bluuebunny/crossref_metadata_2025 huggingface dataset:
Vaxtından əvvəldə doğulanlarda nekrotik enterokolitin diaqnostik prediktorları
Authors: I.I. Huseynova  , S.Sh. Hasanov  , S.A. Huseynova  , S.N. Mukhtarova
Published: July 2023

Nekrotik enterokolit (NEK) vaxtından əvvəl doğulan (VƏD) və azçəkili yenidoğulmuşlarda rast gəlinən geniş yayılmış qastrointestinal xəstəlik olub, neonatal intensiv qulluq şöbələrində ölüm və xəstələnmə hallarının ən aparıcı səbəblərindəndir [1]. NEK-in rastgəlmə tezliyi çox az çəkili uşaqlarda 3-15% arası dəyişir, ölüm faizi isə yüksək olub, 15-30% arasındadır [2].Son onilliklər ərzində NEK-in əmələ gəlməsində yüksək risk faktorları sayılan az çəkili VƏD-ın sağ qalması hesabına xəstəliyin rastgəlmə tezliyi artmışdır [3]. Burada xəstəliyin törəməsi üçün bağırsaqlarda şərait həm onun morfoloji yetkin olmaması, həm də selikli qişa və onun altındakı qatlarda qanla pis təchizat nəticəsində işemik sahələrin əmələ gəlməsidir [4].
Literature review: Philosophical Views on Ecotourism-Based Contextual Science Learning
Authors: Hamidi Hamidi , Sarjan Muhammad , Sudirman Sudirman , Muliadi Agus , Fauzi Iswari , Yamin Muhammad , Azizi Asrorul , Muttaqin Muh. Zaini Hasanul , Rasyidi Mulia , Ardiansyah Bakhtiar , Khery Yusran , Rahmatiah Rindu
Published: July 2023

Ecotourism-based contextual science learning is one of the sciences about learning in the science field which is carried out with a contextual approach (CTL) and then associated with its meaning in the field of ecotourism. Science is studied in 3 (three) major aspects of philosophy, namely ontology, epistemology, and axiology. Ecotourism-based contextual science learning, ontologically, the discussion focuses on ecotourism-based contextual science learning. Does learning really exist? Or is it just a name? How is it different from other learning? So contextual science learning based on ecotourism ontologically tries to prove and examine that science can really be proven to exist. The epistemology of ecotourism-based contextual science learning basically talks about the basics, sources, characteristics, truths, and ways to gain knowledge about ecotourism-based contextual science learning. The most important aspects discussed in the epistemology of ecotourism-based contextual science learning are the sources and methods of that knowledge. So, when ecotourism-based contextual science learning is highlighted through epistemology, the discussion is focused on how the sources are used in developing the knowledge and what methods are used because each type of knowledge has different sources and methods of knowledge. When ecotourism-based contextual science learning was born, he actually had to or had carried out an axiological test
INCIDÊNCIA DE FIBRILAÇÃO ATRIAL NA POPULAÇÃO GERAL E EM PACIENTES SUBMETIDOS A CIRURGIADE REVASCULARIZAÇÃO MIOCÁRDICA E NÍVEIS SÉRICOS DE VITAMINA D
Authors:   Instituto Dante Pazzanese de Cardiologia. Divisão de Nutrição. Programa de Especialização em Nutrição em Saúde Cardiovascular., Santana Ferreira Dias Karen , Alves de Souza Karine ,   Instituto Dante Pazzanese de Cardiologia. Divisão de Nutrição. Programa de Especialização em Nutrição em Saúde Cardiovascular., Alves da Silva Renata ,   Instituto Dante Pazzanese de Cardiologia. Divisão de Nutrição. Ambulatório de Nutrição Clínica.
Published: July 2023

Introdução: Evidências sugerem que os níveis séricos de vitamina D podem ter influência na redução do desenvolvimento da fibrilação atrial de início recente, inclusive em pacientes submetidos à cirurgia de revascularização miocárdica. Objetivos: Investigar se a deficiência de vitamina D é um preditor para o desenvolvimento de fibrilação atrial; avaliar a relação dos níveis séricos da vitamina D com a fibrilação atrial de início recente na população geral e em pacientes submetidos à cirurgia de revascularização miocárdica e analisar se a correção da deficiência ou insuficiência da vitamina D pode auxiliar na redução do desenvolvimento da fibrilação atrial. Métodos: Revisão da literatura realizada por meio do levantamento de 10 artigos publicados no período de 2018 a 2022. Resultados: Alguns estudos demonstram um direcionamento para que níveis séricos adequados de vitamina D diminuam a incidência de fibrilação atrial, princi-palmente na população submetida à revascularização miocárdica. Quanto à suplementação, alguns autores demonstraram que a ocorrência de fibrilação atrial foi menor em pacientes que a receberam. Além disso, um estudo mostrou que a suplementação da vitamina D3 reduziu a apoptose celular pós-procedimento de revascularização miocárdica e a disfunção endotelial causada pelo estresse oxidativo. Porém, outros estudos mostraram resultados controversos aos temas supracitados. Conclusão: Ainda não existe embasamento científico claro sobre a relação da vitamina D com fibrilação atrial na população geral e na população submetida à revascularização miocárdica. Diante disso, são necessários mais estudos para esclarecer a relação da vitamina D na fibrilação atrial e os seus mecanismos de ação nessa arritmia.
Organização, trabalho e voluntariado nos festivais de cinema: Análise de dois casos portugueses
Authors:   Departamento de Sociologia, Instituto de Sociologia, Faculdade de Letras da Universidade do Porto. Rua do Campo Alegre, 1055, 4150-181 Porto, Portugal, Leão Tânia
Published: July 2023

