bluuebunny/crossref_metadata_2025 huggingface dataset:
Association of low PAPP-A with the timing of delivery in babies with IUGR, babies showing suboptimal growth on serial scans, and well-grown babies
Authors: Fathima Ayesha , Syed Faizan , Siddiqua Syeda Ayesha
Published: September 2024

Background: The ideal timing for delivering babies with pre-eclampsia or small for gestational age is clear. There is agreement on delivering babies with pre-eclampsia and small for gestational age, but not for normally growing babies with low PAPP-A. Aim was to study the association of low pappa with adverse pregnancy outcomes and ideal delivery timing in a well-grown baby with low pappa as a risk factor.
Methods: A retrospective study analyzed 3240 singleton pregnancies with first-trimester Down syndrome screening at local hospitals from January 2022 to April 2023. Among these, 130 singleton pregnancies had PAPP-A levels at the 5th centile, along with risk estimations and documentation.
Results: In NCIC Trust births, 3280 women were assessed for low PAPP-A. Of these, 130 had low PAPP-A levels. It revealed that 46.9% used aspirin, with a high down screen risk found in 11.5%. In this study, 13.1% experienced PIH. 2 resulted in intrauterine fetal death (1.5%). 9 women (6.9%) experienced pre-term births. The study identified 8 newborns (6.25%) with birth weights below the 10th centile after >39+6 weeks, and 6 (4.6%) <3rd centile after 37+6 weeks.
Conclusions: The study linked low PAPP-A to poor APGAR scores, stillbirth, growth issues, and special care unit admissions. Babies with low PAPP-A showed higher morbidity and mortality after 41 weeks. The findings indicate that delivery should occur between 40+0 and 40+6 weeks. Further research is needed to create an antenatal protocol for optimal delivery timing for babies with low PAPP-A.
Single rod subdermal implant: acceptance and problems associated with it at a tertiary care centre in Southern Rajasthan
Authors: Zainab Noorani , Rastogi Radha , Nikhat Syed
Published: September 2024

Background: The government of India expanded the contraceptive basket under national family planning program by the inclusion of subdermal contraceptive implants (single rod) in the year 2023. In our institute, RNT medical college and attached hospitals, Udaipur, the insertion and use of the implant, after adequate training sessions, began in September 2023. Since then, there has been slow, but sure acceptance of the Implant as a contraceptive. This study aims to provide demographic data of its users, data of the follow up, and the problems encountered by users as well as data on early removal of implant and the reasons for it.
Methods: This is a prospective cohort study, conducted at the department of obstetrics and gynaecology at RNT medical college and attached hospitals, Udaipur. Study conducted from September 2023 to July 2024 time period.
Results: The implant was introduced in our institute as a contraception option in September 2023. No particular trend could be detected with regard to numbers of insertion of the implant. The mean age of the users is 27.9±11.3 years, with majority of its users belonging to the age group of 25-29 years and maximum number of insertions happened immediately post-partum, before the patient was discharged from hospital. The mean number of living children was 2. A majority of women had 2 living children at the time of insertion (regardless of parity).
Conclusions: Large number of women are accepting of the implant as a method of contraception. From our findings, limited though they may be, we conclude that the average user of the implant is a woman between 25-29 years of age with two living children. The biggest problem, we face at present, is lack of follow up.
Examining the impact of HIV-related stigma in people living with HIV: a systematic literature review
Authors: Nyashanu Mathew , Mushonga Florence Tafadzwa Ellah , Dada Samuel Oluwasogo , Ekpenyong Mandu Stephen
Published: September 2024

The last 20 years have seen an improvement in access to anti-retroviral (ARVs) drugs for people living with HIV leading to improvement in health outcomes. However, despite achieving this milestone HIV stigma has continued to hamper the health outcomes of people living with HIV. This study aimed to undergo a systematic review exploring the impact of HIV stigma on people living with HIV. A systematic literature review of both quantitative and qualitative studies published between 2017 and 2021 was undertaken using the following databases: CINAHL Plus, Embase, Google Scholar, Medline, and Scopus. Reference lists from relevant studies and websites of relevant sexual health and HIV organisations were also searched. The primary search terms were “HIV and stigma” combined with “impact” or with “discrimination”, “internalised stigma” and “lack of esteem”, or “mental health” or “caused by HIV sigma” in communities, “HIV and discrimination”, “impact of HIV stigma”. Six articles were included for review and analysed using constant comparative analysis. The review identified six broad themes (lack of adherence, internalised HIV stigma, discrimination, lack of self-esteem, public stereotyping, and non-disclosure) factors having a significant influence on people living with HIV. Perceived stigma towards people living with HIV has a negative effect on health outcomes of people living with the condition. The findings of our study highlight that public stereotyping and perceived stigma in the community are the major factors impacting people living with HIV.
Effect of transcutaneous electrical nerve stimulation and maternal positioning on pain and satisfaction of labour among primigravida women during the first stage of labour: an analytical case series
Authors: Sopna S. Christy , Jebakani Beulah D. , P. Sabita
Published: September 2024

