bluuebunny/crossref_metadata_2025 huggingface dataset:
Institutional Quality and Tax Capacity: Evidence from SAARC Countries
Authors: Altaf Umar , Zameer Sahrish , Muhammad Sohail Akhtar
Published: July 2024

Analyzing the impact of institution quality on tax capacity across the seven SAARC nations is the study's primary goal. Data on tax income, institutional quality, and other associated variables from 1996 to 2020 are gathered for this purpose by the study. To empirically estimate the results the study first applies the pre-estimation test like the unit root test, cointegration test, and slope heterogeneity test. The results of these tests indicate that variables have a mixed order of integration, the long-run relationship exists among the variables and slopes are heterogeneous across the cross-section units. Finally, the study applies the fixed effect model and PMG model. The estimated results from the fixed effect model indicate that institutional quality significantly and positively influences tax capacity. Furthermore, the PMG model's findings show that institutional quality eventually and favorably increases tax capacity. There are also some control factors in the study. Population, GDP per capita growth rate, and gross capital formation—the control variables—all exhibit a statistically significant positive correlation with tax capacity over the long term. FDI and inflation are two more control factors that have an inverse long-term relationship with tax capacity. However, these two factors have a short-term favorable impact on tax capacity. Based on the results, the study recommends that the economies' top objective should be to raise the caliber of their institutions in order to promote long-term economic growth.
Evaluation of geological sites in a park environment for the needs of the Bulgarian geoparks, nature parks, and national parks
Authors: Sinnyovsky Dimitar
Published: July 2024

The experience in the scientific evaluation of geological sites in the Bulgarian geoparks shows insufficient efficiency of the generalized criteria used for the evaluation of geotopes for the purposes of the Register and Cadastre of the Bulgarian geological phenomena. Here is proposes a new assessment methodology freed from some common criteria included in the expert card for national assessment of geosites. It includes the main evaluation criteria of the ‘scientific value’ category (representativeness, integrity, rarity), and ‘additional values’ – scenic/didactic potential, ecological, cultural, and geotourism impact. Due to the fundamentally different themes of the Bulgarian geoparks, the approach of ‘thematic geodiversity’ has been adopted, which defines one major theme expressing the identity of the geopark within its entire territory, and numerous secondary themes complementing the geodiversity of the area. One of the new criteria included in the expert card reflects the relation of a geosite with the main geopark theme and gives priority to outcrops representing key geological features for its understanding. At the same time, the possible identification of global cycles and events of special scientific interest, which can be presented to the general public in an attractive form, predetermines the high numerical indicator of the ‘scientific, research and educational value’. The main purpose of the expert card is to cover as wide a range of geological features as possible and to make the assessment less subjective by using a standard set of criteria against which specific examples can be compared. It is also important to minimize the possibility of interpretation of the explanatory text to the individual indicators. It includes 12 criteria of different weights with 4 to 7 indicators, the numerical expression of which starts from zero, corresponding to a complete lack of geoconservation value. The minimum number of 12 points (of total 48) required to pass the ‘threshold of significance’ is formed by the first six criteria. It provides the necessary rate of superiority over which the site must be considered geologically significant and deserves to be included in the geopark inventory. The scale of significance grades from local (12–20) to regional (21–30), national (31–40), and international (41–48). Geodiversity sites are of great importance for the geopark initiatives, so the weight of the ‘scenic (aesthetic) value’ corresponds to the weight of the ‘scientific, research and educational value’ (6) versus (3) or (4) of the other criteria to better reflect their geotourism significance. Geosites with high interpretive potential, especially where the relationship between geology and human history/culture/spirituality can be demonstrated, should also be prioritized for inclusion in the geopark list.
Comprehensive management of Mayer-Rokitansky-Küster-Hauser syndrome management: A case report
Authors: Mishra Sanskar , Sapkale Bhagyesh , Singh Shreya , Jha Asha , Chaudhari Kamlesh
Published: July 2024

Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, also known as Müllerian aplasia, is a congenital condition characterized by uterine and upper vaginal aplasia. It affects females with a normal female karyotype and typical secondary sex characteristics. The aim of this case report was to highlight the multidisciplinary management approach for MRKH syndrome, focusing on tailored interventions to address physical and psychological challenges and improve reproductive prospects. A 26-year-old married female presented to Acharya Vinoba Bhave Rural Hospital (AVBRH), Sawangi, Wardha, India in January 2023 with primary amenorrhea. Physical examination revealed a blind vagina and a hypoplastic uterus, indicative of MRKH syndrome. Further evaluation, including pelvic magnetic resonance imaging (MRI), confirmed Müllerian duct abnormalities and bilateral ovarian anomalies. The absence of a functional vagina significantly impacted the patient's quality of life, leading to difficulties with sexual intercourse and emotional distress related to infertility. A collaborative approach involving a gynecologist and a psychiatrist at AVBRH was initiated to address these challenges. The patient underwent vaginoplasty to create a neovagina, enhancing the sexual function and intimate relationship with the spouse. However, due to the hypoplastic uterus, achieving motherhood through traditional means was not possible. Therefore, assisted reproductive techniques, in particular surrogacy, were explored. Normal, functional ovaries were harvested from the patient for use in surrogacy procedures. This comprehensive management strategy exemplifies the challenges associated with MRKH syndrome and underscores the importance of tailored interventions and long-term follow-up. The case highlights the significance of collaborative care in improving the quality of life and reproductive prospects for individuals with MRKH syndrome.
Cine-debate: Filosofía y afectos en la educación
Authors: Vazquez Muriel
Published: July 2024

