bluuebunny/crossref_metadata_2025 huggingface dataset:
Assessment of the Role of Dietary Habits in Causing and Preventing Anemia among Adult Patients at Wad Medani Teaching Hospital, Gezira State, Sudan (2021-2022)
Authors: A. Omer Sawsan
Published: January 2025

Anemia remains a significant public health concern, particularly in developing countries like Sudan. Dietary factors play a crucialrole in its etiology and prevention. This study aimed to investigate the association between dietary habits and anemia among adult patients admitted in medical wards at Wad Madani Teaching Hospital. A cross-sectional study was conducted among adult patients attending admitted in medical wards at Wad Madani Teaching Hospital during 2021-2022. Data on sociodemographic characteristics, dietary intake, and hematological parameters were collected using a structured questionnaire and laboratory investigations. The results showed that most of the respondents live in Gezira State (69.9%) and the rest, in descending order, were from Sennar (15.7%), Gadarif (11.4%), Damazin (1.4), and South Kordofan (1.4%), States. The results showed statistically significant differences when using chi-square (p<0.05) for satistical analysis of the relationship between blood test for anemia and consumption of proteins, fats, carbohydrates, minerals and vitamins 0.000, 0.000, 0.000, 0.258 and 0.258 respectively. The results showed no statistically significant relationship when using chi-square (p<0.05) for the relationship between income and consumption of proteins, fats, carbohydrates, minerals and vitamins 0.274, 0.230, 0.768, 0.729 and 0.238 respectively. It was concluded that, Individuals who consumed insufficient amounts of vitamins, proteins, minerals had a higher rate of anemia. Income does not play a major role in determining the consumption of these essential nutrients. The study recommended that well-planned diet with enough iron and vitamins can help to prevent and correct anemia.
Langerhans Cell Histiocytosis Associated with Oral Cancer. A Case Report of Unusual Association
Authors: Feltaos Nermeen
Published: January 2025

Langerhans cell histiocytosis (LCH) is rare, particularly the adult onset. The disease can present with wide-spectrum manifestations, ranging from an isolated lesion to life threatening multisystem involvement. The association of LCH with neoplastic conditions is documented in the literature. However, the co-occurrence of LCH and oral squamous cell carcinoma (SCC) is highly unusual and raises questions about the shared nature of both diseases. Herein, we present a rare case of an unusual co-occurrence of LCH and oral SCC. The patient, who has a long-standing history of smoking, underwent an excision for SCC. Microscopic examination revealed invasive well-differentiated SCC and an adjacent distinct nodule with morphological features and immunohistochemistry expression consistent with LCH. Most adult-onset LCH presents with multisystem involvement at diagnosis, and lesions in the oral cavity may precede evidence of LCH elsewhere. Although Somatic mutations have been identified as having a key role in the pathogenesis, a reactive process is not entirely excluded. Adult-onset isolated LCH lesions should prompt clinicians to look not only for multisystem involvement but also for association with other malignant neoplasia. In addition, the association of oral SCC with LCH raises the possibility of smoking-related pathogenesis.
Interrelationship Between Borderline Personality, PTSD and Complex PTSD
Authors: Solarz-Bogusławska Joanna
Published: January 2025

This article contains a presentation of the most important elements of the definition of Complex PTSD (Complex Post-traumatic Stress Disorder). Since it is possible to discuss the new aspects of the disease which consists on: Borderline Personality Disorder (BPD), Post-traumatic Stress Disorder (PTSD), and - as a new disease - Complex PTSD (cPTSD). The text is showing on the accuracy to make distinctions of the Complex PTSD from other known disease entities, because modern studies are clearly demonstrating this need. This is evidenced by studies of people exposed to chronic social stress combined with depression relationships. The experiences referred to as "boundary" for the human psyche and making up this type of disorder are long-lasting and leaving significant traces in the psyche of the patients (affective dysregulation).

The introduction of a new disease entity is caused by the necessity to adjust clinical diagnoses to new observations, which significantly beyond the accepted definition of PTSD (range: symptoms, treatment time). It seems legitimate to define a new comprehensive trauma; the symptoms largely depend on the characteristics of the individual patient.
The Application of a Behavior-Based Safety Program at Power Plant Sites: A Pre-Post Study
Authors: Yang Jeongmo
Published: January 2025

Objective: This study aims to apply the behavior-based safety (BBS) program to workers at five power plants nationwide and determine the impact on workers' observed safety behavior and recognized safety behavior.

Background: It is necessary to apply a behavior-based safety (BBS) program to prevent at-risk behavior. An effective BBS program requires the implementation of not only behavioral definitions and a customized critical behavior checklist (CBC) but also observations of behavior, coupled with customized interventions at power plants.

Material and method: In this study, a customized CBC and behavioral definition were developed through a review of five different sites that previously used a CBC. The rules of observation, flow, and target were established to initiate the observations. Customized interventions were selected to increase safe behaviors. CBC scoring was used to evaluate observed safe behaviors for three years. Recognized safe behaviors were evaluated with a questionnaire that included four items each for conformity and participation behaviors and were then analyzed through a factor analysis and a t-test. The questionnaires were conducted three months before and after the implementation of the BBS program.