Labour is a physiological process in which mechanical and hormonal events influence the foetus expulsion through uterine contraction. Labour is commonly divided into three different stages. The first stage, or dilatative stage, is the phase when the dilatation of the uterine cervix occurs. This study aims to find out the effect of transcutaneous electrical nerve stimulation (TENS) and maternal positioning on pain and satisfaction among women undergoing labour. This is a case series based on convenience sampling among 12 primigravida women in the labour department, Indira Gandhi Medical College and Research Institute, Puducherry. The participants were divided into two groups based on patient convenience. Group A received conventional treatment and Group B received TENS and maternal positioning during the first stage of labour in addition to conventional treatment. The post-interventional assessment is taken in both the groups and results are interpreted. There was a reduction in the pain intensity and improved maternal satisfaction in the intervention group than the control group. Transcutaneous electrical nerve stimulation (TENS) and maternal positioning are feasible, affordable methods of reducing pain and improving maternal satisfaction that can be used to lower the fear of pain among primigravida, increase maternal mobility during labour, enhance maternal care, have a positive experience in labour, and improve women's quality of life.
A rare case scenario of transection of cervix during laparoscopic adenomyomectomy for a cervical fibroid: a nightmare of gynecologist
Authors: Dhandapani Kalyani Sai , Kalidoss Madhubala
Published: September 2024

We are reporting a case of complete cervical transection during adenomyomectomy, a disconnection between uterus and cervix which is a rare complication of myomectomy procedure. A 32-year-old presented with secondary subfertility with heavy menstrual bleeding. Ultrasound showed a large cervical adenomyoma of posterior lip for which adenomyomectomy was performed. During enucleation of the myoma, cervical transection encountered. Successful reconstruction of the uterus to cervix done following which MRI performed six months later showed complete reanastomosis of uterus to cervix followed by regular establishment of periodic menstruation.
A rare case of angioleiomyoma of cervix: a case report
Authors: Talukdar Kankana S. , Patil Sunil S. , Tambe Sanjaykumar G. , Jamdade Yuga M.
Published: September 2024

Angioleiomyoma or vascular leiomyoma are smooth muscle tumors. They typically present as a firm, rounded mobile nodule. They account for 4.5% of all benign soft tissue tumours. Leiomyoma is one of the common benign tumors of female genital tract. Angioleiomyoma is extremely rare as till date 15 cases of angioleiomyoma of uterine corpus and 6 cases of uterine cervical angioleiomyoma have been described in literature. They are encapsulated, multiloculated and contains numerous vessels. The diagnosis of AL is dependent on histopathological reports. It is painful in over half of the cases. It should be considered in the differential diagnosis of painful nodular lesions of the extremity. Preoperative diagnosis is rarely possible. Increased awareness of this tumour and judicious use of ultrasound and/or MRI should help in most cases for diagnosis. It causes minimal morbidity, and excision is usually curative.
Updates on postpartum hemorrhage: prediction, early detection and management
Authors: Kaur Khushpreet , Grover Seema , Garg Sonal , Sharma Anamika , Ravi Ravinder
Published: September 2024

Postpartum hemorrhage (PPH) continues to pose a significant threat to maternal health worldwide, despite advancements in obstetric care. This article provides an overview of recent updates in the management of PPH, focusing on strategies aimed at enhancing outcomes and minimizing complications. Current guidelines underscore the importance of early identification and immediate intervention in the management of PPH. Machine learning models (MLMs), E-motive approach, estimation of serum fibrinogen levels and ABL estimation Active management protocols advocate for the administration of carbetocin and use of negative intrauterine pressure suction device in high-risk cases to mitigate blood loss. In cases where initial pharmacological interventions fail to control bleeding, alternative measures such as balloon tamponade or uterine artery embolization (UAE) may be necessary. Innovations like the Bakri balloon, NASG, UAE have revolutionized the management of atonic PPH by offering a non-surgical option for hemorrhage control. Permissive resuscitation, recombinant active factor seven (VIIa), desmopressin acetate (DDAVP) and lyophilized fibrinogen concentrate have proven to be beneficial in refractory PPH. Efforts are ongoing to develop less invasive techniques that prioritize maternal fertility and minimize morbidity. Furthermore, the integration of multidisciplinary teams and simulation training plays a pivotal role in enhancing PPH management.
Obstetric anal sphincter injuries care bundle: innovative approach to improve perineal care in maternity setting
Authors: Fatima Umber , Ajayi Ifeoluwa , Fayed Menatalla , Watts Karen , Sahare Amita
Published: September 2024

Perineal injuries during vaginal delivery are a prevalent issue, and obstetric anal sphincter injuries (OASI), which include third and fourth-degree perineal tears, pose significant challenges for maternal health due to potential complications such as faecal incontinence, sexual dysfunction, and impaired quality of life. The OASI care bundle (OASI-CB) was developed in 2015 in response to a concerning rise in the incidence of OASI in the UK. It was implemented in 16 NHS trusts between 2015 and 2017. The results of this implementation were extremely promising, as it was found to significantly reduce the OASI incidence while providing high-quality care to women. Through a comprehensive review of clinical data, patient outcome, and current practice in our unit, we carried out an audit with a goal to meet the standard of the care bundle by improving risk factor identification, improving clinical practices, and offering recommendations to enhance women’s care and further decrease the overall incidence of OASI.
Handbook on Good Clinical Laboratory Practices (GCLP)
Authors: Rohil Prof. Vishwajeet , Bhadra Dr. Jayeeta , Aggarwal Dr. Juhi
Published: September 2024

