bluuebunny/crossref_metadata_2025 huggingface dataset:
Enhancing Audit Quality: Key Factors and the Role of Rewards in Government Internal Audits at the Financial Audit Agency of North Sumatra
Authors: . Nazarwin , Manik Yuni Mariani , Sudirman Amalia Nurannisa , Lubis Indah Sari
Published: January 2025

Numerous audit findings identified by the BPK, rather than the inspectorate—tasked with serving as an internal auditor and an early warning system—indicate that the quality of government internal audits remains inadequate. This observation suggests that the internal audit processes within government institutions have yet to achieve an optimal standard. The principal aim of this study is to analyze the influence of internal supervision, audit probity, public accountability, and auditor competence on the quality of government internal audits. Additionally, the study examines the role of rewards as a moderating variable within the context of the BPK RI North Sumatra Representative. The study utilized a saturated sampling technique to select 48 participants, and data collection was conducted via questionnaires. Statistical analysis was performed using the MRA (Multiple Linear Regression Analysis) method with SPSS version 25. The findings from partial statistical tests reveal that neither internal supervision nor audit probity significantly impacts the quality of government internal audits. Conversely, public accountability and auditor competence demonstrate a positive and significant relationship with internal audit quality. When analyzed collectively, internal supervision, audit probity, public accountability, and auditor competence collectively contribute positively to the quality of internal audits. However, rewards do not serve as a moderating factor for the relationships between internal supervision, audit probity, public accountability, and audit quality. In conclusion, this study provides critical insights into the determinants of government internal audit quality. The results underscore the vital role of public accountability and auditor competence in enhancing the effectiveness of internal audits. Nonetheless, greater efforts are required to strengthen internal supervision and audit probity to achieve overall improvements in audit quality.
Development of Career Centers of Russian Universities: Challenges and Opportunities
Authors: Margarita D Mironova , Svetlana V Markova , Natalya  V Ivanova , Elmira N Khisamutdinova
Published: January 2025

Placement training of students for employment is a serious challenge for modern Russian universities. University graduates are faced with solving the problem of employment in the face of continuous transformation of the labor market. As a result, the issue of training highly professional specialists capable of adapting to the dynamically changing requirements of employers and willing to build a successful career throughout their lives is on the agenda. As the university practice of career centers shows, the job search assistance and employment support is usually carried out within its framework. Meanwhile, the issue of training students for career development should become a key one in the philosophy of university education. In modern conditions, universities are designed to prepare a student who is potentially capable of acting independently to develop his career to meet the challenges of the labor market and his own vision of an individual educational trajectory and professional interests. Thus, university training programs for specialists in a context of ever-changing technologies in the professional sphere need to be adjusted accordingly. It assumes restructuring the system of relations between all the subjects of the educational process, when it is necessary to take into account the importance of readiness for employability and building a career of a university graduate and his life self-determination. Despite the importance of the employability problem and career development readiness to achieve the sustainable development of the Russian economy, this topic has been little studied by domestic scientists. At the same time, Russia's higher education development agenda began to see the problem of graduate employment as a special one especially during the pandemic. In particular, the topic on developing career centers of universities has gained momentum in the large-scale program of the Ministry of Science and Higher Education of the Russian Federation on the development of Russian universities Priority-2030. Thus, this study will be useful to the stakeholders of systemic changes in processes related to building employment conditions for students and graduates. Also, this study can contribute to analytical basis development for the expansion of career centers of Russian universities.
Tracheostomy Tube Monitoring Accessory to Detect Accidental Decannulation and Obstruction Emergencies in Ventilator-Independent Pediatric Patients
Authors: Meyers Kaylee , Burke Quinton , Siddiqui Arsalan , Zalzal Habib , Osmond Thomas , Ong Keat Ghee , Sherman Jules
Published: January 2025

Introduction:

Some of the leading causes of tracheostomy-related complications in pediatric populations are accidental decannulation and obstruction events that result in permanent neurological damage or death if not mitigated quickly enough. Despite the severity of tracheostomy tube emergency events, there is currently no effective medical technology available that can specifically detect accidental decannulation or obstruction in a tracheostomized patient that is not ventilator dependent. Therefore, a pediatric tracheal breathing model system was developed to assist with testing new tracheostomy tube technologies for identifying emergency events.

Methods:

A custom carbon dioxide monitoring tracheostomy tube attachment was engineered to collect breathing waveform data during emergency events (e.g., improper insertion, accidental decannulation, and mucus obstruction). Anatomically accurate pediatric tracheal models for various age groups (0-3 months, 2-4 years, and 10-12 years old) were developed with modelling software and a 3D printer. A breathing simulator was integrated with the tracheal models to generate age-dependent respiration patterns during simulated tracheostomy tube emergencies.

Results:

Carbon dioxide readings from the custom tracheostomy tube attachment indicated distinct waveform recordings during simulated tracheostomy tube emergency events for all age groups tested. During incorrect insertion, accidental decannulation, and complete blockage of a tracheostomy tube, exhaled carbon dioxide readings remained static at ambient levels. Partial mucus obstruction of a tracheostomy tube decreased exhaled carbon dioxide waveform amplitude relative to unobstructed conditions.

