bluuebunny/crossref_metadata_2025 huggingface dataset:
PENFIGOIDE AMPOLLOSO EN PEDIATRÍA. A PROPÓSITO DE UN CASO
Authors: ORDOÑEZ EVELYN
Published: December 2024

El penfigoide ampolloso es una enfermedad autoinmune poco frecuente en edad pediátrica; caracterizada por la presencia de autoanticuerpos en la zona de la membrana basal epitelial. Ésta enfermedad se ha relacionado con la ingesta de fármacos, procesos autoinmunitarios y con administración de vacunas con la aparición de las lesiones hasta 4 semanas después de dicho factor predisponente. Su tratamiento se basa en medicamentos inmunosupresores y antiinflamatorios, teniendo así un pronóstico bueno, mejor que la variedad del paciente adulto.Presentamos el caso de un escolar masculino, que ingresa por presencia de lesiones ampollares en manosypies, con resultado de biopsia en primera instancia de eccema dishidrótico severo, recibiendo corticoide vía oral, curaciones por servicio de cirugía plástica y antibioticoterapia intravenosa, con notable mejoría de lesiones que a las dos semanas presenta una exacerbación del cuadro con la aparición de nuevas lesiones generalizadas a nivel de tronco, áreas flexurales, y regiones acrales de manos y pies caracterizada por ampollas grandes tensas, con contenido serosanguinolento, pruriginosas, dolorosas a la manipulación.
Inovasi Pendidikan dengan Menggunakan Model Deep Learning di Indonesia
Authors: Suwandi  , Putri Riska , Sulastri
Published: December 2024

The deep learning model, as proposed by Abdul Mu`ti, emphasizes a mindful, meaningful, and enjoyable learning experience, allowing students not only to memorize but to deeply understand and internalize the material. This study aims to examine the implementation of the deep learning model in the context of primary and secondary education in Indonesia through a literature review method. Based on the analysis of various recent sources, it was found that this model contributes positively to enhancing critical thinking skills, active participation, and student engagement in the learning process. However, several challenges in its implementation were also identified, including limitations in infrastructure, teacher readiness, and the constraints of the traditional curriculum that hinder flexibility. This article offers recommendations to support more effective deep learning implementation, particularly by strengthening teacher training and providing adequate facilities. With the right support, this model holds great potential to optimize the quality of education in Indonesia, preparing a highly competitive generation.
Doctor-Patient Communication skills: Knowledge and Practice among Physicians of private medical colleges of Chattogram, Bangladesh
Authors: Happy Rani Barua  , Maliha Ata  , Sabrina Karim  , Tanuka Barua  , Himon Barua  , Aysha Osman  , Tanya Barua  , Rozina Hoque  , Anupam Barua
Published: December 2024

Background: Quality patient care and fostering doctor- patient relationships with compassion and mutual respect rely on effective communication. This study sought to evaluate the physicians' knowledge and proficiency in doctor-patient communication skills across three private medical colleges and hospitals in Chattogram, Bangladesh.
Materials and Methods: From April to May 2024, Chattogram, Bangladesh's Southern Medical College (SMC), BGC Trust Medical College (BGC TMC), and Chattogram Maa O Shishu Hospital Medical College (CMOSHMC) conducted a descriptive cross-sectionalresearch. A total of 384 physicians voluntarily participated in this study. A structured questionnaire including Knowledge and Practice towards Doctor-Patient Communication skills based on Calgary- Cambridge framework was distributed among the physicians. Data were analyzed by Statistical Package of Social Sciences version 24.
Results: In this study, out of 384 physicians, 168(43.8%) were male and 216 (56.3%) were female. The mean age of the physicians was 33.0859 ± 9.241. 142(37%) were from Chattogram Maa O Shishu Hospital Medical College (CMOSHMC), 132(34.4) from BGC Trust Medical college (BGCTMC) and 110(28.6) from Southern Medical College (SMC). The mean of total knowledge score was 41.914 (SD: ±3.893) and total practice score was 38.554 (SD: ±4.317). According to Bloom's scale, the doctors in this research had a moderate degree of practice (76%) but an excellent level of knowledge (>80%) about doctor-patient communication.
Conclusion: Though physicians in this study had a good level of knowledge but illustrated a Moderate level of Practice on Doctor Patient Communication skill. The barriers to practice good communication skills must be overcome for a better Doctor Patient Relationship.
Reseña bibliográfica de Diseño de la vida, filosofía y neoliberalismo de Daniel Alvaro (Coord.)
Authors: Turdera Lucero Diego
Published: December 2024

El volumen Diseño de la vida, filosofía y neoliberalismo busca devolverle su potencia a la crítica social y filosófica frente a la cooptación de elementos críticos por parte de dispositivos de gubernamentalidad neoliberal.
Kewarganegaraan dan Pertanggungjawaban Pidana
Authors: Ahmad Muhamad Mustain Nasoha  , Ashfiya Nur Atqiya  , Sinta Amalia  , Jamilatul Dwi Aulia Khasanah  , Fina Nailissa’adah
Published: December 2024

