bluuebunny/crossref_metadata_2025 huggingface dataset:
INCREASE UNDERSTANDING OF IT-BASED ACCOUNTING FOR MAIDA AQUATIC
Authors: Imam Muslim Ade , Widiastuty Tri , Nur Hanifah Anna Saadyah
Published: December 2023

Maida Aquatic is a type of business that is included in the Micro, Small and Medium Enterprises (MSMEs). Maida Aquatic's operational activities are selling all types of fish, fish food, aquariums and other equipment related to fisheries. Maida Aquatic was founded in 2017. At the beginning it only sold a few types of ornamental fish, as time went on Maida Aquatic was able to increase sales by adding more types of ornamental fish and selling fish food and equipment related to fish. However, business development was not followed by the financial administration system so that it was not recorded properly. In an effort to overcome these problems, we recommend several solutions, namely accounting training according to EMKM standards, Accurate training, and creating social media as an online promotion tool. The results of the service will be analyzed through nonparametric statistics using a questionnaire approach to measure the success rate of this service. The results of the community service activities have positive implications for partners in developing bookkeeping. Partners understand the accounting standards that must be applied, are able to prepare financial reports and analyze financial data simply.
UTILIZATION OF AC WATER AS AN ALTERNATIVE WATER RESOURCE FOR INCLUSIVE AND SUSTAINABLE GREEN ECONOMIC DEVELOPMENT
Authors: Nababan Benny Osta , Dewita Sari Yesi , Anwar Syaiful , Kusumawati Rini , Mujito Mujito , Mausuli Silma , Saripah Mutiara Silvia , Dwianto Rusli , Darma Cintia I Gusti Ayu
Published: December 2023

The Anugerah Insani Foundation oversees several schools, including kindergarten, elementary school, middle school and high school, which requires a lot of water resources every day. So far, water resources have only relied on groundwater for ablutions, toilets, watering plants and cleaning. In the dry season, water availability at this school becomes a problem because the groundwater dries up. Finally, the limited water supply does not match the needs of the school. In September 2023, the toilets at the school ran dry so there was no water, so they had to connect pipes from other places while waiting for groundwater drilling to a depth of 30-40 meters. To meet the limited water resources, a collective of AC wastewater was built through pipes and collected into the tornado. The resulting conclusion is that AC waste water can be used as an alternative for school water needs which can be used for watering plants and cleaning the school. The results of the FGD with the government regarding halalness and certainty of the required water quality standards. For uses related to physical members, both for ablution, washing hands and toilets, the school cannot use them because there must be a halal test and hygiene test decided by the government. The next suggestion is to ensure that there are regulations for AC wastewater related to halal testing and hygiene testing by the government.
IMPROVING THE SKILLS OF MIDWIVES IN OVERCOMING PREGNANCY DISCOMFORT WITH EARLY POSTPARTUM AND PREGNANCY EXERCISES
Authors: Panselina Widowati Lorensia , Suci Dwi Aningsih Baharika , Sri Artina Dewi Ni Nyoman , Novitasari Suhaid Dewi , Ida Pratiwi Agustina , Leoni Irawan Yetty , Kusumo Wardani Dyah Woro Kartiko , Margaretha Manungkalit Eviyani
Published: December 2023

Pregnancy is a process that a woman looks forward to, but during pregnancy, there are various complaints that are felt due to physical and psychological changes and cause discomfort. Changes that occur due to changes in hormones and the psychology of pregnant women Increasing gestational age results in increasingly diverse complaints in pregnant women, especially in the third trimester. The complaints that are often experienced are back pain caused by excessive bending, walking without rest, and lifting weights. Midwives have an important role in improving the health of pregnant and postpartum women to overcome discomfort during pregnancy, childbirth, and the early postpartum period. This community service is carried out so that midwives can reduce discomfort for pregnant women, so they need to receive training in pregnancy and early postpartum exercises to improve their skills. There were 18 participants in the course, all of whom are currently employed as midwives for the Siloam Hospital Group. The course was considered successful after receiving an improving score from all participants.
МОЖЛИВОСТІ ДИСТАНЦІЙНИХ КУРСІВ ДЛЯ РОЗВИТКУ ПЕДАГОГІЧНОЇ МАЙСТЕРНОСТІ ВИКЛАДАЧІВ ЗАГАЛЬНООСВІТНІХ ДИСЦИПЛІН
Authors: Кабиш Марина
Published: December 2023

Relevance. The development of professional pedagogical skills in teachers of general education disciplines throughout their lifetime is a key condition for preparing competitive specialists in all fields of activity. For a competent educator, continual self-improvement, self-development, and the development of their abilities through self-education and distance professional development courses are vital. This article highlights the potentials of distance courses for the development of pedagogical mastery in teachers of general education disciplines.
Purpose. The article aims to illuminate the potentials of distance courses for enhancing the pedagogical skills of teachers of general education disciplines.
Methods. In the scientific search, methods of analysis and synthesis were used to determine the potentials of distance courses for the development of pedagogical mastery; methods of generalization and systematization were applied for developing a distance course to enhance pedagogical skills.
Results. Professional development is a process of paramount importance, through which the growth of an educator as a professional is achieved. In today's fast-paced life, with constant time constraints, the development of pedagogical skills in teachers of general education disciplines at vocational education institutions is effectively accomplished through distance education. The peculiarities of learning using distance educational technologies are highlighted, and their advantages and disadvantages are analyzed. A specialized distance course for enhancing the professional mastery of educators, "Development of Pedagogical Skills in Teachers of General Education Disciplines at Vocational Education Institutions," has been characterized. This course includes five educational modules designed to improve all aspects of the pedagogical skills of teachers in these institutions.
Conclusions. The organization of the distance course "Development of Pedagogical Skills in Teachers of General Education Disciplines at Vocational Education Institutions" is aimed at providing informational and methodological support to educators in their continuous professional education and is highly relevant today.
Sociometric status
of Students in the upper primary education and relation to their friendship
relationship, sociodemographic characteristics and academic achievement
Authors: Kolak Ante , Markić Ivan , Horvat Zoran
Published: December 2023

