bluuebunny/crossref_metadata_2025 huggingface dataset:
PROTOCOLOS DE ATENDIMENTO PRÉ-HOSPITALAR NO TRAUMA: IMPACTO NA MORTALIDADE E SOBREVIVÊNCIA
Authors: Gazel Welleson Feitosa , Gonçalves Andréia Moreno , Trindade Ângela Costa da , Teodoro Caroline Rosa Gentil , Hoh Júlia Barbosa Pauluv , Amorim Rayane Batista de , Gomes Ronikelly Gabriel
Published: February 2025

Este estudo revisa a eficácia dos protocolos de atendimento pré-hospitalar no trauma e seu impacto na mortalidade e sobrevida dos pacientes. Utilizou-se uma revisão integrativa da literatura com artigos publicados nos últimos 5 anos, encontrados em bases como PubMed e Scielo. A análise revelou que a implementação de protocolos como ATLS, PHTLS e SBV contribui para a redução da mortalidade e melhoria dos desfechos clínicos, ao otimizar a identificação precoce das lesões, estabilização e transporte dos pacientes. No entanto, desafios persistem, especialmente em áreas rurais, onde os tempos de resposta são prolongados e a escassez de recursos limita a eficácia do atendimento. A capacitação contínua das equipes, a integração com serviços hospitalares e o uso de tecnologias emergentes são fatores determinantes para a melhoria da qualidade do atendimento. A revisão destaca a necessidade de políticas públicas focadas na qualificação dos serviços e a ampliação do acesso ao treinamento, especialmente em regiões com recursos limitados. Em conclusão, a implementação efetiva desses protocolos pode salvar vidas, reduzir sequelas e melhorar os desfechos dos pacientes traumatizados.
Subglacial hydrology regulates oscillations in marine ice streams
Authors: Haseloff Marianne , Hewitt Ian J. , Katz Richard F.
Published: February 2025

Abstract. Marine ice stream dynamics are sensitive to conditions at the grounding line and basal shear stress; variations in subglacial hydrology have been implicated in ice stream speed-up and shutdown. To investigate the interplay between marine ice stream flow and subglacial hydrology, we couple models of a marine ice stream and a subglacial drainage system. The coupled system evolves dynamically due to a positive feedback between ice flow, heat dissipation at the ice stream bed, and basal lubrication. Our results show that depending on the hydraulic conductivity of the bed, distinct dynamic regimes can be identified. These regimes include steady streaming, hydraulically controlled surges, and thermally controlled oscillations. Periodic fast flow can be initiated by activation waves travelling upstream or downstream or quasi-simultaneously everywhere. Different dynamical regimes are characterised by large differences in grounded ice volume, even under modest changes of grounding line positions. These results imply a strong dependence of marine ice-sheet dynamics on evolving hydrological conditions at the bed and highlight the importance of a better understanding of subglacial hydrology.
The impact of far-reaching offshore cluster wakes on wind turbine fatigue loads
Authors: Anantharaman Arjun , Schneemann Jörge , Theuer Frauke , Beaudet Laurent , Bernard Valentin , Deglaire Paul , Kühn Martin
Published: February 2025