Este artigo propõe uma reflexão sobre as componentes organizacional, do trabalho e do voluntariado nos festivais de cinema, dimensões analíticas que permanecem subalternizadas na pesquisa científica. A partir dos resultados de uma investigação sociológica sobre os públicos do Curtas Vila do Conde e do IndieLisboa, realizada entre 2009 e 2012, onde se empregou uma metodologia mista (aplicação de inquéritos por questionário, entrevistas, observação participante, registos etnográficos e de imagem), e de uma pesquisa etnográfica efetuada entre 2014 e meados de 2020, o artigo centra-se sobre a estrutura e a organização dos festivais, a situação de emprego que aí tem lugar, a precariedade das condições laborais e a importância do voluntariado. A informação recolhida sugere que os festivais tendem a ser estruturas “voláteis” que se organizam em torno de relações de trabalho precárias e do voluntariado. Conclui-se que, apesar de os festivais de cinema funcionarem a partir de um modelo institucional que privilegia as associações sem fins lucrativos, tendem a existir várias similitudes entre a forma de organizar o trabalho nestas estruturas e os modelos em vigor nas indústrias culturais e criativas.
Mutual functions and equations
Authors: Zhvanko Alexander
Published: July 2023

The note formally defines the \textit{mutuality of functions} and the \textit{mutuality of equations}. Mutuality is designed to solve those problems in which it is important to take into account individual functions/equations of jointly working components of one common process, i.e. functions/equations that change depending on the composition of the process components.
Trends in Pediatric Palliative Care Research (TPPCR) 2023; Issue #4: Commentary on Fields et al.
Authors: Herbert Anthony
Published: July 2023

This TPPCR commentary discusses the 2023 paper by Fields et al., “What does 'good' palliative care look like for children and young people? A qualitative study of parents' experiences and perspectives” published in Palliative Medicine.
A Dual-Mechanisms of Control Account of Age-Differences in Working Memory
Authors: Xu Chenlingxi , Chao Chang-Mao , Rose Nathan
Published: July 2023

Age deficits in working memory (WM) can be large, but the exact sources are unclear. We hypothesized that young adults outperform older adults on WM tasks because they use controlled attention processes to prioritize the maintenance of relevant information in WM in a proactive-mode, whereas older adults tend to rely on the strength of familiarity signals to make memory decisions in a reactive mode. We used a WM task that cued participants to prioritize one item over others, and presented repeated lure probes that cause errors when one is engaging a reactive mode. Results showed that, relative to young adults with full attention available to use proactive-control during the delays, older adults with full attention (and young adults with divided attention) during the delays had exaggerated error rates to repeated lure probes compared to control probes. When the amount of proactive interference was increased (by repeating stimuli across trials), older adults were able to engage proactive control and this eliminated their exaggerated error rate (while young adults with divided attention could not). These results provide evidence for a dual-mechanisms of control account of age differences in WM. Public Significance Statement:Age-deficits in working memory (WM) underlie older adults’ cognitive functioning. This study shows that age-deficits are largely due to older adults’ difficulties with focusing attention on relevant information and resisting interference from irrelevant information. Older adults relied on a reactive, familiarity-based mode-of-responding; however, with practice and feedback, they could learn to engage a proactive, maintenance-focused mode-of-processing and eliminate their age deficits. This study helps to explain age differences in WM, and identifies cognitive-training targets to improve older adults’ cognition.
Analiza strukture Skale samostigmatizacije kod mucanja i povezanost samostigmatizacije s osobinama ličnosti
Authors: Milić Ivan , Ćepulić Dominik-Borna
Published: July 2023

Osobe koje mucaju (OKM), osim s govornima, susreću se i sa psihičkim poteškoćama koje mogu biti povezane s reakcijama okoline na mucanje i s internalizacijom negativnih vjerovanja. Skala samostigmatizacije kod mucanja (4S) mjeri svjesnost o stigmatizirajućim stavovima/stereotipima prema OKM-ima, slaganje s njima te primjenu stigme u vlastitome životu. Prethodna su istraživanja pokazala da su sva tri aspekta samostigmatizacije povezana s negativnim psihološkim ishodima poput anksioznosti i depresivnosti. U ovome je radu cilj bio istražiti strukturu Skale 4S i povezanost samostigmatizacije s ekstraverzijom, emocionalnom stabilnošću, savjesnošću, ugodnošću, intelektom i perfekcionizmom. Istraživanje je provedeno online-upitnikom te je u završnu analizu uključeno 135 OKM-a (46.7 % žena), dobnoga raspona 18 – 69 godina. Eksploratorna faktorska analiza pokazala je složeniju strukturu Skale 4S nego prethodna istraživanja. Svjesnost se podijelila na tri faktora: a) što sudionik misli da većina ljudi vjeruje o osobinama OKM-a (Svjesnost – osobine), b) kako se većina ljudi osjeća kada razgovara s OKM--om (Svjesnost – emocije drugih) i c) da većina ljudi vjeruje kako bi se OKM-i trebali ponašati (Svjesnost – ponašanje). Četvrti faktor reflektirao je Slaganje sa stereotipima, dok su se dva faktora Primjene odnosila na to a) kako se OKM osjeća (Primjena – emocije) i b) što se OKM ustručava raditi (Primjena – ponašanje) zato što muca. Regresijske analize pokazale su da je ekstraverzija povezana s nižim Slaganjem i općenito s nižom Primjenom, a emocionalna stabilnost s nižom Primjenom – emocijama. Ti nalazi ukazuju na moguću zaštitnu ulogu nekih osobina ličnosti za razvitak samostigmatizacije kod mucanja.
ОЦІНКА ЗАВАДОЗАХИЩЕНОСТІ КОГЕРЕНТНОГО ПРИЙОМУ СИГНАЛІВ З БАГАТОПОЗИЦІЙНОЮ ФАЗОВОЮ МАНІПУЛЯЦІЄЮ ПРИ НАЯВНОСТІ НЕФЛУКТУАЦІЙНИХ ЗАВАД
Authors: ШВЕЦЬ Валеріян , МЕЛЕШКО Тетяна
Published: July 2023

В статі вирішується нове актуальне наукове задання щодо оцінки завадозахищеності когерентного прийому сигналів з багатопозиційною фазовою модуляцією при наявності нефлуктуаційних завад.