The aim of this research was to examine the connection between sociometric status and school success, the dimensions of friendly relations and some socio-demographic characteristics of students. The research was conducted on a sample of 312 primary school students. By analyzing the dimensions of the quality of relationships among best friends, five sociometric statuses were identified: star student,rejected student, isolated student, controversial student, and average student. Significant differences in school achievement were found between all types of students. Rejected students have significantly lower overall achievement compared to controversial and average students, while star students have the highest share of excellent students. Gender proved to be a significant predictor of sociometric status and overall student achievement where female students were found to have a higher share among more popular students and have better overall performance at the end of the school year regardless of student subcategories by sociometric status. When examining the relationship between the dimensions of friendships and sociometric status of students, significant findings were found on how students assess their relationships with best friends, but due to the smaller number of individual categories of students in the sample it was found that there is no statistically significant relationship between variables of the dimension of friendly relations which is conceived as a composite variable based on the conducted factor analyzes. The results of this research indicate a strong connection between the sociometric status and general success of primary school students, while in the context of the connection with the dimensions of friendly relations there is a necessity for expanding knowledge and more extensive research on the relations between students and their sociometric profile, which at this time the pandemic where the issue of mental health was further actualized, proves to be a high priority in the work of educational institutions.
Mišljenja studenata
edukacijske rehabilitacije o procesima dječje rehabilitacije potpomognute
konjima
Authors: Bogut Irella
Published: December 2023

Rehabilitacija potpomognuta konjima poznata je od davnina te su danas poznate mnoge dobrobiti terapijskoga jahanja i suodnosa konja s osobama s posebnim potrebama. Zbog uočene važnosti uporabe životinja u terapeutske svrhe, na Fakultetu za odgojne i obrazovne znanosti u Osijeku u programu Prijediplomskoga sveučilišnog studija Edukacijska rehabilitacija provodi se izborni predmet Rehabilitacija potpomognuta životinjama. Cilj je istraživanja bio ispitati mišljenja studenata o rehabilitaciji potpomognutoj konjima. Svi studenti koji su upisali spomenuti kolegij (N=33) sudjelovali su u procjenjivanju gdje su izražavali svoja mišljenja posredstvom Likertove ljestvice o slaganju ili ne slaganju s predloženim tvrdnjama. Rezultati istraživanja pokazuju da se većina studenata slaže s tim da rehabilitacija potpomognuta konjima može pomoći psihičkom razvoju djeteta, razvoju socijalnih vještina kao i razvoju motoričkih vještina djeteta. Rezultati istraživanja, također, ukazuju na to da se većina studenata slaže s tvrdnjom da je poželjno razvijati terapijski pristup s konjima, a iskustvo s vježbi voljelo bi ponoviti čak 73 % studenata u obliku volonterskoga rada. Iz dobivenih rezultata istraživanja zaključuje se da su praktično obrađene teme rehabilitacije potpomognute konjima u potpunosti ispunile svoju svrhu u kontekstu budućega zanimanja edukacijskoga rehabilitatora te da postoji mogućnost daljnjega istraživanja u području rehabilitacije potpomognute konjima.
Stavovi i
samoprocjena odgojiteljica za rad u inkluzivnim skupinama i njihova emocionalna
kompetencija
Authors: Lovrinčević Zrinka , Salopek Žiha Darija
Published: December 2023

Odgojitelji su glavni akteri u provođenju uspješne i kvalitetne inkluzije. Stoga je važno provjeriti spremnost odgojitelja za rad u inkluzivnim skupinama i druge važne čimbenicke koji na tu spremnost utječu kako bi se dobio uvid u provođenju inkluzivne prakse u ranom i predškolskom odgoju i obrazovanju. Vodeći se time, postavljeni su sljedeći ciljevi u ovom istraživanju. Prvi cilj bio je utvrditi razlikuju li se odgojiteljice u stavovima prema inkluziji i samoprocjenjenoj kompetentnosti za rad s djecom s teškoćama s obzirom na neke njihove karakteristike (dob, prethodno radno iskustvo s djecom s teškoćama, osobno iskustvo s bliskom osobom s teškoćama, sudjelovanje na stručnom usavršavanju za rad s djecom s teškoćama), a drugi, ispitati kakav je odnos između navedenih dimenzija i emocionalne kompetentnosti. U istraživanju je sudjelovalo 189 odgojiteljica iz Dječjeg vrtića Osijek. U svrhu procjene stava prema odgojnoobrazovnom uključivanju koristila se Skala spremnosti odgojitelja za rad u inkluzivnim skupinama (Skočić-Mihić, 2011), a za procjenu emocionalne kompetentnosti korišten je Upitnik emocionalne kompetentnosti (Takšić, 2002). Rezultati su pokazali da odgojiteljice imaju neutralne do blago pozitivne stavove prema inkluziji te da su neodlučne po pitanju samoprocjenjene kompetentnosti za rad s djecom s teškoćama. Osim toga, pokazalo se da mlađe odgojiteljice i one koje su imale prethodno radno iskustvo u redovnim skupinama imaju povoljnije stavove prema inkluziji i optimističniju procjenu vlastite kompetentnosti, u odnosu na starije odgojiteljice i one koje nisu imale prethodna iskustva u radu s djecom s teškoćama. Međutim, one koje su imale prethodno iskustvo u posebnim skupinama imale su negativnije stavove u odnosu na one koje nisu imale isto iskustvo. Odgojiteljice koje su imale osobno iskustvo s bliskom osobom s teškoćama također su se procjenjivale kompetentnijima za rad u inkluzivnim skupinama u odnosu na odgojiteljice koje nisu imale takvo iskustvo. Razlike na ostalim faktorima se nisu pronašle.
Pravni okvir kao
temelj djelovanja pomoćnika u nastavi
Authors: Bašić Bućanović Mia
Published: December 2023