Conclusions:

The tracheostomy tube attachment successfully recorded respiration patterns during simulated tracheostomy tube emergencies in pediatric patients of varying age. Breathing waveform data collected from the model system will aid in the development of emergency airway event detection software integrated in the tracheostomy tube sensing accessory.
Pre-operative Neutrophil-Lymphocyte and Platelet-Lymphocyte Ratios as Predictors of Morbidity and Mortality in Diabetic Foot Infection Amputation Patients
Authors: Sales Joseph Paulo , Tablante Emiliano
Published: January 2025

Background: Diabetic foot infection is a complication of uncontrolled diabetes. Some cases require amputation to avoid the spread of infection; however, this can also lead to poor outcomes. Inflammatory markers, such as neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR), have been explored as predictors of outcomes following amputation; however, only a few published studies are available.
Objective: The study aimed to determine the diagnostic value of pre-operative neutrophil-lymphocyte and platelet-lymphocyte ratios in predicting in-hospital morbidity and mortality among diabetic foot infection patients who underwent amputation in a tertiary government hospital.
Methodology: This retrospective cohort study included a total of 535 diabetic foot ulcer patients who underwent amputation at a tertiary government hospital. Data was collected via medical chart review. Complete blood count (CBC) parameters closest to the time of amputation were obtained to calculate the neutrophil-lymphocyte and platelet-lymphocyte ratios. Stata software was used for data processing and analysis.
Results: Only 10.28% of patients experienced in-hospital morbidity and/or mortality. Based on Youden’s index, the optimal cutoff points of neutrophil-lymphocyte and platelet-lymphocyte ratios were 7.27 and 32.40, respectively. Both markers showed 98% sensitivity in predicting the outcome. Specificity was 99% for the neutrophil-lymphocyte ratio and 93% for the platelet-lymphocyte ratio. Accuracy parameters remained high when morbidity and mortality were analyzed separately, and subgroup analyses by major and minor amputations were performed.
Conclusion: Neutrophil-lymphocyte and platelet-lymphocyte ratios accurately predict in-hospital morbidity and mortality among diabetic foot infection patients who underwent amputation. The low cost and wide availability of a CBC make NLR and PLR valuable options in low-resource settings. Future studies should explore these markers' utility in predicting long-term outcomes after amputation.
THE DEVELOPMENT AND IMPORTANCE OF THE BRAZILIAN AERONAUTICAL INDUSTRY
Authors: Araujo Junior Antonio Henriques de , Viagi Arcione Ferreira
Published: January 2025

The Brazilian aeronautical industry has emerged as a global leader, combining technological advancements, economic contributions, and strategic development. Rooted in mid-20th-century initiatives with the establishment of key institutions like the Instituto Tecnológico de Aeronáutica (ITA) and the Centro Técnico Aeroespacial (CTA), the sector saw a significant leap with the founding of Embraer in 1969. This paper explores the historical context, the role of educational institutions, technological progress, and economic impacts. We analyze how innovation, partnerships, and sustainability challenges have shaped the industry's modern success and global competitiveness. Through a qualitative methodology, this study integrates historical analysis, economic assessment, and technological evaluations, drawing on academic articles, industry reports, and government data.
Evaluación de la Eficacia de la Técnica de las Cuatro Suturas para la Fijación Coracoclavicular en la Luxación Acromioclavicular
Authors: Ayala Baño Jessica Priscila , Campos Villegas José David , Zapata Carrillo Lesley Michelle , Telenchana Chimbo Paulo Fernando
Published: January 2025

La técnica de las cuatro suturas para la fijación coracoclavicular ha emergido como una opción quirúrgica mínimamente invasiva efectiva para el tratamiento de las luxaciones de la articulación acromioclavicular, especialmente en casos de alto grado. Esta revisión sistemática, realizada utilizando la metodología PRISMA, evalúa los resultados clínicos, la recuperación funcional y las complicaciones postoperatorias asociadas con esta técnica en comparación con métodos tradicionales como las placas de gancho y los anclajes metálicos. Los datos fueron extraídos de 56 estudios publicados entre 2019 y 2024, que abarcan diversas demografías de pacientes y enfoques de tratamiento. Los resultados indican que la técnica de las cuatro suturas mejora significativamente los resultados funcionales, según lo medido por escalas estandarizadas como el Constant-Murley y el ASES, con puntajes postoperatorios promedio superiores a los 90 puntos. La reducción del dolor, evaluada mediante la escala visual analógica (EVA), mostró una mejora sostenida durante un seguimiento de dos años, destacando la eficacia a largo plazo de este método. Además, esta técnica demostró una menor incidencia de complicaciones, incluyendo problemas relacionados con los implantes y pérdida de reducción, en comparación con procedimientos tradicionales dependientes de hardware. Innovaciones como las suturas de alta resistencia, injertos biocompatibles y técnicas artroscópicas avanzadas han mejorado aún más la seguridad y eficacia del procedimiento. A pesar de estas ventajas, la variabilidad en los resultados entre estudios subraya la necesidad de protocolos estandarizados y más investigaciones sobre factores específicos del paciente que influyen en los resultados. Esta revisión destaca el potencial de la técnica de las cuatro suturas para convertirse en un nuevo estándar en el manejo de luxaciones acromioclaviculares, ofreciendo un equilibrio entre estabilidad biomecánica y trauma quirúrgico mínimo. Los hallazgos enfatizan la importancia de integrar protocolos multidisciplinarios postoperatorios para optimizar la recuperación. Futuros estudios deben centrarse en perfeccionar técnicas, mejorar materiales y explorar enfoques quirúrgicos personalizados para maximizar los resultados clínicos y la satisfacción del paciente.
ANALISIS BIBLIOMETRIK AUDIT SUMBER DAYA MANUSIA MENGGUNAKAN VOSVIEWER DENGAN PUBLISH OR PERISH (POP)
Authors: Junillah Erdianti  , Putri Wulandari  , Laurencia Zennita  , Dara Kesumadewi  , Siti Rodiah
Published: January 2025