This research examines issues related to citizenship and criminal responsibility in the context of international courts, with a focus on how these challenges influence law enforcement processes. Through a case study-based qualitative analysis approach and a review of recent literature, this research explores how dual citizenship, the political status of perpetrators, and globalization influence jurisdiction and justice in international courts. Case studies analyzed include The Prosecutor v. Al-Bashir and The Prosecutor v. Dominic Ongwen, who shows how these issues hamper international courts' efforts to enforce the law. The findings of this research underscore the need for reform in the international legal system, including legal harmonization, reform of extradition mechanisms, and increased coordination between courts. This research also highlights the importance of continuous education and training for international law officials to face new challenges in the era of globalization.
Konsep Kewarganegaraan Ganda dalam Tinjauan Hukum Positif dan Hukum Islam
Authors: Ashfiya Nur Atqiya  , Ahmad Muhamad Mustain Nasoha  , Irfan Ammar Najib  , Khanafi Rizki Pratama  , Yuliana Fajar Nur Hidayati
Published: December 2024

This research discusses the concept of dual citizenship in the perspective of Indonesian positive law and Islamic law. Dual citizenship refers to the legal status in which a person is recognized as a citizen by more than one country, a phenomenon that is increasingly relevant in the era of globalization. In Indonesian positive law, dual citizenship is generally not recognized, except in special cases such as children from mixed marriages. However, increasing global mobility and individual rights have prompted discussion on the need for wider recognition of dual citizenship. Meanwhile, Islamic law provides a more flexible approach by considering the maqasid al-shariah principle which emphasizes the protection of basic human rights. Through a normative juridical and sociological approach, this research explores how the two legal systems deal with dual citizenship and what the implications are for individuals as well as the state. A comparative study of dual citizenship Dual Citizenship, Positive Law, Islamic Law, Maqasid al-Shariah, Citizenship Regulation practices in several other countries, such as the United States, Canada, Egypt and Pakistan, was also conducted to gain greater insight and understand the best practices that can be adapted in Indonesia. The results show that despite resistance to dual citizenship, its implementation can provide significant benefits, both in terms of protecting individual rights and strengthening international relations. Therefore, it is recommended that Indonesia consider a more comprehensive and inclusive policy regarding dual citizenship, which is in line with positive legal values and Islamic legal principles. This research can hopefully serve as a reference for policy makers and academics in developing regulations that are adaptive to global dynamics.
ПДНВ
Authors:   Международная морская организация
Published: December 2024

Целью Международной конвенции о подготовке и дипломировании моряков и несении вахты 1978 года (Конвенция ПДНВ) является обеспечение безопасности человеческой жизни и имущества на море и защита морской среды путем определения международных стандартов подготовки, дипломирования и несения вахты для моряков.
В настоящей публикации содержится Заключительный акт Конференции 2010 года Сторон ПДНВ, принятые этой Конференцией резолюции и полный сводный текст Конвенции ПДНВ, ее статьи, пересмотренное Приложение к ней и Кодекс ПДНВ. В настоящую публикацию вошли также поправки к Конвенции и Кодексу, принятые в 2014, 2015 и 2016 годах.
Flowering Regulation of Potted Bougainvillea Plants under Five Water Treatments [RESEARCH NOTE]
Authors:   Department of Horticulture and Biotechnology, Chinese Culture University, Taipei 111, Taiwan, Lin Kuan-Hung , Li Jui-Mei ,   Department of Horticulture and Landscape Architecture, National Taiwan University, Taipei 106, Taiwan, Wu Chun-Wei ,   Department of Horticulture and Landscape Architecture, National Taiwan University, Taipei 106, Taiwan, Chang Yu-Sen ,   Department of Horticulture and Landscape Architecture, National Taiwan University, Taipei 106, Taiwan
Published: December 2024

Bougainvillea (Bougainvillea buttiana) is a very popular evergreen landscape plant in the tropical and subtropical areas. The objective of this study was to investigate the growth, flowering, and physiological performance of bougainvillea ‘Taipei Red’ cultivar in response to water-stress conditions that can potentially be used to maximize the economic efficiency and benefits in the development and ACC potential of bougainvillea plants grown in controlled environments. Potted plants were subjected to five different levels of soil VWC: 60% (control), 40%, 20%, 1/3 of leaves visually observed to be drooping (equivalent to 18% VWC), and 2/3 of leaves drooping (15% VWC). These five irrigation treatments were applied to those commercial potted plants without flowers from the beginning until the first flower buds appeared, after which normal irrigation was resumed until the end of this experiment. As VWC% decreased, shoot growth rate and days to visible first flower buds decreased. Whereas, leaf abscission, numbers of flower buds and shoots per plant, and ACC content in leaves increased. The 15% VWC irrigation treatment induced the first flower buds to become visible in fewer days and produced more flower buds and shoots and higher ACC content, but shoot growth rate and leaf abscission declined. Whereas, there were no significant differences in bract size and longevity under all %VWC water deficit irrigation treatments and control. Thus, the widely grown flowering potted bougainvillea, ‘Taipei Red’ adapts well to an irrigation schedule of 15% VWC, which can be considered an effective tool for regulating cultivation practices.
Differences in the relative importance of predictors of short- and long-term mortality among critically ill patients with cancer
Authors: Silva Carla Marchini Dias da , Bettim Bárbara Beltrame , Besen Bruno Adler Maccagnan Pinheiro , Nassar Junior Antônio Paulo
Published: December 2024