Republika Hrvatska po pitanju inkluzije učenika s teškoćama u redovne odgojno-obrazovne ustanove aktivna je od 80-ih godina 20. stoljeća. Proces odgojno-obrazovne inkluzije u posljednje vrijeme u velikoj se mjeri ostvaruje putem pomoćnika u nastavi (PUN) odnosno stručnih komunikacijskih posrednika kao modela potpore obrazovanju i socijalizaciji učenika s teškoćama. Sukladno kontinuiranom rastu broja učenika s teškoćama očekuje se i kontinuitet rasta potrebe za uključivanjem pomoćnika u nastavi / komunikacijskih posrednika u odgojno-obrazovni proces. Premda je Republika Hrvatska u Ustav (NN 85/2010) te svoju obrazovnu politiku uključila istaknutu potrebu donijevši „Pravilnik o pomoćnicima u nastavi i stručnim komunikacijskim posrednicima“ (NN 102/ 2018), još uvijek ne postoje čvrsti zakonski temelji kojima se jasno definiraju kriteriji odabira, kompetencija, sustavne evaluacije, edukacije i podrške osobama koje obavljaju poslove PUN. Cilj je ovog rada dati prikaz zakonske regulative koja se odnosi na uključivanje pomoćnika / komunikacijskih posrednika u odgojno-obrazovni proces te identificirati područja koja su nedovoljno zakonski regulirana. Iako se istraživanja na području inkluzivnog odgoja i obrazovanja posredovanjem PUN intenziviraju, s naglaskom na stavove, kompetencije te suradnju PUN i učitelja, ona su i dalje malobrojna i nedostatna. Svrha je ovoga rada pregledom dokumentacije ukazati na izazove te doprinijeti ujednačavanju odgojno-obrazovne inkluzivne prakse na nacionalnoj razini.
Divergent responses between lineages of arbuscular mycorrhizal fungi to soil phosphorus and nitrogen availability
Authors: Delroy Brendan , Zhang Hai-Yang , Bissett Andrew , Powell Jeff
Published: December 2023

Arbuscular mycorrhizal (AM) associations are multifunctional. Two important functions they perform are facilitating nutrient uptake in host plants and protecting plants from biotic stress, among other functions. AM fungal taxa vary in how capably they perform these functions and can also respond differently to environmental selection. Therefore, there is a need to better understand how particular environmental variables might alter the response of AM fungal communities. Here, we analysed data from a DNA-based survey of fungal communities in soils collected throughout Australia to observe relationships among soil fertility and the abundance of two AM fungal taxa that reportedly vary in function – the Gigasporaceae (putatively more important for nutrient uptake) and Glomeraceae (putatively more important for biotic stress). Relationships were assessed in three vegetation types – grasslands, forests and woodlands – to assess whether associations with soil fertility varied depending on carbon availability for AM fungi. Fungi from the Gigasporaceae decreased in frequency as available phosphorus increased, while those from the Glomeraceae increased or were unresponsive as available phosphorus increased. Similar patterns were observed for nitrate availability, although only in woodlands. These patterns are consistent with expectations that AM fungi from the Gigasporaceae, in general, are better suited to alleviate nutrient limitation in hosts as soil fertility decreases. This knowledge may aid in implementing optimal strategies involving AM fungal inoculum best suited to the local conditions of future land management and agricultural projects.
La inteligencia artificial en la enseñanza de la tecnología en electricidad
Authors: Murillo Encarnación Wilvir Gary , Vinueza Palacios Adrián Javier , Velastegui López Luis Efraín
Published: December 2023

