bluuebunny/crossref_metadata_2025 huggingface dataset:
Note sulla Costituzione Apostolica Anglicanorum Coetibus
Authors: Parlato Vittorio
Published: July 2024

SOMMARIO: 1. L’istituzione di Ordinariati anglicani: il contesto ecclesiale – 2. Gli Ordinariati esistenti, e le altre giurisdizioni personali, i loro caratteri e differenze con quelli per gli Anglicani – 2.1. Gli ordinariati ‘rituali’ – 2.2. Gli ordinariati militari – 2.3. Le prelature personali – 2.4. Gli ordini religiosi esenti – 2.5. Le eparchie ed gli esarcati apostolici di una chiesa sui iuris nei territori della diaspora – 3. Caratteri specifici: i fedeli e la giurisdizione - 4. Rito o solo liturgia - 5. Cooperazione e coordinazione con l’ episcopato locale – 6. Norme transitorie dettate da spirito ecumenico – 7. Situazioni individuali e situazioni collettive; interessi di gruppo e interessi di serie.
Il regime giuridico delle opere d’arte negli edifici di culto in Italia
Authors: Roccella Alberto
Published: July 2024

Versione italiana, rivista e integrata con le note, della relazione "Le régime juridique des oeuvres d’art dans les édifices de culte en Italie", presentata al convegno "Patrimoine culturel/cultuel en France et en Italie. Définir – Protéger – Gérer", in occasione dei vent’anni di collaborazione interuniversitaria, Programma Gratianus, tra l’Università degli Studi di Firenze, Facoltà di Scienze Politiche, e l’Université de Paris Sud 11, Faculté Jean Monnet, Firenze, 18-19 marzo 2010. Il contributo è destinato alla pubblicazione nella rivista Jus.

SOMMARIO: 1. Premessa. - 2. La disciplina canonica. - 3. La normativa civile e l’intesa del 26 gennaio 2005.
Sull’estinzione e modificazione della persona giuridica nel diritto canonico moderno. Spunti ricostruttivi per una teoria dei soggetti di diritto
Authors: Serra Beatrice
Published: July 2024

Il contributo è destinato alla pubblicazione nella rivista Ius Ecclesiae, 22 (2010), Fabrizio Serra editore
SOMMARIO: 1. Profili introduttivi - 2. Le disposizioni generali sull’estinzione e modificazione della persona giuridica: a) nei lavori preparatori del Codice del 1983 - 3.(segue): b) nei lavori preparatori del Codice dei canoni delle Chiese orientali - 4. (segue): c) nel diritto vigente della Chiesa universale - 5. Problemi interpretativi: a) sul significato del rinvio alle disposizioni statutarie – 6. (segue): b) sul nucleo costitutivo della personalità giuridica privata.
Tra autonomia e sussidiarietà: contenuti e precedenti delle convenzioni a carattere locale tra Chiesa e Istituzioni pubbliche
Authors: Bettetini Andrea
Published: July 2024

Il presente lavoro è destinato alla pubblicazione negli Atti del convegno "Gli accordi tra Chiesa ed Istituzioni pubbliche a livello locale", tenutosi a Venezia i giorni 6-7 maggio 2010.
SOMMARIO: 1. Premessa. Autonomia delle confessioni religiose e relazioni istituzionali (apicali e di base) con il potere politico – 2. Da una concezione verticistica a una concezione plurale delle relazioni tra religione e Stato. Il principio di sussidiarietà – 3. La competenza delle regioni in materia religiosa. La riforma del tit. V Cost. e il soddisfacimento degli interessi locali – 4. Gli accordi tra Regioni amministrative e Regioni ecclesiastiche. Tentativi di dialogo e attuale legittimazione – 5. Autonomia delle confessioni e forme di legittimazione alla stipula di intese in materia di beni culturali e di assistenza spirituale – 6. Le “nuove” materie di accordo a livello regionale. Il protagonismo sussidiario della società civile – 7. Conclusioni. Rilievo pubblico dei soggetti sociali religiosi, nuove forme pattizie decentralizzate e principio di sussidiarietà.
Suppletio legis
Authors: Berlingò Salvatore
Published: July 2024

La presente voce è destinata al "Diccionario General de Derecho Canònico", in corso di preparazione presso l’Instituto Martìn de Azpilcueta dell’Universidad de Navarra. 
SOMMARIO: 1. Premessa - 2. Il “diritto suppletorio” e le “lacune”: in genere e nell’esperienza di Chiesa - 3. L’analogia e l’equità nell’ordinamento canonico - 4. L’analogia iuris e la salus animarum - 5. Suppletio legis, positivazione e formalizzazione nel diritto della Chiesa - 6. Gli strumenti della suppletio - 7. La suppletio e le lacune “materiali” dell’ordinamento - 8. I rapporti tra analogia e interpretazione estensiva - 9. L’impiego dei generalia iuris principia - 10. I princìpi impliciti o latenti. 11. La costanza e la stabilità della prassi autoritativa - 12. La costanza e la diffusione della prassi dottrinale (oltre che autoritativa) - 13. Il ruolo della canonistica in funzione “suppletoria”
Populism and Religion: Freedom of Self-Expression, State, modernity
Authors: Ponkin Igor V. , (Roman V. Tupikin) Isidor, Metropolitan of Smolensk and Dorogobuzh , (Vladislav V. Bagan) Vladislav, priest
Published: July 2024