Human resource management is an important theme for the growth of organizations and companies, and many issues related to human resource management in order to maintain the smooth operation of the organization. The main objective of this study is to integrate mapping analysis techniques and the use of VOSviewer software to conduct a comprehensive bibliographic analysis of scientific literature related to human resource management audits. The research data were obtained using the Publish or Perish (PoP) application. The data collected were obtained from search results containing the keyword "human resource management audit" obtained from academic journals indexed by Google Scholar. This study identified a total of 500 papers from 2002 to 2024. The results showed that the number of studies conducted between 2002 and 2024 continued to increase. This study shows the importance of bibliographic analysis in providing analytical data on events. This study provides guidance and serves as a valuable resource for researchers who want to explore and identify research topics.
¿Cómo determinar si un yogurt tiene probióticos?
Authors: Gonzalez Pacheco Romany Yamileth , Hernández Terres Janet , Mendez Moran Nayeli , Martínez Rendón Noemí , López Riveroll Angel Sebastián
Published: January 2025

Contexto: Los probióticos, son microorganismos, que se encuentran en los alimentos lácteos fermentados y que, si son ingeridos, en una dosis adecuada, van a conferir diversos beneficios para la salud. Objetivo: Evaluar los productos lácteos fermentados disponibles en el mercado, y revisar si se cumple la normativa, en cuanto a su contenido de probióticos, además de describir sus beneficios para la salud humana. Metodología: Se realizó una  búsqueda de productos lácteos fermentados que tuvieran la leyenda de presencia de probióticos. Desarrollo: Los productos, fueron identificados en tiendas de autoservicio más populares como “A”, “W”, “C” y “L”. Posterior a ello, se hizo una tabla comparativa con la información de los microorganismos y su contenido en UFC/mL. Conclusión: Se encontró que, el 35,2% de los productos evaluados, son los que cuentan con la declaración de UFC mínima (1x106) que deben contener los productos lácteos fermentados, mientras que el otro, 64,8% no contenían esta información, por lo tanto fueron clasificados como “No declara”. Estos aseguran contener probióticos específicos en altas concentraciones, sin embargo, se demostró que no todos cumplen con lo que prometen dentro del etiquetado, según la Norma Oficial Mexicana (NOM-181-SCFI-2010) de acuerdo a las UFC (1x106). Los probióticos presentes en dichos productos, fueron nueve especies de microorganismos lácticos como probióticos, que presentan funciones importantes para el tracto gastrointestinal, entre las que se encuentran: L. Casei Shirota,  L. Johnsonii,  L. Rhamnosus,  L.Acidophilus, L. Plantarum, L.Helveticus, L. Reuteri, Streptococcus Thermophilus y Lactococcus Lactis.
SARCOMA HEPÁTICO FUSOCELULAR ATÍPICO: UM RELATO DE CASO
Authors: Campos Frederico Fonseca , Scocuglia Renata Luiza de Medeiros Rodrigues
Published: January 2025

Primary hepatic sarcoma is a rare malignant tumor originating from mesenchymal cells. Most individuals are asymptomatic or present with few symptoms. Imaging studies do not reveal specific findings for this type of tumor, nor is there an increase in major tumor markers or any association with viral hepatitis. The diagnosis is based on histological and immunohistochemical results. This report aims to describe the clinical and surgical context of a specific case and the approach adopted. It was conducted as a descriptive retrospective study based on a case report managed by the general surgery team in 2014 at a public hospital in Belo Horizonte. The patient was a 70-year-old female presenting with persistent diarrhea. Imaging studies identified a tumor affecting the left lobe of the liver. After multidisciplinary analysis, a trisegmental hepatectomy was performed. The patient, initially stable in the ICU, was discharged to the general ward on the fifth postoperative day and left the hospital three weeks after surgery. She remained asymptomatic with no signs of disease recurrence after nine months of follow-up. This case highlights that primary hepatic sarcoma is a rare neoplasm identified through surgical procedures and is seldom discussed in both national and international literature. The cornerstone of treatment is surgical resection, which plays a crucial role in tumor recurrence and prognosis
CONFORMISMO MODERNO: O PAPEL DA PASSIVIDADE DIANTE DOS PROBLEMAS SOCIAIS ATUAIS¹
Authors: Makvitz Alessandro Damião , Irgang Alessandro Liberalesso , Kunkel Eliane Lurdes , Dantas Igor Torres , Cezar Luciano Ceratti , Cadaval Marcelo Lopes , Teixeira Priscila de Lima , Santos Roberto Boettier dos , Pillat Rogério Olinto , Silva Thamiris Geneci Frederich da , Guasso Vanessa
Published: January 2025