Визначено та обґрунтовано критерій оцінки завадозахищеності когерентного прийому сигналів з багатопозиційною фазовою модуляцією при наявності нефлуктуаційних завад, в якості якого запропоновано ймовірність появи бітової помилки. Розроблено та подано модель оцінки завадозахищеності когерентного прийому сигналів з багатопозиційною фазовою маніпуляцією при наявності нефлуктуаційних завад. Подана модель основана на імовірнісних характеристиках появи символьної та бітової помилки сигналу з багатопозиційною фазовою модуляцією відносно прийнятого рівня гармонічної нефлуктаційної завади для різних значень співвідношень сигнал/шум на вході когерентного приймача. Результати оцінки завадозахищеності когерентного прийому сигналів з багатопозиційною фазовою маніпуляцією при наявності гармонійної нефлуктуаційної завади показали, що із збільшенням позиційності сигналу вплив гармонічної завади для M = 2 або M = 4 практично не збільшує величину бітової помилки. При збільшенні позиційності до  M = 16 або M = 32 ймовірність бітової помили і, відповідно, зниження завадостійкості сигналу з багатопозиційною фазовою маніпуляцією, стає помітним. Показано, що при великій інтенсивності прицільні гармонійні нефлуктаційні завади практично руйнують прийом всіх видів сигналів з багатопозиційною фазовою маніпуляцією. Подані результати можуть бути застосовані при розробці нових та удосконалені існуючих телекомунікаційних систем, заснованих на технології передачі сигналів з багатопозиційною фазовою маніпуляцією.
Andrija Štampar as president of the Interim Commission of the World Health Organization
Authors: Ružić Alen , Dugac Željko
Published: July 2023

This paper provides an analysis of Andrija Štampar’s activities after World War II on the establishment of effective international health. Analyzed archival materials have confirmed with numerous evidence that Štampar as the president of the Interim Commission of the World Health Organization (WHO) played a crucial role in the establishment of the ideological starting points and organization of the WHO system, which remain relevant to date. Apart from the strategic foundations, it has been shown that his principles regarding the need for practical action based on the best professional knowledge and experience have no alternatives. The above is presented in the paper with the details of Štampar’s activities during the cholera epidemic in Egypt and associated with the experiences of the recent global crisis caused by the COVID pandemic.
Osteoporosis from yesterday to today
Authors: Tabor Elżbieta , Tabor Kamil , Pluskiewicz Wojciech
Published: July 2023

Despite different lifestyles, humankind has suffered from osteoporosis for thousands of years. A literature review concerning the history of osteoporosis in the following databases: Index Medicus, Medline, PubMed, and PMC Citations was done. In the final analysis, 18 review articles and 31 original papers were included. The works were published during the period 1705-2020. Although there is evidence of the existence of osteoporosis for many centuries, it was first described as a disease at the beginning of the 18th century. It was first perceived as an unavoidable course of aging with no possibility to cure. This approach changed only in the 20th century thanks to sudden diagnostic and therapeutic progress. This paper presents the milestones and most important researchers in osteoporosis history. Rapid progress in diagnostic and therapeutic possibilities sheds new light on osteoporosis’ nature. A comprehensive outlook on its history may help find answers for the still unsolved problems of this disease.
The important of taxation on the commercial business profits (Analytical study)
Authors: حسن شريف حازم محمد
Published: July 2023

The search for this type of tax requires us to explore the concept of tax and similar to the concept of business and its product whose tax base is taking into consideration the criterion of considering work with a commercial character and therefore is subject to this type of tax as a premium and its approval of tax characteristics.
FREKANS ALANINDA TİCARİ AÇIKLIK İLE ÇOCUK VE GENÇ SAĞLIĞI İLİŞKİSİ: BRICS-T ÜLKELERİ İÇİN AMPİRİK BİR ANALİZ
Authors: ÜNLÜ Atilla , ÇELİK Süleyman
Published: July 2023

Çalışmanın amacı, ticari açıklık olgusu ile çocuk ve genç sağlığı arasındaki ilişkisinin incelenmesidir. Çalışma örneklemini BRICS-T (Brezilya, Rusya, Hindistan, Çin, Güney Afrika ve Türkiye) ülkeleri oluşturmaktadır. Çalışma 1990–2021 yılları arası dönemde asimetrik bileşenler ışığında analiz edilmiştir. Değişkenler arasındaki koentegrasyon analizi için ARDL (Auto Regressive Distributed Lag) sınır testi yaklaşımı kullanılmıştır. Değişkenlerin nedensellik ilişkisi ise Breitung-Candelon Frekans alanı metodu ile çözümlenmiş ve son olarak parametre tahmininde OLS ve FMOLS yöntemleri kullanılmıştır. Parametre sonuçlarına göre; BRICS-T ülkelerinde ticari açıklık oranında meydana gelen artış, çocuk ve genç ölümleri üzerinde azaltıcı etki yaratmakta ve toplum sağlığının gelişimi üzerine katkılar sunmaktadır.
The positive effects of resource-oriented training on students’ perception and use of social support
Authors: Schmiedl Annika , Kauffeld Simone
Published: July 2023

Introduction

University students are confronted with various demands that can lead to mental health problems, including depression, anxiety, or stress. One significant resource that has been shown to prevent or buffer mental health problems is social support. However, interventions enhancing students’ perception and use of social support are rare in higher education research. This study evaluates the effects of resource-oriented training following the Zurich Resource Model on students’ perception and use of social resources.