Populismo e religione: Libertà di autoespressione, politica, modernità, caratteristiche procedurali

ABSTRACT: The article is devoted to the topic of populism in religion in modern conditions. The article explains the correlation between freedom of expression and populism. The authors consider the phenomenon of populism in various aspects, including: populism as an instrument of politicization of a religious organization, populism as a latent component of internally sacralized (though outwardly neutral) politics. For many centuries, the ruling regimes of various states have sought and tried to put the Church at the service of their political interests, trying to use the churches in their own domestic and even foreign policy games, related attempts to manipulate religious identities and engage in artificial "church-building", to turn churches into handy ideological tools in the service of power - all this was a hybridization of political populism and religious populism tailored to it. But under such conditions, religious populism is always a forced imposition of tendencies destructive to the Church, it is always a profanation of the religious, the destruction of the most fundamental foundations of religion. But equally, the Church must be protected on the other side - from populist attempts to infringe on the Church's corpus of values, on relics and names honored by the rhetoric of freedom of expression. The authors conclude that populism (as a socio-legal tool, which is based on the paradigm of populism) should be used very cautiously - in the sphere of religion in a secular state.

SUMMARY: 1. Introduction - 2. Populism. General concept, characteristic features, ontology - 2.1. The concept of populism - 2.2. Populism as a concept - 2.3. Populism as ideology - 2.4. Characteristic features and elements of populism - 2.5. Taxonomic diversity of populism - 2.6. Populism and democracy - 3. Religion and populism - 3.1. Religious populism as subtype of populism - 3.2. Freedom of expression and populism - 3.3. Populism as a tool of politicization of a religious organization - 3.4. Populism as a latent component of implicitly sacralized (albeit explicitly neutral) politics - 4. Conclusion.
The New Luxembourg Insolvency and Restructuring Law in Light of the Transposition of the Directive (EU) 2019/1023
Authors: Mastrullo Thomas
Published: July 2024

The transposition of the Directive (EU) 2019/1023 by the Law of 7 August 2023 has provided an opportunity to update Luxembourg’s insolvency and restructuring law, addressing aspects such as insolvency prevention, debt and business restructuring, the second chance for honest insolvent entrepreneurs, and the effectiveness of insolvency proceedings. New proceedings, new practitioners and new mechanisms have been introduced into Luxembourg law.
While the new rules require adaptation and may be subject to discussion on certain points, the transposition of the Directive (EU) 2019/1023 aligns Luxembourg law with European standards in the realm of restructuring and insolvency. Consequently, this move enhances its competitiveness.
Effects of Different Seasons on Milk Quality: A Study on Two Cattle Breeds in Rainy and Drought Contexts
Authors: Estremadoyro Leonor Jesus Guzman , Salome Paucar Huaman , Carhuas Jordan Ninahuanca , Guzman Salvador Ore , Tacza Armando Aquino , Guillen Maria Antonieta Flores , Garcia-Olarte Edgar
Published: July 2024

The primary focus of dairy farming in the central region of Peru centers on producers. However, there is limited information on how different altitudinal zones, particularly during rainy and dry seasons, affect milk production. The present study aimed to investigate the effects of the rainy and dry seasons on the physicochemical properties of milk from Brown Swiss and Holstein cattle. A total of sixty cows were selected for the study, comprising 30 Brown Swiss and 30 Holstein. The study was conducted across two distinct seasons, including rainy and dry seasons. All animals received the same semi-intensive management and were fed ryegrass and balanced feed. Each animal provided 500 ml of milk for analysis in the morning. The milk was transported at a temperature of 2 °C, where they were analyzed with the Lactoscan equipment to evaluate protein, lactose, fat, total solids, milk density, freezing point, salts, and pH. Significant differences were observed in the interaction between Brown Swiss and Holstein breeds across different seasons, including rainy and dry periods. Significant differences were observed in protein content, showing a positive effect in the interaction “rain: Brown” a value of 3.50 ± 0.36, while “rain: Holstein” showed 3.14 ± 0.05. Statistical differences were observed in the interactions for lactose content, with rain: Brown at 4.82% and dry: Holstein at 4.37%. Similarly, there were significant differences in fat content and total solids for rain interaction of rain: Holsten, and dry: Brown. Nevertheless, no differences were observed in terms of milk density, freezing point, salts, and pH. It is concluded that there was an influence of the interaction between breed physiology and seasonal conditions on milk composition. The results also highlight the impact of season-specific environmental factors on the quality of milk.
A Cross-sectional Study of Prevalence of Gastrointestinal Parasites in Captive Wild Animals in Pakistan Zoological Gardens
Authors: Ahmad Kaleem , Ullah Wahid , Ali Qasim , Adeel Muhammad , Fahad Shah
Published: July 2024