ABSTRACT Objective: To identify the relative importance of several clinical variables present at intensive care unit admission on the short- and long-term mortality of critically ill patients with cancer after unplanned intensive care unit admission. Methods: This was a retrospective cohort study of patients with cancer with unplanned intensive care unit admission from January 2017 to December 2018. We developed models to analyze the relative importance of well-known predictors of mortality in patients with cancer admitted to the intensive care unit compared with mortality at 28, 90, and 360 days after intensive care unit admission, both in the full cohort and stratified by the type of cancer when the patient was admitted to the intensive care unit. Results: Among 3,592 patients, 3,136 (87.3%) had solid tumors, and metastatic disease was observed in 60.8% of those patients. A total of 1,196 (33.3%), 1,738 (48.4%), and 2,435 patients (67.8%) died at 28, 90, and 360 days, respectively. An impaired functional status was the greatest contribution to mortality in the short term for all patients and in the short and long term for the subgroups of patients with solid tumors. For patients with hematologic malignancies, the use of mechanical ventilation was the most important variable associated with mortality in all study periods. The SOFA score at admission was important for mortality prediction only for patients with solid metastatic tumors and hematological malignancies. The use of vasopressors and renal replacement therapy had a small importance in predicting mortality at every time point analyzed after the SOFA score was accounted for. Conclusion: Healthcare providers must consider performance status, the use of mechanical ventilation, and the severity of illness when discussing prognosis, preferences for care, and end-of-life care planning with patients or their families during intensive care unit stays.
Wisdom in Words: Educational Metaphors in Chinese University Commencements
Authors: Zhao Yunshu , Wongthai Nuntana
Published: December 2024

Commencement speeches at universities are the most important part of the educational activities, with the president’s address carrying a rich array of educational metaphors. To better understand the educational values, concepts and developments of higher education institutions, this study examines 100 graduation speeches delivered by university presidents over the past decade as research material, taking Conceptual Metaphor Theory as the theoretical framework. Employing the Metaphor Identification Procedure (MIP), the analysis identifies 13 prominent source domains of educational metaphors across the speeches. The primary categories include PLANT, CONSTRUCTION, WAR, FAMILY, NATURE, JOURNEY, OBJECT, BODY, ECONOMY, LIGHT, CONTAINER, PLACE, and RELIGION. The quantitative data (tokens, types, resonances) shows that the PLANT metaphor is the most dominant (52.88% resonance), followed by CONSTRUCTION at 18.43% and the WAR at 13.43%. TE further qualitative data showed PLANT metaphor emphasizes the importance of patience, care, and a supportive educational environment, reflecting the deep-rooted agrarian culture and values in China. The CONSTRUCTION metaphor illustrates education as a process of systematically building knowledge, comparing with the goal-oriented and collaborative nature of Chinese educational policies. The WAR metaphor, though less frequently used, underscores the challenges and competitive aspects of education, advocating for resilience and strategic thinking among students. Additionally, the other metaphorical domains that also provide diverse perspectives on education, offering a broader understanding of the complexities within the Chinese educational systems. This study enriches perspectives on educational metaphors in Chinese commencement speeches by revealing how metaphorical language influences educational communication, drawing attention, ensuring effective information transmission and enhancing audience understanding of education elements.
A Review of Predictive Factors of Student Satisfaction with Online Distance Learning: A Systematic Literature Review
Authors: Chen Mengying , Mohammed Lubna Ali
Published: December 2024

From 2020 to 2023, university students worldwide experienced online distance learning (ODL), during this unique period, the satisfaction of students received extensive research attention. This study conducts a systematic literature review, selecting 68 relevant articles on ODL satisfaction factors from the Web of Science, Science Direct, and ProQuest databases. The study aims to explore research trends, influencing factors, and future agendas related to ODL satisfaction. The findings reveal that: 1). Recent research primarily focuses on Asian countries and developing nations. The most commonly used research method is quantitative, combining surveys with Structural Equation Modeling (SEM). University undergraduates are the most frequent subjects of these studies. 2). In examining influencing factors, it is found that ODL satisfaction research mainly includes five aspects: student factors, teacher factors, course factors, information technology and tools, and macro-environmental factors. Key influencing factors are concentrated on "interaction," "self-efficacy," "engagement," "motivation," "teacher quality," "course content quality," "course assessment," "information technology," and "learning management systems." These terms represent the most frequently studied factors in recent satisfaction research. 3). For future research on ODL satisfaction, researchers can further expand their studies from theoretical, technological, and practical application perspectives.
Investigating the Relationship between Double Reduction Policies, Academic Pressure, and Student Well-being in China's Compulsory Education System
Authors: Meng Qingxin , Mansor Azlin Norhaini , Omar Marlissa , Li Lili , Zheng Jiao
Published: December 2024