Results: The customized CBC, behavioral definition, and interventions were effective, such that observed safe behaviors and the levels of workers’ recognized safe behaviors increased.
Sedation in the intensive care unit (ICU) and procedural sedation: clinical guidelines and personal practice
Authors: Budniuk O , Yovenko I , Havrychenko D
Published: January 2025

The presented literature review describes key issues of sedation in ICU patients and procedural sedation during medical examinations and manipulations. Attention is paid to issues of monitoring the depth of sedation and vital functions to ensure patient safety. Modern clinical guidelines are analyzed, emphasizing an individualized approach for each patient, selecting the minimal sedation that allows the patient to be easily awakened, feel comfortable, and have adequate pain control unless the clinical situation requires deeper sedation. The focus is placed on the contemporary concept of sedation: a "calm, comfortable, and cooperative" patient. The characteristics of pharmacological agents widely used for sedation — dexmedetomidine, midazolam, and propofol — are reviewed. Their advantages and disadvantages are described, along with a comparative analysis. Information on the authors' own experience with various sedation protocols in ICU and procedural sedation is also presented.
Incidence of idiopathic syrinx in pediatric patients diagnosed with VACTERL association
Authors: Papadakis Joanna E. , Weber Daniel , Albanese John S. , Birch Ashley K. , Warf Benjamin
Published: January 2025

OBJECTIVE

While the association of a syrinx with a tethered spinal cord in the context of VACTERL (vertebral defects [V], imperforate anus or anal atresia [A], cardiac malformations [C], tracheoesophageal defects [T] with or without esophageal atresia [E], renal anomalies [R], and limb defects [L]) association is known, the incidence of idiopathic syrinxes among these patients has not previously been reported. The authors aimed to characterize the incidence of syrinxes and the pattern of congenital anomalies in pediatric patients with VACTERL association, with a specific focus on the presence of idiopathic syrinxes in this population.

METHODS

An institutional database was retrospectively queried for all pediatric patients with VACTERL association. Patients were assessed for the presence of a syrinx. Those with no accompanying lesion to which the syrinx could be ascribed were designated idiopathic. Descriptive statistics and qualitative analyses characterized the clinical presentation and outcomes of this population.

RESULTS

The authors retrospectively identified 186 patients between 1993 and 2023 with VACTERL association. Of these 186 patients, 141 (75.8%) had a tethered spinal cord and 44 (23.7%) had a syrinx. Most syrinxes could be ascribed to the presence of a tethered spinal cord and/or Chiari malformation; however, 4 (9.1%) of the 44 appeared idiopathic, suggesting the incidence of idiopathic syrinxes in this patient population may be as high as 2.2% (4/186). Most patients remained asymptomatic aside from a single patient who presented with mild gait dysfunction that resolved over time. All syrinxes were managed conservatively, and all but one decreased or remained stable in size on follow-up imaging.

CONCLUSIONS

Although limited, current estimates suggest the general incidence of an idiopathic syrinx is between 5.6 and 8.4 per 100,000 people; these findings in a pediatric cohort with VACTERL association suggest an incidence of 2200 per 100,000 (i.e., 2.2%). Thus, an idiopathic syrinx may be 200–400 times as prevalent in the pediatric VACTERL population.
Clinical outcomes and cost-utility analysis of GKRS plus TKIs versus TKIs in patients with EGFR-mutant lung adenocarcinoma and brain metastases: a Markov decision model
Authors: Liu Szu-Hao Andrew , Lee Cheng-Chia , Yang Huai-Che , Huang Wei-Lun , Huang Yu-Hsien , Chung Wen-Yuh , Shi Hon-Yi
Published: January 2025

OBJECTIVE

This study focuses on epidermal growth factor receptor–mutated lung adenocarcinoma, known for frequent brain metastasis. It aimed to compare the clinical outcomes and cost-effectiveness of combining Gamma Knife radiosurgery (GKRS) with tyrosine kinase inhibitors (TKIs) (GKRS+TKI group) versus TKIs alone (TKI group) for the treatment of patients with newly diagnosed brain metastasis in this condition.

METHODS

Study characteristics of the two groups were matched using inverse probability of treatment weighting (IPTW). In the incremental cost-utility ratio (ICUR) model, a healthcare provider perspective, a 1-month cycle length, a 5-year time horizon, and a discount rate of 2% per year for both effectiveness and costs were adopted. Probabilistic and one-way sensitivity analyses were also conducted to demonstrate the robustness of the findings. Statistical analysis was performed using IBM SPSS version 23.0, and cost-effectiveness analysis was conducted using TreeAge Pro software.

RESULTS

After applying IPTW, the GKRS+TKI group included 205 patients, and the TKI group consisted of 102 patients, with no statistically significant differences in whole confounders. The GKRS+TKI group demonstrated significantly prolonged median progression-free survival (37.5 months vs 10.6 months, p < 0.001) and median overall survival (55.1 months vs 30.8 months, p < 0.001) compared with the TKI group. The GKRS plus TKI strategy achieved an ICUR of $30,532.25 per quality-adjusted life year relative to the TKIs at the willingness-to-pay threshold of US$33,059 (Taiwan’s per capita gross domestic product).

CONCLUSIONS

The use of GKRS plus TKIs not only reduces disease recurrence and improves prognosis but also demonstrates a higher level of cost-effectiveness. These findings offer valuable guidelines for clinicians and inform healthcare authorities in optimizing resource allocation for improved medical care.
Bridging thrombolysis versus direct endovascular treatment in acute vertebrobasilar artery complex occlusion
Authors: Zhang Feng , Zhang Pan , Zhong Jinghui , Xiao Lulu , Xu Yingjie , Liu Dezhi , Jiang Yongjun , Wu Li , Dai Zheng , Zhu Juehua , Huang Zhixin , Liu Xinfeng , Sun Wen
Published: January 2025

OBJECTIVE

Endovascular treatment (EVT) is an effective treatment for patients with acute vertebrobasilar artery complex occlusion (VBAO). However, the benefit of bridging thrombolysis prior to EVT remains controversial. The purpose of the present study is to explore the best treatment strategy between bridging treatment (BT) and direct EVT in patients with acute VBAO.

