bluuebunny/crossref_metadata_2025 huggingface dataset:
Role of Procalcitonin as a Biomarker in Early Identification of Adverse Events Following Esophageal Atresia Surgery
Authors: Mahajan Dhruv , Goel Prabudh , Jain Vishesh , Dhua Anjan Kumar , Yadav Devendra Kumar , Verma Ajay , Sharma Ashok , Gupta Surabhi , Chaturvedi Pradeep Kumar , Kalaivani Mani , Agarwala Sandeep , Bajpai Minu
Published: September 2023

Introduction:

Surgical complication following esophageal atresia repair is one of the several factors known to influence the final outcomes. Early identification of such complications may help in timely institution of therapeutic measures and translate into improved prognosis.

Objective:

The objective of this study was to evaluate the role of procalcitonin in early prediction of the adverse events after surgery in patients of esophageal atresia and the temporal relationship with clinical manifestations and other inflammatory biomarkers such as C-reactive protein (CRP).

Materials and Methods:

This was a prospective study on consecutive patients of esophageal atresia (n = 23). Serum procalcitonin and CRP levels were assessed at baseline (prior to surgery) and on postoperative days (POD) 1, 3, 5, 7, and 14. The trends in the biomarker values and temporal relationships of deviation in trend with the clinical and conventional laboratory parameters and patient outcomes were analyzed.

Results:

Baseline serum procalcitonin was elevated (n = 23; 1.7 ng/ml: min: 0.07 ng/ml–max: 24.36 ng/ml) in 18/23 (78.3%) patients. Procalcitonin nearly doubled on POD-1 (n = 22; 3.28 ng/ml: min: 0.64 ng/ml–max: 16.51 ng/ml) followed by a gradual decline. CRP was also elevated on POD-1 (three times the baseline) and depicted a delayed peak at POD-3. POD-1 procalcitonin and CRP levels correlated with survival. POD-1 procalcitonin cutoff at 3.28 ng/ml predicted mortality with a sensitivity and specificity of 100% and 57.9% (P = 0.05). Serum procalcitonin and CRP were higher for patients who sustained complications, so was the time required for hemodynamic stabilization. Procalcitonin (baseline and POD-5) and CRP (POD-3 and POD-5) values correlated with the clinical course after surgery. Baseline procalcitonin cutoff at 2.91 ng/ml predicted the possibility of a major complication with a sensitivity of 71.4% and a specificity of 93.3%. POD-5 procalcitonin cutoff at 1.38 ng/ml predicted the possibility of a major complication with a sensitivity of 83.3% and a specificity of 93.3%. Patients who sustained major complications depicted a change in serum procalcitonin trend 24–48 h ahead of clinical manifestation of an adverse event.

Conclusions:

Procalcitonin is a good indicator to identify the adverse events in neonates after surgery for esophageal atresia. The procalcitonin levels in patients who sustained a major complication depicted a reversal in trend 24–48 h of clinical manifestation. POD-1 procalcitonin correlated with survival while the baseline and POD-5 serum procalcitonin predicted the clinical course.
Small Bowel Intussusception due to Solitary Peutz–Jeghers Jejunal Polyp
Authors: Kamath Bharat , Doddamallappa Samprathi , Roy Arpit , Dhobale Sudhir
Published: September 2023

Peutz–Jeghers syndrome (PJS) is characterized by mucocutaneous pigmentation with multiple hamartomatous polyps of the gastrointestinal tract and/or a familial history with autosomal dominant inheritance pattern having incomplete penetrance, with some cases arising from spontaneous mutations. We present this case of a 12-year-old female who presented with jejunojejunal intussusception and on exploration revealed a polypoidal mass around 50 cm from duodenojejunal flexure acting as a lead point. A segmental jejunal resection with anastomosis was performed and histopathology confirmed a solitary Peutz–Jeghers (PJ) hamartomatous polyp. She neither had mucocutaneous pigmentation nor family history of PJS or any other polyps anywhere in the gut on further evaluation by endoscopies. A solitary PJ polyp in the jejunum is a rare entity, and to the best of our knowledge, only around 13 cases have been reported in world literature so far. Regular follow-up is essential in young children, so that future manifestations of the PJS are not missed.
Fetal Klippel–Trenaunay–Weber Syndrome
Authors: Singh Neeta , Mandelia Ankur , Nigam Neha , Yadav Sangeeta , Pradhan Mandakini
Published: September 2023

Context:

Klippel–Trenaunay–Weber syndrome (KTWS) is a rare disease characterized by a triad of venous malformations, vascular skin nevus and asymmetric hypertrophy of bone and soft tissue. The spectrum of disease in utero varies from asymptomatic nevus flammeus to life threatening complications like Kasabach–Merritt phenomena.

Aim:

The aim of this study was to review our experience of antenatal diagnosis of KTWS and it's postnatal management.

Settings and Design:

This was a retrospective observational study of all pregnant women who were antenatally diagnosed with KTWS and postnatally confirmed at a tertiary care center in north India between 2012 and 2021.

Subjects and Methods:

The electronic medical records were reviewed and data were collected regarding demographic information, obstetric history, clinical presentation, sonographic findings, mode of delivery, fetal outcome, and follow-up.