The purpose of this study is to understand the effects of China’s Double Reduction policy on stress and wellbeing of middle school students. This aims at assessing the consequences of the Double Reduction policy in China for middle school learners not only in terms of academic stress. They reveal how academic stress interferes with different aspects of human functioning that include cognitive and physical health and perceived well-being. In addition, it explores the moderating effect of the Double Reduction policy on the association between self-rated health and student academic quality. The main goals of the research include the assessment of the Double Reduction policy and its effects in moderating the level of academic stress among the middle school students in China. Besides it also determines the impact of load decrement on academic performance, in addition to valuing different measures of wellbeing such as mental, physical health and life satisfaction. Additionally, it also explores the moderating effect brought by academic quality in the relationship between the Double Reduction policy and students’ well-being. More specifically, 209 students were hired for the sample and regression analysis was employed in assessing the policy called the Double Reduction policy in which the stress level was found to have been significantly decreased with the well-being of students enhanced as well. The results derived from regression analysis pointed to the great extent of predictive validity. This study also identifies understanding to mean both academic success for students and student care in order to relieve student pressure. The future studies should adopt the longitudinal research designs, subjects of different education levels and employ the objective measures to complement and extend these findings.
SURXONDARYO VILOYATI AGROSANOATINING TARKIBIY TUZILISHI VA RIVOJLANISH OMILLARI
Authors: Qudratova Lobar
Published: December 2024

В данном исследовании на основе научных подходов описываются перспективы развития агропромышленного комплекса и его формирования на примере Сурхандарьинской области. На основании темпов роста агропромышленного комплекса в последующие годы приводятся сведения о его территориальном аспекте.
“KONSTITUTSIYA – ERKIN VA FAROVON HAYOT GAROVI”
Authors: Shovqiyev Ahad
Published: December 2024

В данной статье описывается принятие новой Конституции Республики Узбекистан, роль принятой Конституции в формировании государства и общества, то, что Конституция служит основательной правовой основой для реализации реформ в экономике, обсуждались общественно-политические отношения и культурно-просветительская жизнь.
Scientometric Trends and Impact of Solar Energy and Waste-to-Energy Research (2008-2022): Insights into Growth, Citation Patterns, and Collaboration
Authors: Puttannanavar Ramesh S. , Begum Khaiser Jahan
Published: December 2024

Research on solar energy and waste-to-energy technologies has expanded due to the growing emphasis on sustainable energy sources, and scientometric studies have provided valuable insights for future directions in these areas. The study examines the scientometric trends and impact of research in solar energy and waste-to-energy from 2008 to 2022, focusing on key indicators such as citation rates, growth rates, publication efficiency, and collaboration patterns. The study analyzed 17,469 research papers on solar energy and 8,149 on waste-to-energy published from 2008 to 2022 using scientometric methods. Key indicators, such as average citations per paper, annual growth rate, exponential growth rate, activity index, publication efficiency index, relative growth rate, doubling time, and degree of collaboration, were calculated. The highest average citation per paper was 64.30 for solar energy and 86.09 for waste-to-energy. The peak annual growth rate (AGR) was 50.00 in 2006 for solar energy and 38.64 in 2020 for waste-to-energy. Exponential growth rates reached 1.50 in 2013 for solar energy (585 publications) and 1.39 in 2020 for waste-to-energy (1,062 publications). The activity index was highest in 2022, with 144.05 for solar energy and 143.72 for waste-to-energy. The average publication efficiency index for both fields was 1.49, and the study highlighted significant contributions by multiple authors across both topics. Other indicators, including relative growth rate (RGR), doubling time (Dt) for publications and citations, and degree of collaboration, underscored substantial research momentum and collaboration in these fields. The data show a strong growth trend and significant impact on research in waste-to-energy and solar energy, along with a noticeable increase in collaborative research initiatives. These patterns indicate an ongoing interest in and solid understanding of renewable energy technologies, which are essential for achieving future sustainability and energy objectives.
Design and Analysis of Cooling Systems for Combustion Chambers in Turbine Engines: A Comparison of Oil and Gas Cooling Fluids
Authors: Mallick Sourav , Hossain Masum
Published: December 2024

This study focuses on the design and analysis of a cooling system for a combustion chamber in a turbine engine. The objective is to compare the cooling performance of oil and gas as cooling fluids using CAD modeling in CATIA and computational fluid dynamics (CFD) simulations in ANSYS Fluent. The design requirements, including cooling rate, pressure drop, temperature requirements, fluid properties, material compatibility, and environmental impact, were defined and incorporated into the CAD model. The CFD simulations were conducted to evaluate the temperature distribution and pressure dynamics within the combustor chamber. The results provided insights into the advantages and drawbacks of using oil and gas as cooling fluids, considering factors such as heat absorption, thermal conductivity, viscosity, pressure drop, and power consumption. Material compatibility and environmental considerations were also addressed. The findings offer a foundation for informed decision-making regarding the selection of the most suitable cooling fluid. However, real-world testing is recommended to validate the simulation results and ensure the chosen cooling fluid meets the design requirements effectively and efficiently. By combining computational simulation and physical testing, this study contributes to the design of efficient and durable cooling systems for gas turbine engines.
Effects of Caffeine Consumption on Exam Performance Throughout University Students
Authors: Hawamdeh Mohannad , Mashaal Ahmed Hussein , Obaidat Sakher , Al-Nassan Saad , Shallan Amjad , Altaim Thamer A. , Muhsen Ahmad
Published: December 2024

