argumentos da teoria que considera absoluta a presunção quanto à idade e da que a considera relativa. A partir da crítica das teorias descritas, apresenta solução que melhor se coaduna com o ordenamento jurídico e com a realidade social hodierna, considerando que a presunção de violência quanto à idade afronta o princípio constitucional da presunção de inocência e que o tratamento legal do adolescente mudou com a promulgação do Estatuto da Criança e do Adolescente.
Mapping the Trends of Human Resource Training: A Bibliometric Analysis
Authors: Fauziah Nisa , Tjahjono Heru Kurnianto
Published: November 2024

In recent decades, research on human resource training has been the focus of many published articles. In addition to identifying relevant authors, references, topics, and journals, this research has made significant contributions by investigating the various intellectual frameworks used in research development. To achieve this goal, bibliometric techniques were used to analyse more than 300 articles published between 2018 and 2023. The analysis results show that research on this topic has experienced rapid growth and significant development during the period 2022–2023, a pattern in line with the research development phase. The findings also indicate that contributions to this article come from 25 countries, demonstrating strong collaboration between authors from different countries. Journals from a variety of disciplines, such as management, organizational behaviour, and industrial psychology, publish these articles on human resources topics. A resource-based perspective serves as the primary source for this topic, as well as theoretical support for articles written by distinguished authors. Furthermore, the study highlights key trends and emerging areas within human resource training research, such as the integration of technology into training programs and the emphasis on developing soft skills alongside technical competencies. By offering a comprehensive overview of the current state and future directions of human resource training research, this work aims to serve as a valuable resource for academics, practitioners, and policymakers interested in this critical area of study.
Preservation and Transmission of Shaanxi Guzheng Musical Instruments: Challenges and Strategies for Cultural Sustainability
Authors: Huang Ying , Chuangprakhon Sayam , Santaveesuk Piyapun
Published: November 2024

This study explores and analyzes the current challenges in preserving and transmitting Shaanxi Guzheng musical instruments and proposes effective strategies for cultural sustainability. The Shaanxi Guzheng, a traditional Chinese zither, faces significant challenges due to modern influences such as globalization and the rise of digital technologies, declining interest among younger generations, insufficient emphasis on traditional repertoire within educational frameworks, and the pervasive influence of Western music. This research utilized a qualitative approach guided by the PRISMA framework, incorporating a comprehensive literature review and semi-structured interviews with key informants, including Guzheng players, educators, and cultural scholars. Data were analyzed using thematic analysis to identify common themes and patterns. The findings highlight significant obstacles, such as the influence of modernism and the diminishing cultural enthusiasm among younger generations, cultural erosion, and educational inconsistencies. To address these issues, the study proposes several strategies: enhancing educational programs by integrating traditional music into school curricula, leveraging modern technology through digital platforms and online archives, promoting cultural awareness via public performances and media campaigns, reviving the master-apprentice transmission model, and securing government and institutional support. These strategies aim to create a sustainable framework for preserving and transmitting Shaanxi Guzheng music, ensuring its continued relevance and vibrancy for future generations. The research also discusses how these strategies can serve as a global paradigm for the conservation of traditional musical instruments.