The animals held captive in zoos often face health and well-being issues. Parasitic infections can lead to health problems in wildlife animals by affecting their gastrointestinal tract. Therefore, the present study aimed to identify and evaluate the population of the various Gastrointestinal (GIT) parasites of wild animals enclosed in different zoological gardens in Pakistan. The fresh fecal samples (n = 960) of 20 captive wildlife animals were collected from Marghzar Zoo, Islamabad (n = 340), Ayub National Park, Rawalpindi (n = 221), Lohi Bher Wildlife Park, Rawalpindi (n = 296), and Bansra Galli Wildlife Park, Rawalpindi (n = 103). The samples were obtained from wildlife mammals, including urial (n = 95), blue bull (n = 106), chinkara gazelle (n = 77), zebra (n = 77), hog deer (n = 75), spotted deer (n = 43), blackbuck (n = 58), barking deer (n = 52), red deer (n = 104), yak (n = 44), grey goral (n = 40), lion (n = 37), mouflon sheep (n = 46), red fox (n = 12), bear (n = 37), grey wolf (n = 12), jackal (n = 12), vervet monkey (n = 12), rhesus monkey (n = 12), and langoor (n = 12). Various methods, such as direct smear examination, standard sedimentation, and floatation techniques were applied to detect and identify the endoparasites in the fecal sample. The detailed routine parasitological analysis identified approximately 52 endoparasites in the fecal samples, including Haemonchus contortus, Eimeria bovis, Ostertagia curcumcincta, Strongyloides papillosus, Strogylus equinus, Oxyuris equi, Chabertia ovina, Protostrongylus, and Trichostrongylus vitrines. The obtained results indicated that Lohi Bher Wildlife Park (46.35%) had a higher prevalence of GIT parasites, compared to Marghzar Zoo (33.23%), Bansra Galli Wildlife Park (33.02%), and Ayub National Park (19.45%). The study reports mild to moderate parasitic infection in captive wild animals and that could affect the survivability of the animals in captivity. The findings of the study can be used to formulate a proper health protocol and sanitation management in captive wild animals to control parasitic infections.
Effects of Breed on the Morphometric Parameters of Erythrocytes in Horses
Authors: Adili Nezar , Megâache Mounia
Published: July 2024

Various factors have a distinct impact on the quantity and dimensions of red blood cells across diverse animal species. These factors encompass age, sex, elevation, time of year, and lineage. The present study aimed to evaluate the influence of breed on the morphometric parameters of red blood cells in horses. To examine the impact of various horse breeds on the diameter, circumference, and surface area of red blood cells, blood samples were obtained from a total of 90 healthy horses. These horses belonged to three different breeds, including Arab Thoroughbred, English Thoroughbred, and Barbe. Each breed consisted of 30 individuals, with an equal distribution of males and females. The collected blood specimens were then divided into two separate batches for further analysis. The age range of all horses included in the study was between 5 and 12 years old. Smears were made and stained using the May-Grünwald Giemsa technique. The morphometric measurements were performed while using the OPTIKATM Vision Pro special software. The obtained results showed that there were no significant differences in the red blood cell diameters across different horse breeds. However, this factor appears to influence significantly both the circumference and surface area of erythrocytes. Specifically, the circumference and surface of Barbe red blood cells were highly smaller than both Arabian and English purebred horses. The present study demonstrated that the circumference and surface of red blood cells appear to be more indicative and representative in detecting variations in the erythrocyte morphometry between different horse breeds.
Growth Traits as Predictors of Body Weight in Sheep: A Review
Authors: Madikadike Molabe Kagisho , Tyasi Thobela Louis
Published: July 2024

The sheep production industry affects most rural areas and communal farm enterprises in the tropics and sub-tropics as a source of income. The motivation behind the present literature review was to provide detailed literature from various sources on the estimation of body weight from the growth traits of sheep. The review was conducted to highlight the importance of body weight and the significance of growth traits (heart girth, withers height, body length, sternum height, and rump height) as parameters to predict body weight. The main reason for livestock practice is to ensure food security. Therefore, it is important to assess economic traits and determine the carcass merit of sheep. Linear body measurement is a practical, fast, easy, and cheap method broadly utilized in national breeding programs to predict body weight and improve meat productivity in rural areas. The current review indicated that growth traits could be used to predict the body weight of sheep since they importantly provide necessary information about the morphological structure and potential development of the animals.
Can the systemic immune inflammation index (SII) and the systemic inflammation response index (SIRI) predict the severity of coronary artery disease?
Authors: Bayraktar Muhammet Fatih , Coşgun Mehmet
Published: July 2024

Aim: To examine the relationship between complete blood count metrics and the severity of coronary artery disease (CAD) in patients undergoing coronary angiography.
Methods: Patients diagnosed with stable angina pectoris or acute coronary syndrome by coronary angiography between October 2018 and February 2019 were included in the study. Based on their angiography results, patients were divided into two groups: one with severe CAD (n=258) and one with non-severe CAD (n=219). The initial clinical characteristics, along with data from laboratory tests and complete blood counts, were recorded and compared between the two groups.
Results: The Wight Blood Cell (WBC) count, Neutrophil (NEU) count, Monocyte/Lymphocyte Ratio (MLR), Neutrophil/Lymphocyte Ratio (NLR), Monocyte/High-Density Lipoprotein Cholesterol Ratio (MHR), systemic immune inflammation index (SII) and systemic inflammation response index (SIRI) were each significantly higher in the group with severe CAD than in the group without severe CAD. The analysis utilized logistic regression, factoring in recognized CAD risk factors such as age, gender, diabetes mellitus (DM), hypertension (HT), hyperlipidemia (HL), and smoking, identified NLR, MHR, MLR, SII, and SIRI as notable and independent indicators of severe CAD.
Conclusion: Our study showed that since it was an independent predictor of CAD, SII and SIRI could be utilized as a novel indicator for assessing the severity of CAD.
Building a hybrid and networked university through long-term lifelong learning agreements with the surrounding society
Authors: Jaldemark Jimmy , Bång Åsa , Larsson Mathias , Majchrowska Margareta
Published: July 2024