La experiencia estética engloba aspectos perceptivos, afectivos y cognitivos que la educación debería promover (Eisner, 1995). Para esto, es necesario suscitar prácticas educativas que entiendan la percepción como un acto cognitivo que involucra la emoción y posibilita la construcción intelectual de conceptos teóricos. Analizando las condiciones de posibilidad de la producción colectiva de conocimiento con enfoque filosófico a partir de la visualización de una producción audiovisual, nos basamos en  un concepto amplio de patrimonio cultural (Prats, 1998), que incluya la actividad filosófica en el entramado de sus criterios estructurantes.
La incorporación de una metodología de debate con enfoque filosófico del lenguaje audiovisual puede favorecer a la educación en términos pedagógicos y culturales, en la medida que esta ha sido entendida como medio de transmisión de valores y habilidades, y, además, de producción de bienes inmateriales que deben ser incorporados al patrimonio cultural de una comunidad. Se buscará, en conclusión, determinar un enfoque estético a partir del cual fundamentar la aplicación del cine-debate en contextos educativos institucionalizados que posibilite una ampliación del patrimonio cultural inmaterial de la comunidad.
STUDI PENGEMBANGAN MESIN STANDAR GAYA-TORSI HYBRID KAPASITAS RENDAH UNTUK KELAS INDUSTRI
Authors: Nurcahyono Dinar , Nirbito Wahyu , Hafid Hafid
Published: July 2024

Peran pengukuran standar untuk gaya dan torsi berkapasitas rendah semakin besar seiring dengan berkembangnya teknologi otomasi. mesin mikro, sistem biomekanikal dan lain sebagainya yang relatif ukurannya kecil. Pengembangan mesin standar gaya dan torsi perlu dikembangkan untuk memenuhi kebutuhan tersebut.
Pada penelitian ini dilakukan studi untuk mengevaluasi kemungkinan pembuatan mesin standar gaya torsi hybrid berkapasitas rendah,yaitu mesin standar gaya deadweight yang dioptimalkan fungsinya sehingga dapat digunakansebagai standar torsi.
Pengembangan pendahuluan ini dirancang untuk kapasitas gaya 2,5 N – 50 N dan torsi 0,25 N·m – 20 N·m. Pengembangan rancangan dengan fungsi hybrid sebagai standar torsi dibangun dengan menggunakan lengan yang dapat dilepas (detachable) beserta wire sling, dan bearing pulley. Hasil perhitungan analisis dan simulasi awal menunjukkan bahwa pengembangan pembuatan mesin standar gaya-torsi hybrid berkapasitas rendah ini ternyata dapat dilakukan. Hal tersebut memenuhi target kebutuhan ketidakpastian mesin sebesar 0,1% untuk besaran gaya dan target 0,3% untuk besaran torsi. Target nilai ketidakpastian yang dapat dicapai bergantung pula pada proses manufakturnya.
PENGARUH PEMAPARAN CUACA TERHADAP DENSITAS KOMPOSIT POLIESTER DENGAN PENGUAT SERAT BAMBU PETUNG (DENDROCALAMUS ASPER)
Authors: Roni Komar
Published: July 2024

Hingga saat ini, serat sintetis telah menimbulkan berbagai permasalahan lingkungan karena sulit terurai. Salah satu upaya penyelesaiannya adalah dengan mengurangi penggunaan serat sintetis dan menggantinya dengan serat alam. Sebagai salah satu sumber daya alam yang berkelanjutan, bambu menjadi alternatif yang menjanjikan untuk menggantikan serat sintetis. Namun, belum ada penelitian yang menginvestigasi bagaimana komposit serat bambu bertahan terhadap paparan cuaca. Tujuan dari penelitian ini adalah untuk mengeksplorasi dampak paparan cuaca terhadap densitas komposit poliester dengan serat bambu petung (
Dendrocalamus Asper
). Penelitian ini mencakup tiga jenis spesimen, yakni poliester murni, komposit poliester serat bambu petung tanpa perlakuan alkali, dan komposit poliester dengan perlakuan alkali. Pembuatan komposit dilakukan menggunakan metode hand lay-up, sementara perlakuan paparan cuaca dilakukan secara alami selama enam bulan. Hasil menunjukkan adanya fluktuasi densitas pada semua jenis spesimen, dengan peningkatan densitas hingga puncaknya pada bulan Februari, diikuti penurunan hingga bulan April. Densitas tertinggi tercatat pada bulan Februari, dengan nilai densitas poliester murni mencapai 1,193 gr/cm3, komposit dengan perlakuan alkali mencapai 1,173 gr/cm3, dan komposit tanpa perlakuan alkali mencapai 1,169 gr/cm3.
К проблеме профессиональной культуры современного ученого
Authors: Воденко Константин Викторович , Сальникова Инна Ивановна
Published: July 2024

В настоящее время, когда увеличивается влияние науки на мировые события, усиливается борьба за умственную элиту и повышается роль научной молодежи, особое значение приобретают вопросы формирования нового типа ученого с высоким уровнем профессиональной этики. Профессиональная культура учёного любого профиля выступает в качестве единой системы установленных норм, принципов, взглядов, установок, запретов и законов научной деятельности, общения и поведенческих характеристик научных работников. Основными структурными компонентами профессиональной культуры исследователя являются профессиональное мышление, профессиональная компетентность, профессиональное мастерство. Изучение профессиональных компетенций ученого является важной задачей современного общества. Данное исследование фокусируется на персонализации исследовательской культуры. Здесь выявляются профессиональные навыки и подходы к развитию качеств и навыков современного ученого, необходимых для успешного занятия наукой в наше время. Это увеличивает уровень ответственности ученого перед академическим сообществом и наукой.
Год семьи – 2024 г. (к истории вопроса моделирования идеала семьи от теологии к философии права)
Authors: Лопин Роман Анатольевич , Почепцов Сергей Сергеевич
Published: July 2024