O conformismo moderno reflete uma postura de passividade dos sujeitos diante das problemáticas sociais que caracterizam a sociedade contemporânea. Esse comportamento, marcado pela apatia e pela aceitação das normas e condições estabelecidas, dificulta a mobilização e a busca por soluções efetivas para os desafios sociais. Questões como desigualdade, degradação ambiental e injustiças sociais tendem a persistir quando os indivíduos adotam uma postura de conformismo, abdicando de seu papel como agentes de mudança. A passividade diante desses problemas é reforçada por diversos fatores, incluindo o excesso de informação, o cansaço mental e a sensação de impotência frente a questões de grande complexidade. Ademais, o papel das mídias sociais e da internet, embora ofereça um espaço para debates, muitas vezes resulta em ativismo superficial e em uma sensação de falsa participação. Assim, o conformismo moderno é sustentado por uma combinação de fatores psicológicos e sociais que inibem ações efetivas e transformadoras. Ao compreender essa dinâmica, é possível refletir sobre alternativas que incentivem a participação ativa e a responsabilidade social. A análise do conformismo moderno, portanto, oferece uma perspectiva crítica sobre a passividade dos sujeitos e abre caminhos para que a sociedade promova mudanças significativas frente aos problemas atuais.
A hierarquia das necessidades de Maslow e os danos extrapatrimoniais: um paralelo entre o Direito e a Psicologia Humanista
Authors: Souza Cid Marconi Gurgel de , Carrá Bruno Leonardo Câmara
Published: January 2025

A partir do final do século XIX, a responsabilidade civil começa a experimentar um movimento de expansão do dano indenizável, o que inclui a proteção legal aos danos extrapatrimoniais. Esta pesquisa objetiva associar a evolução na proteção aos direitos da personalidade a uma progressão do espírito humano, com a utilização de premissas da hierarquia ou da pirâmide das necessidades, originalmente formulada por Abraham Maslow para a Psicologia. A metodologia utilizada é predominantemente teórica, descritiva e dedutiva, com uma abordagem qualitativa. A hipótese da pesquisa é que o processo de releitura da responsabilidade civil pode encontrar no humanismo de Maslow um fundamento adequado para justificar os novos valores jurídicos frequentemente enfrentados pela doutrina e pelos tribunais, entre eles o dano ao projeto de vida
A Literatura como meio de redescoberta do parâmetro ético no Direito e na cultura
Authors: Siqueira Gilmar , Leão Júnior Teófilo Marcelo de Arêa , Cachichi Rogério Cangussu Dantas
Published: January 2025

O objetivo deste artigo é tratar da literatura como meio de redescoberta do parâmetro ético no Direito e na cultura. A pesquisa insere-se no diálogo interdisciplinar do Direito com a Literatura. Após a introdução, a primeira seção se ocupa da relação entre Direito e cultura e da necessidade de ambos estarem submetidos a um parâmetro ético. A segunda trata de importantes objeções ao denominado projeto humanista da pesquisa em Direito e Literatura, que procura discutir o potencial humanizador da Literatura no Direito. A terceira seção busca responder a essas objeções com base em José Ortega y Gasset e Julián Marías para demonstrar como a Literatura pode ser um meio para a redescoberta do parâmetro ético na cultura e no Direito. A pesquisa foi desenvolvida com a utilização do método de abordagem dialético, levado a cabo pela técnica da revisão bibliográfica
Nem concisas, nem prolixas: o novo estilo de sentenças na França e na Itália – a convergência dos extremos
Authors: Facchini Neto Eugênio , Dall’Alba Felipe Camilo
Published: January 2025

O artigo analisa o estilo de sentenças no Direito Comparado, com foco nas sentenças francesas e italianas. A razão dessa delimitação deve-se ao fato de ambos os países terem realizado reformas normativas quanto a esse aspecto na última década. As sentenças francesas, tradicionalmente lacônicas e concisas, passaram a ser fundamentadas de forma mais aprofundada, ao passo que os juízes italianos foram incentivados a deixar de lado o estilo de fundamentação prolixo e extenso e a adotar um estilo mais simples e direto. Partindo de extremos opostos, as duas experiências parecem convergir para uma posição mais central e equilibrada. Utilizou-se metodologia de pesquisa básica quanto à finalidade, descritiva quanto aos objetivos, qualitativa quanto à abordagem, dedutiva e dialética quanto ao método, e bibliográfica quanto ao procedimento
Fundamentação decisória, accountability e compliance tributário
Authors: Vitalis Aline , Lamy Eduardo de Avelar
Published: January 2025

Na elaboração deste artigo empregou-se o método dedutivo e realizou-se pesquisa bibliográfica e documental. Parte-se da premissa de que a fundamentação decisória está diretamente relacionada à accountability, consubstanciada na prestação de contas – imprescindível num Estado Democrático de Direito –, além de possibilitar a justificativa e o controle dos atos do Poder Público, inclusive no âmbito administrativo. Intenta-se analisar a possível conexão entre fundamentação decisória, accountability e conformidade tributária quanto ao papel desempenhado pela Administração Pública tributária, considerando especialmente os princípios e os fundamentos de governança pública. Nesse contexto, também são mencionadas inovações legislativas recentes que preveem mecanismos de maior proximidade e consensualidade entre a Administração tributária e os contribuintes, com destaque para a regulamentação da transação tributária e o Cadastro Fiscal Positivo
Leave No One Behind: Bridging the Energy Access Gap with Innovative Off-Grid Solar Solutions
Authors:   Efficiency for Access, Wakoli Martha , Abagi Nyamolo , Tarus Kiplabat , Mulinge Shalom
Published: January 2025

This Efficiency for Access research spotlights the gap in access to life-changing, off-grid solar appliances for millions worldwide. The report highlights the opportunity and steps that governments, entrepreneurs, investors, and other stakeholders have to accelerate sector growth, and the potential business opportunities that can come from this.
Psychedelic Projections: Hidden Narratives Shaping Psychedelic Medicine
Authors: King IV Franklin
Published: January 2025