Background: caffeine can be found in many types of food and beverages such as coffee beans, chocolates, and tea. Caffeine consumption could be used for different reasons. For example, healthcare providers use caffeine to reduce fatigue and cope with demanding workloads. The aim of this study is to estimate the effect of caffeine consumption on exam performance among universities students. Methodology: The study used a cross-sectional design. Students at The Hashemite University in Zarqa-Jordan from both sexes were eligible to participate by completing an electronic questionnaire. Results: A total of 145 participants participated in the study, 113 (80.7%) participants reported a usual drinking of 1-2 coffee cups per day. Most of participants (48.6%) reported that the usually sleep >7 hours when they do not drink coffee. While most of participants (40%) reported 5-7 hours of sleep when they drink coffee. Conclusion: We concluded that caffeine intake decreases the amount of sleeping hours by 2 or more hours during night for students and this effect on their concentration, but on the other hand the student’s feels more energy after drinking caffeine and this helps them to feel more awake.
Assessment of Semantic Memory in Normal Ageing Population and Patients with Mild Cognitive Impairment and Dementia
Authors: El-Dessouky Hossam Mohamed Ibrahim , El Hady Aisha Fawzy Abd , Farag Heba Mahmoud , El Jaafary Shaimaa Ibrahim , Mostafa Tawfik Maha Kamal El-Din
Published: December 2024

Background: An individual's risk of developing neurodegenerative diseases like dementia increases with age.Aim and objectives: To devise an assessment tool for the assessment of semantic memory in normal aging & in patients with mild cognitive impairment & mild to moderate dementia to reach an understanding of the nature of their semantic memory difficulties.Patients & methods: This analytical cross-sectional research was performed on 60 Egyptian, Arabic-speaking subjects aged from fifty to seventy-five years. They were separated into three groups, arranged as follows: 20 patients diagnosed with dementia, 20 patients with mild cognitive impairment (MCI), & 20 age- & sex-matched controls from the normal aging population. Patients selected from the Neurology Clinic for Memory and Neurocognitive Disorders, Cairo University, and four nursing homes and facilities for elderly care in the Greater Cairo area who were previously diagnosed with dementia and MCI. The study started in 2019 and lasted until 2021.Results: A statistically significant variance amongst the three examined groups was found regarding the scores of the semantic memory test. The cut-off level of 72.5 in the semantic memory test could discriminate between the MCI group and the dementia group with 100% sensitivity and 100% specificity. The semantic memory test demonstrated a reliability of 0.697, 0.630, and 0.652 in the normal group, MCI, and dementia, respectively.Conclusion: The semantic memory test designed in this study could successfully discriminate between the normal aging population, individuals with mild cognitive impairment, & individuals with dementia on semantic memory tasks.
A Study on Opportunities and Challenges for Supply Chain Management Through Digital Transformation
Authors: Chandra R. Harish , Murugan Dr.T.Senthil
Published: December 2024

The present study aims to know the opportunities and challenges for supply chain management through digital transformation. The digital transformation of supply chain management (SCM) has emerged as a critical enabler of operational efficiency, sustainability, and innovation in the global marketplace. The research examines how these technologies improve visibility, enhance decision-making, streamline processes, and foster agility in supply chains. The study aims to include 150 participants for surveys and 10 industry experts for interviews, ensuring adequate representation across sectors and regions. Statistical analysis is performed using tools like SPSS or Microsoft Excel. Descriptive statistics (mean, standard deviation) and ANOVA, t-test are used to analyze survey data.Through a mixed-methods approach, involving both qualitative case studies and quantitative surveys, this study investigates the experiences of organizations implementing digital solutions in supply chain management. The findings reveal that while digital transformation can lead to substantial improvements in supply chain efficiency and responsiveness, its successful implementation requires careful planning, strategic investment, and overcoming resistance to change. The thesis offers practical recommendations for organizations to mitigate these challenges, such as phased implementation, employee training programs, and strong cybersecurity measures. Additionally, it suggests that policymakers play a crucial role in supporting digital transformation through incentives, regulations, and fostering public-private partnerships. In conclusion, digital transformation presents both immense opportunities and considerable challenges for supply chain management. With the right strategies and investment, organizations can leverage digital technologies to create more resilient, sustainable, and competitive supply chains in the rapidly evolving global business landscape.
Pathomorphological & Radiological Changes Following Denosumab Treatment In Giant cell tumours
Authors: Rana Dr Rajesh , Behera Dr Gayatri , Pravat Dr Vinay , Behera Dr Sudarsan , Panda , Dr Sidhartha , Moharana Dr Sidhartha Sekhar
Published: December 2024

Introduction:- The introduction of denosumab has significantly impacted the treatment approach for giant cell tumors (GCTs) of bone, a locally aggressive osteolytic neoplasm. This study aimed to comprehensively investigate the pathomorphological and radiological changes observed in GCT patients following neoadjuvant denosumab therapy. Material methods: - A retrospective analysis of 12 cases was conducted, encompassing primary and recurrent GCT cases treated with denosumab. Clinical, radiological, and histopathological features were thoroughly examined. All cases displayed Campanacci grade 3 lesions with ambiguous borders. Results: - Neoadjuvant denosumab treatment led to distinct clinical benefits, including reduced intraoperative bleeding and increased bone density, facilitating surgical procedures. Histopathologically, denosumab-treated cases exhibited enhanced cellularity, prominent fibroblastic proliferation, spindle cell arrangement, osteoid formation, and fibro-osseous components. The number of osteoclast-type giant cells significantly diminished, sometimes approaching absence. Immunohistochemical analysis using P63 corroborated the diagnosis. Radiologically, denosumab-induced changes included marked osteosclerosis, sclerotic rim formation, and increased intralesional osteosclerosis. Conclusion: - These findings emphasize the significance of recognizing the diverse morphological and radiological alterations in denosumab-treated GCTs.
Sustainable Supply Chain Management for Environmental and Public Wellbeing: A Comprehensive Review and Future Perspectives
Authors: Jatoliya Diksha , SubhabahaPal Dr. , Mehta Dr. Kamakshi , Ranjana Dr. Jyoti
Published: December 2024