Ключевой на сегодняшний день вопрос о демографической ситуации в России приковал к себе внимание как со стороны государственных органов, так и общества в целом. Многочисленная сумма факторов вкупе с недостаточной социальной политикой в данном вопросе за последние три десятилетия привели к неутешительным выводам – население в стране стремительно сокращается. Рассматривая различные подходы к идеалу семейных отношений, авторы анализируют сложившиеся материалистический и православно-традиционалистский подходы к понимаю семейных отношениях. С опорой на правовые акты и научную литературу сделан вывод, что решение демографического кризиса, который является следствием разрушения института семьи, невозможно без традиционно-православного подхода в области брачно-семейных отношений.
Особенности трансформации буддийских сообществ России
Authors: Музафарова Наталья Раисовна , Багаева Ксения Анатольевна
Published: July 2024

Специфика развития и функционирования современных буддийских российских сообществ соответствует общемировым тенденциями, сохраняя региональные особенности.  Авторы отмечают изменения в структуре сообществ, их положения в обществе, связывая с трансформацией общества. Показано, что буддийские российские сообщества зависят не только от локальных, но и от глобальных социокультурных процессов, происходящих в стране и мире. В России сосуществует два типа буддийских организаций – традиционные и глобальные. Сегодня в контексте обращения к традиционным духовным ценностям, воплощаемым в частности в буддизме, эти организации стали стремиться к выстраиванию диалога. Сделан вывод о том, что сегодня усиливается трансформация буддийских сообществ, что ожидаемо в контексте изменений, происходящих в современном мире. Религиозное пространство буддийских организаций мозаично и отличается пестротой учений, но мировоззренческое ядро в них остается прежним, несмотря на модификации.
Analysis of Health-Related Quality of Life (HRQoL) in Advanced Stage Cervical Cancer patients in Riau Province, Indonesia
Authors: Sari Seftika , Sukista Novelia , Agustini Tiara Tri , Ghozali M.T
Published: July 2024

In Indonesia, cervical cancer is the second most common malignancy after breast cancer. About 70% of cervical cancers are diagnosed at an advanced stage, which leads to treatment failures and negatively impacts patients' quality of life and health. In order to determine if certain patient features affect health-related quality of life, this study aims to quantify the utility of patients with advanced cervical cancer. This study employs a cross-sectional design and a descriptive-analytic approach to quantitative observational research. Non-Probability Sampling with Purposive Sampling was used to get the study's final sample size of 135. The study found that cervical cancer negatively affects health-related quality of life, with an average EQ-5D-5L utility value of 0.4653 and a VAS utility value of 0.6850. Discomfort or pain was the most common health issue (42.2%), followed by emotional distress (29.6%). Patients' ages were shown to have a significant (p0.05) effect on the utility of the EQ-5D-5L and the VAS. However, patients' occupational status and chemotherapy type were found to have no such effects on the usability of the instruments. When comparing EQ-5D-5L and VAS, however, we find no significant difference (p>0.05) in education level and long-suffering characteristics.
Leishmania typing in Lattakia, a Coastal city in Syria
Authors: Malek Ismael Ahmad , Samra Suzan , soukkarieh Chadi
Published: July 2024

Leishmaniasis is a worldwide disease that manifests in different clinical forms caused by obligate intracellular protozoan parasites of the genus Leishmania. The parasite transmission occurs by the bite of sandflies and affects many countries across the world. Its transmission cycle is associated with the presence of bad conditions and crisis. Syria is considered an endemic area and has a long history of cutaneous and visceral leishmaniasis. The crisis that gripped the country changed the leishmaniasis situation drastically and resulted in a redistribution of cases around the country, especially after the massive displacement toward safe cities such as Lattakia, which is known for registering few CL cases every year. In this study, we aimed to shed light on the real number of cases that originated in Latakia Province. Moreover, we determined the species responsible for CL lesions using polymerase chain reaction-restriction fragment DNA length polymorphism (PCR-RFLP). Our results show that just about less than one-third of cutaneous leishmaniasis cases diagnosed in Lattakia were originally acquired from the province, while the rest of the cases were acquired from other endemic areas. In addition, we found that 98.2% of all the diagnosed cases were caused by L.tropica, while 1.8% were caused by L.major.
Antioxidant and Antibacterial Activity of Banana Peel (Musa paradisiaca var. sapientum) Methanol Extracts Purification
Authors: Pusmarani Jastria , Juliansyah Putri Risky , Dewi Citra , Nasir Nur Herlina , Himaniarwati Himaniarwati , Dahlan Yuni Fadhilah , Nurmiati Nurmiati
Published: July 2024

Even though most societies see banana peel (Musa paradisiaca var. sapientum) as useless household and industrial food waste, contains secondary metabolites such as flavonoids, tannins, polyphenols, terpenoids, saponins, and triterpenoids that can prevent pathogenic bacteria such as Escherichia coli and Staphylococcus aureus. Purification is one of the methods used to remove impurity components in extracts such as resin, chlorophyll, and fat, which aids in the recovery of pure compounds from the extract. The aim of this study was to investigatethe antibacterial and antioxidant activities of banana peel against two different types of bacteria, Escherichia coli and Staphylococcus aureus. The antioxidant activity of banana peel purification methanol extract was evaluated by using 2,2´-azinobis (3-etilbenzotiazolin-6-sulfonat) (ABTS) method. Methanolic extract of banana peel was purified using the liquid-liquid extraction method. The pure extract was tested for antibacterial activity using the agar disc diffusion method with a positive control group (tetracycline), a negative control group (dimethyl sulfoxide [DMSO]), and various concentrations of banana peel purified extract (5%, 10%, 20%, 40%, respectively). The data analysis was performed statistical analysis with the Kruskal Wallis test. The results of the Kruskal Wallis test on Escherichia coli showed significant differences in values (p=0.007<0.05) and on Staphylococcus aureus (p=0.006<0.05). The IC50 value observed 8.899g/ml, indicating strong category antioxidant activity (IC50<50g/ml). Therefore, it can be concluded that the purified extract of banana peel (Musa paradisiaca var. sapientum) has potent antioxidant and antibacterial activities against Escherichia coli and Staphylococcus aureus.
A Review on Simultaneous Estimation of combination of Omeprazole and Domperidone in Bulk and Tablet by RP-HPLC Method
Authors: R. R. Tanpure , M. H. Kolhe , G. S. Shinde , R. J. Bhor
Published: July 2024