Introducción: La Inteligencia Artificial (IA) ha tenido un gran e importante impacto en la enseñanza de la Tecnología en electricidad. Con el avance de la IA, se han desarrollado herramientas que han optimizado la forma en que los estudiantes aprenden los conceptos asociados con la materia de electricidad. Objetivos: Se tiene como objetivo de esta investigación explorar la incidencia de la IA en la enseñanza de Electricidad en institutos tecnológicos. Para sustentar esta investigación se utilizaron estudios investigativos para la captación de información tales como artículos científicos, revistas, libros y tesis, con un total de 19 documentos de los últimos ocho años, con análisis y ejecución en Latinoamérica. Metodología: La metodología utilizada tiene finalidad aplicada, su alcance es descriptivo-estadístico, se utilizarán tipo de datos de campo bajo el diseño no experimental de carácter transversal bajo el método científico inductivo. Resultados: El resultado de la encuesta realizada a un grupo de estudiantes de la carrera de Tecnología en Electricidad del Instituto Superior Tecnológico Simón Bolívar (ISTSB) muestra que el uso de la IA para el aprendizaje de la materia electricidad realza el interés en los estudiantes a graduarse y además mostro que las Tecnologías de la información y comunicación (TIC) es una de las principales herramientas para afianzar estos conocimientos en docentes y estudiantes. Conclusiones: Se concluye que los resultados de la investigación sobre la aplicación de la IA en la educación, la planeación de estrategias para su correcto uso incentivando así al desarrollo de nuestro país, al seguir investigando para desarrollar nuevas aplicaciones de la IA en la enseñanza de la tecnología en electricidad. Área de estudio general: Tecnologías Emergentes. Área de estudio específica: IA en la enseñanza de Tecnología en Electricidad.
Kanervakankaalla
Authors: Koivisto Päivi
Published: December 2023

Kanervakankaalla – Näkökulmia Aleksis Kiven runouteen -teoksen lähtökohtana on tutkimushanke ”Aleksis Kivi ja suomalaisen runokielen synty” ja siihen liittyvät Kanervala-seminaarit, jotka järjestettiin kolmena peräkkäisenä keväänä 2012–2014. Seminaarien tavoitteena oli avata uudemman tutkimuksen näkökulmia Kiven runouteen, eritoten metriikkaan, kompositioon, rakenteeseen ja kieleen, sekä tuoda alueelle uusia elementtejä nykyaikaisesta runouden tutkimuksesta.
Reklamy eksperymentalnych produktów leczniczych i procedur medycznych w świetle polskiego prawa i etyki mediów
Authors: Lipowski Paweł
Published: December 2023

Dynamiczny rozwój technologii medycznych, za które możemy uznać stosowanie produktów leczniczych i procedur medycznych, wymaga refleksji odnoszącej się do sposobów zapewnienia bezpieczeństwa potencjalnych beneficjentów tego rodzaju oddziaływań (pacjentów) oraz osób stosujących takie sposoby leczenia (wykonujących zawody medyczne) w wymiarze zarówno prawnym, jak i etycznym. Dotyczy to w szczególności obserwowanego obecnie wpływu mediów na podejmowane w systemie ochrony zdrowia działania oraz indywidualne decyzje pacjentów o stosowaniu oferowanych leków i/lub procedur medycznych.
W artykule prezentowane są wybrane przepisy prawne definiujące warunki stosowania produktów leczniczych oraz procedur medycznych o charakterze eksperymentalnym. Podstawowym elementem rozważań jest wskazanie prawnych uwarunkowań dla tego rodzaju wykorzystywania tak rozumianych technologii medycznych, także w szerszym tle – z dokonaniem charakterystyki uwarunkowań etycznych dla przekazu medialnego, w tym zapewnienia jego właściwej jakości dla ochrony zdrowia publicznego.
Programy poszerzonego dostępu jako źródło danych poznawczych
Authors: Dryla Olga
Published: December 2023

Prezentowany tekst jest poświęcony pytaniu, czy terapii przeprowadzanej w ramach programów poszerzonego dostępu może lub powinna towarzyszyć aktywność badawcza. Składa się on z trzech części. W pierwszej zestawiono zadania, którym mogą posłużyć informacje medyczne dotyczące przebiegu programów poszerzonego dostępu, co prowadzi do wniosku, że nawet uwzględniając specyficzne ograniczenia ich wartości poznawczej, tego typu dane mogą znaleźć sensowne zastosowanie. Część drugą poświęcono nielicznym regulacjom prawa europejskiego dotyczącym omawianego zagadnienia oraz przyznającej lekarzom/badaczom szerokie uprawnienia polskiej Ustawie o zawodach lekarza i lekarza dentysty. W ostatniej części artykułu przedstawiono dwa argumenty pozwalające etycznie uzasadnić przyznanie tak szerokich uprawnień badaczom, a co za tym idzie ograniczyć autonomię pacjentów.
Exploring Book-Tax Differences, Analyst Coverage, and Forecast Optimism: An Empirical Study
Authors: Yuan Xiaoli , Lin Wenguang
Published: December 2023

This research explores the relationship between book-tax differences (BTD) and the coverage of financial analysts, as well as how these two factors relate to optimistic forecasts. By evaluating how BTD affects analyst coverage, this research expands on earlier studies and finds a negative link. Additionally, it demonstrates that greater BTD indicates a higher probability of earnings manipulation, leading analysts to have a more pessimistic view of their predictions for such organizations. This research contributes to a better understanding of financial markets by shedding light on analyst behavior, financial reporting, and the complex dynamics underlying BTD in determining analyst estimates.
Promoting Equitable Allocation of Medical Therapeutics in the Management of SARS-CoV-2 Patients: A Multi-Tiered Approach
Authors: Terence Liew Yi Song
Published: December 2023