Psychedelics can evoke powerful projections not only for those under the influence of these substances but also for those who study them. As Timothy Leary once quipped, “LSD [is a psychedelic drug that] occasionally causes psychotic behavior in people who have not taken it.” This speaks to how the idea of psychedelics can be polarizing, political, and often poorly defined. While psychedelic substances are mere molecules, “psychedelic” as a concept is a blank canvas onto which all manner of biases, agendas, and beliefs can be projected. Consequently, psychedelics often mean different things to different people. Exploring these “hidden meanings” helps explain the charged debates over psychedelics playing out in media, academia, and public discourse. Drawing from my work as a psychiatrist studying psychedelics, I will examine the idealistic, often unacknowledged, beliefs and aspirations projected onto these substances. By bringing these hidden meanings to light, I argue we can better navigate the current psychedelic landscape and perhaps rescue the field from itself.
Introduction: Crossroads of Psychedelic Studies
Authors: Breau Jeffrey , Gillis-Smith Paul
Published: January 2025

Since the 1960s, Harvard Divinity School has been an influential hub of research on psychedelics and religion. Yet, in many ways, the work of building a rich scholarly community around this area of study is just beginning. The Psychedelic Intersections: 2024 Conference Anthology is one step in that larger project. This volume is drawn from Harvard’s “Psychedelic Intersections: Cross-cultural Manifestations of the Sacred” conference, and the essays here feature original interdisciplinary research from scholars and practitioners working at the crossroads of psychedelics, religion, medicine, race, Indigeneity, law, and the underground, history, anthropology, and beyond. We see these intersections as sites for collaboration and innovation in two ways: psychedelics as intersections where unlikely peoples, entities, and institutions meet, and as intersectional forces where the study of psychedelics highlights, challenges, or qualifies pre-existing conceptions, be they imbalances of power, uses of law, or notions of religion and spirituality. In light of these intersections, the Anthology invites readers to imagine new futures for the field of psychedelic studies with a vision of scholarship that is multidisciplinary, collaborative, optimistic yet self-critical, involved both within and beyond the academy, attuned to complexity and diversity, and both sympathetic and intelligent.
FREQUENCY OF POST-TONSILLECTOMY SECONDARY HEMORRHAGE
Authors: Arif Muhammad , Noor Allah , Anwar Khurshid , Khan Saeed
Published: January 2025

Objective: To determine the frequency of post-tonsillectomy secondary hemorrhage following tonsillectomy in patients with chronic tonsillitis.
Subject and methods: This prospective & descriptive study was conducted at the ENT Department, Hayatabad Medical Complex, Peshawar from July 1, 2018, to December 31, 2019. A total of 287 patients were included in this study. A complete history and examination were carried out at the time of admission. A tonsillectomy was performed the next day. During the procedure, bleeding was controlled by ligation of the bleeders with silk suture.  All the patients remained admitted & observed for 48 hours after tonsillectomy. After discharge, patients were instructed to visit the department of ENT in case of any bleeding per oral. All the post-tonsillectomy secondary hemorrhages till 2 weeks post-tonsillectomy were documented.
Results: A total of 287 patients were included in this study with M:F ratio of 2:1 and a mean age of 18± 9.90 years. The highest number of patients was recorded in the age group 4-15 at 128 (44.59%). It was in the same age group in whom the highest number of patients seeking management for post-tonsillectomy secondary hemorrhage. Overall secondary hemorrhage was recorded in 17 (5.9%) of patients. Statistical analysis shows that gender and age did not significantly affect the occurrence of secondary hemorrhage.
Conclusion: Post-operative secondary hemorrhage is a common complication of tonsillectomy patients and still poses a threat to both the patient and clinician when a good recovery has been made and the patient is discharged from the hospital.
KNOWLEDGE, ATTITUDE, AND PRACTICE (KAP) STUDY ON DENGUE FEVER IN ADULTS: AN ANALYSIS OF 200 PATIENTS
Authors: Iftikhar Mehwash , Khan Imran , Jamal Ayesha , Shah Nazir , Shah Mian Mufarih , Khan Sheraz Jamal
Published: January 2025

Background: Dengue fever (DF), a viral illness transmitted by mosquitoes, poses a growing public health threat, particularly in tropical and subtropical regions. This study seeks to assess the KAP of 200 adult patients concerning dengue fever in a densely populated urban environment.
Methods: A cross-sectional survey was conducted among 200 adult patients diagnosed with dengue and admitted to the medical units of Hayatabad Medical Complex between January 2023 and December 2023.  The data were analyzed using descriptive statistics with SPSS version 26, revealing notable gaps between the patients' knowledge and their preventive behaviors.
Results: Most participants (85%) were aware that dengue is transmitted by mosquitoes, and 78% knew that Aedes aegypti is the main vector. However, fewer recognized key transmission details. Preventive measures were less commonly adopted, with 70% using mosquito repellents or nets, but only 45% eliminating standing water. There was a notable gap between knowledge and practice.
Discussion: The findings show a gap between what people know and what they actually do to prevent dengue. The study highlights the need for better public health efforts, focusing on practical solutions and creating supportive environments to encourage community-wide adoption of preventive measures.
Conclusion: Despite adequate knowledge of dengue transmission and symptoms, preventive practices remain insufficient among adult patients. Public health strategies should focus on bridging this gap through community engagement and government-supported preventive measures.
FREQUENCY OF COMPLETE HEART BLOCK IN PATIENTS PRESENTING WITH INFERIOR WALL MYOCARDIAL INFARCTION
Authors: Hameed Gul  , Ahmad Farooq , Roomana khwajakhail  , Faheem Muhammad , Ashraf Ambar
Published: January 2025