Method

Participants included 247 students from a German university who enrolled in the training program and were divided into intervention and waiting control groups.

Results

Compared to the control group, the intervention group reported higher perceived social support, increased quality of received social support, and increased seeking social support as a coping strategy four weeks after the intervention. The study results further reveal changes in support network composition in both groups over time and offer insights into the characterization of energy givers and energy eaters within one’s support network.

Discussion

The discussion concludes with implications, limitations, and directions for future research.
Cinacalcet use in secondary hyperparathyroidism: a machine learning-based systematic review
Authors: Li Xiaosong , Ding Wei , Zhang Hong
Published: July 2023

Introduction

This study aimed to systematically review research on cinacalcet and secondary hyperparathyroidism (SHPT) using machine learning-based statistical analyses.

Methods

Publications indexed in the Web of Science Core Collection database on Cinacalcet and SHPT published between 2000 and 2022 were retrieved. The R package “Bibliometrix,” VOSviewer, CiteSpace, meta, and latent Dirichlet allocation (LDA) in Python were used to generate bibliometric and meta-analytical results.

Results

A total of 959 articles were included in our bibliometric analysis. In total, 3753 scholars from 54 countries contributed to this field of research. The United States, Japan, and China were found to be among the three most productive countries worldwide. Three Japanese institutions (Showa University, Tokai University, and Kobe University) published the most articles on Cinacalcet and SHPT. Fukagawa, M.; Chertow, G.M.; Goodman W.G. were the three authors who published the most articles in this field. Most articles were published in Nephrology Dialysis Transplantation, Kidney International, and Therapeutic Apheresis and Dialysis. Research on Cinacalcet and SHPT has mainly included three topics: 1) comparative effects of various treatments, 2) the safety and efficacy of cinacalcet, and 3) fibroblast growth factor-23 (FGF-23). Integrated treatments, cinacalcet use in pediatric chronic kidney disease, and new therapeutic targets are emerging research hotspots. Through a meta-analysis, we confirmed the effects of Cinacalcet on reducing serum PTH (SMD = -0.56, 95% CI = -0.76 to -0.37, p = 0.001) and calcium (SMD = -0.93, 95% CI = -1.21to -0.64, p = 0.001) and improving phosphate (SMD = 0.17, 95% CI = -0.33 to -0.01, p = 0.033) and calcium-phosphate product levels (SMD = -0.49, 95% CI = -0.71 to -0.28, p = 0.001); we found no difference in all-cause mortality (RR = 0.97, 95% CI = 0.90 to 1.05, p = 0.47), cardiovascular mortality (RR = 0.69, 95% CI = 0.36 to 1.31, p = 0.25), and parathyroidectomy (RR = 0.36, 95% CI = 0.09 to 1.35, p = 0.13) between the Cinacalcet and non-Cinacalcet users. Moreover, Cinacalcet was associated with an increased risk of nausea (RR = 2.29, 95% CI = 1.73 to 3.05, p = 0.001), hypocalcemia (RR = 4.05, 95% CI = 2.33 to 7.04, p = 0.001), and vomiting (RR = 1.90, 95% CI = 1.70 to 2.11, p = 0.001).

Discussion

The number of publications indexed to Cinacalcet and SHPT has increased rapidly over the past 22 years. Literature distribution, research topics, and emerging trends in publications on Cinacalcet and SHPT were analyzed using a machine learning-based bibliometric review. The findings of this meta-analysis provide valuable insights into the efficacy and safety of cinacalcet for the treatment of SHPT, which will be of interest to both clinical and researchers.
Comprehensive assessment of physical activity policies and initiatives in Saudi Arabia 2016–2022
Authors: AlMarzooqi Mezna A. , Alsukait Reem F. , Aljuraiban Ghadeer S. , Alothman Shaima A. , AlAhmed Reem , Rakic Severin , Herbst Christopher H. , Al-Hazzaa Hazzaa M. , Alqahtani Saleh A.
Published: July 2023

Objective

This study aimed to review health-enhancing physical activity (HEPA) policies and initiatives introduced in Saudi Arabia (SA) since 2016 and identify the gaps in their design and implementation.

Methods

A combination of methods was used, including semi-structured interviews with key informants from relevant entities (such as those from the ministries of health, education, sports, tourism, and other regulatory bodies) and a review of policy/initiative documents provided by them. Stakeholder mapping led by local experts and snowball sampling supported the identification of key informants. Three existing frameworks—the World Health Organization’s HEPA Policy Audit Tool, the Global Observatory for Physical Activity (PA) Policy Inventory, and the European Monitoring Framework for PA Indicators—were used to develop data collection instruments.

Results

The review identified 44 policies/initiatives from different sectors. The Saudi Sports for All Federation is the leader in PA promotion and community sports development. However, there is a lack of multisectoral agenda and governance structures for PA promotion. The overlap between initiatives by different key informants results in duplication of efforts, including initiatives to promote PA among the general public led by competitive professional sports and community-based sports.