Abstract. With the number of commissioned and planned wind farms increasing rapidly, analysing wind farm cluster wakes becomes essential for resource assessment and lifetime considerations. Cluster wakes influence wind turbine power in downstream wind farms in certain meteorological situations. Our objective is to ascertain whether far-reaching cluster wakes (15 km to 21 km) impact individual turbine loading in a downstream wind farm, considering the influence of atmospheric stratification. We utilised SCADA data from an offshore wind farm and accelerometer measurements as the load proxy in the absence of load measurements to check short-term fatigue loading effects. We compared the absolute values of relevant SCADA variables of turbines in and out of the cluster wake. We found that while cluster wakes increase fluctuations of rotor speed and power, the load effects were lower than from turbines in the free-wind, primarily due to lower wind speeds. We developed a new methodology to quantify loads of turbines affected by the cluster wake while separating the dependency of loads on the inflow wind speed. The turbines within the cluster wake showed a small increase in the load effects (≈ 2.5 %) when compared to turbines in free-wind, but lower than loads of turbines within the wind farm affected by inner-farm wakes (both at same local inflow wind speeds). We also found atmospheric stratification and the inflow wind speed to have no impact on the magnitude of loads within the cluster wake. Additionally, we found no additional blade mode excitations due to the presence of the cluster wake from the analysis of load spectra. We conclude that wind turbines affected by cluster wakes have a marginal increase in loads when compared to reference conditions in undisturbed inflow. The absolute load effects in the cluster wake are lower due to the lower wind speeds. We propose the use of additional data from load sensors to further determine possible lifetime fatigue effects of cluster wakes on offshore wind turbines. These new insights can potentially add to the design standards of future wind farm clusters.
Examining the interplay between endometriosis and later-life cerebro-cardiovascular diseases: A systematic review, meta-analysis, and trial sequential analysis
Authors: Winata I GS. , Immanuel Surya S. , Leonardo Leonardo , Rinaldi Fransiskus X. , Tandecxi Gabriel , Wijaya Richard
Published: February 2025

Beyond gynecological issues, women with endometriosis have a significant risk of cardiac outcomes. Despite this evidence, the extent and mechanisms of the association remain unclear. The aim of this study was to evaluate the association between endometriosis and the incidence of cerebro-cardiovascular disorders. Using preferred reporting items for systematic review and meta-analyses (PRISMA) guidelines, seven databases were searched as of October 14, 2024, for observational studies assessing the association between endometriosis and cerebro-cardiovascular disorders. The main outcome was major adverse cardiovascular and cerebrovascular event (MACCE) while the secondary outcomes included all-cause mortality, cerebrovascular accident (CVA), ischemic heart disease (IHD), myocardial infarction (MI), arrhythmia, and heart failure (HF). Bias was assessed with the risk of bias in non-randomized studies of exposures (ROBINS-E) tool. Odds ratios with 95% confidence interval (CI) were calculated using random-effects meta-analysis. Evidence certainty was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Robustness was assessed via sensitivity analyses and trial sequential analysis (TSA). Out of 3,141 studies, nine cohort studies encompassing 1,670,589 women (follow-up 7–28 years) were included. Endometriosis was associated with 24% higher odds of MACCE incidence (95%CI: 1.18–1.31, moderate certainty). In addition, having endometriosis increased the odds of CVA by 49% (95%CI: 1.20–1.85, high certainty), IHD by 64% (95%CI: 1.31–2.05, low certainty), MI by 53% (95%CI: 1.18–1.98, high certainty), arrhythmias by 24% (95%CI: 1.12–1.37, high certainty), and HF by 13% (95%CI: 1.03–1.25, high certainty). Endometriosis did not significantly associate with all-cause mortality. Sensitivity analyses and TSA reinforced all of these findings. In conclusion, endometriosis was significantly associated with increased odds of cerebro-cardiovascular disorders. Future research should clarify the underlying mechanisms and develop targeted prevention strategies.
Analisis Prosedur Audit Utang Pada PT ABC oleh Kantor Akuntan Publik Namira
Authors: Nuryanto  , Christa Dian Pratiwi  , Yance Bida  , Aulia Kusuma Wardani  , Isnaini Hijriyah  Kurniasari
Published: February 2025