The current study focused on lifelong learning as a tool for higher education institutions to build relationships with surrounding society. As a theoretical point of departure, the study built on empowerment and human capital discourses of lifelong learning and the ivory tower, the factory, and the network as modes of higher education institutions' collaboration with the surrounding society. The study focused on a lifelong learning initiative to move a higher education institution towards a hybrid and networked mode. Particularly, the initiative focused on building long-term relationships with organisations in the surrounding society. Therefore, this paper aims to report results, in terms of a preliminary conceptual framework, from a higher education lifelong learning initiative. It answers the following research question: How can higher education institutions build hybrid and networked long-term relationships with the surrounding society through lifelong learning initiatives? The study was based on a design-based research method and described and analysed the conceptual development of a Swedish collaborative lifelong learning initiative between a higher education institution and an organisation. Data included in the analysis is taken from documents and field notes, including a long-term agreement, conceptual documents, and plans. The studied initiative included three phases. The first phase, preparatory work, embraced a course for the top management team of the organisation to strengthen their ability to plan, lead and organise professional and organisational development, followed by identifying the needs of the organisation. The second phase, implementation, included dialogue and analysis of the identified needs and development and implementation of suitable courses matching prioritised needs. The third phase, follow-up, included an evaluation of the different parts of the initiative, possible impacts, and a discussion of further needs of collaboration for both professional and organisational development. The conceptual development work included the design of a hybrid and networked framework based on the idea of collaboration partners subscribing to higher education courses under a long-term agreement called POD (collaboration for Professional and Organisational Development). Among others, these PODs include regular dialogues on the needs of the organisations and courses built on networked learning principles. Bring-your-own-data is a core principle to ensure a strong link between theory and practice. The early stage of the initiative included promising results, going in the direction of becoming a hybrid and networked higher education institution by signing its first POD.
Chinese University Students’ Digital Engagement in Post-COVID
Authors: Sun Yixuan
Published: July 2024

Many scholars internationally conducted research on teaching and learning during the pandemic. Some scholars identified positive changes in student academic performance and student satisfaction while others found negative impacts on students’ mental health. My observation is that Covid-19 and technology (non-human actors) have shaped students’ cognition (way of thinking), behavior (digital practices), and affection (mental health). In fact, in China, digital engagement has become an important part of the lives of university students even in the post-Covid era. This qualitative study aims to investigate two Chinese universities with focus on their students’ digital engagement from a sociomaterial perspective. This research focuses on three questions: 1) What are Chinese university students’ perceptions and practices of their digital study (2022-2023)? 2) What dilemmas or conflicts did they confront when they configured a digitally mediated learning space that constitutes messy assemblages of material and social practices? 3) How did they respond to new challenges (human actors and nonhuman actors)? In order to answer these questions, the study adopts interviews and visual analysis of individual digital learning environment (including imaging and texts). It offers insights on reframing student digital engagement as constantly shifting sociomaterial assemblages from which different forms of agency emerge as effects of connections and activity. These assemblages can be closely read and interpreted from the students’ dynamic study practices, which are not only social but also at times private and unobservable. The study will contribute to a more nuanced understanding of the human-material-digital practice and enactments for the Chinese academic community and beyond.
Anatomic Versus Reverse Total Shoulder Arthroplasty for Primary Osteoarthritis With an Intact Rotator Cuff: A Midterm Comparison of Early Top Performers
Authors: Hao Kevin A. , Hones Keegan M. , Elwell Josie , Aibinder William R. , Wright Jonathan O. , Wright Thomas W. , King Joseph J. , Schoch Bradley S.
Published: July 2024

Background:

Several surgeons state that their best anatomic total shoulder arthroplasty (aTSA) outperforms their best reverse total shoulder arthroplasty (rTSA) when performed for rotator cuff–intact glenohumeral osteoarthritis. We identified the top-performing aTSAs and rTSAs at short-term follow-up and compared their clinical performance at midterm follow-up to validate this common claim.

Methods:

A retrospective review of a multicenter shoulder arthroplasty database was conducted. All shoulders undergoing primary aTSA or rTSA for rotator cuff–intact glenohumeral osteoarthritis between 2007 and 2020 were reviewed. Shoulders with a follow-up clinical visit between 2 and 3 years and a clinical follow-up of minimum 5 years were included. Two separate cohorts were identified: patients with a top 20% (1) American Shoulder and Elbow Surgeons (ASES) score and (2) Shoulder Arthroplasty Smart (SAS) score at 2 to 3 years of follow-up. Clinical outcomes including range of motion, outcome scores, and rates of complications and revision surgeries were compared at minimum 5-year follow-up.