Results:

During the study period, four fetuses were diagnosed with KTWS on sonography. Three women were multigravida whereas one was a primigravida. Two women opted for medical termination of pregnancy and one each had liveborn child and an intra-uterine fetal death. KTWS was confirmed in all cases. The liveborn child underwent treatment for the vascular malformation and is alive at 4 years of age.

Conclusions:

This study attempts to add onto the available literature regarding the spectrum of prenatal presentations of KTWS. It emphasizes the importance of prenatal diagnosis and follow-up of the fetus/neonate.
Factors Affecting Parental Satisfaction after Male Circumcision
Authors: Wani Reyaz Ahmad , Mir Bilal Yousuf
Published: September 2023

Background:

The safety of the male circumcision depends on many factors, including the surgeon, type of anesthesia, and associated complications. The scientific knowledge regarding safe MC is not so prevalent among masses.

Aims and Objectives:

To study the level of awareness regarding circumcision amongst parents and highlight factors linked to parental satisfaction.

Materials and Methods:

Information regarding various factors was gathered with the help of structured questionnaire-based evaluation of parental knowledge and experience. This was followed by clinical examination by a pediatric surgeon for assessment of cosmetic outcome, complications and need for additional surgical procedure.

Results:

Most circumcisions were performed by non-surgeons beyond neonatal period. Majority of the procedures were done under local anesthesia and around 17% procedures were done by quacks without anesthesia. More than 20% parents were dissatisfied with the procedure. Around 80% parents considered perioperative period mildly to moderately stressful. The overall complication rates were higher than usual with need for surgical correction in more than 40% patients.

Conclusion:

There is lack of awareness regarding safe MC practices in general public. MC by inexperienced people contributes to higher complication rates and need for redo, which in turn is related to parental dissatisfaction.
Intraperitoneal Rupture of Urinary Bladder during Micturating Cystourethrography in a Child
Authors: Shah Amar A. , Shah Anirudh V.
Published: September 2023

Micturating cystourethrography (MCUG) is a very commonly performed diagnostic procedure in pediatric urology. Although considered to be simple, safe, and cost-effective, it can incur some complications. Bladder rupture during MCUG is a very rare complication and only a handful of cases have been reported in world literature. We report the case of a 2.5-month-old boy who had intraperitoneal bladder rupture during an MCUG needing surgical repair. At operation, the child had a bladder tear at the dome of the bladder which was repaired successfully. The postoperative recovery was uneventful and the child is doing well in follow-up. Although individual management of bladder rupture may differ, a majority of infants need surgery for the same. Thorough vigil and attention to the technique are a must to prevent such incidents in children.
Reasons Behind Patients Defaulting from Elective Pediatric Urology Procedures at a Tertiary Private Teaching Hospital in South India
Authors: Manjarie Athiyaman Rani , Raj Shibi , Babu Ramesh
Published: September 2023

Aim:

The aims of the study are to audit the default rate of the provisional date of elective surgery in pediatric urology private practice and to study the factors involved in the postponement of elective operation dates by patients.

Patients and Methods:

The audit involved analysis of reasons behind patients defaulting from elective pediatric urology procedures between January 2019 and December 2019 at a tertiary private teaching hospital in South India. The details were obtained from the outpatient register kept for elective booking. The details of actual procedures performed were obtained from OT records. From the defaulters, the reasons for postponement were obtained through personal/telephonic interview.

Results:

A total of 289 patients were given dates for elective procedures. Among this, 72 (24.9%) defaulted, leaving 217 patients who underwent elective surgery. Among those who underwent surgery, 90 (41%) were elective day case (DC) procedures, whereas 127 (59%) were inpatient (IP) procedures. The default rate was 26/116 (22.4%) for DC procedures, whereas 46/173 (26.6%) for IP procedures, with no significant difference between them (P = 0.64). Among the 72 defaulters, the reasons for cancellation were as follows: financial factors (FFs) 22 (30.6%), lack of family support 19 (26.4%), function/grievance in house 10 (13.9%), respiratory illness 14 (19.4%), and treatment at a different center 7 (9.7%). FF (insurance denial) was significantly higher (P = 0.001) in crucial IP procedures at 19/46 (41%) compared to DC procedures at 3/26 (12%). The various diagnoses denied insurance were UPJO (7), VUR (6), hypospadias (4), UDT (3), and PUV (2).

Conclusions:

FFs were mainly responsible for parents postponing their children's elective pediatric urology procedures in India. Universal insurance coverage for congenital anomalies might help overcome this most important cause of cancellations.
Colonic Atresia Associated with Biliary Atresia
Authors: Solanki Shailesh , Mahajan Jai Kumar , Singhai Palak , Mitra Suvradeep
Published: September 2023

Colonic atresia (CA) is an uncommon type of intestinal atresia commonly associated with other anomalies, while biliary atresia (BA) is also rare but usually an isolated anomaly. The pathogenesis for either of the anomalies is unclear. The co-occurrence of both pathologies has not been mentioned in the literature. We here discuss the management of CA with BA and the review of pertinent literature.
Peutz–Jeghers Syndrome
Authors: Shukla Ram Mohan , Tiwari Pooja , Dariya Samprati , Jain Sarvagya , Sharma Shashi Shankar , Laddha Ashok , Lahoti Brijesh Kumar , Thanna Hemant
Published: September 2023

Introduction:

Peutz–Jeghers Syndrome (PJS) is an autosomal dominant disease presenting with hamartomatous polyps in the gastrointestinal tract and hyperpigmented macules on lips and oral mucosa. The incidence of this syndrome is approximately 1 in 1,20,000 births.