METHODS

Patients with acute VBAO who underwent EVT within 24 hours of estimated occlusion in a nationwide retrospective registry at 65 stroke centers in 15 provinces in China from December 2015 to June 2022 were retrospectively analyzed. The outcomes of the BT and direct EVT groups were compared using propensity score matching (PSM) and inverse probability of treatment weighting (IPTW). The primary outcome was favorable functional outcome, defined as a 90-day modified Rankin Scale (mRS) score of 0–3. Secondary outcomes included 90-day functional independence (mRS score 0–2), mRS score shift, in-hospital mortality, successful reperfusion, and symptomatic intracranial hemorrhage (sICH). In addition, a meta-analysis integrating currently available evidence was performed to make a systematic comparison between the two treatment strategies.

RESULTS

A total of 2353 patients were ultimately included; 447 of these patients received BT and 1906 received direct EVT. In both the original cohort and in the 1:1 PSM analysis, patients in the BT group had a significantly higher rate of favorable functional outcome (adjusted odds ratio [aOR] 1.41, 95% CI 1.14–1.76 for the original cohort and aOR 1.44, 95% CI 1.07–1.92 for 1:1 PSM). Regarding secondary outcomes, patients with BT had a significantly lower rate of in-hospital mortality (aOR 0.67, 95% CI 0.51–0.88 for the original cohort and aOR 0.69, 95% CI 0.48–0.99 for 1:1 PSM) and a shift toward better outcomes on the mRS (aOR 1.35, 95% CI 1.12–1.63 for the original cohort and aOR 1.31, 95% CI 1.03–1.69 for 1:1 PSM). However, there were no significant differences in functional independence, successful reperfusion, and sICH between the two groups. A meta-analysis, which included 22 studies involving 6579 patients, also revealed the superiority of BT over direct EVT on favorable functional outcome (OR 1.19, 95% CI 1.03–1.37, I2 = 0.00%; p = 0.02).

CONCLUSIONS

This matched-control study and meta-analysis suggest that compared with direct EVT, BT may be associated with better functional outcomes in patients with acute VBAO treated within 24 hours of estimated occlusion.
Patient-reported outcome trajectories the first 24 months after surgery for cervical spondylotic myelopathy: a Quality Outcomes Database study
Authors: Zeitouni Daniel , Johnson Sarah E. , Ibrahim Sufyan , Bisson Erica F. , Mummaneni Praveen V. , Haid Regis W. , Chan Andrew K. , Chou Dean , Wang Michael Y. , Knightly John J. , Meyer Scott , Gottfried Oren N. , Shaffrey Christopher I. , Virk Michael S. , Fu Kai-Ming G. , Shaffrey Mark E. , Park Paul , Foley Kevin T. , Upadhyaya Cheerag D. , Potts Eric A. , Turner Jay D. , Uribe Juan S. , Tumialán Luis M. , Coric Domagoj , Bydon Mohamad , Asher Anthony L.
Published: January 2025

OBJECTIVE

Cervical spondylotic myelopathy (CSM) shows varying levels of improvement after surgical treatment. While some patients improve soon after surgery, others may take months to years to show any signs of improvement. The goal of this study was to evaluate postoperative improvement, patient-reported outcomes, and patient satisfaction up to 2 years after surgical treatment for CSM, which will help optimize the current treatment strategies and effectively manage patient expectations.

METHODS

This was a retrospective study of prospectively collected data using the Quality Outcomes Database. The primary outcomes of interest were achievement of the minimal clinically important difference (MCID) for the numeric rating scale for neck and arm pain, modified Japanese Orthopaedic Association, Neck Disability Index, and EQ-5D scores and postoperative satisfaction (North American Spine Society scale). Early and sustained improvement was defined as MCID achievement in at least one patient-reported outcome measure (PROM) at the 3-, 12-, and 24-month follow-ups. Transient improvement was defined as MCID achievement only at the 3-month and/or 12-month follow-up but not at the 24-month follow-up. Late improvement was defined as MCID achievement in at least one PROM only at the 24-month follow-up.

RESULTS

There were 630 patients included in the comparative analysis. A total of 463 (73.5%) patients achieved early and sustained improvement, 105 (16.7%) patients experienced transient improvement with subsequent decline, 25 (4.0%) patients reported late improvement, and 37 (5.9%) patients did not report any clinically meaningful improvement after surgery. Patients with an anterior approach were more likely to be in the early and sustained improvement group. African American patients (OR 2.98, 95% CI 1.14–7.76; p = 0.03) were more likely to report late improvement when compared with White patients. The overall satisfaction rate at the 24-month follow-up was 87.8%.

CONCLUSIONS

These findings indicate that 73.5% of patients achieve early and sustained improvement, and 87.8% of patients are satisfied with surgery 24 months postoperatively.
Prototipe Penyimpanan Gabah Padi Berbasis Internet Of Think
Authors: TRI REZA ANGGA , Fitriani Endah
Published: January 2025

Proses penyimpanan gabah padi merupakan kegiatan penting dalam tahap pascapanen. Penyimpanan gabah padi sangat penting dilakukan oleh para petani untuk menjaga ketersediaan pangan untuk mengatasi masa-masa sulit seperti terjadinya kekeringan,banjir dll, yang menyebabkan para petani gagal panen. Tujuan dari penelitian ini adalah mengembangkan sebuah teknologi yang sudah di buat sebelumnya yaitu menggunakan sebuah mikrokontroller Arduino sebagai pengontrol. Modul esp 8266 merupakan sebuah mikrokontroller penghubung pada aplikasi telegram.yang kemudian menggunakan sensor DHT 22 untuk mendeteksi suhu serta kelembaban pada ruang penyimpanan gabah. Serta menggunakan sensor BMP 280 ( tekanan barometrik) untuk memonitor tekanan udara pada ruang penyimpanan. Cara kerja alat ini adalah ketika sebuah alat di nyalakan harus menunggu beberapa detik agar sistem dapat terkoneksi dengan wifi dan sebuah aplikasi telegram mengirim notifikasi connect. Ketika sensor DHT 22 mendeteksi suhu pada ruangan mencapai <32℃ maka 3 buah fan heater akan menyala dan pilot lamp (kuning) menyala.ketika suhu ruangan mencapai >32 ℃ 5 buah fan dc akan menyala dan pilot lamp (merah) menyalaTetapi semua data sensor serta output bisa diatur secara manual menggunakan aplikasi telegram yang mempermudah para petani melakukan monitoring dari jarak jauh.
Optimasi dan Uji Coba Prototype Pembangkit Listrik Tenaga Picohydro dengan Turbin Archimedes
Authors: Apriani Yosi , Fadilah Fadilah , Kamilah Balqis , Saputra Yusuf , Marlizen Abdi
Published: January 2025