This handbook provides detailed guidelines on the principles and practices essential for maintaining the integrity, reliability, and accuracy of clinical laboratory work. It is aimed for laboratory professionals, including managers, technicians, and quality assurance personnel, as well as regulatory bodies and auditors. The handbook serves as a practical resource for ensuring that clinical laboratories operate in accordance with established standards, thereby supporting the integrity of clinical research and patient safety. It aims to harmonize practices across laboratories and provide a framework for continuous improvement and adherence to regulatory expectations. By following the guidelines set forth in the handbook, laboratories can enhance the quality of their work, minimize errors, and contribute to the success of laboratory medicine practice.
Artificial intelligence in combating antimicrobial resistance
Authors: Singh Desh Nidhi , Natto Hatim Abdullah , Mahmood Ammar Abdul Razzak , Thiruvengadam Sriram , Vasanthi Rajkumar Krishnan
Published: September 2024

Antimicrobial resistance (AMR) occurs when microorganisms, acquire genetic changes resistant to antimicrobial drugs, including antibiotics. Conventional techniques for combating AMR are expensive and time consuming, but Artificial intelligence (AI) is currently being developed that can rapidly scan through extensive chemical libraries and forecast possible antibacterial substances. The use of AI in medical research has significant promise, particularly in addressing multidrug-resistant (MDR) infections to battle AMR. Algorithms of AI monitors antibiotic usage, occurrences of diseases, and trends of resistance, thus influencing the development of novel drugs. Through AI, researchers can rapidly identify potential new drugs that could be effective against antibiotic-resistant bacteria, saving valuable time in the development process. By analyzing vast amounts of data, AI algorithms can also help to predict future trends in antibiotic resistance, allowing for proactive measures to be taken. With the ability to analyze data at a rapid pace, AI is revolutionizing the way researchers approach drug development, health risks and disease prevention. As technology continues to advance, the impact of AI in combating antimicrobial resistance becomes more significant. Overall, the integration of AI in medical research shows great potential in the ongoing battle against antimicrobial resistance. This review describes the application of AI to identify AMR markers, diagnosis in AMR, small molecule antibiotic development and also emphasizes emerging research domains, such as AMR detection and novel drug development, that contribute to the management of AMR.
Unveiling the rise of Candida auris: Latest developments and healthcare implications
Authors: Gurajala Swathi
Published: September 2024

, a fungus that is resistant to multiple drugs, has become a major global healthcare concern in recent years. The pathogen quickly disseminates within healthcare facilities, colonizes many surfaces, and leads to recurrent infections despite frequent disinfection measures. Automated systems frequently misidentify it, resulting in a delayed diagnosis. Inadequate hand hygiene, the use of multiple antibiotics, and contaminated medical equipment are the main causes of infections that primarily target critically ill patients in hospital intensive care units (ICUs). isolates are resistant to commonly used antifungal drugs like fluconazole, amphotericin, and echinocandins. This review article thoroughly examines the current understanding of infections, encompassing its epidemiology, clinical symptoms, diagnosis, treatment options, and prevention measures. It additionally summarizes a recent literature review on emerging diagnostic techniques and treatment options. Gaining a comprehensive understanding of the difficulties presented by this pathogen and staying informed of the most recent developments is essential for healthcare providers and policymakers in order to efficiently counteract its transmission and limit its detrimental impact on patient health
Bacteriological spectrum of infections in orthopaedic implants and their antibiotic susceptibility pattern
Authors: WV Vandana , Kumari Pooja , Machado Santosh , C Y Ranjini
Published: September 2024

Orthopaedic implant infections are one of the most challenging complications among orthopaedic surgeries which occurs despite the best management practices. The rise of antibiotic-resistant bacteria is set to pose a major challenge in the treatment of these infections.

The present study is done to identify the risk factors and bacteriological isolates responsible for orthopaedic implant infections and to study their antimicrobial susceptibility patterns.

: This was a cross-sectional study carried out at a tertiary care hospital in India over eighteen months on patients presenting with the signs and symptoms of infections post-implant surgery. Microbiological samples were collected & processed as per the standard guidelines.

: Out of 57 patients with implant infections, 44(77%) had internal fixators & 13 (23%) had prosthesis insertion. 32(56%) patients presented with delayed infection. The most common risk factors were Diabetes, smoking, extensive trauma followed by alcohol consumption. The most common site infected was Tibia. The most common bacteria isolated were S.aureus (28%) followed by Coagulase-negative staphylococci & E.coli (19.2%) each. Among Staphylococci isolates, 59% of the isolates were methicillin-resistant. Among Gram-negative isolates, 56.6% of the isolates were either ESBL or/and AmpC producers and 20% were carbapenemase producers.

: Despite best management practices, orthopaedic implant-related infections are often encountered. The high incidence of Multidrug-resistant organisms observed in this study is the cause of concern and underscores the need for better preventative and therapeutic strategies like strict adherence to the antibiotic policy and multidisciplinary approach to reduce the incidence & burden of treatment in these infections.
Candidemia in a tertiary care hospital: Changing trends
Authors: Babu Aishwarya , Kshirsagar Devashree , Thakar Vrushali Harsh , Dalal Bharati Avinash , Modak Meera , Kumar Mahadevan
Published: September 2024

Candida has emerged as a major cause of blood stream infections and ranks among the top ten pathogens responsible for hospital acquired infections. It is more common in children and adults admitted in critical care units. Though was the most commonly isolated species there has been a shift to Non-albicans species of Candida (NAC) as the major causative agent in the recent years. Many NAC are also intrinsically resistant to azoles.