The COVID-19 global pandemic has plagued the world and crippled many economies, taking millions of lives. With the emergence of newer and more potent variants of this virus, it is imperative to remain up to date with novel treatment modalities. Medical therapeutics has been the mainstay treatment and preventive measures used by most nations to prevent widespread disease. With the discovery of oral therapeutics that can reduce the potency of the COVID-19 infection, it is important that we tackle another global health issue – inequitable distribution of healthcare resources. This article aims to address the ethical concerns of allocation of scarce drugs, and a tiered approach to prevent misuse of such oral therapeutics. Scarce resources must be protected and distributed based on a needs basis, to improve healthcare worldwide and alleviate suffering from this pandemic.
Epidemiological, Clinical, Evolutive and Prognostic Aspects of Tuberculosis HIV Co-Infection in the Gbeke Region in Côte D'ivoire
Authors: Djakaridja Kone , Liomehin Yeo , Dramane Coulibaly , Juliette Kadiane-Oussou , Hospice Dje Bi , Tatiana Yapo Martine , Jean-Marie Karidioula , Thomas Aba Yapo , Ouffoue Kra
Published: December 2023

Introduction: TB/HIV co-infection is a major health problem in Africa. This co-infection is associated with high mortality and additional therapeutic challenges. This study aimed to determine current aspects of tuberculosis in TB/HIV patients. Materials and method: We carried out a retrospective, descriptive and analytical study over a period of 4 years. We used the medical records of TB/HIV patients from the Gbêkê region. Data analysis was performed with Epi Info 3.2.1 software. Results: The prevalence of HIV in tuberculosis patients was 18.7%. The average age of the patients was 37 years old. The female gender (60%) predominated. The patients lived as a couple in 49.1%. Nurses accounted for 2.6%. Pulmonary tuberculosis (79.3%) was predominant. The extra-pulmonary forms were dominated by pleural (45.3%) and lymph node (32.4%) tuberculosis. The site of infection was unique (74.4%) and drug-resistant forms accounted for 3.1%. All the patients screened were immediately put on anti-tuberculosis treatment, only 94.8% had been put on antiretroviral treatment. Mortality was 18.7%. The determinants of mortality were the age group from 5 to 14 years (p<0.001), female gender (p=0.04), civil servant patients (p<0.001), patients without profession (p<0.001), pleural tuberculosis (p= 0.04) and neuromeningeal tuberculosis (p=0.011). Conclusion: Prevalence and mortality remain high in TB/HIV patients. Tuberculosis was more deadly in adolescents, women, civil servants, the unemployed, the pleural and neuromeningeal form.
Manifestations COVID-19 in the Oral Cavity: A Systematic Review
Authors: Torgomyan Adelina , Saroyan Marina , Hovhannisyan Sergo , Karen Mashinyan , Yessayan Lazar , Hakobyan Gagik
Published: December 2023

With COVID-19, along with other organ systems, symptoms can also appear in the oral cavity. COVID-19 can cause a number of pathological conditions in the oral cavity of patients, candidiasis, xerostomia, recurrent herpetic lesions, ulcers, vesicles, desquamative gingivitis have been reported, the tongue, palate, lips, gums and buccal mucosa may be affected, Patients with COVID-19 may have difficulty swallowing, burning sensation, most patients have impaired taste and smell. However it is still impossible to draw a clear parallel between the manifestations of dental diseases and the severity of the coronavirus infection, since too little statistical data and clinical observations are available therefore needed for further investigation. The goal of this revue was to compile a list of COVID-19 symptoms in oral tissues and analyze the potential etiopathogenesis that may influence the development of these oral lesions. The key terms were used to search international databases for information. A total of 50 sources on relevant topics were chosen. These preliminary data explain the underlying mechanism oral lesions in COVID-19, and will help on future preventive strategies in clinical practice and in everyday life.
Expiratory Flow Accelerator (EFA®) For Dysphagic Non-Coooperative Patients: A Pilot Study for Preventing Aspiration Pneumonia
Authors: MANDALÀ Giorgio , LA MANTIA Valentina , SANGUEDOLCE Giorgio , MARTORANA Manfredi , SCACCIANOCE ST Gabriella , SORRENTINO ST ALESSANDRA , D’ABROSCA Francesco
Published: December 2023

Background: “Ab ingestis” pneumonia is the second most common cause of nosocomial infections in inpatients and the most common cause of death in patients with dysphagia. Rates increase dramatically in patients with neurological diseases or an acquired brain injury. Early interdisciplinary rehabilitation protocols could reduce penetration-aspiration episodes. Aim: This pilot study is aimed to investigate the effects of an expiratory flow accelerator (EFA®) device - usually aimed to manage airway secretions - in addition to usual care to prevent the penetration-aspiration (PA) risk in bedridden dysphagic low-alert patients, with ineffective cough, compared to a “usual care” control group. Patients from an intensive respiratory care unit were assessed by a multidisciplinary team and evaluated with FEES: 20 subjects were recruited in the EFA-group and 20 in the control group. Design: Controlled study. Setting: inpatients of PRM unit Population: Neurological with recent aspiration pneumonia dysphagic patients vigilant an cooperative (control group) or non cooperative with disorders of consciousness and ineffective cough (study group). Methods: We analyzed the use of expiratory flow accelerator with a protocol to prevent relapses of PA in study group and compared with traditional treatments in cooperative patients. Results: After 21-weeks, aspiration pneumonia occurred in two patients of the study group and in three patients of the control group. All patients showed a reduction of daily need for suctioning (p<0.0001), without differences between groups (p=0.53). Improvements in the penetration-aspiration scale(PAS) and in the peak expiratory flow (PEF) was significant in both groups with a prevalence in the study group (p = 0.0042 and p < 0.0001, respectively).Non-cooperative patients, with four or more PA risk factors, treated with EFA®had outcomes similar to lower-risk patients treated with usual prophylactic care alone. Conclusion: This preliminary research showed the feasibility and reliability of the EFA® to prevent PA episodes in high-risk dysphagic patients and provides the framework to design a trial. Clinical rehabilitation impact: the use of efa technology could be assessed and used in patients with severe acquired brain injury and ineffective cough.
Perio Protect™ Treatment of Chronic Periodontitis Reduces Biofilm and Inflammation
Authors: Keller Duane C
Published: December 2023