Desain penelitian  ini berfokus pada pengembangan pembangkit listrik tenaga pikohidro dengan menggunakan turbin Archimedes. Proses desain melibatkan pembuatan dan pembangunan pembangkit listrik tenaga pikohidro, dimulai dengan tinjauan literatur untuk mengumpulkan referensi yang relevan tentang Pembangkit Listrik Tenaga Pikohidro (PLTPH) dan memahami persiapan yang diperlukan sebelum memulai konstruksi. Pendekatan ini termasuk mengumpulkan data tentang pengoperasian pembangkit listrik tenaga pikohidro. Pada penelitian ini pengukuran yang dilakukan sebanyak 10 kali menghasilkan debit air rata-rata 0,46 m³/dtk, sehingga memungkinkan pembuatan prototipe pikohidro dengan head 1,3 meter, turbin ulir berdiameter 18 cm, tebal sudu 4 mm, jarak antar sudu 10 cm, 1 sudu, 7 lilitan, dan dan sudut bilah 25°. Kinerja prototipe dinilai dengan memeriksa efek debit air pada putaran turbin dan kecepatan generator. Hasilnya menunjukkan kecepatan putaran turbin sebesar 112,2 RPM dan kecepatan putaran generator sebesar 758,4 RPM, yang mengindikasikan bahwa debit air yang di dapatkan lebih tinggi akan meningkatkan kecepatan turbin dan kecepatan generator.
Моделирование комбинированных наблюдений глобальных навигационных спутниковых систем
Authors: Запевалин П. Р.
Published: January 2025

В данной работе собраны воедино формулы для высокоточного моделирования наблюдений различных глобальных навигационных спутниковых систем, принимаемых на низкой околоземной орбите. На основе разработанной модели наблюдений проведено уточнение орбиты космического аппарата. Результат сравнивался с синтетическими измерениями, полученными зарубежным программным обеспечением на основе реальных данных космического проекта GRACE. Среднее отклонение в определении местоположения космического аппарата составило 18 мм, что подтверждает корректность описанной модели наблюдений.
Изучение свойств образцов из имитатора лунного реголита, полученных методом селективного лазерного сплавления
Authors: Ким А. А. , Лысенко А. М. , Томилина Т. М.
Published: January 2025

В статье представлены результаты экспериментального исследования прочностных свойств опытных образцов, полученных методом лазерного сплавления из порошковых композиций имитатора лунного реголита на основе габбро-диабаза. Порошковые композиции с диапазоном фракций 50…10 мкм и 100…140 мкм были подготовлены путем просеивания имитатора с гранулометрическим распределением частиц как у природного реголита. На опытных образцах с характерными размерами 7.5×5×6 мм3 исследованы их свойства: объемная плотность, твердость и прочность при сжатии на разных режимах сплавления. Получена зависимость этих свойств от объемной плотности подводимой энергии в диапазоне от 12 до 25 Дж/мм3. Измеренная твердость по Виккерсу опытных образцов, сплавленных из композиции 50…100 мкм, имела диапазон 691…830 HV, образцы из композиции 100…140 мкм имели более широкий диапазон: 330…830 HV. Максимальные значения прочности на сжатие для образцов из обеих композиций достигали 17…20 МПа при медианных значениях 12 и 17 МПа для первой и второй композиции соответственно. Указанные значения в достаточной степени соответствуют тем, которые могли бы быть получены при переработке лунных ресурсов in-situ.
ВЛИВ СТРАТЕГІЧНОГО УПРАВЛІННЯ НА ПІДВИЩЕННЯ КОНКУРЕНТОСПРОМОЖНОСТІ ПІДПРИЄМСТВ
Authors: ВОСКОЛУПОВ Володимир , ЧІКАЛКІН Сергій
Published: January 2025

У статті розглядається значення стратегічного управління як ключового чинника успішного функціонування підприємств у сучасному конкурентному середовищі. Акцентовано увагу на необхідності чітко розробленої стратегії для підприємств, яка враховує зміни у зовнішньому та внутрішньому середовищах, що дозволяє адаптуватися до викликів сучасності. Стратегічне управління визначається як динамічна система, що охоплює планування, організацію, координацію, мотивацію та контроль. Ці функції формують основу ефективного управління підприємством, спрямованого на досягнення довгострокових цілей.Особлива увага приділяється процесу зниження витрат як одному із стратегічних завдань. Запропоновано етапи зниження витрат, які включають аналіз витрат, розробку ефективних методів контролю, впровадження спеціальних програм та визначення довгострокових заходів з оптимізації витрат. Підкреслено, що скорочення витрат, зокрема матеріальних, амортизаційних і комерційних, сприяє підвищенню прибутковості, зберігаючи мотивацію працівників та стабільність виробничого процесу.Також розглянуто управління в умовах слабких сигналів та стратегічних несподіванок, що дозволяє підприємствам оперативно реагувати на виклики. Запропоновано алгоритм виявлення стратегічних завдань, враховуючи політичні, економічні, технологічні та соціальні аспекти зовнішнього середовища. Наведено механізми управління кризовими ситуаціями та роль спеціалізованих команд у забезпеченні безперервності бізнесу.Результати дослідження підкреслюють значення стратегічного управління для підвищення конкурентоспроможності, стабільності та адаптивності підприємств у мінливих умовах ринку. Ефективна реалізація стратегії дозволяє не лише досягати короткострокових цілей, але й забезпечувати довгостроковий розвиток і вихід на світові ринки.
ІНТЕГРАЦІЯ МЕРЧАНДАЙЗИНГУ ТА РЕКЛАМНОГО КРЕАТИВУ ДЛЯ ПІДВИЩЕННЯ ЕФЕКТИВНОСТІ ПІДПРИЄМСТВА
Authors: СЛИНЬКО Микола , СЕРГІЄНКО Олександр
Published: January 2025