Results:

The ASES score cohort comprised 185 aTSAs (mean age 67 years, 42% female) and 49 rTSAs (mean age 72 years, 45% female). The SAS score cohort comprised 145 aTSAs (mean age 67 years, 59% female) and 42 rTSAs (mean age 71 years, 57% female). Active external rotation (ER) was greater after aTSA at midterm follow-up in both ASES and SAS score cohorts; however, preoperative to postoperative improvement was equivalent. Postoperative ER and SAS scores were greater after aTSA in both cohorts (P < 0.05); however, no other significant differences in any preoperative or postoperative clinical outcomes were present (P > 0.05), and patients achieved the minimal clinically important difference and substantial clinical benefit at similar rates for all outcomes. No difference was found in the incidence of complications and revision surgeries between top-performing aTSAs and rTSAs.

Conclusion:

Among top-performing shoulder arthroplasties at early follow-up, aTSA does not appear to outperform rTSA, except superior ER at midterm follow-up.

Level of evidence:

Retrospective comparative cohort study, Level Ⅲ
Trampolines Versus Playgrounds - A Comparative Assessment of Pediatric Fractures Sustained From Recreational Play
Authors: Malige Ajith , Markiewitz Nathan D. , Badrinath Raghav , Baldwin Keith D. , Wells Lawrence , Williams Brendan A.
Published: July 2024

Introduction:

Using the Pediatric Health Information System, this study compared the relative severity of fractures sustained from trampolines with those from other playground equipment.

Methods:

Pediatric patients were identified in the Pediatric Health Information System with trampoline-related injuries (TRIs) or playground-related injuries (PRIs) diagnosed as fractures. Adjustments were made for hospital, year of injury, sex, age, race, median household income, and rurality through propensity score weighting. Four injury-related outcome measures were examined as a proxy for injury severity.

Results:

A total of 133,232 patients met inclusion criteria. In unadjusted univariate analyses, TRIs were associated with greater odds of severe fracture and lower odds of receiving surgical treatment (OR = 0.954) compared with PRIs. After adjustment, TRIs sustained in late childhood and adolescence were more likely to receive surgical management (OR = 1.092 and OR = 1.192, respectively) while TRIs sustained in younger children were less likely (OR = 0.607) than PRIs.

Discussion:

Youths in late childhood and adolescence are at increased odds of undergoing surgical management after trampoline fractures. Beyond underscoring the risks of trampoline play, our results highlight the importance of considering age in recreational injury epidemiology and the public health safety initiatives aimed at specific age groups.
Pemanfaatan Teknologi Augmented Reality pada Sistem Pernapasan Manusia
Authors: Lahagu Albertus , Halawa Deseriati , Lase Natalia Kristiani
Published: July 2024

This study explores the use of Augmented Reality (AR) technology in studying the human respiratory system using a qualitative research method of a literature approach. Augmented Reality (AR) is a technology that combines virtual objects with real environments in real-time, which can be used as a visualization tool in education. This article uses a qualitative method with a library research approach that focuses on the discussion of learning and learning. The data collection technique used in this study is reading books, recording and collecting data from various literature such as journals, documents. The stages of analysis carried out in this study include several stages, including the preparation stage, data collection stage, data reduction, data categorization, data display, and conclusion drawing. The results of the study show that the use of AR in human respiratory system education can improve students' understanding through interactive and realistic 3D visualization. In addition, AR also allows students to study the structure and function of respiratory organs in a more in-depth and engaging way. However, technical constraints, costs, and the need for training for teachers are obstacles that need to be overcome for wider implementation. This study concludes that AR has great potential as an innovative learning tool in the medical field, especially for the respiratory system, if there is adequate support in terms of technology and educational infrastructure
Hakikat Belajar dan Pembelajaran dalam Konteks Pendidikan
Authors: Alwis Dona Ana Yori , Turrohma Mitra , Fadriati Fadriati
Published: July 2024

This article aims to find out the understanding of the nature of learning and how learning helps teachers and education practitioners in designing an effective and development-oriented learning process. The research uses methods in qualitative form. The research method includes literature study by conducting literature searches related to learning and educational concepts. The main source of this research data is research articles published in scientific journals and indexed on the google scholar database. The results of the data analysis will be interpreted to explore their implications in the context of learning and education. The findings of this study are that learning and learning are two essential elements that complement each other in the educational process. Learning involves relatively permanent changes in behavior or potential behaviors as a result of experience, while learning is a more structured process designed to facilitate learning. A good integration of learning theory and learning practices in the curriculum allows students to not only acquire knowledge and skills but also develop positive attitudes and moral values. A well-designed learning design must pay attention to students' needs, interests, and learning styles, and focus on achieving the educational goals that have been set
Gingival Overgrowth In Patients Induced By Calcium Channel Blockers
Authors: Panhwar Muhammad Ali , Unar Javaid , Panhwar Iffat , Shaikh Tarique Hussain , Bhutto Seerat-Ul-Urooj , Sehito Muhammad Amin , Kandhro Rehmatullah
Published: July 2024