Objective: To determine the frequency of complete heart block in patients with acute inferior wall myocardial infarction
Methods: Descriptive cross-sectional study conducted in Cardiology Department Khyber Teaching hospital Peshawar from 23 Dec, 2019 to 23 Jun, 2020. Diagnosis of acute inferior wall MI was made. Presence or absence of complete heart block was made with standard 12 lead ECG and continues cardiac monitoring during hospital stay.
 Results:  A total of 233 patients meeting the inclusion criteria were studied. Mean age ±SD of studied population was 63.86±7.180. Patients were divided into two groups based of age. The number of patients less than 60 years of age were 58 (24.9%) while those 60 years and above were 175 (75.1%). 158 (67.8%) patients were males while 75 (32.2%) patients were females. Complete Heart Block (CHB) was recorded in (18.5%) of patients with Acute Myocardial Infarction (AMI). There was no effect of CV risk factors on CHB except age where elderly patients showed significantly higher rates of CHB
Conclusion: CHB is a common complication in patients with inferior wall myocardial high. Aging increases the risk of CHB in inferior STEMI.
THERAPY OF PULMONARY ARTERIAL HYPERTENSION ASSOCIATED WITH CONNECTIVE TISSUE DISEASES
Authors:   Medical Institute, A.A. Kadyrov Chechen State University, Bagieva S.S. , Magomadova Y.V. ,   Medical Institute, A.A. Kadyrov Chechen State University
Published: January 2025

Pulmonary arterial hypertension associated with connective tissue diseases is a significant medical problem characterized by complex clinical manifestations and requiring a special approach in treatment. Standard treatments are often ineffective and cause side effects. Many patients suffering from systemic lupus erythematosus and scleroderma face this condition, which highlights the need to find new therapeutic solutions. Materials and methods. The study was conducted in the Department of Arterial Hypertension of the Republican Clinical Hospital of Makhachkala from January to September 2024. Patients aged 18 to 70 years were randomized and were treated with a combination of ambrisentan and tadalafil or one of these drugs in combination with placebo. The main inclusion criteria were mean pulmonary artery pressure ≥ 25 mmHg and pulmonary vascular resistance ≥ 240 dynes· s/cm5. Outcomes were assessed by time to first clinical failure and secondary measures such as NT-proBNP level and 6-minute walk test. Results. A total of 23 of 43 patients had DST-Lag. Combination therapy demonstrated a significant 71% reduction in the risk of clinical failure compared to monotherapy. Patients on combination therapy walked an average of 380 meters in 6 minutes, which is comparable to the results on monotherapy. Conclusions. Combination therapy was found to be more effective in reducing the risk of adverse clinical outcomes and was associated with manageable side effects. The results highlight the importance of considering individual disease characteristics when choosing therapy.
Tweet Sentiment Analysis to Detect Suicide Intentions Through a Machine Learning Approach to Big Data Using the Naive Bayes Method
Authors: P Noviyanti. , Gudiato Candra , Horhoruw Listra Frigia Missianes
Published: January 2025

Suicidal ideation is a serious mental health problem and is often difficult to detect in its early stages. Social media, especially Twitter, is one of the platforms widely used by individuals to express their feelings and emotional conditions, including expressions of suicidal ideation. This study aims to develop a machine learning model that can analyze the sentiment of tweets related to suicidal ideation using big data. The data used in this study consisted of tweets that had been processed for sentiment analysis, which were then classified into three sentiment categories, namely positive, negative, and neutral. The machine learning model applied was Naive Bayes. The results of the model evaluation showed that this model had an accuracy of 72%, with precision and recall values varying depending on the sentiment category. The highest precision was recorded in the negative and neutral categories (0.91), while the highest recall was recorded in the positive category (0.97). This study provides insight into the potential use of machine learning-based sentiment analysis to detect signs of suicidal ideation through big data from social media that can help in early detection of mental health problems.
Determination of the Distribution of Gamma Emitting Radionuclides in Abeokuta using an In-Situ Gamma Spectrometric System
Authors: Biere P. E. , Ogobiri E. G. , Ogunremi A. B. , Makinde V.
Published: January 2025

In all ground formations, naturally occurring radionuclides, such as 40K, 226Ra and 232Th and their decay products exist as trace levels. In this study, in-situ gamma spectrometry, which consists of a NaI(Tl) detector, a portable shield 4 cm thick and 17.5 cm deep which was filled with lead shots and a mobile stand has been used to measure different components of environmental radioactivity around Abeokuta, capital of Ogun State, Southwestern Nigeria. Results from the study shows that 40K, 226Ra and 232Th has a mean of 469.28 ± 4.09, 65.11± 0.27 and 558.93 ± 6.61 Bq/kg correspondingly. Calculated values for absorbed dose rate are as follows: 451.27 nGy/h for the mean, 86.76 nGy/h for the lowest, and 1635.92 nGy/h for the highest. The mean value of the yearly effective dosage is 0.99 mSv/y, with low value of 0.22 mSv/y and high value of 4.22 mSv/y. The minimum value exceeds the maximum value. Based on the findings of this investigation, one may draw the conclusion that the comparatively high activity concentration level of the city can be attributed to the unexpectedly high concentrations that were found at some sites.
ANG PAGHAHANAP SA MGA PUTOL-PUTOL NA NARATIBO, O KUNG BAKIT MAHALAGANG BUUIN ANG MGA MUMUNTING KASAYSAYAN
Authors: Reyes Jun Cruz
Published: January 2025

Paano na tayo magtatalâ, o ano na ang mga itatalâ sa panahon ng pambubura ng mga talâ?