Стаття присвячена вивченню нових підходів до стимулювання попиту та покращення брендової ідентичності через інтеграцію мерчандайзингу та рекламного креативу у підприємництві. У статті аналізується, як стратегічне розміщення товарів у точках продажу (мерчандайзинг) може бути ефективно доповнене креативними рекламними кампаніями, які орієнтовані на емоційний зв'язок зі споживачами. Важливими аспектами, які визначають успішність таких стратегій, є використання інноваційних підходів, зокрема візуального мерчандайзингу, інтерактивних елементів, доповненої реальності (AR) та персоналізації реклами підприємництва. Ці технології допомагають створювати цілісне та привабливе середовище для взаємодії з користувачем, яке сприяє стимулюванню попиту. Дослідження наголошує на важливості глибокого розуміння споживацьких настроїв і поведінки, що дозволяє брендам розробляти стратегії, які не лише підвищують попит, але й формують позитивний образ бренду. Приклади таких брендів, як Nike та Apple, демонструють успішне застосування інтегрованих підходів в своїх маркетингових кампаніях, що сприяє досягненню високих результатів у зміцненні брендової ідентичності та підвищенні економічної привабливості споживачів.У статті також акцентується увага на зміні ролі цифрових технологій у сфері мерчандайзингу та реклами у підприємництві. Вивчення впливу новітніх технологій, зокрема штучного інтелекту (AI) та великих даних, дозволяє брендам точніше налаштовувати свої стратегії під індивідуальні потреби споживачів, що підвищує ефективність маркетингових кампаній. Ці технології дають змогу здійснювати більш персоналізовані підходи, забезпечуючи кращу взаємодію з клієнтами та точніше прогнозуючи їхні запити. Завдяки комплексному аналізу інтеграції мерчандайзингу та рекламного креативу у підприємництві, стаття відкриває нові можливості для бізнесу в умовах глобалізації та цифровізації ринку. Дослідження підкреслює важливість адаптації стратегій до змінюваних умов конкурентного середовища та дає рекомендації щодо того, як бренди можуть залишатися конкурентоспроможними і стійкими на ринку в довгостроковій перспективі. Таким чином, стаття вносить значний внесок у розвиток теоретичних і практичних аспектів сучасного маркетингу, надаючи підприємствам нові інструменти для покращення їхньої позиції на ринку, стимулювання попиту та створення сильної брендової ідентичності. Стаття є важливим орієнтиром для розробки ефективних маркетингових стратегій у цифрову еру підприємства та бізнесу.
Zero-Emission Buses in the US: Understanding and Addressing Market and Policy Challenges
Authors: Foecke Leah , Karson Zachary , Tiberghien Thomas
Published: January 2025

As the US public transportation sector accelerates its shift from fossil fuels to zero-emission alternatives, transit agencies and transit bus manufacturers alike face significant uncertainty and instability. This report provides policymakers with updated insights into the US transit bus market, focusing on key industry dynamics, financial challenges with zero-emission bus (ZEB) acquisition, technological obstacles in deployment, and regulatory issues. The research relies on interviews with stakeholders, a detailed review of existing literature, and an analysis of US public transit data. Key findings reveal ongoing challenges related to costs, supply, reliability, and workforce development, all of which hinder the adoption of ZEBs. Specifically, challenges include the reality that purchase prices for zero-emission buses in the United States remain significantly higher than internal combustion engine (ICE) vehicles and have not declined as quickly as previously theorized. Additionally, the full-size ZEB market in the US has become highly consolidated, and most transit agencies lack capacity in terms of technical knowledge, staff, and funding required for a successful transition to ZEBs. Potential options to combat these challenges may include enhanced funding mechanisms, industry partnerships, facilitating access to supporting technologies and best practices, and undertaking initiatives to prepare the ZEB workforce. While more research is needed to support the sector's full transition to ZEBs, this report provides actionable insights policymakers can use in a rapidly evolving market to identify solution areas for further exploration and ease transit into a more sustainable future.
Mechanisms of pelvic organ prolapse recurrence
Authors:   Peoples’ Friendship University of Russia, ORAZOV M. R. , RADZINSKIY V. E. ,   Peoples’ Friendship University of Russia, MINNULLINA F. F. ,   Kazan (Volga) Federal University
Published: January 2025

The long-term results of surgical treatment of pelvic organ prolapse (POP) do satisfy neither doctors nor patients: after surgery successful in short term, the risk of recurrence reaches 50%, and the rate of repeated interventions is 30%. Currently, practical medicine is in urgent need of strategies aimed at improving postoperative repair of pelvic floor soft tissues in order to prevent recurrence of genital prolapse.

The purpose — to search and analyze the evidence on the mechanisms of pelvic floor soft tissue repair disorders after POP surgical treatment as a key aspect of genital prolapse recurrence.

Materials and methods. We searched 2010–2024 publications in CochraneLibrary, PubMed, Science Direct, and ELibrary digital libraries using the keywords «pelvic organ prolapse», «recurrence», «pathogenesis», «wound healing» and analyzed the evidence.

Results. It was hypothesized that POP recurrence is associated with disorders of pelvic floor soft tissue repair. Degradation of connective-tissue elements in prolapsed tissue, as well as changes associated with age, estrogen deficiency, inflammation, and fibroblast dysfunction negatively affect postoperative pelvic floor soft tissue repair.