This article aims to analyze the debt audit procedures at PT ABC by public accounting firm Namira where this study discusses the procedures and preparation of third party debt audit work papers at PT ABC by KAP Namira. A company will need the help of a third party, namely an auditor to determine the effectiveness of internal controls and the fairness of the financial statements to be examined. With the help of auditors, evidence on the preparation of the company's financial statements can be examined and evaluated in order to improve the ability to manage funding sources for the sustainability of the company's activities and increase the confidence of users of the financial statements produced by the company. In this case the auditor must examine all the components of the company's financial statements, one of which is on the balance sheet there is an account that must be checked by the auditor, namely debt. The debt arises because the company cooperates with third parties to carry out production activities and borrow funds for the sustainability of the company. Debt itself is a liability component that greatly affects every transaction that occurs, because trade payables are company obligations that must be paid and there are nominal misstatements that are very material for the sustainability of a company. To prevent this from the debt balance, it is necessary to conduct an audit as well as an examination. Based on the final project that the author has compiled, it comes from the internship activities that have been carried out and knows the debt audit procedures implemented by KAP NAMIRA including evaluating internal control evaluations, making top schedules and supporting schedules to sending debt confirmations and also doing vouching.
Pengaruh Penerapan Perdagangan Melalui Media Elektronik (E-Commerce) Terhadap Peningkatan Pendapatan Pada Pelaku Usaha Ekonomi Kreatif Di Kota Lubuklinggau
Authors: Teresia  , Asmirawati  , Hidayatullah Soemarno
Published: February 2025

This research aims to determine the impact of trade through the media electronics on the revenue growth of micro, small and medium enterprises in Lubuk Lingau. The target of this research is MSMEs in Lubuk Linggau. This research using a quantitative approach measured by the linear regression method simple. Respondents in this research are stakeholders interests of MSMEs collaborating in Lubuk Linggau. Samples are determined with random sampling and the number of samples used was 100 SMEs stakeholders. The data used is primary data. Technique data collection using a questionnaire, t-test used for hypothesis testing. The research results show the adoption of commerce through media electronics has a positive effect on increasing business income micro, small and medium in the city of Lubuk Linggau. Introduction to commerce through media electronics in particular have an influence on the changes that occur in elements business and business activities carried out by Lubuk Linggau MSME actors.  This can be seen from sales revenue, number of sales, and total income after carrying out sales transactions and marketing activities with using trading media via electronic media.
Usability of Z-score for predicting bankruptcy risk: a case study for agrarian sector entities in Moldova
Authors: Muntean Neli , Kolisnyk Olena , Fusaru Irina
Published: February 2025

Bankruptcy prediction plays a crucial role, not only for individual companies, but also for the national economy. This helps companies identify financial problems before their situation becomes critical, allowing them to take corrective measures in time. In addition, the development of risk management strategies and the implementation of bankruptcy prevention policies become more effective. A popular method of predicting bankruptcy is the Z-score function, which combines several financial indicators to assess a company's bankruptcy risk. This study examines the use of the Z-score as a tool for evaluating bankruptcy risk for entities in the agrarian sector of the Republic of Moldova and aims to determine whether it can help identify early signs of bankruptcy risk. Through a literature review and the application of a relevant case study, the article highlights the effectiveness and limitations of using Z-score in bankruptcy prediction, offering recommendations for its use in financial analysis. The results suggest that the use of Z-score function in risk assessment models can significantly improve the accuracy of financial forecasts for entities in the agrarian sector of the Republic of Moldova.
Life Success: What Does It Mean for Russians?
Authors: Tikhonova Natalia
Published: February 2025