Materials and Methods:

In this article, we are presenting 11 cases of PJS which were misdiagnosed and patients were compelled to visit hospital repeatedly. All these cases were diagnosed based on clinical suspicion, family history, and histopathological examination of specimens. Most of the cases presented with intussusception and required emergency surgical management.

Results:

PJS can be diagnosed by the presence of microscopically confirmed hamartomatous polyps and a minimum of two of the following clinical criteria: Family history, mucocutaneous melanotic spots, and small bowel polyps with bleeding per rectally. The diagnosis can be missed if the melanotic spots on the face are missed. Routine investigations, imaging, and endoscopy were done in all cases. PJS patients need regular follow-up due to chance of recurrence of symptoms and susceptibility to cancer.

Conclusion:

PJS needs a high index of suspicion for diagnosis in cases of recurrent abdominal pain with bleeding per rectum. Proper family history and meticulous clinical examination for melanosis are very important to prevent the misdiagnosis of these cases.
Gall Bladder Duplication with Choledochal Cyst
Authors: Sharma Rahul Deo , Sushma Achugatla , Singh Surendra , Tewari Shruti , Redkar Rajeev
Published: September 2023

A 4-year-old male child presented with complaints of abdominal pain and vomiting along with yellowish discoloration of the eyes. Investigations were suggestive of acute pancreatitis and double gall bladder (GB) with dilated common bile duct (CBD) with intraluminal calculi and Type II choledochal cyst. He underwent surgical resection of double GB with dilated CBD with hepatico-docho-jejunostomy. On follow-up, the patient was asymptomatic. Our case highlights the importance of preoperative diagnosis to deal with increased operative difficulty and complications.
Comparing Estimated and Measured Glomerular Filtration Rate in Children with Posterior Urethral Valve
Authors: Ora Manish , Kalimuthu Lokeshwaran Madurai , Mishra Prabhakar , Nazar Aftab Hasan , Bhadauria Dharmendra S. , Barai Sukanta , Gambhir Sanjay
Published: September 2023

Background:

Posterior urethral valve (PUV) is obstructive uropathy that may lead to chronic kidney disease (CKD) and end-stage renal disease (ESRD) in children. Glomerular filtration rate (GFR) measurement remains the gold standard for renal function measurement. However, due to its less availability and cumbersome, it is not commonly used, and GFR is estimated utilizing various endogenous filtration markers.

Objective:

This study includes pediatric patients with PUV. We aimed to compare the measured GFR (mGFR) with various creatinine-based estimated GFR methods (eGFR).

Materials and Methods:

A single-center retrospective study included 62 treated cases of PUV, postvalve fulguration. The mGFR measured by 99mTc-diethylenetriaminepentaacetate in vitro method and compared with eight eGFR (Schwartz, Cockcroft-Gault [CG], Counahan-Barratt [CB], CKD Epidemiology Collaboration [CKD-EPI], full-age spectrum [FAS] age, FAS height (FAS Ht), Schwartz-Lyon [SL], and Ht independent). Patients were subdivided into different CKD grades and compared with various eGFR.

Discussion:

PUV is a common cause of CKD in children and needs special consideration as there is growth retardation associated with it. It decreases creatinine production and thus fallacies in eGFR measurement. There is a requisite to identify and closely monitor the subset of patients with baseline decreased renal function and therefore at risk of developing ESRD.

Results:

A total of 62 patients were included. Mean age and serum creatinine levels were 8.02 ± 5.53 years and 1.15 ± 0.95 mg/dl (range: 0.4–4.5), respectively. The mean mGFR was 61.6 ± 31.80 mL/min/1.73 m2 and a positive variable correlation was 0.46–0.77 between mGFR and eGFR. Based on mGFR, there were 14 (22.6%), 21 (33.8%), 13 (20.9%), 9 (14.5%), and 5 (8.1%) patients in Grades I–V, respectively. The correct classification of the CKD grades was noted in 25 (40.3%), 16 (25.8%), 32 (51.6%), 16 (25.8%), 25 (40.3%), 27 (43.5%), 26 (41.9%), and 28 (45.2%) patients by Schwartz, CG, CB, CKD-EPI, FAS age, FAS Ht, SL, and Ht-independent equation. The eGFR overestimates GFR at the lower level and underestimates at higher levels.

Conclusion:

Our results confirm the considerable limitations of various creatinine-based clearance methods for estimating actual GFR. The creatinine clearance-based eGFR should not replace the measurement of the GFR. An initial measure of the mGFR followed by serial follow-up with the eGFR equation may be done. The most accurate eGFR equations are CB for Grade II, SL or Ht independent for Grade III, FAS age for Grade IV, and SL for Grade V CKD.
Amyand's Hernia
Authors: Mathur Praveen , Mittal Priyanka , Kumar Ajay
Published: September 2023

Purpose:

The presence of an appendix in the inguinal hernia sac is defined as Amyand's hernia (AH). This study intends to present the authors’ experience in dealing with this entity and also to present a discussion on possible need of updating its definition, classification, and management.