Malaking hamon ito sa mga tradisyunal na gawain ng mga manunulat. Tala kontra talâ, pagsusulat versus pagbubura o rebisyon ng mga talâ. Ang talâ ng social media ay mukhang pang- ingay lamang at para sa oras na ito lamang kaya madaling mabago at mapalitan. At sa panahong ito gusto kong hanapin at talakayin ang mga putol-putol na naratibo. Putol-putol kasi hindi natutuloy, kung minsa’y naliligaw ng landas. Puwede rin itong hamon sa pagbubuo ng mga mumunting kasaysayan, para mabuo ang talâ mula sa laylayan. Ang gagamitin kong mga datos dito, hangga’t maaari, ay iyong sa PUP mismo o ano ang papel ng PUP sa pagbubuo ng little history sa panahon ng pambubura sa kasaysayan.
A Systematic Review Of Blue Carbon Potential in Coastal Marshlands: Opportunities For Climate Change Mitigation And Ecosystem Resilience
Authors: Jahan Faria
Published: January 2025

This systematic review evaluates the blue carbon potential of coastal marshlands, emphasizing their role in climate change mitigation, ecosystem service provision, and economic value within climate finance mechanisms. Drawing on a comprehensive analysis of 198 peer-reviewed articles, this study synthesizes findings on the carbon sequestration dynamics of coastal marshlands, their contributions to biodiversity support, and their capacity to enhance coastal resilience through flood protection and water quality improvement. The review highlights the threats posed by land-use changes, urbanization, and climate change impacts such as sea-level rise and saltwater intrusion, which collectively undermine the ecological integrity and service delivery of these critical ecosystems. It further explores the integration of coastal marshlands into climate finance mechanisms, demonstrating their viability as natural assets within carbon markets and payment for ecosystem services schemes, with restoration projects yielding returns of $7 to $15 for every dollar invested. Despite these advancements, significant knowledge gaps remain, particularly in the standardization of methodologies for quantifying carbon dynamics and the socio-economic benefits of conservation, which limit the scalability of these efforts. By addressing these challenges, this study underscores the necessity of interdisciplinary approaches, robust policy frameworks, and sustained research to maximize the potential of coastal marshlands as a cornerstone of nature-based solutions for climate mitigation and sustainable development.
Fault Diagnosis and Optimized Operation and Maintenance of Drop-out Fuses in Alpine Regions Using MKL-SVM and GRU
Authors: Bao Shoujun , Li Shuhong , Pan Ziyong , Liang Fuxiang , Han Shenghai
Published: January 2025

Extreme climate in alpine regions leads to frequent failures of drop-out fuses, but existing methods have low detection accuracy and response speed. This article combines MKL-SVM (Multiple Kernel Learning-Support Vector Machine) and GRU (Gated Recurrent Unit) model to achieve precise fault diagnosis of drop-out fuses, leveraging their efficient processing of high-dimensional time series data. Sensors are used to collect data such as voltage, current, temperature, and wind speed. Based on GRU, global trends, temporal hidden states, and dynamic nonlinear features of the data are extracted as inputs for subsequent MKL-SVM. In MKL-SVM, a linear kernel function is used to simplify the linear relationship between static features; targeting temporal features, RBF (Radial Basis Function) kernel effectively captures dynamic trends, fluctuations, and periodic changes in temporal features. To further enhance the classification ability of the model, the kernel function parameters, including linear kernel weights and RBF kernel widths, are adjusted through cross-validation. Finally, based on the model diagnosis results and predicted data, an optimized operation and maintenance plan is formulated to reduce maintenance costs and improve equipment operating efficiency. The results show that the fusion model can significantly improve the reliability of fault detection and adapt to the unique environmental challenges of alpine regions. The accuracy of fault diagnosis for drop-out fuses is 95%, with an MSE (mean square error) value of about 0.15 and a maintenance cost reduction of about 21.89%. This method can achieve accurate fault diagnosis and efficient optimization of operation and maintenance under extreme weather conditions.
Aqueles anos loucos
Authors: Paim Caldas Fonteles Marcos
Published: January 2025

Resenha do livro “Anos Loucos: histórias da psicanálise às margens dos anos 1920” de Luiz Eduardo Prado de Oliveira.
Biotechnological techniques in the production of plant-made pharmaceuticals
Authors: Balažová Andrea , Balažová Ema
Published: January 2025

Plants produce a wide variety of secondary metabolites, many of which have complex structures. Wild and cultivated plants currently remain the primary sources of most pharmaceutically significant secondary metabolites. However, the production of these compounds in plants is limited by the capacity of their biosynthetic pathways. This limitation has prompted efforts to develop methods to increase the yield of desired secondary metabolites. Advances in "omic" techniques have accelerated the development of approaches that utilize plants as bio-factories to produce these valuable compounds. This review provides an overview of strategies for producing high-value plant products and using plants as heterologous hosts to produce foreign recombinant proteins for medical applications.
PENGARUH KUALITAS PELAYANAN DAN HARGA TERHADAP KEPUASAN MAHASISWA KAMPUS SEKOLAH TINGGI ILMU MANAJEMEN BUDI BAKTI
Authors: Muhammad Bahjah Abdullah , Igo Arif
Published: January 2025