The article, based on survey data from the Institute of Sociology of the Federal Research Center of the Russian Academy of Sciences for 2000–2024, shows that Russians are now much less likely to perceive themselves as successful in life than in the 2000s. It is also demonstrated that representatives of the mass strata of the country's population have clear normative ideas about the criteria for a person's success in life. Over the past few years, these ideas have been quite stable and included, first of all, financial well-being, family and children, good work, health, and opportunities for self-realization. However, although this set itself remains unchanged, the place of individual criteria for life success in the corresponding rating may change over the years. The most striking changes are associated with a decrease in the mention of family and children against the background of an increase in the importance of a good job and financial well-being, although the comparative importance of individual components of life success in different social groups is differentiated quite noticeably. The data are also presented on what representatives of the mass strata, judging by the results of correlation and content analysis, actually (and not at the level of normative judgments) associate success in life with. It is shown that the perception of many characteristics of life as evidence of achieving success in life is associated with the comparative importance of the corresponding benefits in the value system of citizens of the country and with their deficiency in the mass strata of the population. As a result, two groups of factors have the greatest influence on the feeling of being a successful person. Firstly, these are indicators that directly reflect a person's place in the system of social inequalities (from position in the social hierarchy to the degree of social protection from various risks). And secondly, indicators of individual capabilities that indirectly reflect this place (from opportunities for self-realization to various characteristics of consumption). At the same time, family and children or health are much less important for feeling successful. It is concluded that the decline in the real significance of family and children in the criteria of life success, as well as the relatively small significance of health among them, reflecting their negative impact on the likelihood of achievements that really determine the feeling of one's own success, requires adjustments to state social policy with a shift in emphasis from monetary forms of assistance to the population to forms of assistance that ensure a more effective combination of various social roles by Russians.
Model of forced deposition of heavy dangerous gases
Authors: Lesko Andrei , Kulakov Oleg , Domoleha Serhii
Published: February 2025

A model of diffusion spreading in the atmosphere of dangerous chemicals with a density greater than atmospheric air is developed. The model was created by solving the Navier-Stokes equations with appropriate boundary conditions. The peculiarity of the obtained model is the consideration of the process of forced deposition of gas by a finely dispersed liquid flow of different intensity during gas propagation. In this case, deposition occurs due to the processes of gas sorption by liquid droplets. It is established that the propagation of heavy gases in the atmosphere shows signs of fluid flow, and the resulting model is a transitional option between systems of gas diffusion models and hydrodynamic models of fluid flow. Taking into account the assumption of gas incompressibility due to the significant difference in sound speeds between the gas under study and air allowed us to obtain a simplified view of the transient regime. The modelling results for chlorine emissions from a point source showed that the effect of wind speed is much smaller compared to ammonia, which increases the importance of the contribution of the diffusion process. The resulting model allows predicting the size of the chemical damage zone in the event of accidents involving the release of heavy gases with their active deposition by stationary and mobile sprayers. In practice, water curtains at the technological openings of heavy gas storage and operation facilities can be considered as stationary sprayers. The work of rescue units at the incident site can be considered as mobile sprayers. Refinement of the results of forecasting the consequences of emergencies involving the release of hazardous gases will improve the accuracy of the design of the safety system at such facilities and help in making effective management decisions in the elimination of emergencies of this nature.
Educação física e práticas pedagógicas na perspectiva da educação inclusiva: um relato de experiência do programa residência pedagógica
Authors: Lameira Maria Goretti Sousa , Silva Maria Adrielly Sthefânny da , Miranda Grazyele Araújo , Cruz Simone Gaia , Batista Stéfany Daiane Menezes
Published: February 2025

O presente estudo aborda o tema “Educação física e práticas pedagógicas na perspectiva da educação inclusiva”, através de um relato de experiência do programa residência pedagógica (PRP). O programa, promovido pela CAPES, visa aprimorar a formação inicial de professores da educação básica, proporcionando aos licenciandos experiências práticas na regência de sala de aula sob orientação de professores da educação básica.  Utilizamos uma abordagem qualitativa descritiva, buscando dados do fenômeno estudado. O relato de experiência concentra-se no subprojeto desenvolvido pela Universidade do Estado do Pará, Campus XIII Tucuruí, Pará, correspondente ao período de abril a novembro de 2023, totalizando 1/3 da carga horária do PRP. A educação física inclusiva é destacada por promover igualdade de oportunidades para todos os alunos, independentemente de qualquer limitação, indo além da prática esportiva, visando também a inclusão social. A pesquisa incluiu observação participante, realizada durante um período prolongado de atividades planejadas e eventos escolares, permitindo uma compreensão mais profunda das experiências. Destaca-se a importância da educação inclusiva na promoção da interação e no desenvolvimento de habilidades sociais, culturais, esportivas e artísticas dos alunos. Conclui-se enfatizando a importância da prática durante a RP como um momento essencial para os licenciandos despertarem as suas identidades como professores, concomitando, conhecimento acadêmico junto à realidade do contexto escolar.
FATORES ASSOCIADOS COM O IMPACTO DA PANDEMIA DE COVID-19 NO PERFIL DE NASCIMENTOS EM CUIABÁ – MATO GROSSO
Authors: Camila Alves Carvalho Madrid  , Carlos Eduardo Mendonça de Oliveira  , Eloisa Martins Clemente  , Felipe Guilhem Boscoli da Silva  , Giovanna Finke Cavatoni  , Hugo Martins Bergo  , Rosa Maria Elias
Published: February 2025