Blood samples from patients with suspected candidemia were received in automated blood culture bottles. species were identified using standard microbiological techniques, including CHROM agar and VITEK 2 compact. Patient’s demographic and clinical details were collected. Data was analyzed using Microsoft excel.

Out of the 4367 blood culture samples received, 131 (2.99%) grew species. Most frequently isolated species was (32%)followed by (29%). Antifungal resistance was notable: 26.8% of isolates were resistant to fluconazole , 11.5% to voriconazole,10% to caspofungin,7.7% to micafungin and 18.4% to amphotericin B. Mortality due to candidemia was 16.79%, with C.parapsilosis being the most prevalent species among deceased patients

With the emergence of drug-resistant species, the treatment of candidemia is becoming increasingly challenging. Rapid diagnosis, early treatment, adherence to proper infection control and antimicrobial stewardship practices are essential to reduce the burden of candidemia in developing countries like India. Effective management strategies are crucial to improve patient outcomes and combat the rising threat of antifungal resistance.
Study of etiology and risk factors of neonatal sepsis in a tertiary care hospital in North Karnataka
Authors: Janagond Anand Bhimaray , Reddy Advaitha Annapurna , Solabannavar Shivakumar S , Badakali Ashok
Published: September 2024

Neonatal sepsis (NS) accounts for around 23% of annual neonatal deaths in India. The aetiopathogenesis of early neonatal sepsis (ENS) and late neonatal sepsis (LNS) vary. This study intends to analyse the associated risk factors associated with NS, bacteria causes, their antibiotic susceptibility patterns, and treatment outcome.

In this hospital-based prospective observational study, 102 consecutive cases of NS admitted to NICU were included. Blood samples were cultured in BacT/Alert and bacterial isolates were further processed in Vitek2. Details of potential risk factors were collected using a checklist, and the participants were followed up till recovery/transfer/death. Data was analysed by calculating the proportions, percentages and chi square test.

Participants included 86 ENS and 16 LNS cases. Majority of the ENS (62%) and nearly half of the LNS (55%) cases were born premature. Majority of the ENS (67%) and nearly half of the LNS (47%) cases had low birthweight. Meconium-stained liquor (19%) and premature rupture of membranes (14%) were the commonest perinatal risk factors associated with ENS. Other risk factors noted in NS were poor APGAR score, perinatal asphyxia, intravenous fluid administration (98%) and central venous catheter (22%).

The culture positivity among NS cases was 22%. Staphylococcus spp. was the commonest bacterial pathogen isolated from neonatal sepsis cases, both among ENS and LNS, most of them being methicillin resistant. Klebsiella pneumoniae was the commonest GNB isolated.

Common risk factors associated with neonatal sepsis in general were prematurity and low birth weight. Meconium-stained liquor, and premature rupture of membranes were seen more commonly in ENS. In this hospital, though NS is predominantly caused by MDR bacteria, the treatment outcome is good.
Prevalence -lactam resistant Pseudomonas aeruginosa strains isolated from chronic supportive otitis media infections: A single center survey in Eastern India
Authors: Rath Shakti , Singhsamanta Debidatta , Dubey Debasmita , Das Saumya Ranjan
Published: September 2024

is a pernicious opportunistic bacterium causing several human infections due to its ubiquitous presence and adaptability to various environmental conditions. Primarily, β-lactamase producing strains are the most prevalent ones, especially chronic suppurative otitis media (CSOM) infections.

This research was conducted to find the pervasiveness of β-lactam producing strains in CSOM patients attending a multispeciality hospital in Eastern India.

The 100 swabs were collected from CSOM patients, of which 76 were males (mean age 46) and 24 were females (mean age 41); strains were isolated and identified using routine microbiological methods. Kirby-Bauer method was employed to determine the antibiotic sensitivity of the isolated strains. Virulence tests like the swarming mortality test, biofilm formation assay, haemolysis assay, protease and pyocyanin production assay were conducted to detect the presence of various inherent virulence characters qualitatively. Both phenotypic and genotypic determination of β-lactamase-producing strains were confirmed by disc diffusion test and PCR methods.

Out of 100 samples, 67 strains were isolated, and all were motile. All strains tested positive for pyocyanin and haemolysis enzymes. Most strains had the biofilm formation capacity and release of protease enzyme. Most strains were multidrug-resistant, particularly to the β-lactam group of antibiotics. Nearly 80% of strains harboured all four classes of β-lactamase genes, producing enzymes like ESBLs, MBLs, AmpC and carbapenemase.

The β-lactamase genes and the inherent virulence factors that increase the infectiousness and adaptability of strains are significantly correlated. Immediate modified antibiotic policy should be employed to overcome this issue of multidrug resistance.
Study on occurrence of Hepatitis B virus Genotypes at a tertiary care hospital in Jaipur
Authors: Naz Ruby , Farooqui Mohammad Khalid , Gaur Aditi , Malhotra Bharti
Published: September 2024

: The hepatitis B virus's (HBV) capability to mutate genetically poses a threat to the sensitivity of serological and genomic diagnostics. As a result the knowledge about the distribution of HBV genotypes (GENs) and mutation has a significant impact on treatment plans, immunisation campaigns, treatment, and prophylaxis of HBV.