Penelitian ini bertujuan untuk mengetahui pengaruh Kualitas Pelayanan (X1) dan Harga (X2) baik secara parsial maupun simultan terhadap Kepuasan Mahasiswa (Y) Kampus STIM Budi Bakti. Penelitian ini menggunakan metode kuantitatif. Teknik pengambilan sampel yang digunakan dalam penelitian ini adalah dengan purposive sampling dengan jumlah sampel 91 Mahasiswa. Teknik pengumpulan data menggunakan kuesioner. Teknik analisis data menggunakan regresi Linier Sederhana dan Regresi Linier Berganda. Hasil penelitian Kualitas Pelayanan (X1) dan Harga (X2) terhadap Kepuasan Mahasiswa (Y) diketahui Pvalue (sig) < 0,05 ada pengaruh sebesar 62,8%. Sedangkan untuk hasil penelitian Kualitas Pelayanan (X1) terhadap Kepuasan Mahasiswa (Y) diketahui Pvalue (sig) < 0,05 sebesar 58,7%. Untuk hasil penelitian Harga (X2) terhadap Kepuasan Mahasiswa (Y) diketahui Pvalue (sig) < 0,05 sebesar 49,3% . Dengan adanya penelitian ini maka dapat membantu Kampus STIM Budi Bakti dalam meningkatkan Kepuasan Mahasiswa dengan memperhatikan Kualitas Pelayanan dan Harga yang diberikan kepada para Mahasiswa, sehingga mahasiswa dapat nilai kepuasan yang sesuai dengan apa yang diharapkan Mahasiswa.
THE EFFECT OF THE MERDEKA CURRICULUM IMPLEMENTATION WORKSHOP AT EARLY CHILDHOOD EDUCATION LEVEL ON SCHOOL PERFORMANCE IN BOGOR DISTRICT
Authors: Widyaningrum Diny , Suryani Suhendar Siti , Nurhayati
Published: January 2025

The Merdeka Curriculum at Early Childhood Education level can be a guide for educators in undergoing the learning process. The Merdeka Curriculum is expected to provide convenience and flexibility, and focus on essential material in the foundation phase to develop learner competencies. Some educational institutions in Bogor District are still using the Curriculum of 2013 because these institutions do not know the development of the Merdeka Curriculum thoroughly and still face difficulties in accepting the new curriculum. This study aims to determine the effect of the Merdeka Curriculum Implementation Workshop on Early Childhood Education units in several sub-districts within Bogor District, West Java. The method used for this research is the survey method. The research sample amounted to 30 participants from Early Childhood Education schools in Bogor District. The research went through a pretest stage, then a workshop process and a post-test stage as a reflection; so as to obtain the level of understanding and use of the Merdeka Curriculum as a new curriculum in schools. The results of this study show that the application of the Merdeka Curriculum as a national curriculum in early childhood education units in Bogor District is increasing as expected with an achievement of 86,7 %. The level of understanding and use of the Merdeka Curriculum assessment for workshop participants also showed good and optimal results as expected.
ANALYSIS OF USAGE ACCEPTANCE OF MOBILE BANKING APPLICATIONS TECHNOLOGY ACCEPTANCE MODEL (TAM) APPROACH
Authors: Sawa Hira , Prayoga Rangga , Sopian Najwar
Published: January 2025

This research aims to evaluate the factors that influence the behavior of the experience of using the livin application from Bank Mandiri. The approach used is the Technology Acceptance Model (TAM) model developed by Davis in 1989, with a focus on benefits and ease of use, as well as the addition of two external variables, namely security and compatibility. This model was tested empirically using survey data from Livin Application Users from Bank Mandiri. From the results of data analysis obtained during the research, the results show that the use of the Livin application from Bank Mandiri has fulfilled two main aspects in the Technology Acceptance Model (TAM) theory.  The Livin application is considered useful for assisting work at Bank Mandiri in the customer service process. From this research it is also known that the use of the Livin Application is not optimal and can still be improved by increasing the benefits of the Liven Application. The Livin application is also easy software, both in terms of installation and modification and easy to use, but efforts are still needed to improve the user's ability to utilize the Livin application.
La réussite professionnelle des femmes immigrantes noires au Québec : obstacles ignorés et inégalités persistantes
Authors: Johnson Jo-Ann Marie , Saba Tania
Published: January 2025

Bien qu’un nombre important de personnes immigrantes, y compris des femmes noires, aient intégré le marché du travail au Québec au cours des dernières décennies, les réalités sur leurs expériences de carrière au sein des organisations sont peu connues. S’appuyant sur des données provenant d’entrevues de fond, cet article examine la réussite professionnelle des immigrantes noires sur le marché du travail québécois, et plus particulièrement les perceptions à l’égard de cette réussite professionnelle. Les résultats suggèrent que les perceptions de réussite professionnelle de ces femmes sont largement influencées par des facteurs liés à leur identité sociale. En vue d’améliorer les chances de réussite professionnelle des immigrantes noires au Québec, il convient de faire davantage, aux niveaux méso et macro, afin de minimiser les nombreux obstacles auxquels elles sont actuellement confrontées. Cette étude contribue à l’étude critique des relations industrielles et de la réussite professionnelle. Elle met en avant les voix et les expériences d’individus qui, jusqu’à présent, ont été englobées dans la catégorie dite du travailleur idéal abstrait, qui n’a pas d’identité sociale.