Materials and Methods:

A retrospective analysis of records of all pediatric patients undergoing surgery for congenital inguinal hernia in a single unit from January 2017 to March 2021 was done. Patient's demographics, clinical presentation, preoperative investigations, peroperative findings, and postoperative outcomes were recorded and analyzed.

Results:

AH was found in eight patients. All were boys. The median age of presentation was 20.5 months (range 2 months to 36 months). The mean duration of symptoms was 2 days (range 2 to 4 days). All patients presented with incarcerated inguinoscrotal swelling (right sided = 5, left sided = 3); associated with pain. An abdominal radiograph and ultrasonography were done for all. All patients underwent emergency surgery. Exploration was done for all through an inguinal incision. The appendix was found inflamed for two patients, and appendectomy was done for the same. None of the patients underwent incidental appendectomy. Wound infection, secondary appendicitis, and recurrence were not seen for any of the patients. The authors have also proposed a revised definition and classification of AH.

Conclusion:

AH is an interesting entity and many questions like the need for incidental appendectomy remain unanswered. An updating of the definition and classification system can probably offer some solution in this regard. However, more research is warranted in this regard.
Air Gun Injuries in Children – A Near Miss!
Authors: Girish Tejaswini , Joshi Jayateertha , Kamath Sowmini Padmanabh , Rao Sadashiva
Published: September 2023

Air guns that are employed for protection and entertainment/sporting events can have accidentally harmful consequences. We report three examples of air gun injuries in the pediatric population with injuries, which could be potentially fatal.
Urethral Duplication Associated with Ectopic Scrotum
Authors: Jain Ankit , Lone Yasir Ahmad
Published: September 2023

Urethral duplication is a rare anomaly with varying clinical manifestations. About 300 cases have been reported till date and are often associated with genitourinary (GU) and gastrointestinal (GI) tract anomalies. A 6-day-old neonate presented with an absent anal opening and a tiny perineal fistula having slight meconium staining. He did well after anoplasty. Low anorectal malformation (ARM) has been reported as the GI anomaly associated with urethral duplication. However, an ectopic scrotum as the principal GU tract anomaly associated with urethral duplication is being reported for the first time in literature with probable embryologic explanation. The GU tract anomalies were successfully repaired surgically later in infancy.
Application of the Clamshell Thoracotomy in an Infant with a Large Mediastinal Tumor
Authors: Bendre Pradnya S. , Banerjee Arka , Munghate Gayatri , Karkera Parag Janardhan , Bodhanwala Minnie
Published: September 2023

Historically it was recommended for emergency thoracotomy in thoracic trauma as the last resort when there was cardiopulmonary arrest. Nowadays, the only indications are lung transplantation and huge mediastinal masses. We report the use of a clamshell thoracotomy in a 7-month-old boy with a large anterior mediastinal mass extending into the bilateral thoracic cavities.
Study of placental histopathology in COVID-19 mothers at a dedicated COVID-19 hospital in India
Authors: Lad SK , Jashnani KD , Pophalkar M , Jnanananda B , Mahajan N
Published: September 2023

Introduction:

Maternal infections can affect the placenta, which acts as a fetomaternal barrier. This study aimed to determine the spectrum of morphologic alterations in the placentas of pregnancies complicated by SARS-CoV-2 infection and the impact on fetal or neonatal outcomes.

Materials and Methods:

This is a prospective case-control study. One hundred SARS-CoV-2 positive pregnant women and an equal number of SARS CoV-2 negative pregnant women in their third trimester who delivered at our tertiary care center between December 2020 and November 2021 were enrolled in the study. This study was conducted at the end of the first wave and during the second COVID-19 wave. Histopathological examination of the placentas was done using Amsterdam consensus criteria. We observed for evidence of maternal vascular malperfusion [MVM], fetal vascular malperfusion, and inflammation in the placenta.

Results:

The clinical findings were compared between the cases and controls. Evidence of MVM was seen in comparable numbers between the cases and controls, but as it involved less than 30% of the placental disc, it was considered an insignificant finding. Deciduitis was seen in equal proportions in both groups. The comparison between the asymptomatic and symptomatic groups failed to show any difference in placental pathology between both groups. There was no adverse fetal outcome seen in the pregnancies complicated by SARS-CoV-2 infection.

Conclusion:

Placental injury at the microscopic level was observed but was neither significant nor specific to the SARS-CoV-2 infection. SARS CoV-2 infection did not influence the placental pathology. Also, no adverse neonatal outcomes were observed.
POX and RYU Controller Performance Analysis on Software Defined Network
Authors: Naim Naimullah , Imad Muhammad , Abul Hassan Muhammad , Bilal Afzal Muhammad , Khan Shabir , Ullah Khan Amir
Published: September 2023