Conclusion

The study findings indicate that several policies/initiatives have been implemented in SA since 2016. However, there is a need to focus on the challenges or barriers that affect the sustainability of policies/initiatives. A system-based approach can help build on sectoral synergies, thereby accelerating progress in engaging the Saudi population with PA.
Shining a Light on Infections: Combining Physics and Biology to Solve a Big Problem
Authors: Parker Helen E. , Thomson Robert R.
Published: July 2023

Bacteria are everywhere. Most of the time this is perfectly fine, and often it is a good thing. The bacteria in our guts help make the most of the nutrition in our food, for example. However, bacteria can also cause infections. Antibiotics are drugs that are often used to fight off infection-causing bacteria, but something worrying is happening—bacteria are becoming harder to kill. This is bad news because it means that we face a future in which infections are difficult to cure. Scientists all over the world—including biologists, chemists, engineers, and physicists—are working together to find a solution to this problem. In this article, we take a look at why infections are becoming harder to treat, and how a type of light called ultraviolet light might help.
Home-Isolation Care in Newly COVID-19-Positive Elderly Patients: A Caregiver-Centric Explanatory Framework
Authors: Lahiri Arista , Jha Sweety Suman , Chakraborty Arup , Dey Abhijit , Dobe Madhumita
Published: July 2023

Objectives: This community-based study aimed to identify the effect of different behavioral factors of family caregivers on the decision for home-isolation-based treatment of a new COVID-19-diagnosed elderly individual. It also explored the facilitators and barriers contributing to the decision-making process.

Methods: A mixed-methods design was adopted to study the role of behavioral constructs such as risk tolerance, risk aversion, regret aversion, loss aversion, self-efficacy, and risk perception in healthcare-seeking decisions. By integrating the findings from the quantitative and qualitative parts, a framework was developed.

Results: Self-efficacy, risk perception, and risk tolerance related to different issues were crucial factors behind the healthcare decision. However, regarding the various issues under consideration, risk perception followed by risk tolerance were the significant predictors for decision-making.

Conclusion: To enhance appropriateness and equity in emergency healthcare-seeking, interventions should target risk tolerance and risk perception, taking into account the awareness levels of caregivers and the target population’s risk and regret aversion. Such integrated approaches can improve the quality of care for elderly patients in home-based settings.
PROFILE OF FETAL OUTCOME IN RH POSITIVE MOTHERS WITH INDIRECT COOMB'S TEST POSITIVE – A REPORT OF 3 CASES.
Authors: Garg Vageesha , Bhardwaj Aparna , Ahmed Saqib , Raturi Gaurav
Published: July 2023

Introduction: In the majority of cases, routine antenatal antibody screening is done only for Rh(D)-negative mothers while Rh D positive mothers are often overlooked which may lead to a serious delay in diagnosing Hemolytic Disease of Fetus and newborn (HDFN) due to the rarity of antibodies like anti-c, C, e, E, or Kell, Kidd, Duffy, MNS, Lutheran, Diego, Xg. Aims and objective: This study was conducted to study the fetal outcome amongst Rh D-positive mothers having irregular antibodies. Materials and methods: Atotal of 200 antenatal Rh-positive patients were screened over 10 months and were subjected to the Indirect Coomb's test (ICT). Patients who were ICT positive were further evaluated for ICT titres and the type of irregular antibodies by employing 11 cell antibody cell panel. These patients were then followed throughout the pregnancy to assess the fetal outcome. Results: Of 200 Rh-positive patients, 3 patients were ICT positive and were followed regularly during their Antenatal visits. One of the patients who was Gravida 5 with a previous history of transfusion and ICT titre of 1:128, had an Anti-Kell antibody and delivered preterm with massive fetal ascites and jaundice. The baby was Direct Coomb's Test (DCT) positive and underwent repeated exchange transfusion but ultimately baby succumbed. The other two patients who were ICT positive had a titre of 1:8 (Gravida 2) and 1:4 (Gravida 3) respectively. On screening, these patients had Anti-M and Anti-Kidd(Jka) antibodies respectively and underwent term delivery. Both the babies were healthy, but the baby of a patient with the Anti-M antibody had mild anaemia and prolonged jaundice Conclusion: Patients with Anti- kell antibodies have poor fetal outcomes compared to those who have anti-Kidd and anti-M antibodies. Thus, screening of maternal serum antibodies in Rh-positive mothers must be formulated as a protocol to prevent perinatal morbidity and mortality thus improving the foetal outcome.
Awareness and Practice of Breast Self-Examination among Female Undergraduate Students
Authors: U Lawani-Luwaji E. , Ndiok Eno , Hannah Essien
Published: July 2023

Breast cancer is a prevalent form of cancer and the second leading cause of cancer-related deaths in women across the globe. Women can perform breast self-examination at home to detect any abnormalities in the breast early on, making it an affordable, easy, and effective screening technique. In this cohort study, we aimed to assess undergraduates' knowledge and practice of breast self-examination. Between February 2023 and May 2023, we used an online survey tool to collect information and structured the questions to meet our research objectives. Findings indicate that 40% of those recruited were knowledgeable about the procedure, while 60% had minimal or no knowledge. Age did not significantly impact knowledge and practice (p=0.7). Women, especially female students, must be more informed about breast cancer and encouraged to perform breast self-examination regularly. Raising awareness can be achieved through organizing workshops on breast cancer and early detection methods on university campuses, secondary schools, and even in public markets. Pamphlets may also be an effective method for promoting awareness.
الأسلوب في ديوان "ثمرات الحب في مدح نجل القطب" لبشير بِيْرَيْ: دراسة تحليلية
Authors: Abdullahi Sani Abubakar , Umar Hamza
Published: July 2023

Eulogy is one of the most important poetic purposes dealt with by Arab poets in their poems, because it is concerned with explaining the moral and ethical aspects of the addressee, as Eulogy inspires in people the spirit of love tolerance and humility among themselves, and these attributes called the attention of the Sheikhs of the Sufi orders, as they showed the morals of the Prophet Muhammad (may Allah bless him and grand him peace) they also showed the compliance of his Companions and the entire Muslim Ummah to it. That is why Nigerian poets have a great role in emulating this art in their poems, they also have a role in the Eulogy of their Sheikhs in the Sufi orders, which includes the collection of "ThamaratulHubbi fi Madh NajlilQutb" by Bashir Birai, in which the articled aims to analyze the characteristics of the vocabulary and structures used in it.
Mecanismo Duplo de Lesão Valvar Mitral: Valor Adicional da Ecocardiografia Transesofágica Tridimensional
Authors: Espíndola Larissa , Mattoso Angele Azevedo Alves , Couto Geórgia dos Santos , Britto Pompílio Sampaio
Published: July 2023