The present study investigates the domain of sustainable supply chain management and its potential advantages for organisation and to ultimate consumer aiming to enhance sustainability in supply chain management. The study is to explore the extant literature on this subject since 2014 by the utilisation of bibliometric analysis, network analysis, and content analysis. The primary aims encompass the identification of research patterns, the highlighting of significant authors, countries, and sources, the comprehension of prevailing knowledge trends, and the proposal of potential subjects for future exploration. In order to carry out the investigation, a pertinent search query was employed to collect a total of 167 scholarly articles from the Scopus database, encompassing the timeframe spanning from 2014 to 2022. The results provide insights into the distribution of research publications across countries such as the India, China, andUnited States, highlighting a disparity in research output between developing and developed nations in this field. The diverse facets of sustainable supply chain management and offer unique perspectives on the present state of scholarly inquiry and potential avenues for future exploration. In its entirety, the study presents a comprehensive range of viewpoints pertaining to the sustainability in supply chain management, so furnishing significant knowledge for organisation, researchers, and policymakers to comprehend the present state of affairs and direct future investigations in this ever-changing and progressive domain.
Examining consumers attitude and willingness to purchase organic products: Empirical evidence from emerging market
Authors: R Swaroop , Rani Dr Anshu
Published: December 2024

Consumers are increasingly interested in organic products. This study explores the correlation between consumer organic awareness (COA), environmental attitude (EA), health consciousness (HC), perceived expensiveness (PE), willingness to pay (WTP), attitude (ATT), organic purchase intention (OPI), and organic purchase behavior (OPB) towards organic food. The study examines how ATT and OPI mediate the association between the aforementioned factors and OPB. Data was acquired from 505 respondents by convenience sampling. This study employs Structure Equation Modeling (SEM) using SPSS AMOS 26 to investigate the hypotheses of the suggested conceptual model. The study indicated that variables like COA, EA, HC, WTP, ATT, and OPI have a substantial impact on the OPB. EC is the most significant predictor of ATT, OPI, and OPB in organic food buying, while PE had the least influence. The antecedents COA, EA, HC, and WTP have a strong indirect impact on OPB among respondents via ATT and OPI. Finally, theoretical and practical ramifications are explored.
Moving Beyond Surface-Level Diversity: Strategies for Embedding Inclusion Through Organizational Change
Authors: Westover Jonathan
Published: December 2024

This article discusses strategies for organizations to achieve meaningful diversity, equity, and inclusion by embedding it into their culture and operations. Despite commitments to increasing representation, superficial diversity efforts often fail due to social and cognitive forces that privilege homogeneity. Research shows people disproportionately bond with similar others, reinforcing familiar norms through homophilous networks. Unconscious biases also affect judgments and decision-making. To disrupt these status quo dynamics, the article recommends strategic approaches like cultivating allyship programs, adjusting hiring to recruit more diverse candidates, and periodically reshuffling teams and assignments. Specific tactics then help operationalize the strategies, such as rotating discussants in meetings and pairing executives with employees of different backgrounds for job shadowing. Case studies of companies like AB InBev and Verizon demonstrate how tailored tactics allow enacting strategic diversity approaches in hands-on ways. Leaders must recognize dynamics undermining equity and take proactive long-term steps through deliberate strategies and oversight.
The Influence of the Visionary Leadership of Madrasah Heads, Organizational Culture and Motivation for Achievement on the Performance
Authors: Yazid Abu , Ahmad Gofur , Dewi Happy Indira
Published: December 2024

Background:Changes in the education sector present significant challenges and problems for communities, influencing various sectors, including the social domain. Educational institutions, such as madrasahs, are crucial in addressing these challenges.
Purpose:This study aims to analyze the impact of the visionary leadership of madrasah heads, organizational culture, and achievement motivation on teacher performance.
Methods:A quantitative approach with path analysis was used in this research. Data collection was conducted through a questionnaire, followed by normality, validity, and reliability tests. The data were processed using SPSS software for path analysis.
Results:The study found that visionary leadership of madrasah heads, organizational culture, and motivation for achievement significantly influenced teacher performance.
Conclusions:The findings suggest that strengthening visionary leadership, enhancing organizational culture, and fostering achievement motivation can improve teacher performance in madrasahs. However, the study is limited to madrasah aliyah (high school) level, and future research is recommended at higher educational levels.
SANTUNAN ANAK YATIM SEBAGAI WUJUD KEPEDULIAN MAHASISWA KKN UNIVERSITAS ISLAM AL-IHYA KUNINGAN KELOMPOK 10 DI DESA MUNCANGELA
Authors:   Universitas Islam Al-Ihya Kuningan, Cahya Cahya , Hidayah Budi , Wahyuni Iis , Jumsari Jumsari , Khaliza Noor
Published: December 2024