: The objective of our study was to identify HBV Genotypes in HBsAg-positive individuals.

: The study was conducted on 117 HBsAg-positive patients who showed the presence of the S gene were subjected to DNA extraction. The extracted DNA was amplified by Nested PCR (Polymerase Chain Reaction) followed by RFLP (Restriction fragment length polymorphism).

: Out of 117 patients, 84% were genotype D and 16 % were genotype A. More patients of Genotype A had a fever and Jaundice (15.7%; 21 vs 5%; 13.2%) as compared to Genotype D. In this study 19.6% of patients were in the immune clearance phase, 18% in the inactive carrier, 6% in immune tolerance phase.

: A better understanding of the prevalence, diagnostic, and serologic patterns of hepatitis B in this region can aid practitioners in recommending appropriate antivirals by genetic data.
An immigrant with easy fatigability and eosinophila caused by hookworm (A neglected tropical disease)
Authors: Kateshiya Pushpa , Chotaliya Gaurav Vipul , Parmar Rashmika , hingala Hitesh K. S , Mehta Krunal
Published: September 2024

Hookworm; a one among the 20 neglected tropical disease (NTD) defined by WHO causing severe anemia, weakness, malnutrition in tropical countries like India, estimated that affected one billion people in the world. The blood sucking A. duodenal and N. Americanus are the causative agents. An adult immigrant landed in emergency with severe lethargy and fatigability with H/o travel to endemic area in a short time; laborer in farm been evaluated for possible cause. Lab reports concluded with severe anemia and eosinophilia. Stool culture was sterile. Next day fresh sample of stool for microscopy revealed eggs of hookworm with larva inside. We concluded with the diagnosis of hookworm & patient improved with blood transfusion which was started before labelling the diagnosis because of severe anemia and also with albendazole given in proper manner.

So it is important to keep in mind that generalized weakness, lethargy, anemia, eosinophilia in immigrants drawing attention to parasitic disease and we have to break the chain of transmission by giving community treatment, deworming, increase sanitation, WASH program implementation, footwear wearing practices to workers, public education. Keep in mind the diagnosis as hookworm infection & other NTDs especially in the immigrants. Proper treatment, regular surveillance involving multiple departments of hospital & medical college is important to eliminate this blood-sucking nematodes in 21century.
Advanced hematology analyzers - Elite 580 & H560 with new feature of malaria parasite identification and flagging
Authors: Lalla Poonam , Jawade Prashant , Pathan Saira Banu
Published: September 2024

Malaria, caused by Plasmodium parasites, poses a significant global health challenge, demanding accurate and timely diagnostic approaches. This study investigates the identification of malaria parasites using peripheral smear and validate the same as the flaggings in Haematology analyzers specifically for Plasmodium Vivax is the most widespread of all of the malaria species, can cause severe, even fatal infections and results in significant global morbidity and mortality.

A cohort of 400 blood samples, evenly distributed between male and female participants, underwent analysis for the presence of the Trophozoite Form of Plasmodium vivax on peripheral smears and then on Erba 5 part Haematology analyzers Elite 580 & H560 to detect the flagging.

The statistical analysis of trophozoite-positive malaria samples on both analyzers demonstrated a significant association between the two analyzers and the manual peripheral smear method. The specificity analysis revealed high accuracy for both haematology analyzers - H560 (92.95%) and Elite 580 (88.14%) in correctly identifying trophozoite-negative samples.

: This study contributes essential insights into malaria diagnosis, emphasizing the need for flaggings in the CBC results. The observed specificity values and concordance between haematology analyzers provide valuable information for optimizing malaria diagnostic strategies in diverse settings.
Impacto económico de la transición energética en Ecuador
Authors: Soria Rafael , Villamar Daniel , Rochedo Pedro
Published: September 2024

Esta nota técnica contextualiza la situación del sector energético, incluyendo el transporte, en Ecuador. También presenta una síntesis de un ejercicio de prospectiva energética a 2050, analizando varios escenarios mediante la herramienta de planificación integrada ELENA. Se consideraron tres escenarios: Políticas Actuales, Desarrollo Sostenible y Descarbonización Profunda a 2050. Los resultados e implicaciones del ejercicio de modelación se presentan y discuten. Finalmente, se exponen las conclusiones del estudio y las posibles políticas públicas para promover una transición energética en Ecuador.
St. Isidore of Seville on the role and importance of witnesses
Authors: Adamczewski Karol Krystian
Published: September 2024

The aim of this article is to present the incredible character of St. Isidore of Seville and his teachings, especially in the context of the subject matter of witnesses in a trial, especially in its juridical and theological meaning. He was regarded as one of the most important scholars of Late Antiquity and the beginnings of Early Middle Ages. In his tireless scholarly and pastoral mission, referring to ancient cultural and scholarly tradition, he propagated the need for constant development of one’s knowledge and reason. He believed that human ignorance is the cause of many earthly and eternal misfortunes. In his treaties, addressed to legislators and rulers, he reminded them about the role of witnesses in a trial and the need to observe the ancient two-witness rule and consistent testimony as a guarantee of justice and truth.
John Toland’s Argument for Religious Toleration in Nazarenus
Authors: Lucci Diego
Published: September 2024