A endocardite infecciosa (EI) é uma condição potencialmente fatal e durante seu curso podem ocorrer várias complicações, incluindo eventos embólicos, extensão perivalvar e destruição valvar. A ecocardiografia é fundamental em todas as fases da doença, desde o diagnóstico até o seguimento após o término da terapia definitiva. A ecocardiografia transesofágica (ETE) tridimensional pode demonstrar melhor definição anatômica e é especialmente útil na avaliação da extensão perivalvar da infecção, deiscência de prótese valvar e perfuração valvar. Aqui relatamos um caso de mecanismo duplo de lesão valvar mitral: perfuração de cúspide e rotura de cordas em um paciente com EI.
Nasal ala Alveolar Rhabdomyosarcoma in a pediatric patient. A rare case report
Authors: Olivera-Arenas María Paula , Romero-Moreno Luis Felipe , Marrugo-Pardo Gilberto Eduardo , Tavera-Cordero Julián
Published: July 2023

Given preferential nasal breathing in the first months of life in the pediatric population, nasal obstruction has more clinical repercussions than it would have in adults, hence the need to give higher priority to its diagnosis and management. One of the main causes of nasal obstruction in children is the presence of nasal masses, which cause considerable diagnostic uncertainty in the medical team, because of their multiple etiologies. In this article, the case of a 10-month-old patient with a rapidly growing mass in the nasal ala is presented. A rhabdomyosarcoma was promptly diagnosed and adequately managed. Rhabdomyosarcoma with an alveolar pattern occurs in an unusual way in this location; for this reason, this case is important in order to include this possibility in the diagnostic algorithm and, as was the case in this patient, reach an early diagnosis and institute adequate treatment resulting in favorable aesthetic and functional results.
Muhasebede Profesyonellik Etik İkilemi Azaltır Mı? Karaman İlinde Bir Araştırma
Authors: ADA Şebnem
Published: July 2023

Muhasebe mesleği finansal nitelikli bilgileri kullanması açısından toplum tarafından dürüstlük ve güvenilirlik niteliklerinin arandığı önemli mesleklerden biridir. Mesleki açıdan toplum nezdinde profesyonel olarak nitelendirilecek meslek çalışanlarının en temel değerlerinden biri de etik anlayışı ve bu anlayışı mesleki faaliyetlerine birtakım mesleki kurallar çerçevesinde yansıtabilmeleridir. Bu çalışmanın amacı muhasebe meslek mensubu ve çalışanlarının profesyonellik algılarının karşılaştıkları etik ikilemlerin çözümlerinde nasıl bir etkiye sahip olduğunu belirlemektir. Ayrıca meslek mensubu ve çalışanlarının birbirinden bağımsız olarak profesyonellik ve etik ikilem algılarının belirlenmesi de amaçlanmaktadır. Bu amaç doğrultusunda nicel araştırma yöntemlerinden anket tekniği ile Karaman ilinde faaliyette bulunan 102 muhasebe meslek mensubu ve çalışanından veri toplanmıştır. Ayrıca çalışma ile belirlenen örneklemin çeşitli demografik faktörler (yaş, cinsiyet, eğitim düzeyi, unvan, çalışma şekli, deneyim) ile ilişkili olarak profesyonellik ve etik ikilem algılarının farklılık gösterip göstermediği belirlenmeye çalışılmıştır. Bu kapsamda oluşturulan araştırma hipotezleri SmartPLS 3.0 ve SPSS 17.0 istatistiksel yazılımları ile PLS-SEM yöntemi, ANOVA ve bağımsız gruplar t testi yöntemleri kullanılarak test edilmiştir. Çalışmadan elde edilen bulgulara göre muhasebede profesyonellik ile etik ikilem arasında negatif yönlü bir ilişki bulunmaktadır. Etik ikilem değişkeni; eğitim düzeyi, unvan ve çalışma şekli açısından farklılık gösterirken profesyonellik değişkeni ile ilgili olarak yapılan fark testleri sonucunda da deneyim ve çalışma şekli açısından farklılıkların olduğu tespit edilmiştir.
Strumenti per la valutazione del rischio di violenza in pronto soccorso: una revisione narrativa della letteratura
Authors: Persiani Beatrice , Cesari Cecilia , Tini Viola , Trapassi Stefano , Rosati Moris , D’Ambrosio Francesco , Righi Lorenzo
Published: July 2023

Introduzione: i reparti di emergenza, e nello specifico il pronto soccorso, sono luoghi di lavoro ad alto rischio di violenza. Ad oggi, in Italia, gli interventi per prevenire abusi verbali o fisici contro il personale ospedaliero non sono ancora attuati in maniera diffusa o coerente e, spesso, la loro efficacia rimane incerta. L’obiettivo di questo lavoro è ricercare in letteratura strumenti validati per l’individuazione del rischio di violenza in Pronto Soccorso, e di comprenderne la loro efficacia.

Materiali e Metodi: è stata condotta una revisione della letteratura attraverso la consultazione dei database Medline via PubMed, Web of science e Scopus. La ricerca è stata effettuata nel periodo settembre-ottobre 2022. Sono stati ricercati studi che analizzavano strumenti di valutazione del rischio di violenza in pronto soccorso, pubblicati negli ultimi 5 anni, in lingua inglese ed italiana.