Gingival enlargement can be caused by a number of factors, including inflammatory conditions and   the   side   effects   of   certain   medications.  Gingival overgrowth is one of the frequent features of gingival diseases. Objective: To find out frequency of calcium channel blockers causing gingival overgrowth. Methods: A descriptive cross-sectional study was conducted among cardiac patients visiting the cardiology department at Liaquat University Hospital, Hyderabad by convenience sampling technique for a time duration of six months. SPSS version 23.0, was used for data analysis. Chi-square test was applied with a significance level of P-value <0.05. Results: The most commonly used calcium channel blockers were amlodipine and diltiazem at 31.3% and 26.7% respectively, while 15.6% of cases were using nifedipine, 14.4% were on verapamil and 11.9% were on calcium channel blocker drug of bepridil. The severity of gingival overgrowth was significantly correlated with the male gender (p value= 0.001). Conclusions: After administration of calcium channel blockers, there is a potential that adverse consequences may occur such as gingival overgrowth, will become more common by prolong use of such drugs as indicated in this study.
Postoperative Outcomes And Surgical Complications In Typhoid Ileal Perforation
Authors: Katyar Ishrat Rahim , Khatti Shah Nawaz , Raza Ali , Abbas Khurram , Rizvi Mohammad Basil , Ahmad Zeeshan
Published: July 2024

Surgical repair for typhoid ileal perforation is essential to prevent peritonitis and sepsis. Postoperative outcomes, which include survival rates and recovery times, underscore the importance of comprehending surgical complications to refine treatment strategies and enhance patient survival. Objective: To determine postoperative outcomes and surgical complications in typhoid ileal perforation. Methods: The prospective cohort was conducted at General Surgery Department of Liaquat University Hospital in Hyderabad & Jamshoro. 228 Patients of age 18 years or more and of any gender, who were operated for having single typhoid ileal perforation, were included in the study. While patients with multiple perforations, TB peritonitis or having traumatic perforations, were excluded from the study. Results: The most common age group was found to be 18-30 years (40.4%), followed by 31-40 years (28.1%), 41-50 years (19.3%), 51-60 years (7.9%), and >60 years (4.4%). Males comprised 57.9% of the population, while females made up 42.1%. The mean length of hospitalization was found to be 14 ± 5 days. The majority of patients experienced good outcomes, accounting for 158 individuals (69.3%), while 70 patients (30.7%) had adverse outcomes. Among the adverse outcomes, there was a mortality rate of 7.2% (16 patients) and 54 patients (23.7%) experienced complications, some experienced more than one complication. Conclusions: The study concluded that though the majority of patients recover well, a significant proportion (7.2%) still faced adverse postoperative outcomes in terms of mortality. 54 patients (23.7%) experienced complications, some experienced more than one complication.
EXPERIENCE IN THE APPLICATION OF CASE-BASED LEARNING (CBL) IN THE CLASSES IN THE DISCIPLINE "ONCOLOGY"
Authors: Bekisheva А. ,   Astana Medical University, Makishev А. , Kukanova А. ,   Astana Medical University,   Astana Medical University
Published: July 2024

Currently, education in the higher medical school has changed significantly. There is a tendency to focus on student-centeredness and learning in an active format. The use of clinical cases based on specific situations that have taken place in clinical practice are called Case-based learning (CBL). The purpose of this message: Report results of application effectiveness of the use of CBL in students in the study of oncology. The innovative CBL method is used to conduct a practical lesson for students. In total, more than 50 CBL classes were conducted with more than 600 students in the discipline "Oncology". When compiling the CBL, real cases from clinical practice were selected. According to the classification, the case has the form of "small sketches" (short vignetts) on 8 pages. Classes by the case study method were carried out at practical classes on the topic "Cancer of the esophagus". Students' knowledge was assessed on a 100-point scale according to checklists that were developed in accordance with the content of the case. The average grade score of students before the introduction of CBL on the topic "Dysphagia" was 80.3 points. and after conducting classes with the use of CBL was 89.6, in the direction of improving performance in the tested groups by 9.3 points. The results of the feedback were evaluated according to three criteria: informative, visibility, accessibility for understanding, where all students participated. Informativе was rated as "excellent" - 82%, "good" - 18%.Visibility was rated as "excellent" - 85%, "good" - 15%. Accessibility for understanding was rated as "excellent" - 92%, "good" - 8%. Conclusions. CBL is an educational perspective in which students develop research potential, strategy and opportunities. Modeling professional situations through cases allows the student not only to solve the problem, but also to develop tactics of behavior in the proposed circumstances, predict the further development of the situation, determine the ability to work in a team, the ability to express their own views on the problem, conduct a discussion or debate.
Retrospective analysis of patient data after transarterial chemoembolization of the hepatic artery
Authors: Malayev N. ,   National Scientific Medical Center, Kubekova S. , Zagorulya N. , Rib Y. , Bekbergenova Zh. ,   Astana Medical University,   Astana Medical University,   Astana Medical University,   Astana Medical University
Published: July 2024