Conclusions. The obtained results allow conclusions about the limited understanding of POP recurrence mechanisms and about the contribution of growth factors, estrogen deficiency, fibroblast dysfunction, and immune factors in the reparative process. The necessity of qualitatively planned immunohistochemical and morphologic studies on large samples is obvious.
A History of “Francophone Perspectives” in Alberta's Social Studies Curricula (1993–2024)
Authors: Gani Raphaël
Published: January 2025

In 2005, Alberta’s ministry of education introduced a mandate to learn about “Francophone perspectives” in its social studies curriculum, from kindergarten to grade 12. This curriculum, which is now under reform, failed to define the terms “perspectives” and “Francophone perspectives;” in addition, it neglected to outline the historical and constitutional reasons that justified their inclusion. This article considers how and why the term “Francophone perspectives” found its way into the Alberta curriculum. I analyzed the draft and final versions of the social studies curriculum since the term first appeared in a 1999 draft, as well as related government consultations and the testimonies of curriculum authors. I argue that Francophone perspectives were recognized and kept their place, despite criticism, due to: 1) unprecedented partnerships between Canadian ministries of education as well as Indigenous, francophone, and anglophone curriculum authors; 2) their mobilization of James Banks’s transformative approach to multicultural education; 3) an underlying pluralist vision of Canada as a partnership between francophones, Indigenous peoples, and anglophones; and 4) the authors’ protection of Francophone and Indigenous perspectives amidst negative feedback. This article illuminates the advent of the now-popular multi-perspectival approach to social studies in Western and Northern Canada as well as the crafting of new ways to write curriculum in partnership.
2024 Canadian History of Education Association Founders' Prizes / Association canadienne d'histoire de l'éducation Prix des Fondateurs
Authors: Davies Mallory
Published: January 2025

The Canadian History of Education Association awarded its biennial publication prizes at its 2024 conference held in Ottawa, Ontario from October 17th to 19th. The awards cover the period 2022-2024.
L’Association canadienne d’histoire de l’éducation a décerné ses prix bisannuels lors de son congrès tenu à Ottawa, Ontario, du 17 au 19 octobre 2024. Les prix couvrent les années 2022-2024.
Challenges in Diagnosing Lamotrigine-induced DRESS: A Unique Case of Acalculous Cholecystitis in Epilepsy
Authors:   Department of Surgery, Faculty of Medicine, Kufa University, Kufa, Iraq., Akeel Al-Hasan Safa , Al-Fahham Ali Abdulkareem ,   Department of Ophthalmology, Najaf Teaching Hospital, Najaf, Iraq., Akeel Al-hasan Samih ,   Department of Surgery, Faculty of Medicine, Jabir Ibn Hayyan Medical University, Najaf, Iraq., Akeel Al-Hasan Baraa ,   Department of Medical Laboratory Technology, College of Medical Technology, The Islamic University, Najaf, Iraq., Akeel Al-Hasan Fatma ,   Department of pharmacy, Najaf Teaching Hospital, Najaf, Iraq., Maki Radeef Ahmed ,   Department of Anesthesia Techniques, College of Health and Medical Techniques, Al-Mustaqbal University, Babylon, Iraq., Hadi Al-Mhanaa Haider Abbas ,   College of Nursing, Al-Mustaqbal University, Babylon, Iraq., Bustani Ghadeer Sabah ,   Department of Medical Laboratory Technology, College of Medical Technology, The Islamic University, Najaf, Iraq.
Published: January 2025

Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is an infrequent yet severe idiosyncratic reaction to drugs, characterized by a diverse range of systemic manifestations and a mortality rate of 10% to 20%. Commonly associated with anticonvulsant drugs and sulfonamides, DRESS syndrome poses diagnostic challenges due to its variable presentation. This study presents a unique case of lamotrigine-induced DRESS associated with acalculous cholecystitis, an unprecedented manifestation. The patient, initially treated with levetiracetam and lamotrigine for generalized epilepsy, experienced a delayed onset of symptoms, with a European registry of severe cutaneous adverse reactions (RegiSCAR score of 7, confirming the diagnosis. Reactivation of Epstein-Barr virus was detected, suggesting a potential link between herpesvirus reactivation and DRESS pathogenesis. The case underscores the importance of careful monitoring and consideration of atypical organ involvement in DRESS diagnosis. Lamotrigine withdrawal resulted in rapid clinical resolution, allowing for a cautious transition to an alternative anti-epileptic medication which is valproate. This case contributes to the evolving understanding of DRESS syndrome, emphasizing the need for a comprehensive diagnostic approach in complex medication regimens.
Inwiefern benötigt die Inklusive Pädagogik die Gleichzeitigkeit unterschiedlicher pädagogischer Foki?
Authors: Lindmeier Christian
Published: January 2025

In diesem Beitrag werden mit dem Twin-Track-Approach der inklusiven Bildung, dem dreidimensionalen Modell der Bildungsbedürfnisse zur Bearbeitung des Dilemmas der Differenz sowie den Überlegungen zur Umsetzung einer Lehrkräftebildung für Inklusion drei Beispiele für Kompromiss- und Lösungsvorschläge vorgelegt, die für die notwendige Koexistenz und Zusammenarbeit von Sonder- und Inklusionspädagogik tragfähig erscheinen.
Sprache und Kommunikation in der Schule – von der sonderpädagogischen Fachrichtung zur Inklusion
Authors: Licandro Ulla
Published: January 2025