The main objective of the given study is that to develop and validate stability indicating reverse phase HPLCmethod for the simultaneous estimation of combined Omeprazole and domperidone in solid dosage forms. The method was optimized Shimadzu RP-LC (HPLC) system with a SPD 10A UV detector (BDS C18 column (250×4.6mm I.D Hypersil). methanol and ammonium acetate buffer (60:40). Methanol is used as diluents. The flow rate is 1ml/min and the effluent is monitor at 280nm. Results: The retention time of combined Omeprazole and domperidone was 6.75min. and 9.64min. respectively. The proposed method study was simple, precise,rapid, accurate and. It was economical and suitable for continuous determination of combined Omeprazole and domperidone in pharmaceutical dosage form. For RP-HPLC, separation of components were achieved at a Phenomenex Rp‐C18 column. The components detected by UV detection at range of 295nm. Thus, the evaluation method is applicable for regular determination of combined omeprazole and domperidone in pharmaceutical formulations.The drugs were placed to different adverse conditions like acid, base, neutral hydrolysis, oxidation, and photo-degradation. The validation of developed method was successfully applied to the simultaneous evaluation of combined omeprazole and domperidone by Reverse Phase-High Performance Liquid Chromatography. Report by RP-HPLC were good assumed.
Nanostructured Lipid Carriers: An Approach to Oral Delivery of Drugs
Authors: Sabale Vidya , Jiwankar Manasi
Published: July 2024

The oral route is widely used route of administration as it is safe and convenient. Nanostructured lipid carriers (NLCs) are made of liquid, solid, and surfactant lipids. More drug loading is possible because of the imperfect structure of the lipid matrix in nanostructured lipid carriers.NLCs are biocompatible, biodegradable and show good encapsulation efficiency.They are considered promising nanocarriers for oral delivery. NLCs have been demonstrated to increase the oral bioavailability of hydrophobic pharmaceuticals. They also circumvent hepatic metabolism and impede drug efflux via the P-glycoprotein. This review focuses on the importance of NLCs in drug administration via the oral route, as well as the many hurdles that must be overcome.
A RARE CASE OF AN INTERSTITIAL PREGNANCY
Authors: Gincheva Dobrinka ,   Department of Gynecology, University Hospital ", Hinkova Nadezhda , Gincheva Veronika , Vanov Aleksandar ,   St. Marina",   , Medical University - Pleven, Bulgaria.,   Department of Gynecology, University Hospital "St. Marina", Medical University - Pleven, Bulgaria.,   Department of Dermatology, University Hospital “Dr. Georgi Stranski”, Medical University - Pleven, Bulgaria.,   Department of Urology, University Hospital "St. Marina", Medical University - Pleven, Bulgaria.
Published: July 2024

In ectopic pregnancy, implantation of the zygote occurs outside of the endometrial cavity. Interstitial pregnancy has an incidence of 2-4% of all ectopic pregnancies. We present a clinical case of interstitial pregnancy. On 20.10.2023, a woman visited the University Hospital "St. Marina" - Pleven, Bulgaria, because of a positive morning pregnancy test. The patient was a 30-year-old woman. The last menstrual period was on 12.09.2023. Two consecutive vaginal ultrasonography were made every 10 days. No fetal sac was visualized in the uterine cavity. The second ultrasonography visualized a hyperplastic endometrium, 21 mm thick. A fetal sac located interstitially was found high in the right uterine horn. The ß-hCG values were 412 mIU/ml and 12490 mIU/ml, respectively. The patient was referred for a pelvic MRI, which confirmed the diagnosis. After discussion and informed consent signed by the patient, on 30.10.2023 at University Hospital "St. Marina" - Pleven, Bulgaria, under general anesthesia on 30.11.2023, a Laparotomia a modo Pfannenstiel. Resectio cornualis dextra. Extirpatio graviditas interstitialis dextra. Salpingectomia dextra. Sutura uteri. Lavage. Drainage. Abrasio probatoria was performed. The patient tolerated the surgical intervention well. The histological result proved interstitially located ectopic pregnancy. In cases of interstitial pregnancy, early diagnosis is crucial for successful treatment and health of the patient.
Cóndilo mandibular bífido bilateral. Reporte de un caso // Bilateral bifid mandíbular condyle. A case report
Authors: Ferrer-Valdivia Nicolás Francisco , Herrera-Barraza Víctor , Besa Arturo
Published: July 2024