From the last decades different types of network schemes are pitched to enhance the user performance. Software Defined Networks (SDN) is also considered as important factor for different network schemes and its proper administration or management. Due to major deployment in today’s networking era SDN are further sub divided in to commercial and open-source controllers. Commercial and open-source controllers are utilized in different type of businesses. According to our knowledge considerable amount of literature is available on these controllers but did not provide or analyse performance of these controllers on different network parameters. This paper evaluates and compares the performance of two well-known SDN open-source controllers POX and RYU with two performance assessments. The first assessment is the implementation of optimal path by using Dijkstra's algorithm from source to destination. Second assessment is the creation of a custom topology in our desired tool (MiniNet emulator). Then, the performance in terms of QoS parameters such as Jitter, throughput, packet loss, and packet delivery ratio are computed by two end hosts in each network. After the assessments, the performance of POX are optimal as compare to the RYU and best suited to be deployed in any scenario.
STEAM Education Concept in English Teaching Practice Process Based on Big Data Evolutionary Network Influence Analysis
Authors: Guo Minmin
Published: September 2023

INTRODUCTION: English language teaching in China is primarily traditional test-based education. Few teachers customize teaching activities according to the content and students' characteristics, which results in students' low interest in learning English and reduces their understanding and application of knowledge to the point that their speaking skills are generally weak. English is different from Chinese in that it combines skills and practice and covers a wide range of knowledge. It is a subject category that combines general knowledge of life with theoretical knowledge. Although it is only a language subject, in the process of learning it, students can also learn the human background, customs, history and culture of foreign countries, enriching their understanding of world culture.
OBJECTIVES: Organic combination of the STEAM model and English teaching can promote academic innovation, on the one hand, to enhance learning hobbies from the aspect of learning needs and to cultivate students' comprehensive literacy, and on the other hand, the innovation of practice and concepts can enhance students' practical ability and innovation ability.
METHODS: This study is based on big data evolutionary network influence analysis of STEAM education concept in English teaching time process analysis of students in the classroom participation, interest in learning English and learning self-confidence and the phenomenon of mismatch between the students' learning foundation, to enhance the student's classroom participation, the interest in learning English and self-confidence, the students' comprehensive literacy, and the acquisition of English language skills.
RESULTS: STEAM + ELT practices + interdisciplinary teaching can be realized by organically combining STEAM education concepts across multiple subject areas.
CONCLUSION: Designing appropriate English teaching activities based on the STEAM education concept and applying the theory in actual teaching activities can achieve the expected results.
Design of a Big Data-based Evaluation System for Teacher-Student Cooperation in College English Writing
Authors: Li Jia , Zhang Jinpeng
Published: September 2023

INTRODUCTION: With the constant change in information technology, people have entered the era of big data, and the reforms brought about by the era of big data have profoundly affected people's way of life and learning. English writing is one of the four basic skills for mastering English, and the skilful mastery of writing is an essential form of accurate expression in English. Different from the traditional teaching modes of "separate assessment of teaching" and "separate assessment of learning", "cooperative assessment between teachers and students" is a new type of assessment mode proposed by professors at the National University in recent years. This cooperative evaluation model advocates the combination of the teaching and evaluation processes and the evaluation and learning processes. In the cooperative evaluation model, evaluation is considered an extension of the teaching process, and the evaluation process itself is also a school process. The arrival of the significant data era also brings new opportunities and challenges for university English teacher-student cooperative evaluation.
OBJECTIVES: We design a university English writing teacher-student cooperative evaluation system based on big data by combining big data with the teacher-student cooperative evaluation.
METHODS: All college English writing classes in one university were selected as the background for ample data research, and with the help of theoretical knowledge and technology related to big data, a model was constructed to analyze the factors affecting the cooperative evaluation system of college English writing teachers and students.
RESULTS: The university English writing teacher-student cooperation evaluation system is analyzed and summarized using big data.
CONCLUSION: By using big data to analyze the evaluation of college English writing teacher-student cooperation, big data can better help teachers understand the weaknesses of students' knowledge points and better help students improve their English proficiency.
Practice of Teaching Creative Writing with Text in a High-quality Context for College Students Based on Predictive Analysis Ability of Big Data
Authors: Xu Mo , Li Yuanyuan
Published: September 2023

INTRODUCTION: With the advent of the digital age, big data has become essential to all walks of life. In digital education, it has become an indispensable part, which can cover the students' learning progress, learning hours, practice scores, course information, classroom interaction information and so on, which makes the teaching process fully covered and a one-stop learning experience. Big data is essential to promote China's education to the scientific, systematic, informatization and customization continue to move forward.
OBJECTIVES: To further improve the writing ability of college students in China, the systematic learning of big data is integrated into the daily teaching and life of the university so that college students can better embrace this significant data era.
METHODS: This paper discusses the analysis of the current situation of college students' accompanying writing, the problems and improvement methods of college students' accompanying creative writing, the systematic elaboration of big data, and the method of predictive analysis of big data to explore the practice of teaching college students' accompanying creative writing in a high-quality context based on the ability of predictive analysis of big data.
RESULTS: With the advent of the digital age, big data has become an essential part of various fields. As an even more indispensable part of the digital education field, it can cover students' learning progress, learning time, practice results, course information, classroom interaction information, Etc., indeed covering the entire education program for a one-stop learning experience.
CONCLUSION: For language teachers in colleges and universities, improving the ability of predictive analytics under big data and then integrating it into the teaching practice to cultivate college students with high-quality creative writing skills based on the ability of predictive analytics of big data is the current priority, and is also the goal of colleges and universities to cultivate talents.
Using the Health Belief Model to Predict Pre-Travel Health Decisions among U.S.-Based Travelers
Authors: Rapheal Erica , Prithviraj Ranjini , Campbell Stephanie , Stoddard Steven T. , Paz-Soldan Valerie A.
Published: September 2023