Introdução: A crise global nos sistemas de saúde, economia e sociedades causadas pela pandemia de COVID-19 modificou, mesmo que temporariamente, o processo de transição epidemiológica demográfica mundial, com um aumento da mortalidade por doença infecciosa e redução nas taxas de fertilidade e natalidade. Após a OMS considerar que a infecção pelo COVID-19 em mulheres grávidas aumentava o risco de morbimortalidade tanto para a mãe, quanto para o feto, foi observado uma mudança no comportamento reprodutivo da população. Objetivo: Analisar o número de nascidos vivos na cidade de Cuiabá – MT e descrever as alterações no perfil materno e neonatal durante o período pré (2018 - 2019) e durante (2020 - 2022) a pandemia do COVID-19. Métodos: Estudo observacional, analítico e transversal a partir análise de dados obtidos no Sistema de Informações sobre Nascidos Vivos (SINASC) registrados no repositório da Secretaria de Estado de Saúde de Mato Grosso (DwWeb SES-MT), na cidade de Cuiabá, entre os anos de 2018 a 2022. Estão incluídas variáveis maternas, da gestação, local do parto e do recém-nascido. Resultados: As análises de associação mostraram uma redução significante no número de nascidos vivos entre mães com companheiros (15%) e adolescentes (7%), no número de consultas adequadas de pré-natal (7%) e no número de crianças que nasceram com uma dificuldade leve no 1º minuto (10%) e 5º minuto (8%) do APGAR. Conclusões: A redução no número de nascimentos em Cuiabá como efeito da pandemia do COVID-19 foi contrária do que se pensou inicialmente como consequência do lockdown e isolamento social.
Palavras-Chave: Nascido vivo; gestante; cuidado pré-natal; COVID-19.
Torcicollo in età pediatrica: come orientarsi per non sbagliare
Authors: Cruciani Chiara , Borelli Angela Isabella , Palluzzi Flaminia , Bonvicini Federico , Cesaroni Carlo Alberto , Fusco Carlo , Iughetti Lorenzo , De Fanti Alessandro
Published: February 2025

Torticollis is defined as a condition characterised by the deviation of the head to one side with the chin rotated in the opposite direction. Torticollis in paediatric age is a presenting symptom common to various underlying pathophysiological processes. It may occur at any age; indeed, there are congenital and acquired forms. The aetiology may be benign or potentially life-threatening, so knowing the main causes of torticollis is of fundamental importance. The objective of this discussion is providing the paediatrician with practical indications to orient themselves among the numerous differential diagnoses and ensure appropriate clinical management of the patient with torticollis. The first step consists in recognising the causes early and treating them promptly; the next step consists in identifying the underlying pathology and offering targeted treatment and follow-up.
Empatia de estudantes do ensino médio na educação híbrida
Authors: Thom Dyeison Armando , Behar Patricia Alejandra , Machado Leticia Sophia Rocha
Published: February 2025