Resumen: Objetivo: El cóndilo mandibular bífido es una alteración morfológica de la articulación temporomandibular en la que el cóndilo presenta un surco en la superficie superior que genera dos cabezas condilares. Esta alteración puede ser unilateral o bilateral. La mayoría de los cóndilos mandibulares bífidos se detectan mediante radiografías panorámicas, sin embargo, la tomografía computarizada Cone Beam de articulación temporomandibular es considerado el examen de elección para el diagnóstico de esta alteración. El propósito de este trabajo es presentar un caso de cóndilo mandibular bífido bilateral detectado incidentalmente mediante una tomografía computarizada Cone Beam solicitada por un diagnóstico presuntivo de osteoartritis. Caso clínico: Una paciente de 22 años sin antecedentes de traumatismos cráneo faciales solicita una tomografía computarizada Cone Beam de articulaciones temporomandibulares por diagnóstico presuntivo de osteoartritis. En la exploración del volumen se encontraron cóndilos mandibulares bífidos con dos cabezas condilares, medial y lateral de forma bilateral, siendo más acentuado en el cóndilo derecho. Palabras claves: Articulación temporomandibular, cóndilo bífido mandibular, tomografía computarizada. // Abstract: Aim: The bifid mandibular condyle is a morphological alteration of the temporomandibular joint in which the condyle has a groove on its upper surface that generates two condylar heads. This alteration can be unilateral or bilateral. Most bifid mandibular condyles are detected by panoramic radiographs, however, Cone Beam computed tomography of the temporomandibular joint is considered the test of choice for the diagnosis of this alteration. The purpose of this work is to present a case of bilateral bifid mandibular condyle, incidentally detected by Cone Beam computed tomography requested for a presumptive diagnosis of osteoarthritis. Clinical case: A 22-year old female patient with no history of craniofacial trauma requests a Cone Beam computed tomography of the temporomandibular joints due to a presumptive diagnosis of osteoarthritis. In the volume exploration, bifid mandibular condyles were found with two condylar heads, medial and lateral bilaterally, being more accentuated in the right condyle. Key words: Computed tomography, mandibular bifid condyle, temporomandibular joint.
臺中榮總智勇雙全: 三度獲得智慧全機構分享
Authors: 周怡汝 周怡汝 , 劉時安 劉時安
Published: July 2024

醫策會國家醫療品質獎是目前醫療領域中最具挑戰性和前瞻性的競賽之一。臺中榮民總醫院在智慧醫療領域屢獲殊榮，並連續三次榮獲「智慧醫院全機構標章獎」。在當今快速發展的數位時代，醫療領域也不例外地受到科技的深刻影響，醫院積極推動數位轉型，融合雲計算、大數據分析和AI技術，全面發展智慧醫療架構。參賽過程中，醫院深入評估智慧解決方案，遵循參賽規範，並於準備階段精心規劃每項服務流程，以確保順利取得認證。院內強調全院合作之重要性，制定詳細甘特圖，多次舉辦協調會與演練，以求在實地審查中完美展示智慧化流程。高層的支持和全體同仁的共同努力，是取得優異成績之關鍵，在此分享我們的參賽經驗，期望能幫助其他醫院進行數位轉型與參賽準備。

 

The National Healthcare Quality Award, overseen by the Joint Commission of Taiwan, is among the most challenging and forward-looking competitions in the medical field. Taichung Veterans General Hospital has repeatedly been recognized for its achievements in smart health care, winning the Smart Hospital award of the Healthcare Quality Improvement Campaign three consecutive times. Rapid advancements in digital applications have profoundly affected the medical field. Hospitals are actively promoting digital transformation by integrating cloud computing, big data analytics, and artificial intelligence technology to develop a smart health-care framework. During the National Healthcare Quality Award competition, the Taichung Veterans General Hospital conducted an in-depth evaluation of smart solutions in accordance with competition guidelines, meticulously planning each service process during the preparation stage to ensure successful certification. The hospital emphasized the importance of comprehensive cooperation across all departments, created detailed Gantt charts, and held multiple coordination meetings and drills to effectively demonstrate smart processes during on-site reviews. Support from top management and the collective effort of all staff were crucial to achieving these outstanding results. In this paper, we share the competition experience of the hospital, providing insights that can assist other medical institutions in their digital transformation and competition preparation.

 
Two-stage corrective operation for the treatment of pes cavovarus in patients with spina bifida
Authors: Padgett Anthony Mack , Kothari Ezan , Conklin Michael J
Published: July 2024

BACKGROUND

Pes cavovarus has an estimated incidence of 8%-17% in patients with spina bifida (SB). The majority of the current literature on surgical treatment of cavovarus feet in children and adolescents includes a variety of diagnoses. There are currently no case series describing a treatment algorithm for deformity correction in this specific patient population. The authors of this study present the results of a retrospective case series performed to assess the radiographic outcomes of two-stage corrective surgery in patients with SB.

AIM

To assess the radiographic outcomes of a staged operation consisting of radical plantar release followed by osteotomy for pes cavovarus in patients with SB.

METHODS

Retrospective chart review was performed on patients with SB with a diagnosis of pes cavovarus at a freestanding children’s hospital who underwent surgical correction of the deformity. Patients were excluded for lack of two-stage corrective operation, nonambulatory status, lack of at least six months follow-up, and age > 18 years at the time of surgery. This resulted in a cohort of 19 patients. Radiographic analysis was performed on 11 feet that had a complete series of preoperative and postoperative weightbearing X-rays. Preoperative and postoperative radiographic outcome measurements were compared using a two-sample t -test.

RESULTS

Significant changes between the preoperative and postoperative measurements were seen in Meary’s angle, the anteroposterior talo-first metatarsal (AP TMT1) angle, and the talonavicular coverage. Mean values of Meary’s angle were 17.9 ± 13.1 preoperatively and 4.7 ± 10.3 postoperatively (P = 0.016). Mean AP TMT1 angle was 20.6 ± 15.1 preoperatively and 9.3 ± 5.5 postoperatively (P = 0.011). Mean talonavicular coverage values were -10.3 ± 9.6 preoperatively and -3.8 ± 10.1 postoperatively (P = 0.025).