International travelers are at increased risk of infectious disease, but almost half of Americans traveling to lower- and middle-income countries seek no health information before traveling. The Health Belief Model (HBM) can help evaluate decisions by categorizing behaviors into five categories: susceptibility, severity, benefits, barriers, and self-efficacy. This study sought to use the HBM to elucidate what may influence an individual to make certain pre-travel health decisions. We surveyed 604 participants who had recently traveled to an at-risk country. Participants were subset into nested groups: full population, sought any health information, and visited a clinic or health care provider (HCP). Survey questions were categorized according to the HBM, assembled into a priori models, and analyzed in each group using logistic regression with three main outcome variables: “Sought any pre-travel health information,” “Visited clinic or HCP,” and “Received vaccine.” Of the 604 participants, 333 (55%) sought any health information, 245 (41% of total) reported visiting an HCP, and 166 (27% of total) reported receiving a vaccine before traveling. Models containing variables from the susceptibility and benefits categories were most successful in predicting all three outcomes; susceptibility was a more relevant consideration in information seeking and seeing a provider than vaccination, whereas benefits was relevant for all outcomes. Our results emphasize the importance of an individual’s perceived susceptibility to disease and perceived benefit of interventions in predicting pre-travel health behaviors. Understanding this interaction can help shape how HCPs and public health entities can encourage health care seeking and vaccine uptake in travelers.
On the legal interpretation of parody in the new Copyright Law of China
Authors: Zuo Ziyu
Published: September 2023

Although the free use provision of the new Copyright Law of the People’s Republic of China has added a 13th clause (the miscellaneous clause), it has not changed the closure of the free use system. The nature of appropriate quotation is a transformative use. In China, court decisions on whether parody constitutes free use are inconsistent. The interpretation of the requirement for the designation of source in the free use standard must consider the creation habits of different forms and the citation conventions of different industries. Substantial use of the work is the premise of applying the free use standard. The determination of not conflicting with a normal explication of the work involves a demarcation of the market scope of the work. In addition, courts should investigate the economic and personal rights of copyright owners when it comes to judging ‘not unreasonably prejudicing the lawful interests of the copyright owner’. Finally, it is suggested that legislators should change the 13th clause into an open standard when revising copyright law in the future.
Experience in the fight against separatism in Belgium
Authors: Kakeshov Bakyt , Adilov Aibek
Published: September 2023

Many countries in the modern world have faced with the problem of separatism, which can threaten not only the well-being of one individual state, but also the world order as a whole. Thus, it is necessary to study and use the experience of countering this phenomenon on the example of other countries, in particular, Belgium. In this country, there were social contradictions, and eventually the separatist sentiments throughout the entire period of independence. The purpose of this research is to study the methods of combating separatism in the history of Belgium and to analyze the possible use of these methods to counter separatist sentiments at the present stage of development of this country. In the course of this study, a number of methods of theoretical knowledge were used: analysis, synthesis, abstraction, concretization and generalization. As a result of the study, it was determined that different ethnic groups were formed on this territory due to the events unfolded on the territory of modern Belgium, back in the days of ancient history. In the course of the study, it was stated that after gaining independence, two mature national communities were combined in one state. The domination of Wallonia over Flanders was the cause of social contradictions. It has been determined that reaching a compromise is the main method of counteracting social protests and separatism, which manifested in many historical events. It is substantiated that the use of forceful methods of struggle was ineffective. Simultaneously with the use of method of compromise decisions, the principle of balance in the federal authorities is important for Belgium. The results made it possible to note that many decisions (although they were able to preserve the unity of Belgium) increased social contradictions between ethnic groups. This study puts into science a new perspective on the issues of combating separatism in Belgium, and also provides an analysis of how these methods affect the modernity and what variants are possible for the solution of modern problems
Current trends in the military-industrial integration of the EU countries and implications for Ukraine
Authors: Leshchenko Kateryna
Published: September 2023

In the face of common security challenges, the issue of protecting civilised countries from external military aggression is of utmost importance for the entire European continent. The research aims to analyse the existing integration processes in Europe and extrapolate them to the military-industrial complex of Ukraine since the Ukrainian state is an outpost of the European Union, where the entire range of modern military technologies is used. The objectives of the study are to identify trends in the military industries of the leading European countries and to assess the prospects for their further integration in the context of the current external military aggression. The key indicators were collected and analysed using statistical and regression analysis, as well as the longitudinal method. The study provided results on the development of defence spending in individual countries, data on the participation of EU countries in joint projects, the scope of sanctions imposed on the aggressor country, indicators of Ukraine's participation in the common customs area, and the volume of military assistance from partner countries. The analysis of the data led to the conclusion that the defence capability of both Ukraine and the entire European Union has significantly improved. It was also found that the replacement of outdated Soviet standards with modern Western ones has led to a significant increase in defence capabilities. In addition, the study found that the unjustified armed aggression against Ukraine strengthened relations between the countries of the European Defence Agency and gave them an impetus to develop collective defence capabilities and conclude joint agreements involving military-industrial complexes. From a practical point of view, the obtained indicators of changes on the continent made it possible to draw conclusions about the directions of further integration and to correct the identified shortcomings
Consistencia interna del plan curricular de la escuela de sociología de la Universidad del Zulia (LUZ) (Venezuela)
Authors: Lescher Soto Isaías , Caira Tovar Norma M. , Gutiérrez María Eugenia
Published: September 2023