Sprache und Kommunikation spielen eine zentrale Rolle in schulischen Bildungsprozessen, da sie als Lernmedium und Steuerungsinstrument im Unterricht fungieren. Schüler:innen bringen ein breites Spektrum an sprachlich-kommunikativen Fähigkeiten mit, denen im Unterricht individuell begegnet werden muss. Vor dem Hintergrund aktueller Zuweisungs- und Kategorisierungspraktiken wird herausgearbeitet, wie eine inklusive schulische Diagnostik beitragen kann, unterstützende Lehr-Lernbedingungen bei unterschiedlichen sprachlichen und kommunikativen Erscheinungsbildern herauszuarbeiten. Angesichts des breiten Spektrums an Fähigkeiten und Lebensrealitäten werden Möglichkeiten andiskutiert, wie individuelle Bedürfnisse durch den Abbau sprachlich-kommunikativer Barrieren und die individuelle Förderung bestmöglich adressiert und zugleich stigmatisierende Kategorisierungen überwunden werden können.
Reflexionen zu einer inklusiven Pädagogik aus Perspektive der Pädagogik bei körperlichen und komplexen Behinderungen
Authors: Falkenstörfer Sophia
Published: January 2025

Reflexionen zu einer inklusiven Pädagogik aus Perspektive der Pädagogik bei körperlichen und komplexen Behinderungen
Gemeinsames Lernen in der privilegierten Allgemeinen Schule: Ein zukunftsorientiertes Modell aus der Pädagogik bei Sehbeeinträchtigungen
Authors: Capovilla Dino
Published: January 2025

Gemeinsames Lernen in der privilegierten Allgemeinen Schule: Ein zukunftsorientiertes Modell aus der Pädagogik bei Sehbeeinträchtigungen
Bücher und Filme
Authors: Klix Jonathan
Published: January 2025

Rezension zu: Dederich, Markus; Seitzer, Philipp: Erfahrung, Wissen, Handeln. Zur Grundlegung der Heil- und Sonderpädagogik.1. Aufl. Weinheim 2024: Juventa
Editorial
Authors: Schnack Jochen
Published: January 2025

Editorial
Man kann nicht nicht lernen – wohl aber mit Strategie
Authors: Schnack Jochen
Published: January 2025

Wer das selbstständige Lernen von Schüler:innen fördern will, muss ihnen zeigen, wie sie erfolgreich lernen können. Die Vermittlung von Lernstrategien ist demnach ein wichtiger Baustein einer modernen Schule. Viele Schulen haben sich auf den Weg gemacht und entwickeln entsprechende Angebote.
Lernen können ist eine Zukunftskompetenz
Authors: Diel Beatrix
Published: January 2025

Lernstrategien können nicht en passant im Fachunterricht vermittelt werden. Sie müssen systemisch angelegt sein, z. B. in einem jahrgangsübergreifenden Curriculum. Die Realschule Enger hat ein solches Curriculum erarbeitet und entwickelt es stetig weiter.
Lernstrategien für die Oberstufe
Authors: Piazza Schenkel Katrin
Published: January 2025

Wer Lernstrategien in der Oberstufe vermitteln will, überdenkt besser erst das »Wie«, dann das »Was«. Denn nichts scheint Pubertierende mehr zum Widerstand zu reizen als die guten Ratschläge Erwachsener.
Soll das Referendariat abgeschafft werden?
Authors: Unger Valentin , Rein Mathias
Published: January 2025

Der Lehrkräftemangel führt in vielen Bundesländern dazu, dass angehende Lehrkräfte schon während des Studiums in Schulen mitarbeiten und dort Praxiserfahrungen sammeln. Was bedeutet das für das Referendariat? Soll es in das Studium integriert oder gleich ganz abgeschafft werden?
»Ich bin krank!«
Authors: Hoegg Günther
Published: January 2025

Wie verhält man sich im Krankheitsfall als Lehrkraft korrekt? Und wer ist wann worüber zu informieren?
»KI hat das Potenzial, Schule nachhaltig zu verändern«
Authors: Haverkamp Hendrik
Published: January 2025

Neun Fragen an Hendrik Haverkamp
Der Fall Makarenko
Authors: Niemeyer Christian
Published: January 2025

Der Beitrag versucht, Makarenkos Pädagogikkonzept zu rekonstruieren. In den Blick geraten seine dunklen Seiten und die Frage, ob es als Spielform der „Schwarzen Pädagogik“ auszuweisen ist. Spätestens dem Makarenko der DDR-Jugendhilfe ging es primär um Veränderung der Kinder gemäß politischer Ideologien, nicht hingegen darum, sie, wie in der Logik der Sozialpädagogik angelegt, in den Schwierigkeiten zu verstehen, die sie haben und deswegen Erwachsenen machen. Damit stieß dieser Makarenko, unter Maßgabe des von ihm ab 1935 nicht mehr in Zweifel gezogenen Real-Sozialismus Stalins, die Bausteine wieder um, deren Weiterentwicklung ihn unter anderen politischen Verhältnissen zu einem wirklich großen Erzieher seiner Zunft hätte werden lassen können und derer die Gegenwart des durch Putin forcierten Neo-Stalinismus dringend bedarf.
Erschließungsmöglichkeiten und Reproduktionsgefahren von Entfremdung und Verdinglichung in und durch rekonstruktive Schul- und Unterrichtsforschung
Authors: Kabel Sascha , Pollmanns Marion
Published: January 2025

Wie werden Entfremdung und Verdinglichung als unhintergehbares Moment kapitalistischer Vergesellschaftung in qualitativer Schul- und Unterrichtsforschung zum Gegenstand? Explizit rekonstruktive qualitative Forschung zielt, grob gesprochen, qua methodologischer Prämissen auf die Aufklärung von Verdinglichung und Entfremdung. Der Beitrag lotet anhand von Studien dialektischer Sozialforschung aus, die sich der Erschließung dieser Phänomene eigens widmen, ob und wenn ja inwiefern der erhobene Anspruch als eingelöst gelten kann. Dabei wird komplementär zum Übergehen der Unterrichtslogik kritischer Schulanalysen eine schultheoretische Unterbelichtetheit aktueller mikrologischer Unterrichtsforschung herausgearbeitet, die auch unabhängig von der Erforschung dieser Phänomene problematisch erscheint. Am Beispiel der pädagogischen Unterrichtsforschung Andreas Gruschkas wird die Gefahr diskutiert, unterrichtliche Interaktionslogiken theoretisch zu verselbständigen.
The Poverty Area Measures data product
Authors: Farrigan Tracey , Sanders Austin ,   United States Department of Agriculture, Economic Research Service
Published: January 2025