CONCLUSION

The two-stage corrective procedure demonstrated efficacy in correcting cavovarus deformity in patients with SB. Providers should strongly consider employing the staged surgical algorithm presented in this manuscript for management of these patients.
IMPORTAZIONI LEVANTINE NELLA PENISOLA IBERICA
Authors: Giardino Sara
Published: July 2024

The identification inthe Iberian Peninsulaof pottery productions whose origin can be ascribedto the Levantine areahas become increasingly frequent as research has progressed. In this contribution, an overview oftheseimports in the main sites of the Iberian Peninsula will be proposed following a chronological path.
Eğitim Yapılarında Mobilya Ergonomisi: Sistematik Bir İnceleme
Authors: Çalışkan Beyza Nur , Arat Yavuz
Published: July 2024

Ergonomik ölçülere uygun olmayan mobilyalar yorgunluk hissi, dikkat bozukluğu ve bazı sağlık sorunlarına neden olmaktadır. Bu durumun algısal performansı, verimi ve akademik başarıyı etkilemesi nedeniyle eğitim mekanlarında mobilya tasarımına yönelik ergonomi çalışmalarının saptanması önemli görülmektedir. Literatürde eğitim yapılarında mobilya ergonomisi konusunda kapsamlı bir literatür incelemesi eksikliğinin tamamlanması bu çalışmanın özgünlüğünü oluşturmaktadır. Bu kapsamda yapılan çalışmaların literatür taraması yöntemiyle analiz edilmesi amaçlanmıştır. ‘‘Ergonomi, mobilya, öğrenci’’ kavramları kullanılarak yapılan tarama, masa ve sandalye ile sınırlandırılmıştır. Öğrencilere fiziksel olarak uyum göstermeyen mobilyaların vücut duruşunda bozukluk ve bel, boyun, sırt ağrısı gibi sağlık sorunları ile konsantrasyon eksikliği gibi psikolojik sorunlara yol açtığı tespit edilmiştir. Bu durumda mobilya boyutları ile öğrencilerin antropometrik ölçüleri arasında kuvvetli bir ilişkinin olması gerektiği sonucuna ulaşılmıştır.
ALTERNATİF PROTEİN KAYNAKLARINA İLİŞKİN GELİŞMELER, MEVZUAT VE DENETİM
Authors: Erol İrfan , Demir Nilay
Published: July 2024

It has strategic importance to create sustainable agricultural and food systems to ensure food security and safety, reduce the effects of climate change and protect biodiversity at the global level. In order to reshape the food system, alternative sources are needed to meet the growing protein demand of the increasing world population. This chapter provides basic information on the developments and technologies in the world regarding plant-based dairy and meat product alternatives, which are offered as alternatives to traditional foods and those consumption tends to increase globally due to reasons such as health, ethics, culture, low carbon footprint, animal welfare, and cell-culture based meat, biotechnology products, single-cell proteins, macroalgae and edible insects, which are considered in the new/innovative food category. A literature review provided comparative information on current policy incentives, legislative regulations and control systems regarding alternative protein sources particularly in the European Union (EU) based on Novel Food Regulation, the United States (USA) and other countries
A Newly Emerging Potential Cut Flower of Lisianthus (Eustoma grandiflorum) in Tamil Nadu: A Review
Authors: Kumaresan M. , Rajaselvam M. , Devi K. Nadhiya , Vasanthkumar S.S.
Published: July 2024

Lisianthus, botanically known as Eustoma grandiflorum, is a member of the Gentianaceae family with a chromosome number of 2n = 36. It is native to the eastern slope of the Rocky Mountains in the United States and is referred to as the prairie gentian. Lisianthus is an herbaceous annual plant that can reach up to a height of 15 to 60 cm and has slightly succulent, bluish-green leaves. It produces funnel-shaped flowers that grow on long, straight stems. The flowers can occasionally grow upright on solitary stems or on branching stems. The flowers come in a range of hues and can go up to two inches in diameter. Lisianthus sepals are significantly smaller than petals and are only united toward the base. It comes in a variety of cultivars with varied patterns of colours. Lisianthus has gained widespread consumer appeal worldwide due to its exceptional keeping quality and a wide range of colours, including purple, rose, pink, white, and bicolour. Owing to its blue flowers, excellent post-harvest life, and rose-like blooms, lisianthus is a relatively new floral crop on the international market and is considered one of the top ten cut flowers. Leading nations that are producing Eustoma are Japan and New Zealand. A single type dominated the marketplaces in America, Europe, and Japan. Double types are preferred more in Australia. In Tamil Nadu, the lisianthus flower has just recently bloomed. It is now possible to produce lisianthus on a modest scale in Tamil Nadu.
Status of Fluoride in Groundwaters of Haryana: A Review
Authors: Kumari Seema , Dhankhar Harsh , Saini Alka , Gulia Kirti
Published: July 2024

An overview of the fluoride levels in India’s Haryana state’s groundwater is given in this review. In many areas of Haryana, fluoride poisoning in groundwater is a major worry that could be dangerous to the public’s health. The goal of this review is to gather and evaluate the current research on Haryana’s groundwater fluoride levels, sources of contamination, and effects on human health. The aquifer’s geological makeup, industrial effluents, and agricultural practices are the main causes of fluoride pollution in groundwater. In the southern and western parts of Haryana, where groundwater is predominantly used for drinking and irrigation, fluoride pollution is more common. The review’s conclusion highlights the urgent requirement for efficient steps to reduce fluoride pollution in Haryana’s groundwater. To protect the population’s health, it is essential to regularly evaluate fluoride levels, put in place the proper treatment technologies, and raise knowledge of the dangers of fluoridation.
Challenges and Opportunities in Residential Solar Power Subsidies: A Case Study of India
Authors: John Mr. Koshy , Gadekar Prof. Ashish , Deshmukh Prof. (Dr.) Pooja
Published: July 2024