Periodontal health exists when a small numbers of predominantly Gram-positive aerobes, with fewer Gram-positive facilitative and a small number of obligate anaerobes live supragingival and subgingival in sulci less than 3 mm. The biofilm and host cohabitate in a commensal or mutualistic relationship without a host inflammatory response. Periodontal disease occurs when there is a shift in critical wound composition of the periodontal subgingival microbiome associated with host micro-environment changes. The oxygen saturation decreases, and an imbalance (dysbiosis) occurs where the more virulent anaerobic pathogenic microorganisms predominate at the expense of aerobic commensal microorganisms, fostering a chronic wound, resulting in an inflammatory immune response. Existing treatments focus on controlling plaque but fail to manage the immune inflammatory reaction. The Perio Protect Method™ manages plaque and inflammation through subgingival delivery of 1.7% hydrogen peroxide (Perio Gel™) and antioxidants. Perio Trays™ are FDA cleared medical devices manufactured with customized seals and extensions which compress the wound and overcome crevicular flow and deliver medications better than other dental appliances to the source of the dental infection. Perio Gel™ generates 5.3 X oxygen saturation in the Perio Tray™ comparable to the oxygen saturation in a hyperbaric chamber. Thr Perio Protect Method™ manages obligate anaerobes, accelerates tissue recovery, healing, and repair, establishes a microenvironment reversing dysbiosis, and improves systemic LpPLA2 and hs-CRP levels. The numbers of virulent facultative and obligate anaerobes decrease and are replaced with fewer aerobic bacteria found in healthy tissues. Anti-inflammatory medications neutralize the host inflammatory response, decrease tissue damages, and augment osteogenic improvements. Managing periodontal inflammation is medically important because emerging evidence demonstrates a strong relationship between periodontal inflammation and numerous systemic conditions including, but not limited to, atherosclerosis, stroke, Alzheimer’s disease, type 2 diabetes, obesity, and rheumatoid arthritis. A common link in these systemic conditions with periodontitis is an increased systemic inflammatory burden, which exacerbates other co-existing inflammatory conditions leading to related diseases. Treatments convert the microenvironment from disease to health (reverse dysbiosis) and address both the etiology (biofilm) and the inflammatory host responses. The Perio Protect Method™ is a treatment regimen that becomes a long-term periodontal homecare system.
New Jersey FQHC Community Dental Health Coordinators Use Integrated Medical/Dental Patient Navigation to Improve Diabetes Outcomes
Authors: Ramirez Rina , Wakim Sam , Maietta Antonella , Scorziello Thomas , Moschella Sophia
Published: December 2023

Introduction: Diabetes is a significant risk factor for periodontal disease [2] and people with diabetes are three times more susceptible to periodontitis than those without diabetes [3]. These factors highlight the importance of aggressive treatment and follow-up of dental treatment for patients with diabetes, as well as coordination of care between the medical and dental teams. Zufall Health Center, a New Jersey federally qualified health center (FQHC), designed a process improvement plan at two project sites to promote better diabetes management by performing dental exams and cleanings and treating periodontal disease by scaling and planing in at least 100 high-risk, rural patients with uncontrolled diabetes, as measured by A1C. Baseline goals included completing periodontal treatment and improving A1C levels. Methods: Zufall deployed a community dental health coordinator (CDHC) to provide community-based prevention, care coordination, education, and patient navigation of wrap-around medical and oral health services for Type 2 patients with diabetes it serves. Key objectives included decreasing the number of patients with diabetes with A1C levels > 9 and increasing the number of dental exams and cleanings. Results/Conclusions: Of 154 enrolled patients, 103 with uncontrolled diabetes opted in to dental services. Of the 37 patients who completed cleanings or scaling and root planing (24%), 17 showed improvement in A1C levels (46%) by an average reduction of 1.8. Nearly all (15 of the 17) went from uncontrolled to controlled diabetes: 40% of the 38 patients receiving dental treatment. However, 70 of the 99 patients (70%) re-checked for A1C levels improved those levels, regardless of their participation in dental care. Traditionally, most improvement is achieved through medication adjustments. This data shows that, while the thrust of the project was the impact of dental interventions on A1C levels, the more critical intervention was the case management and access to care facilitated by the CDHC.
Study of the Complications and Post-Operative Consequences of Surgical Extractions of Mandibular Wisdom Teeth
Authors: OH Wahid , I Boujoual , S Haitami
Published: December 2023