Este artículo tiene como objetivo presentar la evaluación de la consistencia interna del plan curricular de la Escuela de Sociología de la Universidad del Zulia (LUZ), utilizando un diseño mixto convergente. Una experiencia docente que contó con la participación de 11 docentes, a quienes se les aplicó una entrevista compuesta por 21 ítems abiertos elaborados por el Consejo Central de Pregrado de LUZ. Para analizar los datos se utilizó MAXQDA, con la cual, se codificaron las respuestas, combinando y contextualizando las unidades de significado. Los hallazgos indican que existe consistencia en el currículo, considerando la relación entre el paradigma epistemológico asumido de corte sociocrítico, con el perfil del egresado tipificado como un científico social con una visión transformadora de la realidad social. El currículo se inclina por la formación gerencial, derivada de la visión del conocimiento y la investigación como herramientas para la problematización de los fenómenos sociales, así como para su intervención y solución.
Editorial: Ser docente investigador en el mundo actual
Authors: Piña de Valderrama Esperanza , Flores Ferrer Karla Migdalia
Published: September 2023

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Una mirada hermenéutica desde el andar etnográfico hacia la gestión del conocimiento en la cibercomunidad de aprendizaje
Authors: Flores Ferrer Karla Migdalia , Montero Sopilca Any Sofia , Galindez Crespo Yimber Oscar , Campos Ocanto Alejandro José
Published: September 2023

La virtualización de los escenarios cotidianos es una cuestión ineludible en especial para las universidades. Es por ello, que existe una necesidad impostergable de dirigir la mirada investigativa y acuciosa a este escenario relacional. El presente artpiculo científico se presenta en la modalidad de experiencia investigativa Su propósito fue  generar reflexiones teóricas en torno al cómo se gestiona el conocimiento en una cibercomunidad de aprendizaje. Dicha experiencia fue llevada a cabo con 16 estudiantes de recién ingreso a la maestría Investigación Educacional de la UPEL-IPB. Se desarrolló desde una experiencia etnográfica haciendo una hermenéusis a cada acción y aporte académico de los participantes en el escenario virtual de aprendizaje. El principal aporte de este estudio es la presencia del espiral de aprendizaje y la evolución del aprendizaje tácito a explícito.
Vulnerabilidade ambiental e qualidade da água na rede de drenagem urbana fronteiriça das cidades de Tabatinga – Amazonas (Brasil) – e Letícia – Amazonas (Colômbia)
Authors: Oliveira Ercivan Gomes  de , Albuquerque Adoréa Rebello da Cunha , Placido Júnior Cristóvão Gomes
Published: September 2023

A fronteira Amazônica do Brasil e da Colômbia é caracterizada pela intensa circulação de pessoas, produtos e serviços nos últimos anos. As cidades de Tabatinga e Letícia têm crescido nos últimos anos de forma acentuada, sem qualquer planejamento territorial no que diz respeito à rede de drenagem urbana. O objetivo deste estudo é explicitar as condições de qualidade da água nas bacias urbanas do São Francisco, em Tabatinga (Brasil) e Matadero (Colômbia), no período sazonal de cheia e vazante do rio Solimõesem 2022. Para as análises físico-químicos da água foi utilizado o Standard Methods for the Examination of Water and Wastewater, conforme os parâmetros e Índices de Qualidade da Água da ANA, 2018/BR e IRCA, 2007/CO vigentes para o consumo humano nesses países. Foi constatado que um percentual significativo dos canais fluviais dessas bacias encontra-se em descordo com os parâmetros de qualidade para a região. Os valores mais expressivos foramtemperatura 28,7-27,4, pH de 7,14-7,0, OD 0,59-0,81, CE 421-334 e Turbidez 29,25-15,73 nos seis pontos analisados. Esses resultados indicam a degradação da qualidade da água e apriori demonstram a vulnerabilidade dos canais de drenagem nessas cidades de fronteira na Amazônia.
A chegada da Língua Geral Amazônica na região do médio Rio Amazonas
Authors: Lima Schwade Micheli Carolíni de Deus , Baraúna Keila Ferreira , Schwade Tiago Maiká Müller
Published: September 2023

O objetivo do artigo é compreender a Língua Geral Amazônica na região do Médio Rio Amazonas, mais precisamente nos municípios de Parintins e Barreirinha, no Estado do Amazonas. Inicialmente, buscamos compreender a chegada da Língua Geral Amazônica no Médio Rio Amazonas, considerando os relatos de cronistas e missionários como Acuña (1641), Bettendorff (1687) e Daniel (1776). Por fim, buscamos apresentar traços históricos e geográficos que nos ajudam contextualizar a Língua Geral Amazônica naquela região.
TIME (KALA): A PRIME FACTOR IN LIFE, ILLNESS & CURE
Authors: Pandya Ashwin , Shrivastava Ananya
Published: September 2023