This study investigates the opportunities and problems related to solar power subsidies for homes in India. Through an examination of secondary data from official government reports, scholarly research, industry publications, and other reliable sources, the study illustrates how different subsidy programs have evolved and affected the expansion of solar power in the residential market. The usefulness of various subsidies, including feed-in tariffs, tax breaks, and capital cost subsidies, in encouraging the use of solar power is the main topic of this article. Important findings show that installed solar capacity has increased significantly, and solar technology efficiency has improved. However, issues including funding obstacles, delays in subsidy disbursement, and regional differences still exist. The study ends with policy proposals to improve the efficacy of subsidy schemes and hasten India's switch to sustainable energy.
Validación del modelo Black-Scholes como instrumento de valoración de precio de opciones financieras de compra
Authors: Flores Méndez Leonel Antonio , Morales Rivas Oliver David , Matus Rodríguez Frank Eduardo
Published: July 2024

El presente artículo, realiza una validación del Modelo Black-Scholes, comparando las cotizaciones del mercado de cinco empresas tecnológicas altamente conocidas (Microsoft, Apple, Amazon, IBM y Alphabet) con las estimaciones obtenidas mediante dicho modelo y un escenario de volatilidad ajustada. Los resultados muestran discrepancias significativas entre las cotizaciones del mercado y las estimaciones del modelo. Para Microsoft resultó un margen de error del -56%, para Apple un margen del -19%, Amazon un-47%, en cuanto a IBM y Alphabet dicho margen da como promedio -33%. Las estimaciones del modelo Black-Scholes, incluso ajustadas por volatilidad, son consistentemente inferiores a las cotizaciones del mercado, con márgenes de error que varían desde el -19% hasta el -56%. Esto sugiere que el modelo puede estar subestimando las valoraciones del mercado actual, debido a que no se contemplaron principios como la falta de costos de transacción, otros métodos de calibrar la volatilidad finanzas para así poder determinar estimaciones con un grado mayor de precisión
Bubonic Plague Alert Based on Flea Index in The Plague Observation Area of Pasuruan District, East Java Year 2023
Authors: Inayah Zufra , Yanti Reza Fitri , Murti Dewinta Risna , Setyowati Wulan , Anggraeni Desy Novita
Published: July 2024

Plague is a very serious health problem and can lead to outbreaks or epidemics caused by the bacterium Yersinia pestis. This study aims to determine the alertness of plague based on the flea index in the plague observation area in Pasuruan Regency, East Java. The research method used was exploratory. The research data used secondary data from the Surabaya Public Health Laboratory (BBLabkesmas).  The plague observation area included four sub-districts. Tutur, Tosari, Puspo, and Pasrepan. The research variable was the index of fleas found in the observation area. Data were analyzed descriptively and presented in graphical form. The results showed that 2146 rats were caught in 2023, of which 630 were rats with fleas. The majority of rat species found were Rattus tanezumi (65.19%), Rattus exulans (22.51%), Hylomys suillus, shrew (Suncus murinus), and other rat species. The flea species found were Xenopsylla cheopis (78%) and Stivalius cognatus (22%). The two main indicators to measure the risk of plague transmission are the Generalized flea Index and the Specific flea Index. The generalized flea Index measures the density of fleas that are not the main vector of plague, while the Specific flea Index measures the density of Xenopsylla cheopis as the main vector of plague. In the Tutur sub-district, the first semester showed Ngaruh hamlet was alert with a specific flea Index of 1.22, but in the second semester, all areas in the Tutur sub-district were declared safe. Pasrepan and Puspo sub-districts were declared safe in both semesters. In the Tosari sub-district, first-semester Tosari Hamlet and second-semester Sedaeng Hamlet were declared alert with a specific flea Index of 1.06 and 1.04 respectively.
Hubungan Health Literacy Ketepatan Triage dengan Keberhasilan Penanganan Pasien Gawat Darurat di Instalasi Gawat Darurat Rumah Sakit Prikasih
Authors: Cahyaningsih Sri , Daely Wesley
Published: July 2024

Pendahuluan: Rumah sakit merupakan gerbang utama jalan masuknya penderita gawat darurat. IGD adalah suatu instalasi bagian rumah sakit yang melakukan tindakan berdasarkan triase terhadap pasien. Metode Australian Triage Scale (ATS) merupakan metode yang digunakan saat ini oleh berbagai Rumah sakit. Kemampuan skill triase perawat menentukan akurasi pelayanan dimana perawat mampu melakukan proses berpikir kritis memutuskan triase sehingga pelayanan menjadi tepat dan cepat.
Tujuan: Untuk mengetahui hubungan health literacy ketepatan triage dengan keberhasilan penanganan pasien gawat darurat di IGD RS Prikasih.
Metode: Metode dalam penelitian menggunakan penelitian analitik dengan desain korelasional pendekatan cross-sectional. Populasi dan sampel dalam penelitian ini adalah perawat IGD RS Prikasih sebanyak 36 responden, dengan menggunakan teknik total sampling. Teknik pengumpulan data dalam penelitian ini dilakukan dengan observasi. Teknis analisis data menggunakan analisis univariat dan analisis bivariat dengan uji statistik chi-square.
Hasil: Hasil penelitian gambaran health literacy ketepan triage sebagian besar literasi rendah 72,2% dan gambaran keberhasilan penanganan pasien sebagian besar tidak berhasil 55,6%, hubungan health literacy ketepatan triage dengan keberhasilan penanganan pasien gawat darurat di IGD RS Prikasih tahun 2023 (p < 0,05) yaitu 0,01.
Kesimpulan: Terdapat hubungan signifikan antara health literacy ketepatan triage dengan keberhasilan penanganan pasien gadar di IGD RS Prikasih tahun 2023.
Assessment of Clinical Factors in the Evolution of Heart Transplant Patients: A Single-Center Retrospective Cohort Study
Authors: Paula Gabriela Vieira de , Costa Adriele Fogaça , Viana Nathalia Alves , Cyrino Claudia Maria Silva , Felicio Marcello Laneza , Brito Flávio de Souza , Ponce Daniela
Published: July 2024