In Nazarenus: Or, Jewish, Gentile, and Mahometan Christianity, written in 1709–10 but published in 1718, the Irish-born freethinker and republican John Toland (1670–1722) provided a novel, heterodox account of Judaism, Christianity, and Islam, which he described as the three phases or manifestations of the same monotheistic tradition. Toland wrote Nazarenus after examining, in Amsterdam, an Italian manuscript that was believed to be a translation of a “Gospel of the Mahometans.” Identifying this text with the apocryphal Gospel of Barnabas, Toland argued that this gospel contained the beliefs of the Ebionites or Nazarenes, whom he regarded as the first Christians. Drawing on this manuscript and on several canonical and noncanonical sources, as well as the works of modern Hebraists, Orientalists, and biblical scholars, Toland described Mosaic Judaism, primitive Christianity, and early Islam as grounded in the law of nature. Accordingly, he maintained that the core of these three religions, and of “true religion” in general, was natural morality, which he considered to be universal, eternal, accessible to natural reason, and restored by Moses, Jesus, and Muhammad. Thus, he added that the ancient Israelites, the first Christians, and the early Muslims practiced toleration of all those who respected the Noachic precepts, which he deemed consistent with the law of nature. Toland’s argument for religious toleration in Nazarenus has been defined as a “historical argument.” Toland indeed buttressed his stance on toleration with his reinterpretation of canonical material and Judeo-Christian and Islamic apocryphal sources, which he appropriated to his philosophical and political agenda. However, Toland’s argument for toleration in Nazarenus is essentially a deistic argument, because it is based on a deistic view of “true religion” as natural religion, which is fundamentally a moral religion and which, according to Toland, is at the origin and core of Judaism, Christianity, and Islam.
Kino chrześcijańskie jako element teologii pastoralnej. Wyzwania w kontekście zastosowań sztucznej inteligencji
Authors: Klauza Karol
Published: September 2024

Wraz z narodzinami kina komunikacja duszpasterska Kościoła otrzymała nową, skuteczną pomoc w formacji religijnej. Obecnie rośnie wykorzystanie technologii cyfrowych w produkcji nowych gatunków filmowych, a sztuczna inteligencja ma wpływ na ludzką świadomość i wybory, co sugeruje twórczość reżyserów i scenarzystów. Stanowi to wyzwanie dla tożsamości chrześcijańskiej i wymaga głębokiej nauki z zakresu aksjologii moralnej i formacji religijnej ze strony producentów, twórców algorytmów sztucznej inteligencji, a nawet widzów. W celu analizy wartości etyczno-moralnej komunikacji kinematograficznej z wykorzystaniem sztucznej inteligencji (np. czat, obrazy, sztuka) Kościół katolicki we współpracy z judaizmem i islamem ogłosił 13 stycznia 2023 roku „Apel Rzymski” w sprawie etycznego wykorzystania sztucznej inteligencji. Dokument formułuje zasady przejrzystości, włączenia, odpowiedzialności, bezstronności, niezawodności, bezpieczeństwa i prywatności.
Potrzeby pokoleniowe a wybór mediów
Authors: Kuźmicz Krzysztof , Chmielewska Aleksandra
Published: September 2024

W ostatnich latach wiele uwagi na rynku badawczym poświęcono kwestii oddziaływania potrzeb pokoleniowych na wybór mediów przez jednostki. Te unikalne cechy społeczno-kulturowe wywierają poważny wpływ na doświadczanie, procesy informacyjne i eksploatację mediów w danej populacji. Potrzeby pokoleniowe przybierają różne formy, a ich wpływ na wybór sposobu konsumpcji mediów jest niezaprzeczalny i ważny. Artykuł ma na celu analizę preferencji i wyborów mediowych wśród pokolenia X, Y, Z i BB (z ang. Baby Boomers). Badanie zostało zrealizowane w okresie marzec–maj 2023 roku i oparte było na danych uzyskanych z Mediapanelu firmy Gemius oraz danych zastanych firmy KIM i Nielsen.
Motyw drogi w reklamie religijnej. Zarys problematyki
Authors: Stępniak Krzysztof
Published: September 2024

Celem podjętego badania, o charakterze przeglądowym, którego wyniki przedstawia artykuł, była identyfikacja motywu drogi i zastosowania jej metafory w reklamie religijnej. Na przykładzie wybranych reklam spełniających przyjęte w badaniu kryteria poddano analizie reklamy znalezione w sieci, rozpowszechniane jako reklamy zewnętrzne w przestrzeni publicznej lub jedynie w mediach cyfrowych. Tekst należy traktować jako zarys problemu. Poddanie go szczegółowszym analizom, np. z użyciem teorii toposów Arystotelesa czy analizy treści, pozwoliłoby dokonać głębszych eksploracji tematu i metafory drogi w komunikacji religijnej. Wnioski ogólne, płynące z badania dotyczą 1) znaczenia symboliki i metafory drogi w komunikacji religijnej; 2) wykorzystywania sfery sacrum do wzmocnienia perswazyjnej strony przekazu w reklamie duszpasterskiej i powołaniowej; 3) widoczności religii w przestrzeni społecznej.
Compra online de passagens aéreas e direito de arrependimento: análise de reclamações registradas no site “Reclame Aqui”
Authors: Dos Santos Julyanne Cristine Barbosa de Macedo
Published: September 2024