Community Service through the Unisa Kuningan Real Work Lectures activity for 40 days in Muncangela Village through a religious program , namely Donation for Orphans. As a form of concern and education for all Muslims to love orphaned children. Al Ihya Kuningan Islamic University KKN students group 10 have carried out donation activities for orphans in Muncangela village, Cipicung District, Kuningan Regency on September 9 2024. The implementation of the activity program is carried out in two stages, namely: (1) coordination; (2) distribution, through an orphan compensation program, although the amount of compensation is not large, it is meaningful for the orphans, of course with the hope of inviting benefactors, rich people and Muslims to take part in caring for orphans around them. This activity is also a work program for KKN students from groups of 10 Muncangela villages as a series of closing activities. Unisa KKN group 10 students became initiators and were able to make the public aware of the importance of caring for orphans, and as an application of the prophet's hadith narrated by Bukhari and Muslim.
SOLUSI PERMASALAHAN SAMPAH MELALUI BANK SAMPAH DAN INOVASI ALAT PIROLISIS DI DESA MEKARSARI
Authors:   Universitas Islam Al-Ihya Kuningan, Aji Restu Banu , Rawandi Aditiya , Alhaq Imam Hamid , Yasa Tirta , Maylani Mela Maylani , Hardiah Hardiah
Published: December 2024

The amount of waste produced by the community is already very large. In Kuningan Regency alone, it produces an average of 480 tons per day. The paradigm of waste management must be changed from collect-transport-dispose, to sort-collect-sell. One form of waste management that can be an economic benefit is a waste bank. The process of establishing a waste bank is 1. socialization, 2. technical training, 3. implementation, 4. monitoring and evaluation. We held a socialization of waste management through waste banks and pyrolysis equipment as a first step and stimulus for the community to implement. The community welcomed this socialization and wanted a follow-up after the socialization
Hepatoxicity in patients using DOT therapy in Bannu, khyber pakhtunkhwa, Pakistan
Authors: Khan Mohammad Shoaib , Khan Sajid , Mustafa Amjed , Khan Mohammad Zohaib , Haq Ikram Ul
Published: December 2024

ABSTRACTBackground: Tuberculosis is an infectious and serious major health problem that leads to approximately three milliondeaths every year throughout the developing world. Although, ATT drugs have been used globally to control tuberculosis.Yet, it is reported as one of the causes of hepatotoxicity.Objective: Hepatotoxicity in TB patients using DOT therapy in District Bannu, Pakistan.Methods: This cross-sectional comparative study was conducted in DHQ teaching Hospital Bannu, Khyber Pakhtunkhwa,Pakistan, in one year period from February, 2015 to Jun 2019.Result: In this study of total 100 cases, male were 42% and female were 58% with male to female ratio was 0.72. Illiterateswere 79% and educated were 21%. The commonest age group was 44-48 years. 37% patients showed no hepatotoxicity,57% were with mild LFT alteration while 6 % developed marked hepatotoxity. The values of ALT before and afterusing ATT were compared by applying paired t-test and the statistical analysis(p-value) showed significant differences.Conclusion: This study show high Hepatotoxicity in district Bannu especially very high prevalence in rural areas whencompared to urban areas. Also the ratio is high in females as compared males and the commonest age group involvedwere 21 -40 years.
KNOWLEDGE AND PRACTICE OF MOTHERS OF UNDER FIVE YEARS CHILDREN REGARDING WEANING PRACTICES IN DISTRICT CHARSADDA
Authors: Zia Ur Rehman  , Hussain Atif , Bushra Ijaz  , Yousafzai Muhammad Ishtiaq , Laila Zia  , Ghazi Farman
Published: December 2024

Objectives
Globally, malnutrition is still considered as the main determinant and is affecting early childhood growth and development. The aim of this research was to assess the knowledge, and practice of under-five-years mothers regarding weaning practices, in District Charsadda.
Methods
A cross-sectional study was conducted by the Department of Community Medicine, Jinnah Medical College, Peshawar; at the DHQ Hospital, District Charsadda, from April to September 2018. A total of n=129 mothers of were selected to assess the knowledge, attitude and practice regarding weaning practices. Convenience sampling technique was used. The data was collected through structured questionnaire and results were analyzed and presented in form to tables.
Results
Among the study participants (n=129); 60.47% were in age range of 25-35 years, 25.58% were doing job; 65.12% were illiterate, and 63.57% belonged to rural setup. Approximately, 79.84% were practicing weaning, 86.04% started weaning at 4 to 6 months, 37.21% continued weaning for 2 years, 53.49% gave mixed weaning food, 17.05% Kitchree/ Rice, 19.38% bananas; 10.08% gave vegetables, 41.09% gave 1 to 2 times and only 27.13% gave more than 4 times weaning food per day.
Conclusion
It was concluded that mothers had average knowledge, a positive attitude and were following adequate weaning practices. Moreover, mother’s age, education status, and rural-urban setup greatly affect the knowledge, attitude and practice of mothers regarding weaning practices. Thus needed to interventions from the relevant sectors to increase the knowledge of mothers regarding weaning practices so to avoid morbidity and mortality among under five year’s children.
FREQUENCY POSTIVITY OF HEPATITIS B VIRUS SURFACE ANTIGEN AND ANTI HEPATITS C VIRSUS ANTIBOIDES IN CHRONIC KIDNEY DISEASE PATIENTS ON DIALYSIS VISITING BACHA KHAN MEDICAL COMPLEX SWABI
Authors: Asif Muhammad , Haq Abdul , Zaman Masood-uz , Tabassum Seemi , Ullah Atif
Published: December 2024