Introduction: After heart transplantation (HTx), some patients continue to experience disproportionately high mortality. Objectives: To investigate which clinical variables are associated with survival after HTx. Methods: Retrospective, single-center cohort study with 55 patients undergoing HTx from May 2019 to April 2023. Results: Logistic regression identified, as variables associated with death, the increase in creatinine in the immediate postoperative period (POI) (p = 0.0067), pulmonary vascular resistance (RVP) (p = 0.0185) and pulmonary artery systolic pressure (PSAP) before HTx (p = 0.0415). When constructing the ROC curve (receiver operating characteristic curve) with the delta of the increase in creatinine in the first 24 postoperative hours, the cutoff point was 0.35 mg/dL, the sensitivity was 0.76, and the specificity was 0. 90. In the ROC curve for PVR, the cutoff point was 2.23 Woods units (WU), with sensitivity of 0.79 and specificity of 0.72. In the ROC curve for PSAP, the cutoff point was 40.50 mmHg, with a sensitivity of 0.89 and a specificity of 0.86. Conclusion: An increase in creatinine to a value greater than or equal to 0.35 mg/dL in the first 24 hours, PSAP with values greater than 40.5 mmHg and an increase in RVP to a value above 2.23 WU are associated with increased rates of hospital mortality after HTx.
ҚАЗАҚ ПОВЕСТЕРІНДЕГІ МАЗМҰНДЫҚ, ТҮРЛІК ІЗДЕНІСТЕР
Authors: Орда Г.Ж. , Мансурова Э.
Published: July 2024

Мақалада қазақ повестеріндегі дәстүрлер мен жаңашылдық, жазушылар шығармаларының мазмұн мен түр жаңалығы контекстіндегі көркем ізденістер қарастырылды. Қазақ повестерін тақырыптық жағынан топтастыру арқылы дискурстық талдау жасалды. Мақалада повестегі ұлттық құндылықтар, махаббат, адам мен табиғат экологиясы, туған жердің табиғаты сынды тақырыптар талдауға алынды. Мәселен, повестердің ұлттық құндылықтар тақырыбын көтерген Мұхтар Мағауиннің «Тазының өлімі», «Жүйрік», «Жыланды жаз», Қабдеш Жұмаділовтің «Сәйгүліктер», махаббат тақырыбында жазылған Серік Асылбекұлының «Рәбиғаның махаббаты», Нұрдаулет Ақыштың «Сезім жетегіндегі жігіт», Талаптан Ахметжанның «Сұлу мен суретші» повестерімен қатар, адам мен табиғат экологиясы, туған жердің табиғатының қазіргі жағдайын, табиғат мәселесін көтерген Қ.Ысқақов «Бұқтырма сарыны», Қ.Жиенбаевтың «Құлан жанарындағы ғұмыр», Сайлаубай Жұбатырұлының «Әнші аралдың құпиясы», «Тамұқ төріндегі қазына» сынды повестері талданды.тАдамгершілік, махаббат мәселелеріне замандастарымыздың жеңіл-желпі қарауы, жауапкершіліктен қашуы, ар-ожданнан атақ пен даңқты жоғары қою сынды мәселелер ХХ-ХХІ ғасырлардың қасіреті ретінде көрсетілді. Мистикалық сюжеттік құпияларды қолданған шығармалар ретінде Т.Әсемқұловтың «Бекторының қазынасы» Е.Аманшевтің «Албасты туралы аңыз», Т.Ахметжанның «Нобель сыйлығы» повестері мысалға алынып, мистикалық сарынмен қазіргі прозадағы көркемдік ізденістер ғылыми сараланды. Детективті шығармаларда жанр табиғатына сай қылмыстың ашылуы, шытырман оқиғаларға толы повестер қарастырылды. Мәселен, К. Тоқаевтың «Қастандық», «Сарғабанда болған оқиға», Б. Исаевтың «Қайта тергеуші» тәрізді шытырман оқиғаға құрылған детективті шығармаларын салыстыра зерттеу арқылы ұлттық әдебиеттегі дәстүр және жаңашылдық мәселесі қарастырылды.
A aplicação da Lei Lucas como uma ferramenta de ensino sobre primeiros socorros para os professores dos anos iniciais de um município no interior do Ceará
Authors: Figueredo Vinícius Alves de , Silva José Gledson Costa , Silva Maria Leni Alves , Barbosa Maysa de Oliveira , Nascimento Maria Rayanne Silva do , Lira Petrúcya Frazão
Published: July 2024

Em 2018 a Lei Lucas 13722 foi sancionada, obrigando que as escolas, públicas e privadas, onde as situações de emergência acontecem em qualquer lugar ou ambiente, sem tempo determinado. Os acidentes mais prevalentes nas escolas são: quedas, engasgo, desmaio, ferimentos com sangramento ativo e fraturas. O objetivo dessa pesquisa é avaliar o nível de conhecimento em primeiros socorros dos professores dos anos iniciais de um município no interior do Ceará. Trata-se de uma pesquisa do tipo pesquisa-ação. Em uma escola de ensino publico, localizada no interior do Ceará. Tendo como participantes da pesquisa professores que lecionam do 1° ao 5° ano, que se dispuserem a participar da pesquisa e dos treinamentos fundamentados na lei Lucas mediante a assinatura do Termo de Consentimento Livre e Esclarecido – TCLE. A coleta de dados ocorreu entre os meses de setembro e outubro de 2023, através de um questionário semiestruturado, relacionado à temática em estudo. A análise dos dados foi sintetiza com o auxílio da Microsoft Excel (versão 2019) e do JAMOVI (versão 2.4.8). O projeto de intervenção seguiu as diretrizes propostas pela Resolução nº 466/2012 do Conselho Nacional de Saúde, que trata de pesquisa com seres humanos. Por fim, essa pesquisa científica contribuiu em escala social e profissional na carreira dos educadores do município em que essa ação educativa foi realizada.