O presente artigo tem por objetivo evidenciar a postura de companhias aéreas quanto ao exercício do direito de arrependimento no caso de compras de passagens aéreas por meio da internet. A pesquisa de natureza qualitativa e descritiva, foi orientada por uma revisão narrativa de bibliografia centrada nos temas direito de arrependimento, comércio virtual e direito do consumidor; e por uma pesquisa de campo realizada no site “Reclame Aqui” a partir de reclamações registradas contra companhias aéreas no período de janeiro de 2018 a janeiro de 2019. O trabalho discorre, inicialmente, sobre o consumo na era da internet e a (re)produção do direito do consumidor; passando-se a relacionar a venda online de passagens aéreas e o exercício do direito de arrependimento, analisando as contradições normativas a partir da Teoria do Diálogo das Fontes e; por fim, analisa as reclamações registradas no site Reclame Aqui, conforme a metodologia apresentada no tópico correspondente. Observou-se que os consumidores ainda enfrentam muitas dificuldades para exercer o direito de arrependimento em compras realizadas no ambiente virtual e que as companhias aéreas analisadas, por vezes, utilizam-se de mecanismos normativos específicos para tentar se esquivar de sua responsabilidade de cumprimento dessa garantia legal.
Moment Aktaran Kaynaklı Birleşimlerde Kullanılan Kaynak Yöntemlerinin Birleşim Performansına Etkisi
Authors: Kaya Hüdai , Çağlayan Barlas Özden
Published: September 2024

Özellikle moment aktaran yüksek sünek yapısal çelik çerçevelerde hedeflenen enerji sönüm seviyelerine ulaşılabilmesi, birleşimi oluşturan tüm elemanların tasarlandığı şekilde çalışmaları ile mümkündür. Bu araştırmaya konu olan deneysel çalışma, ülkemizde yapısal çelik sektöründe çoğunlukla tercih edilen üç farklı kaynak yöntemi üzerinde yapılmış ve yapısal çelik tasarım, imalat ve montaj konularında çalışan tüm meslektaşlarımız için halihazırdaki gri alanların azaltılmasına yönelik bir farkındalık oluşturmak amacı ile gerçekleştirilmiştir. İki farklı boyda üçer numuneden toplamda 18 adet tam ölçekli numune testini takiben mevcut yönetmeliğin ilgili tanım ve şartlarında iyileştirmeler ve değişiklikler yapılmasını işaret eden sonuçlar elde edilmiş bu anlamda daha ileri seviyede araştırma yapılmasının gereklilik olduğu kanaatine varılmıştır.
Development of watermelon seedlings on cattle manure and poultry litter substrates
Authors: Afonso Juciana de Cassia , Alves Rafaela Eloi de Almeida , Braos Lucas Boscov
Published: September 2024

The importance of watermelon cultivation is widely recognized on a global scale, mainly because it is predominantly grown by small- and medium-sized farmers. This is due to its easy management and reduced costs compared to other fruits and vegetables. This research aimed to analyze the initial growth of watermelon seedlings on various types of substrates, in order to identify which one contributes to greater plant development. The experiment was carried out in randomized blocks, with five treatments: T1 = commercial substrate; T2 = cattle manure; T3 = poultry litter; T4 = poultry litter + sand (2:1); T5 = cattle manure + sand (2:1). Each treatment was replicated five times, totaling 30 viable seedlings per plot. Sowing was carried out in plastic trays, suitable for the production of seedlings. We observed that the T2 and T5 treatments resulted in a higher dry mass of the roots compared to the others, indicating that cattle manure promoted plant development, stimulating greater root production. Regarding the Development Quality Index (DQI), significant differences were found between treatments T2, T5 and T1, confirming the possibility of using the alternative substrate with high quality. In addition to being an affordable and economical material for small farmers, it also contributes to the satisfactory development of plants. It is concluded, therefore, that substrates T2 and T5 achieved positive results in relation to the others. Thus, its use can be considered viable for the production of watermelon seedlings.
The Development of Problem-Based Learning and Concept Mapping Using a Block-Based Programming Model to Enhance the Programming Competency of Undergraduate Students in Computer Science
Authors: Janpla Satien , Piriyasurawong Pallop
Published: September 2024

The purpose of this research is to develop problem-based learning and concept mapping by using a block-based programming model (PBL-CBp model) and to evaluate the appropriateness of the PBL-CBp model. The research will be divided into two parts. The first part will be about learning style development and
will study the theories and ideas which relate to problem-based learning, the programming process and the concept mapping and block-based programming. It
will synthesise the steps in the problem-based learning method, and the steps in the program process and design the learning steps by using problem-based
concept mapping and block-based programming. The second part will consist of an evaluation of the appropriateness of the model. An appropriateness
questionnaire for the PBL-CBp model will be created and the PBL-CBp model will be submitted to five experts for improvement.
Modelling Behaviour on a Game Theory Principle
Authors: Ďuriš Viliam , Šumný Timotej
Published: September 2024