Objective: The objective of this study was to investigate the existence percentage of hepatitis B surface antigen and anti Hepatitis C virus antibodies in chronic kidney patients on dialysis.
Material & Method: This was a cross-sectional study. It was conducted at Pathology Department Bacha khan Medical Complex swabi. Duration of this was six months from January 2018 to June 2018. Two hundred and forty six (246) chronic renal failure (CRF) patients who were on regular dialysis were taken for this study. Their blood samples were taken for hepatitis B virus surface antigen (HBsAg) and anti hepatitis C virus antibodies (antiHCVAb) detection. The analysis was performed by enzyme linked immunosorbent assay (ELISA) method.
Results: In the results total 246 patients were enrolled in which 49(32.6%) male and 21(21.8%) were HBsAg positive and 23 (15.3%) male, 11 (11.4%) female were HCV positive.
Conclusion: HBV and Anti HCV antibodies presence has been detected in chronic kidney disease (CKD) patients on dialysis. Therefore strict control measures should be taken for the control of hepatotropic infection and transmission.
The Use of Virtual Reality-Assisted Therapy to Improve Shoulder function in Subacromial Impingement Syndrome: a Randomised Controlled Trial
Authors: Coja Daniel Madalin , Onu Ilie , Onu Ana , Iordan Daniel Andrei , Gheorghiu Gabriel , Ene-Voiculescu Virgil , Talaghir Laurentiu Gabriel
Published: December 2024

Subacromial impingement syndrome (SIS) is a common problem in clinical practice that affects the functionality of the shoulder. This study investigates the effectiveness of virtual reality (VR) assisted therapy in treating this syndrome, focusing on assessment using the Constant-Murley shoulder score. Materials and Methods: A group of 288 participants was randomly divided into two categories: an experimental group that received VR therapy and a control group that underwent conventional therapy. The Constant-Murley shoulder score assessed patients' progress, measuring shoulder function, joint mobility, and associated pain. Results: The participants underwent therapeutic interventions for 50 weeks, and the results were compared between the two groups. The experimental group that benefited from VR therapy showed significant improvements in Constant-Murley scores, indicating an increase in shoulder functionality, joint mobility, and pain reduction compared to the control group. Conclusion: VR therapy has proven effective in improving shoulder functionality in patients with SIS according to the Constant-Murley score. These results support the use of VR as an innovative and promising therapeutic option in treating this musculoskeletal condition.
Artificial Intelligence in Urology: New Technologies with Major Potential
Authors: Novac Bogdan , Zara Radu , Ciobica Alin
Published: December 2024

The present paper described how Artificial intelligence (AI) is revolutionizing urology, with applications in diagnosis, treatment planning, and patient monitoring. This review highlights AI's role in key urological areas, such as cancer detection, robotic-assisted surgeries, and personalized patient care. These advancements significantly enhance clinical decision-making and treatment outcomes. Thus, we can clearly state that AI has immense potential to redefine urological practice, fostering accuracy, efficiency, and patient-centered care. However, the integration of these technologies requires addressing challenges like data security, ethical concerns, and regulatory validation. Future efforts should focus on developing robust, evidence-based AI tools to ensure their safe and effective deployment in clinical settings.
Computational Locked and Unlocked Strategies and Dissipative Brains The Abductive Eco-Cognitive Perspective
Authors: Magnani Lorenzo
Published: December 2024

Eco-cognitive computationalism is a cognitive science perspective that views computing in context, focusing on embodied, situated, and distributed cognition. It emphasizes the role of Turing in the development of the Logical Universal Machine and the concept of machines as “domesticated ignorant entities”. This perspective explains how machines can be dynamically active in distributed physical entities, allowing data to be encoded and decoded for appropriate results. In this perspective, we can clearly see that the concept of computation evolves over time due to historical and contextual factors, and it allows for the emergence of new types of computations that exploit new substrates. Taking advantage of this eco-cognitive framework I will also illustrate the concepts of “locked and unlocked strategies in deep learning systems, indicating different inference routines for creative results. Locked abductive strategies are characterized by poor hypothetical creative cognition due to the lack of what I call eco-cognitive openness, while unlocked human cognition involves higher kinds of creative abductive reasoning. This special kind of “openness” is physically rooted in the fundamental character of the human brain as an open system constantly coupled with the environment (that is an “open” or dissipative system): its activity is the uninterrupted attempt to achieve the equilibrium with the environment in which it is embedded, and this interplay can never be switched off without producing severe damage to the brain. Brain cannot be conceived as deprived of its physical quintessence which is its openness. In the brain, contrary to the computational case, ordering is not derived from the outside thanks to what I have called in a recent book “computational domestication of ignorant entities”, but it is the direct product of an “internal” open dynamical process of the system.