Risultati: otto studi sono stati inclusi in questa revisione. Gli strumenti di prevenzione trovati erano strutturati per individuare le persone a rischio di violenza, oppure per valutare la presenza di fattori di rischio nell’ambiente di cura e nell’organizzazione dell’erogazione delle prestazioni.

Discussione: le scale che intercettano i potenziali aggressori sono, complessivamente, moderatamente sensibili per la previsione di pazienti potenzialmente violenti e altamente specifici per la previsione di pazienti non violenti.

Conclusioni: l’utilizzo degli strumenti di valutazione di rischio riduce considerevolmente il numero degli episodi di violenza ed aumenta la consapevolezza e la sicurezza degli operatori sanitari.
Experimental Study on Distribution Characteristics and Leakage
Detection of Hydrogen Release from Hydrogen Supply System of Fuel Cell
Truck
Authors: Liu Shu , He Ren
Published: July 2023

The hydrogen supply system of a fuel cell truck is in a semi-enclosed space where
hydrogen is easy to accumulate if a hydrogen leak occurs. The acquisition of
hydrogen dispersion behavior data is essential to support the detection of
hydrogen release. The purpose of this article is to present the characteristics
of hydrogen concentration distribution and delay time of hydrogen leakage
detection under different leakage parameters. The experiments have been
performed in a hydrogen storage cabin with six hydrogen sensors arranged on the
roof to measure hydrogen concentration. During the tests, hydrogen was released
into the test cabin through standard leaks. Two different release rates (80
NL/min and 450 NL/min), three different release positions, and six release
directions are investigated to analyze the effects on the distribution of
hydrogen concentration and leakage detection delay time. This article presents
both the experimental facility and results. The experimental results can help
optimize the placement of hydrogen sensors and the design of a hydrogen leakage
detection system.
In Situ Assessment of Oil Quality Sensor Performance in Engine
Lubricant Flow
Authors: Schepner Cameron , Smith Adam , Schafer David , Anilkumar Amrutur
Published: July 2023

Assessing the functional quality of an engine lubricant through real-time sensing
could pave the way for development of comprehensive engine health monitoring
systems. In this study, a permittivity-based, commercial off-the-shelf (COTS)
oil quality sensor was implemented in the lubricant flow of a diesel engine
after detailed evaluation on a benchtop test facility. The sensor was mounted on
the oil filter housing of the engine in the post-filter oil flow, and its
implementation required no modifications to the engine block. Simultaneously,
the lubricant flow was visualized by incorporating a novel test cell in the oil
flow path. Both the sensor assembly and the flow visualization cell were fully
characterized on the benchtop facility prior to implementation on the engine. In
these experiments, fresh and used samples of the engine’s recommended oil were
tested, and the sensor’s oil quality measurements showed noticeable differences
between the engine and benchtop studies, a feature attributable to the observed
presence of aeration intrinsic to the engine oil flow. These results prove that
the adaptation of permittivity-based sensors for effective real-time engine
lubricant quality monitoring will require comparative assessment of oil quality
measurements in aerated and nonaerated flow fields.
Belligerent occupation or creeping annexation? Identifying the red flags
Authors: Pinzauti Giulia
Published: July 2023

The prohibition of territorial acquisitions by force is undisputed. Scholars agree that an occupying power cannot annex any of the territory it occupies, or its status would become illegal. But at what point does an occupation regime cross a legal tipping point into annexation? This article seeks to conceptualize the threshold between occupation and creeping annexation. It posits that, to answer that question, it is necessary to make an overall assessment of the quality and quantity of the display of the occupant state’s powers over the occupied territory. The study analyses nine examples of de jure or de facto annexation. Through a systematic comparative analysis of those nine examples with three other case studies of belligerent occupation in which the occupier(s) did not have the animus to annex the occupied territory, the article identifies several ‘red flags’ of an occupying state’s intention to integrate a territory. While these indicators are not legal conditions of creeping annexation, they are a tool that legal scholars and policy makers could use to trigger preventative action or inform the international community’s response to situations of creeping annexation.
De los secretos de guerra y sus revelaciones en el postconflicto peruano.
Authors: Robin Azevedo Valerie
Published: July 2023

Este artículo analiza la producción social de los silencios y los secretos relacionados al conflicto armado interno peruano (1980-2000) y las modalidades de sus develamientos, como parte de los procesos de memoria en el distrito de Ocros, en los Andes quechuas de Ayacucho. ¿En qué medida estos secretos nos adentran en las  zonas grises de la guerra? Y ¿cómo su comprensión permite también eludir ciertos maniqueísmos simplistas en torno a los conflictos fratricidas? Buscamos entender aquí la dialéctica entre lo ocultado y lo revelado en el discurso público para poder «historizar» la violencia y entender el origen de ciertas masacres. Así alcanzaremos otros niveles de complejidad sobre el papel de los campesinos, más allá de los testimonios vertidos en el ámbito de la Comisión de la Verdad y Reconciliación (2003), en un contexto de implementación de políticas de reparaciones que formatean narrativas que reflejan un discurso normativo de victimización.
Los legados de la violencia política
Authors: Benites Alexander , Jave Iris , Maco Palacios Karla Valery , Velarde Paola
Published: July 2023