In this paper, we are focusing on creating a pupil behaviour model in a lesson. In terms of game theory, we consider the lesson to be a conflicting situation, which gives us an opportunity to use the game theory methods to model and then analyze the lesson in terms of its dynamics. We consider a "profit" to be the satisfaction of the personal needs of the elements of this dynamic system, i.e. pupils and teachers. As an external manifestation of decision-making, we observe the disruption of the lesson by pupils’ behaviour not in accord with accepted standards. This allows us to capture essential data, to which we compare the data created by the model.
Ontology Based Resource for History Education
Authors: Baeva Desislava , Atanasova Desislava
Published: September 2024

Integrating knowledge databases into the learning process would contribute to the creation of interactive and cognitive software solutions. Since historical research is a domain that provides interesting opportunities for the introduction of ontologies, not only computer scientists, but historians are also interested in popularizing people's repositories (PDR). The other hand, chatbots interact with the user using a pattern based on matching rules. This article presents the functionality of educational rule-based software with a natural language interface that allows working with factual information about Bulgarian history. The topic is focused on the use of interactive forms and methods in the teaching process and the development of methodological models for classroom work. Traditional ways of educating students have well-proven advantages but there are problems with maintaining students engaged and engaging without innovative technology.
Performance Analysis of Integrated Voice and Data Systems Considering Different Service Distributions
Authors: Gemikonakli Eser
Published: September 2024

In this study, the aim was to evaluate the effect of service distributions on system performance for the proposed voice and data model. For this purpose, the integrated voice and data system with a single buffer and a channel was considered and analysed using discrete event simulation. Mainly, four different distributions; exponential, normal, lognormal and weibull distributions were taken into account for service time, while packet arrivals followed a Poisson process. Simulation results revealed that service distribution has a great effect on system performance and weibull distribution fits well for the proposed model.
A Step toward Machine Recognition of Complex Sentences
Authors: Orešković Marko , Benić Juraj , Essert Mario
Published: September 2024

This paper presents theoretical and technological background of a model for machine recognition of complex sentences. It is based on the
Syntactic and Semantic Framework (SSF) which implements fundamental linguistic fields network resources and encyclopedias. It can be used to extract
subject, predicate and object, as well as other sentence's parts (e.g. NP/VP/PP), and in some cases even semantic roles. In compound sentences the
machine can easily recognize independent sentences, whereas in complex sentences the machine recognizes the main clause and the related subordinate clauses as well as sentence types (subject, object, predicate, etc.). Using stored patterns various theories can be tested.
The Effectiveness of Problem-Posing Learning Model in Terms of Creative Thinking Skills and Math Anxiety
Authors: Wulandari Ayuning Tyas , Abadi Agus Maman , Radite Ramadian
Published: September 2024

This research aims to analyze the effectiveness of problem-posing in terms of creative thinking ability and math anxiety simultaneously as well as analyze the difference in effectiveness between problem-posing and scientific in terms of creative thinking ability and math anxiety simultaneously. Quantitative research type quasi-experimental with a posttest-only control group design was conducted on grade X students at one of the State Senior High Schools in Wonogiri Regency, Central Java Province, Indonesia. The research samples were selected randomly from 11 classes and obtained two classes X1 and X3, each with 36 students. Data on creative thinking were obtained through essay tests, which included fluency, flexibility, and novelty aspects. Math anxiety data were obtained through a Likert-scale questionnaire with psychological, cognitive, affective, and attitude aspects. The study results showed that problem-posing was simultaneously effective in creative thinking and math anxiety. However, there was no difference in effectiveness between problem-posing and scientific in students' creative thinking and math anxiety. Following this result, there are research opportunities regarding analyzing the relationship between the level of math anxiety and creative thinking in solving problems based on higher-order thinking skills.
Lived Experiences of Parents in Teaching Children with Hearing Impairment
Authors: Casas Alexander G. , Pestañas Akari P. , Rosal Raffy R.
Published: September 2024

The worldwide health crisis has caused numerous alterations and transformations in the field of education. These profound shifts took place not only in the Philippines but also in other global education sectors and institutions. This study delved into parents' experiences teaching their children with hearing impairment amidst the pandemic using a modular printed platform in the Division of Danao City, Danao City, Cebu, in the school year 2020-2021. A qualitative phenomenological design was employed, involving the qualitative analysis and assessment of themes derived from semi-structured interviews, observation, and exploring the parents’ lived experiences to gather data on parents’ challenges and problems in teaching children with HI during the pandemic. The findings revealed several circumstantial actions. These experiences were perceived and formed (collaboration and interactions, direct instruction and tutorship, and communication), highlighting the need for a joint approach between parents and educators. Evidence of personal struggles (involvement to instructions, skills in motivating and adapting), academic deficits and incapacity (education, skills, and training), and financial struggles (finances for gadgets, technology, internet connectivity, and family) were also evident. Hence, the new learning modality and the use of modules have contributed to parents’ hardships in teaching all the subjects. Parental education, incapacity to decode the content, teaching, and busy schedules were also evident factors of challenges or problems parents encountered with their students during the pandemic. This study has proposed recommendations to help the participants and educators improve their ways of providing instructions or interventions.