Este artigo busca identificar como a literatura acadêmica retrata a Competência Socioafetiva empatia em estudantes do ensino médio na modalidade híbrida, através de uma revisão sistemática da literatura. A metodologia utilizada incluiu mapeamento sistemático, análise de resultados e conclusões. Para isso, foram extraídos 290 artigos, dos quais 10 estudos primários foram selecionados para análise. Esses estudos apresentaram resultados que destacam a importância da empatia na experiência de aprendizagem dos estudantes. Os estudos indicaram que a empatia é especialmente relevante no contexto educacional híbrido, impactando de forma benéfica o desempenho acadêmico, a participação ativa nas aulas e reduzindo violências como bullying e cyberbullying. No entanto, foram identificadas lacunas relacionadas à diversidade de contextos educacionais, currículos e legislações. Os resultados deste estudo podem contribuir para o desenvolvimento de estratégias pedagógicas que promovam a empatia entre estudantes do ensino médio na modalidade híbrida.
literatura afro-brasileira como mecanismo potencializador do empoderamento quilombola
Authors: Nunes dos Santos Freitas Karollayne
Published: February 2025

Este trabalho analisa a interlocução entre Direito e Literatura como instrumento de empoderamento quilombola, considerando a narrativa presente em Torto Arado, do escritor Itamar Vieira Júnior. Tem o objetivo de examinar a proteção cultural quilombola a partir da obrigatoriedade do ensino da história e cultura afro-brasileira na educação básica. Compreende-se que a tomada de consciência e o autorreconhecimento como quilombola potencializa a luta contra a opressão e possibilita a criação de instrumentos para a garantia dos direitos fundamentais, bem como a proteção da história, da tradição e da cultura quilombola. Para tanto, procedimentalmente, foi realizada uma pesquisa bibliográfica e documental, a partir da reunião de artigos científicos, livros e legislações acerca da temática proposta. A literatura possibilita a percepção de problemas jurídicos e sociais que afetam significativamente a sociedade, considerando que em Torto Arado é possível observar as questões históricas, sociais e culturais inseridas no Brasil e que, até o momento, não foram perceptíveis, por si só, ao direito.
Age-Related Anatomical Variations in the Prostate Gland, Implications for Urological Health and Disease Progression
Authors: Umar Muhammad , Faisal Khan Muhammad , Ahmad Mushtaq , Ahsan Aneela , Ishtiaq Misbah , Hamza Azhar Muhammad
Published: February 2025

Background: Lower urinary tract symptom (LUTS) due to benign prostatic hyperplasia (BPH) is the most common disorder of aging male that affects the overall quality of life. They are also important in early diagnosis and management of the anatomical and pathological changes with aging.

Objectives: The goal of this study was to determine how age-related prostate enlargement affects the clinical outcome parameters including prostate volume, LUTS severity, PSA levels, and pathologic changes. It also seeks to find correlations between these factors, and early intervention and therapeutic advancements in the areas of these factors.

Methods: The study was carried out cross sectionally by investigating n=60 male patients divided into three age groups: 40–50 years, 51–65 years and 66–80 years. International Prostate Symptom Score (IPSS), prostate specific antigen (PSA) levels and urinary flow rates were included in the clinical assessment. Imaging modalities as well as histopathological analysis were used to evaluate prostate volume, stromal proliferation, epithelial hyperplasia and fibrosis.

Results: There existed a strong correlation between prostate enlargement, increasing age, and worsening LUTS. PSA levels were elevated, urinary flow rates were lower and IPSS scores were increased in older patients. It progressed with enlargement of the transition zone, and urethral compression increased. Stromal proliferation, epithelial hyperplasia and fibrosis were confirmed histologically and the role of chronic inflammation in BPH progression was demonstrated.

Conclusion: Aging is concluded to be a major contributor to prostate enlargement and LUTS severity. Disease progression can be managed through early detection and intervention and improved patient outcomes. Future research should involve elucidation of molecular pathways involved in inflammation and the development of novel therapeutic approaches.