Introduction: Extraction of the mandibular third molar is one of the most common surgical procedures in dentistry. This act is associated with considerable postoperative complications, which have a biological and social impact. Objective: To study the factors associated with the occurrence of complications related to the extraction of the lower wisdom tooth. Methods: This is a descriptive and analytical study targeting all the patients consulting for the extraction of the mandibular third molar, we used an anonymous closed-ended questionnaire. Data were entered into a spreadsheet Excel. With the use of a statistical software Jamovi version current, descriptive statistics were calculated for all the variables of the study. A value of P < 0.05 was accepted as statistically significant. Results: All of the patients enrolled and present for postoperative appointments suffered from postoperative consequences and 10.9% from complications. The postoperative follow-up rate was 100%, on the third postoperative day 95.7% of patients had pain, 84.8% dysphagia, 76.1% insomnia, 94.6% trismus, 88% a reduction in their daily activity and 98.9% swelling. On the seventh day, 75% of patients presented with pain, 26.1% with dysphagia, 19.6% with insomnia, 94.6% with trismus, 28.3% with a reduction in their daily activity and 37% with swelling.
Comparative Study of Soft Tissue and Hard Tissue Variables Correlation between Two Different Racial groups: A Canonical study
Authors: Hashim Hayder Abdalla , Hashim Mohamed Hayder , Gsouma Iman , Ahmed SalY Sidda , Narasirmhan Srinivasan
Published: December 2023

Aims: The purpose of this study was to investigate the correlation between dental, skeletal, and soft tissue variables and compare the results with Saudi study and other previous studies. Material and Method: The sample size consisted of 29 adult Sudanese patients (ages 18 to 25) seeking orthodontic treatment, and 19 variables were examined. The error of the method was assessed using Student's t-test, and canonical correlation analysis was used to analyze the correlation between soft and hard tissues. Results: The study found that the Sudanese population had higher mean values in dental and soft tissue variables compared to the Saudi population, while similar mean values were found in the skeletal sagittal relationship, except for the vertical relationship, where the Saudi population had a higher tendency for an open basal configuration. The canonical analysis revealed that the upper and lower incisors' inclinations had a strong negative loading, while the nasolabial angle and lower lip thickness and position had moderate loading. Conclusion: These findings show the impact of these variables which can help the clinician in diagnosis, prediction and assessment of post treatment changes. Additionally, the multivariate statistical analysis extracted a clinically significant association between soft tissue and hard tissue.
Unveiling Traumatic Facial Wounds: A Comprehensive Study on Epidemiology, Diagnosis, and Therapeutic Approaches
Authors: AP Makungu , M Roukaya , AJC Lessimambou Johnson , L Mandza
Published: December 2023

Introduction: Dilapidated facial wounds are shredded injuries with loss of tissue substance. A surgical emergency characterized by complex anatomical clinic types that may expose vital organs. The objective of this study is to investigate their epidemiological, diagnostic, and therapeutic aspects. Material and method: This epidemiological, retrospective, descriptive, and cross-sectional study was conducted using patient records from individuals who experienced maxillofacial trauma resulting in decaying facial wounds between March 2017 and June 2021 at the Maxillofacial Surgery Department in Libreville, Gabon. All confirmed cases of traumatic dilapidated facial wounds were included, while patients with non-traumatic wounds were excluded. The analyzed parameters encompassed sex, age, etiology, clinical signs, and treatment. The criteria for patient assessment of the plasty outcomes were categorized as very satisfactory, satisfactory, not satisfactory, and disappointed. Results: A total of 33 cases were included in the study. The male-to-female sex ratio was 3.1:1. The average age of the patients was 29.8 ± 14.9 years. The majority of cases (36.4%) were attributed to road traffic accidents (AVP). Among the affected areas of the face, the lips were most frequently involved. Local plasty was performed in 24 patients, while 9 patients underwent regional plasty. The treatment outcomes were deemed satisfactory by 75.8% of the patients. However, 21.2% of the patients experienced functional sequelae as a result of the injuries. Conclusion: Young males are commonly afflicted by severe lesions, often leading to bone fractures. The application of local plasty has proven to yield favorable results in effectively managing these complex injuries.
Correction of Anterior Crossbite, Using Removable Appliances in Mixed Dentition: 5-Year Follow-Up
Authors: Oropeza Laura Mendoza , López Antonio Fernandez , Sanchez Ricardo Ortiz
Published: December 2023

The anterior crossbite (ACB) is a malocclusion where the upper anterior teeth are occluding lingually with respect to the lower anterior teeth. Moyers describes anterior crossbites as dental malocclusions resulting from abnormal axial inclinations of the anterior teeth. This type of malocclusion can be dental, functional or skeletal and can occur in the primary, mixed and second dentition. Diagnosis is made using diagnostic aids. While the treatment was carried out through interceptive orthodontics, with the use of different removable appliances. The objective of the study is to present the diagnosis and treatment for 5 years with the use of removable appliances. The results were favorable, being able to uncross the bite in 4 months, it was maintained throughout the dental replacement. One of the conclusions reached is that the treatment time is slightly longer since the use of preventive and interceptive orthodontics takes more time because these treatments are performed during the growth of the patients.
A Comparative Study of Two Resonance Frequency Analysis Instruments
Authors: González María Gómez , Elío Oliveros Joaquín de , Martín Cayetana Barrilero , Alobera Gracia Miguel Ángel , Pingarrón Mariano del Canto , Velasco Jorge Pesquera
Published: December 2023