The purpose of this research: to conduct a retrospective analysis of patient data after transarterial chemoembolization of the hepatic artery. Methods. A retrospective study was carried out. In the general structure of oncological patients with liver cancer during the observed period, there were 456 patients, of which 137 underwent courses of transarterial chemoembolization of the hepatic artery, the prevailing majority of which are men - 81 people. The average age of patients in the sample was 64.6±7.82 years. Results. n the group of patients undergoing transarterial chemoembolization of the hepatic artery, in addition to primary liver cancer, there were also metastatic liver lesions - 42 cases, of which cancer of the rextosigmoid junction predominated (26 cases). The average duration of the disease was 19.2±5.2 months, the median was 17.6 months. The most common diseases were arterial hypertension (45 cases) and chronic heart failure (33 cases). 22 patients received targeted therapy, 33 patients received multicomponent chemotherapy, 113 patients received transarterial chemoembolization of the hepatic artery, and 12 patients underwent surgical treatment. Conclusions. According to the results of a retrospective analysis of patient data after transarterial chemoembolization of the hepatic artery, the most common comorbidities were arterial hypertension and chronic heart failure, most patients received doxorubicin and irinotecan more often.
System Approach as the MAin Mechanism in the Management of the Organization of Health Care
Authors: Rustam Albayev ,   Hospital of the Medical Center of the Administration of the President of the Republic of Kazakhstan
Published: July 2024

The systematic approach to managing a healthcare organization is based on the fact that every organization is a system consisting of parts, each of which has its own goals. At the same time, in order to achieve the overall goals of a healthcare organization, it is necessary to consider it as a single system. A characteristic feature of the systems approach is that not only the object, but also the research process itself acts as a complex system, while the solution to the problem is achieved by combining various components into a single whole. The paper analyzes the data of modern literature on the issues of a systematic approach, as the main mechanism in the management of a healthcare organization.
Ultrasonic Diagnosis of Cytomegalovirus Induced Stenosis of the Transplantation Renal Artery
Authors: Orazbayeva Damesh ,   National Scientific Oncology Center, Tussupbekova Gulmira , Tlegenova Assem , Auganbayeva Sandugash , Issa Gulnur ,   National Scientific Oncology Center,   National Scientific Oncology Center,   National Scientific Oncology Center,   National Scientific Oncology Center
Published: July 2024

Transplant renal artery stenosis (TRAS) is a well-known vascular complication after kidney transplantation. Most often, this occurs in the first 6 months after kidney transplantation and is one of the main causes of graft loss and premature death of transplant recipients. Renal hypoperfusion, which occurs with TRAS, leads to activation of the renin-angiotensin-aldosterone system. Patients usually have worsening or refractory hypertension and often dysfunction of the allograft. Timely diagnosis and treatment of TRAS can prevent allograft damage and systemic consequences. We report a patient with stenosis of the renal artery graft associated with cytomegalovirus infection. Cytomegalovirus is involved in the pathogenesis of renal artery stenosis in a transplant. During the serological determination of examination, cytomegalovirus positive titers of IgG antibodies to cytomegalovirus and quantitative DNA in blood serum by polymerase chain reaction were revealed. Duplex sonography is the most frequently used screening method, while angiography provides the final diagnosis. The results of the Doppler study of the renal allograft were compatible with critical stenosis of the renal artery. Angiography of the renal allograft revealed a critical stenosis of the anastomosis.
The impact of feminizing hormone replacement therapy (HRT) on risks of cancer, venous thromboembolism and osteopenia: a systematic review
Authors: Kirey-Sitnikova Yana ,   Eurasian Coalition on Health, Rights, Gender and Sexual Diversity
Published: July 2024

Hormone replacement therapy (HRT) is a standard approach to medical care for patients with gender incongruence. HRT is aimed at suppression of primary and secondary sex characteristics of the sex assigned at birth and development of characteristics of the desired sex. HRT in trans women (TW) usually consists of estrogen preparations and antiandrogens. Epidemiological studies demonstrate that HRT reduces gender dysphoria, improves psycho-social outcomes and health-related quality of life. However, concerns about safety of this therapy are widespread both among patients and doctors. The systematic review seeks to elucidate the impact of feminizing HRT on risks of cancer, venous thromboembolism (VTE) and osteopenia among TW. Systematic search in Web of Science, Scopus and PubMed with keywords: “transgender” OR “transsexual” OR “gender dysphoria”, as well as “cancer”; “thromboembolism” OR “thromboembolic”; “osteoporosis” OR “bone”. Results: (a) Feminizing HRT does not enhance risks of cancer among TW. Slight increase in cancer prevalence can probably be attributed to lifestyle factors, especially smoking. (b) Modern schemes of feminizing HRT that do not contain ethinylestradiol are safe with regards to VTE. There's not enough data to understand the relationship between progestines and VTE risks. Continuation of HRT during the perioperative period probably does not increase risks of VTE during and after the surgery. (c) Results for impact of feminizing HRT on bone health are mixed. Suppression of androgens without replacement with estrogens clearly reduces bone mineral density (BMD) both among adults and adolescents.
CORE: Counteracting overwhelming requests effectively—A method for interest flooding attack mitigation in NDNoT
Authors: Bilgili Sedat , Ertit Gökçe , Demir Alper Kamil
Published: July 2024