Ayurveda is a deep science with Adhyatama and also a darshan itself, so for proper health in which mental and
physical well-being are involved, various factors are included, and Kala is one of them. Indication by the word
Kala (time) represents an appropriate time to do a particular thing. According to conventional medical science,
there is a lapse of an interval between two non-simultaneous occurrences; that interval is defined as time. Kala(time) is 'Bhagavan,' having neither a beginning nor an end. In this universe, everything is constantly changing.
The change from an earlier condition to its succeeding condition is called Kala (time) or, in other words, 'Parinama.' Ayurveda, a holistic science of longevity, describes Kala(time) as Karana Dravya as it is the cause for the
birth and death of all living beings, for the disorders and excellence of the seasons, properties of substances such
as taste and potency, the disorders or excellence of strength of Dosha and the body. Kala is the unique and specific causative factor of all types of effects, at the same time; it is unavoidable. That is why Ayurveda, being the science of life, gives emphasis to the concept of Kala.
Measurement of digital maturity in medium-sized companies in the municipality of Tecomán, Colima, Mexico
Authors: Preciado Álvarez Francisco , Ojeda Pérez Fabian
Published: September 2023

The present study aims to analyze the digital maturity of medium-sized companies in the municipality of Tecoman, Colima, Mexico, and the relation it as with the gender or level of study of the leader of the organization, by applying the Forrester four-dimension model. For this purpose, a mixed approach is used, selecting a sample of 40 economic units out of a total of 47 in the municipality, all medium-sized companies with between 51 and 250 employees. As a result, it was observed that the gender and level of education of the person in charge has no influence on the digital maturity of medium scale business.
Diagnóstico FODA como elemento de planeación estratégica de negocios de producción de cacao CCN51 en el Triunfo, Guayas, Ecuador
Authors: Cali Cadena Karina Marisela , Delgado Delgado Dilmar Danilo , Delgado Delgado Dilmar Danilo , Pilaloa David Wilmer Omar , Holguin Burgos Bertha Patricia , Holguin Burgos Bertha Patricia
Published: September 2023

Este trabajo proporciona información básica sobre la planificación estratégica y una de sus herramientas básicas: el análisis FODA que permite la recopilación y utilización de datos obteniendo un perfil operativo de una empresa. Dicho análisis, aplica para cualquier empresa tamaño o tipo. Las decisiones administrativas tienen procedimientos crear un diagnóstico, esto hace que sea fácil obtener decisiones y desarrollo de estrategias. Para comprender mejor estos procesos, se definen algunos de sus elementos básicos. También se proporcionan los pasos para hacerlo. Los aspectos metodológicos de esta investigación incluyen enfoques cualitativos y cuantitativos, deductivos, analíticos y sintéticos. La técnica empleada que son las encuestas dirigidas a los productores de cacao CCN51 en El Triunfo permite el análisis e interpretación de la recolección de la información, las personas brindan información real para comprender el estado actual del entorno tanto dentro como fuera de la empresa. De manera similar, se deben investigar las tendencias y los cambios que ocurren en el medio ambiente. Como resultado se puede concluir que existe una falta de comprensión del concepto e importancia de la planificación estratégica de la empresa para poder plantear un plan estratégico de la misma
Religiosity and Local Wisdom: Economic Security Strategy of Women of Indigenous Community
Authors: Oppier Hermi , Tuasuun Selvenco , Hahury Hendri Dony , Saptenno Febryano , Louhenapessy Fredy Hendry
Published: September 2023

This article highlights the meaning of ecclesiastical teachings based on the Bible as the Word of God in an effort to meet the needs of the poor in the Negeri (village) Booi congregation through the tradition or local wisdom of “nutmeg collecting”. This study employs Max Weber’s point of view on social action, where for every social activity carried out, there is always an internal motivation (Vertehen).  This study was done in a qualitative manner with an ethnographic approach conducted in April 2022 – December 2022. The data was collected through in-depth interviews, observation and documentation. The data was analyzed following the stages proposed by Chariri with source triangulation as a strategy in examining the data validity. The results show that the local wisdom of “nutmeg collecting” could be used as a strategy in overcoming poverty problems, especially related to income inequality experienced by women. In the mainstream (classical/neoclassical) economic views, the behavior of this indigenous community was certainly very detrimental, as it was related to efforts to maximize income for oneself. However, on the contrary, this local wisdom also emphasized the needs of others which were supported by the religious teachings they believed in. This condition also emphasized that the presence of the local wisdom supported by the religious teachings was an informal insurance that the needs of the poor women of the indigenous community would always be met at any time through the availability of fallen nutmeg.
Peran Pembimbing Kemasyarakatan dalam Penanganan Anak yang Berhadapan dengan Hukum
Authors: Riyadi Riyadi
Published: September 2023

Children involved in legal problems (ABH) need proper assistance and guidance in order to get protection, rehabilitation, and opportunities to improve their behavior and future. The purpose of this study is to explore and understand the role of community supervisors in handling children in conflict with the law. This research uses qualitative research methods. The data collection technique was carried out by literature study. The data that has been collected is then analyzed using three stages, namely data reduction, data presentation and conclusion drawing. The results showed that community supervisors have an important role in handling ABH. The role of community supervisors includes helping ABH to understand their rights and obligations as ABH, helping ABH to undergo the legal process properly, helping ABH to return to society properly, and helping ABH to become good citizens.