Primary implant stability (PIS) depends on the surgical technique, implant design, and the characteristics of the recipient bone, among other factors. This paper aims to study different parameters (recipient bone characteristics like bone density (BD) and mean alveolar crest width (MACW)) that may be related to implant primary stability outcomes. With that, it can be determined if they are reliable PIS methods and guide treatment decisions for successful implant outcomes. Thirty-five dental implants (25 BTI Interna® CORE and 10 Bioner Top DM) were placed in 10 patients in 2022 and 2023. All of them underwent Cone Beam Computed Tomography (CBCT) scans to obtain values for MACW and BD. PIS measurements used were implant stability quotient (ISQ) obtained through different resonance frequency analysis (RFA) methods (Osstell® ISQ and Penguin RFA®) and insertion torque (IT). The results for the following variables showed significance at p<0.001 and p<0.05. Highly significant relationships were observed between Osstell and Penguin RFA values (p<0.001). Regarding IT, a direct proportional relationship with ISQ was observed (p<0.05). PIS, as measured by ISQ and IT, did not show a significant correlation with the mean alveolar crest width of the edentulous ridge measured by CBCT, suggesting that wide or narrow alveolar crests did not have an effect on rotational or lateral PIS in both implant groups. The most significant predictor of lateral and rotational PIS in our patients was the Hounsfield Units (HU) value 0.5 mm away from the implant placement area (p<0.001) and (p<0.05), respectively. In conclusion, non-invasive PIS methods could be considered as a guide for clinicians in treatment decision-making and implant success. However, further research is needed to predict PIS.
Bjork-Jarabak Analysis in Different Anteroposterior Skeletal Relationship: A Comparative Study
Authors: Hashim Hayder A , AL-Sayed Najat , Gsouma Imen , Hashim Mohamed Hayder
Published: December 2023

Aims: This study aimed to evaluate cranial base measurements in individuals with different skeletal relationships (class I, II, and III) using Bjork-Jarabak analysis and compare them with existing research. Material and Method: Lateral cephalograms of 103 Sudanese participants (aged 18-22) were assessed, grouped by ANB angle. Results: Showed no significant differences between class I and II, or class I and III skeletal relationships. However, class II and III relationships exhibited significant differences in Articulare angle, Gonial angle, ramal height, and mandibular length (P<0.0001). Discrepancies in craniofacial morphology were observed between Sudanese and Bjork-Jarabak norms for Caucasian. Conclusion: Saddle angle, Bjork sum of angles, and cranial case showed no significant differences among skeletal classes, but significant differences in several measurements existed between class II and III relationships.
Stem Cell Applications in Military Medicine with an Emphasis on Combat Medicine
Authors: Pin Harry Xavier Noel , Gallicchio Vincent S
Published: December 2023

Military medicine is a field of medicine that pertains to the needs and treatment of soldiers and military personnel. Although there is a great deal of overlap between civilian medicine and military medicine, military personnel are likely to experience more nuanced forms of injury than their civilian counterparts and thus require novel treatment methods that are unique to the combat environment. Within battlefield environments, there are an increasing number of traumatic injuries that result from explosive devices, high-caliber projectile weapons, and an array of devastating chemical weapons. Many of the injuries are widespread and affect multiple organ systems. Current treatment methods incorporate alleviation of pain and symptoms, life-saving surgeries to prevent further damage and repair present ones, as well as a variety of prosthetic devices and other assistive equipment. Although there is currently no treatment method that can serve to restore and regenerate damaged tissue resulting from the traumatic injuries currently, new avenues of medicine are being worked on. Potential applications of stem cells within military medicine will be reviewed as well as an exploration of the current state of stem cell research on regenerative medicine. Specifically, tissue regenerative technologies of various organ systems and the storage of these tissues will be explored. Commentary will also be provided specifically to field medicine within a combat environment in which novel new protocols may be implemented with a stem cell application.
George Simmel, the Forgotten Conflict German Conflict Sociologist
Authors: Gerardi Steven
Published: December 2023

Georg Simmel (1858-1918) the father of urban sociology. This effort will also suggest that Simmel was among the great German Conflict Sociologist (Weber and Marx). Conflict theory argues that there is tensions and conflict when resources, status, and power between groups in society creating social change.
Understanding the Determinants of Suicidal Behaviours Among People in Southwest Nigeria
Authors: Oderinde Segun Lakin , Oderinde Temitope Adejoke
Published: December 2023

Suicide is a prominent cause of mortality worldwide, and it is happening at an alarming rate in Nigeria, especially among young people. It is estimated that 800,000 individuals commit suicide each year. Previous research has found a number of factors, such as mental illness, financial hardships, marital issues, and social pressures that lead to suicidal behaviour. The causes of suicidal behaviour in Southwest Nigeria, however, have received little attention. In this study, the causes of suicidal behaviour among people in southwest Nigeria are examined. The study uses a qualitative methodology and gathers its data from secondary sources such as academic journals, books, newspapers, theses, and dissertations. The data demonstrate that major risk factors for suicide behaviour in Southwest Nigeria included sadness, anxiety, and hopelessness. Significant factors in suicide behaviour included social pressure, relationship issues, and financial hardships. The report also emphasises the role that stigma around mental health conditions and a lack of access to quality medical care play in escalating suicidal conduct. In order to encourage economic growth and development, the article advises the supply of mental health resources, the development of awareness campaigns, the construction of psychological and emotional support groups, overcoming financial obstacles, and collaboration with private organisations. The prevalence of suicidal conduct in Southwest Nigeria would decrease with the use of these approaches.
Keywords: suicide, mental health disorders, physical illness, poverty, relationship issues.