The Named Data Network (NDN) is a promising architecture for the near future. NDN communicates by naming data, unlike IP-based Internet architecture. Architectural understandability, ease of use, security, content presentation, and simplicity of data exchange logic make this architecture preferable. The NDNoT approach, which recently combines IoT and NDN, enables Internet of Things applications using NDN naming conventions and basic data structure. However, increasing technological applications bring security vulnerabilities. In this study, we propose a new method called CORE that will secure the intended data transfer. The presented CORE mechanism was developed as a countermeasure against the Interest Flooding attack, one of the NDN security attacks. Tests were carried out in the Cooja simulation environment using three different topology scenarios. CORE’s performance metrics were evaluated based on success rate, average delay, and interest traffic. The results showed that when the CORE mechanism was active, there was an improvement in the success rate and average delay. In terms of interest traffic, at least a 70% success rate was achieved compared to scenarios in which the CORE mechanism was not operated.
Action Research Capabilities and Challenges: Basis for Research Enhancement Plan
Authors: Amenabar Aldrin Adam , Pontillas Pepa
Published: July 2024

Engaging in research is vital for educators to enhance their teaching methodologies systematically. This study delves into teachers’ action research capabilities and challenges, evaluating competence, and proposing a research enhancement plan. Conducted through descriptive research using a survey questionnaire adapted from Oestar and Marzo (2022), insights were gathered from 446 teachers in Bukidnon during the 2023-2024 school year. Statistical tools like means, frequency, standard deviation, and Pearson-r were utilized for analysis. The results indicate a moderate correlation between teachers’ research capabilities and challenges, emphasizing that as capabilities improve, so do challenges. Variances in research capabilities were noted based on factors like educational attainment, underlining the significance of advanced education in nurturing research skills. Differences in research challenges were observed concerning age and educational attainment, underscoring the influence of these factors on research engagement. Recommendations include tailored support, increased research time, professional development emphasis, and collaborative efforts among educators to cultivate a research-centric culture in educational institutions, ultimately enhancing teaching practices.
Beef Finishing on Range Grass and Legume Supplementation: The Unexploited Profitability Option in Arid and Semi-Arid Lands of Kenya
Authors: Mulei Benson M , Kuria S G , Manyeki J K , Maweu A
Published: July 2024

The availability of economical and easily accessible feeds that are high in both quantity and quality is a crucial factor in sustainable livestock production. The study aimed to determine the profitability of finishing sheep by supplementing them with protein-rich leguminous feeds. In a completely randomized experimental design, a group of 18 mass-selected dorper yearling sheep, aged 17-19 months and an average body weight of 20.5±2.9Kgs, were assigned into 6 diet experimental units of 3 animals each. Analysis of variance and economic viability analyses showed Bush rye+Desmodium and African fox tail+Lucerne diets as the leading, with net weight gains of 3.0±0.7Kgs and 2.8±0.5Kgs and profitable returns of Ksh 65,979.00 and Ksh 30,906.00 respectively for 100 units’ sheep establishment at the prevailing market live body weight price of Ksh 400/ kg. The selection of a cost-effective legume and the right breed and genetics of the animal were an essential consideration for enhanced enterprise profitability.
The Validation Principle and Arbitration Agreements: Difficult Cases Make Bad Law
Authors: Tweeddale Andrew
Published: July 2024

The cases of Kabab-Ji SAL (Lebanon) v. Kout Food Group (Kuwait) [2021] UKSC 48 (26 October 2021) and Enka Insaat Ve Sanayi AS v. OOO Insurance Company Chubb (Rev1) [2020] UKSC 38 both considered the validation principle but from different stages in the arbitration. The validation principle is an established principle of contractual interpretation. Where there is ambiguity in a contract, the law presumes that the interpretation that upholds the validity of the contract will prevail. Therefore, if the parties have chosen two laws to apply to an arbitration agreement, the law will presume that the one which upholds the arbitration agreement will apply. However, at the enforcement stage of an award the validation principle no longer applies. The result is that the law may require parties to settle their disputes by arbitration only to find that the award is not enforceable because there is no valid arbitration agreement.
Resolving Smart Contract Disputes Through Blockchain Arbitration
Authors: Okezie Promise
Published: July 2024

The 2020 pandemic accelerated the tech revolution around the world, particularly in relation to commercial transactions; the borders of most nations were closed due to the pandemic, thus increasing the use of Blockchain technology in commercial transactions and the proliferation of smart contracts. A distinctive feature of a smart contract is its ability to be self-executory. However, as Sophie Nappert observed, where there are human minds transacting, whether ‘on-chain’ or ‘off-chain’, there will always be disputes. This paper finds that, due to the sue generis nature of smart contracts, off-chain systems of dispute resolution are not adaptive to the characteristics of Blockchain transactions or to disputes arising out of smart contracts, thus indicating the need for Blockchain arbitration. This paper discusses some of the legal impediments and implications that come with Blockchain arbitration and the need for Blockchain arbitration to be adapted to some of the principles that guide off-chain dispute settlement so as to make it a fair system of dispute resolution. The paper argues that Blockchain arbitration is a sue generis system of dispute resolution, which draws its authority from the Lex cryptographia legal order, and as such, need not be subjected to the legal authority of any nation. Accordingly, this paper, while examining the legal and tech perspective of Blockchain awards, advocates for the recognition of this new form of decentralized arbitration and suggests a real-world regulation of the legal order contained in the Blockchain.