The U.S. Department of Agriculture's Poverty Area Measures (PAM) data product is designed to improve understanding of the geography of poverty in the United States. This report contains historical and technical documentation from the November 2022 version of PAM. Examples provided in this report are from 1960 through 2019, but the lessons will be applicable to PAM data in the future. PAM includes four measures of poverty: high, extreme, persistent, and the newly developed measure of enduring poverty. The methodology for the 2022 version of PAM incorporates reliability metrics to account for margin of error of the underlying data. The methodology also uniquely includes comparable U.S. county and census tract-level geography for all measures and data years (except for census tracts in 1960, given limited tract geography prior to 1970)
U.S. agricultural policy review, 2023
Authors: Baldwin Katherine , Williams Brian R. , Turner Dylan , Tsiboe Francis , Skorbiansky Sharon Raszap , Sichko Christopher , Jones Jordan W. (Jordan William) , Toossi Saied ,   United States Department of Agriculture, Economic Research Service
Published: January 2025

This report is the 2023 edition of the annual U.S. Agricultural Policy Review series documenting developments in U.S. Federal policies related to production agriculture, agrofood value chains, and food and nutrition assistance. In this study, the authors examine a subset of calendar year 2023's developments--including the passage of new legislation, implementation of new programs, and revisions to existing programs
America's farms and ranches at a glance
Authors: Lim Katherine , McFadden Jonathan , Miller Noah , Lacy Katherine ,   United States Department of Agriculture, Economic Research Service
Published: January 2025

American farms represent a diverse set of business operations and farm operators. This annual report describes the characteristics of U.S. farms and ranches with the most recent data from the Agricultural Resource Management Survey (ARMS). Statistics for calendar year 2023 are presented using a farm classification developed by USDA, ERS to categorize farms into groups based on each farm's annual gross cash farm income, the main occupation of the farm's principal operator, and ownership (family versus nonfamily). This edition contains two new sections: (1) a section documenting farmers' unpriced inventory held both on- and off-farm, and (2) a section outlining adoption rates for key precision agriculture technologies and the reasons provided by producers for their precision technology adoption decisions.
Trends in U.S. fruit consumption relative to recommendations in the Dietary Guidelines for Americans
Authors: Stewart Hayden , Young Sabrina K. , Dong Diansheng , Byrne Anne T. ,   United States Department of Agriculture, Economic Research Service
Published: January 2025

Using 2005–20 National Health and Nutrition Examination Survey data, this report finds that a stable share of the U.S. population—about 23 percent of children and 15 percent of adults—has been consuming enough fruit to satisfy Federal dietary recommendations since at least the mid-2000s. However, a growing share of the population is consuming below a quarter of the recommended amount. This group totaled almost 29 percent of children and 40 percent of adults at the beginning of the 2020s. Estimation of a statistical model revealed little association between either household income or fruit prices and the likelihood that someone met the recommendations or consumed less than 25 percent of them. Factors more closely associated with falling into one of these two groups included behaviors such as smoking, exercising, and awareness of MyPlate (USDA’s official symbol of the five food groups), which indicate a consumer’s level of concern for health as well as knowledge of what constitutes a healthy diet.
Development of the Food-at-Home Monthly Area Prices data
Authors: Sweitzer Megan , Byrne Anne T. , Page Elina T. , Carlson Andrea , Kantor Linda Scott , Muth Mary K. , Karns Shawn , Zhen Chen ,   United States Department of Agriculture, Economic Research Service
Published: January 2025

The Food-at-Home Monthly Area Prices (F-MAP) data product provides detailed food price data to support a broad range of food economics research, supplementing existing public food price data. The data product contains monthly mean unit values and 6 price index measures for 90 food-at-home categories across 10 major metropolitan areas and 4 census regions. This report introduces the USDA, Economic Research Service (ERS) Food Purchase Groups (EFPGs) food classification system and describes the methods used to construct the F-MAP data product using weighted retail scanner data from 2016 to 2018. The F-MAP data product is modeled after the Quarterly Food-at-Home Price Database (QFAHPD) previously published by USDA, ERS to report 1999-2010 food-at-home prices
Potential budgetary impacts of climate change on the Pasture, Rangeland, and Forage insurance plan
Authors: Turner Dylan , Baldwin Katherine , Beckman Jayson , Nava Noé J. , Tsiboe Francis , Vaiknoras Kate ,   United StatesDepartment of AgricultureEconomic Research Service
Published: January 2025

More frequent and severe weather events are projected with climate change. The U.S. Federal Government offers programs to help producers mitigate the financial impacts of these adverse events, the largest of which is the USDA, Federal Crop Insurance Program (FCIP). The potential impacts on FCIP outlays under future climate scenarios have been explored but most analyses have focused on impacts on field crops. A changing climate could also affect forage commodities and livestock producers. The Pasture, Rangeland, and Forage (PRF) insurance plan was designed to help producers mitigate financial losses associated with a lack of precipitation. Payments are triggered if precipitation is below a historical index. Payment amounts are determined by the decrease in precipitation, changes in biomass value, and participation in the program. This report provides projected changes to precipitation(using climate estimates), biomass (using a livestock rangeland model), and future participation in the program. Results show that net payments (defined as indemnities, plus premium subsidies, minus total premiums) are projected to range from an annual average of approximately $495 million per year to$2.63 billion per year between 2024 and 2050 compared to the average net payments of $603 million per year (in 2024 terms) observed in 2020–23