Entre los años 1980 y 2000, el Perú atravesó un conflicto armado interno (CAI) que ha sido catalogado como el de mayor duración, impacto, extensión sobre el territorio nacional y de más elevados costos humanos y económicos de toda la historia republicana (CVR, 2004). Las particularidades del periodo de violencia que atravesó al país han llevado a diferentes trabajos en la literatura a explorar sus impactos en múltiples esferas de la política peruana. En esa línea, el objetivo de este artículo es mostrar cómo el CAI moldea un elemento del caso peruano que es manifestación, a su vez, del estancamiento actual en el que se encuentra la democracia: la respuesta autoritaria desplegada desde el Estado en momentos de conflicto político. Para ello, se toma como referencia lo ocurrido durante el periodo de violencia, así como la respuesta estatal observada en las protestas de los últimos meses del año 2022 y los primeros meses del 2023. Con todo ello, se busca visibilizar la complementariedad que existe entre dos procesos políticos que han quedado truncos: la transición de la violencia hacia la paz y el proceso de democratización en el caso peruano.
Un retrato íntimo del conflicto armado interno
Authors: Asencios Dynnik
Published: July 2023

El conflicto armado interno ha dejado una profunda cicatriz en nuestra historia nacional, y es a través de la literatura que podemos acercarnos de manera íntima a aquellos años turbulentos. Dentro de un vasto repertorio de novelas aparecidas en el presente siglo, destaca una reciente obra: Danza entre cenizas (2022, EditorialApogeo) de Fabiola Pinel. Esta novela se convierte en una ventana hacia el pasado, transportándonos a aquellos años y apelando a las situaciones que vivían las protagonistas del libro: Clara y Ñantika.
Legados de guerra
Authors: Ramírez Ivan
Published: July 2023

Los niños/as nacidas a causa de la violencia sexual en tiempos de guerra son uno de los “legados vivos” de la atrocidad. Este libro empieza hablando del contexto de tensiones y emociones que marca la relación de estos niños y sus madres en comunidades rurales posconflicto. La autora parte de ese punto para describir -valiéndose de datos etnográficos de su trabajo en Perú y Colombia- las conexiones sociales entre violencia, ecología y lenguaje, y mostrar lo que estas conexiones nos dicen sobre los límites de las políticas de reparación que los Estados implementan en favor de las víctimas de la guerra.
Görüntü İşleme Yoluyla Otonom Tren-Hayvan Kazası Önleme Sistemi
Authors: BALTACIOĞLU Kaan , BAŞAR Mustafa Tunahan , KARAASLAN Muharrem , ÖZER Zafer , ÖCAL Sefa
Published: July 2023

Çalışmada tren yolu ulaşımlarında yol güzergâhı üzerinde bulunan hayvan ölümlerinin önlenmesi üzerine odak sağlanmıştır. Hemzemin geçitlerde bulunan bariyer sistemleri raylı ulaşım araçlarının çarpışma kazalarını önleyici unsur olarak görülse de kırsal bölgelerde yolculuk güvenliklerinin sağlanması ve maddi kayıpların önlenmesi için alternatif çözümler gerekmektedir. Çalışma kapsamında prototip ölçeklerde tasarlanan bir araç üzerine sesli uyarı sistemi, yavaşlama mesafesinde menzile sahip su püskürtme mekanizması, kamera ve lazer mesafe sensörleri konumlandırılmıştır. Aracın enerji gereksinimleri 11.1 Volt Lipo-Batarya ile desteklenmektedir. Kameradan alınan veriler doğrultusunda görüntü işleme prosesleri gerçekleştirilerek yol üzerinde bulunan engelin türü %80’den daha büyük oranlarda belirlenebilmektedir. Ayrıca araç engeli gördüğü andan itibaren 20 cm/s hızla giderken öncelikle hızını 11,75 cm/s seviyelerine düşürerek sesli uyarı sistemini devreye almaktadır. Eğer hala engel yol üzerinde ise araç hızını 7,85 cm/s seviyelerine düşürmekte ve engele 30 cm mesafede durarak su püskürtme sistemini çalıştırmaktadır. Engel yoldan çekildiği taktirde hareketine devam etmektedir. Sonuç olarak aracın hız kontrolleri, görüntü işleme analizleri ve uyarı sistemlerinin gerçek ölçeklerde araç özelliklerine göre düzenlenmesi ve geliştirilmesi gelecekte çarpışma kazalarının önlenmesinde önemli çıktıları ortaya koyabilir.
Radiation Safety Awareness and Practice among Radiology Staff in Kabul National Specialty Hospitals
Authors: Sahoo Tahmina , Ahmadi Abdul Qudoos , Amarkhil Omran Omar
Published: July 2023

In the world, more than ten million photographs and hundreds of thousands of nuclear medicine operations are performed daily. The exposure of such a large population even at the low dose levels used in diagnostic radiology due to definite effects and the possibility of ionizing radiation has caused public concern. This study aimed to determine the awareness of radiology staff from X-Rays adverse effects and the extent of use of safety measures in their practice in Kabul National hospitals. Methodology: A cross-sectional descriptive study was conducted among 60 radiology staff in national specialty hospitals of Kabul Afghanistan. A structured multiple-choice questionnaire was used. Data were coded and analyzed using the statistical package for social science (SPSS) software. Results: 83.3% of participants were male.  71% of the participants had >40 years old and the mean age of them was 41 years old. The type of job of participants was radiology technician. The mean of the years of job experience was 16 years. The knowledge or awareness of 95.0 % of participants was weak and 5.0% was intermediate. 96.7% of participant's practice was good and 3.3 % was intermediate. Conclusion: The level of awareness of 95.0 % of radiology staff was very poor. This is of concern as technologists are the first point of contact with the patients and they should be adequately trained to answer common patient questions and concerns. The level of practice of 3.3 % of the staff was intermediate and 96.7% was good. Based on our results, a conscientious effort to provide a more robust education and acquire greater knowledge in these matters is required.
Coca-Cola erhöht erneut die Preise
Authors: Brück Mario
Published: July 2023

Coca-Cola erhöht Anfang September die Preise für das gesamte Sortiment. Damit setzt die deutsche Gesellschaft die MargenForderungen der Zentrale um.