Keywords: Benign prostatic hyperplasia, aging, lower urinary tract symptoms, prostate volume, PSA, fibrosis, inflammation, histopathology.
Optimizing Surgical Techniques in General and Orthopedic Surgery A Comparative Study on Patient Recovery and Complications
Authors: Waheed Abdul , Sadiq Ch Tanveer , Aslam Mengal Mohammad , Raza Tauseef , Brohi Saifullah , Arif Muhammad
Published: February 2025

Background: Surgical advancements have significantly improved patient outcomes by reducing complications, hospital stays, and recovery time. However, in Pakistan, healthcare infrastructure varies across regions, necessitating the optimization of surgical techniques for enhanced efficiency and patient care. Despite global trends favoring minimally invasive procedures, conventional surgical methods remain prevalent due to limited access to technology, gaps in surgeon training, and economic constraints.

Aims and Objectives: This study aimed to compare conventional and advanced surgical techniques in general and orthopedic surgery, assessing their impact on patient recovery, postoperative complications, and healthcare costs in tertiary care hospitals in Pakistan. The objective was to evaluate the clinical and economic benefits of minimally invasive techniques and provide evidence-based recommendations for optimizing surgical care.

Methods: A comparative study was conducted in multiple tertiary care hospitals in Pakistan, involving 150 patients equally divided into conventional and advanced surgical groups. Patients were followed up for six months postoperatively. Key parameters assessed included hospital stay duration, postoperative complications, return to normal activity, readmission rates, revision surgery rates, and surgical costs. Statistical analysis was performed using SPSS version 26, with a significance threshold of p < 0.05.

Results: Patients in the advanced surgery group had a significantly shorter hospital stay (4.2 vs. 7.5 days, P < 0.001), faster recovery (5.6 vs. 8.2 weeks, P < 0.001), and fewer postoperative infections (5.3% vs. 16.0%, P = 0.03). Additionally, the advanced group had lower readmission (6.7% vs. 13.3%) and revision surgery rates (4.0% vs. 10.7%). Although the cost of advanced surgery was higher (PKR 750,000 vs. PKR 500,000, P < 0.001), the improved outcomes suggest potential long-term cost-effectiveness.

Conclusion: Minimally invasive surgical techniques in Pakistan have demonstrated superior patient recovery, reduced complications, and improved surgical efficiency. Despite higher initial costs, their long-term benefits justify wider adoption through enhanced training programs, technological investment, and healthcare policy support.

Keywords: Surgical techniques, minimally invasive surgery, general surgery, orthopedic surgery, Pakistan, patient recovery, postoperative complications, cost-effectiveness, and healthcare optimization.
The Effects of Obesity on Joint Integrity and Mobility. A Cross-Sectional Anatomical Study
Authors: Umar Muhammad , Amna Sitwat , Zulfiqar Sabahat , Jafri Farhana , Faisal Khan Muhammad , Ahmad Mushtaq
Published: February 2025

Background: Obesity is a major global health problem resulting in a great deal of musculoskeletal disorders, most prominently joint degeneration and impaired mobility.

Aims and Objectives: This study aimed and objective to assess the effect of obesity on joint integrity and mobility in Pakistani adults using radiographic and functional assessment.

Method: A cross-sectional study was conducted at different tertiary healthcare centres in Lahore, Pakistan, among n=150 participants (30–60 years). Nonobese (BMI < 25 kg/m², n=75) and obese (BMI ≥ 30 kg/m², n=75) were categorized as the participants. X-rays and MRI were used to assess joint integrity (joint space narrowing, osteophyte formation, and subchondral sclerosis). Range of motion (ROM) assessments and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain and functional limitations were used to evaluate mobility.

Results: Joint degeneration was significantly higher in obese individuals, 60% showed joint space narrowing, 68% showed osteophyte formation, and 55% showed subchondral sclerosis (p < 0.001). Knee flexion, hip abduction, and ankle dorsiflexion were significantly reduced in the obese group by 18, 22, and 25%, respectively (p < 0.01). Obese participants had markedly higher WOMAC scores for pain (p < 0.001) and stiffness (p < 0.001) and lesser functional impairment (p < 0.001).

Conclusion: obesity has a great negative effect on joint health, mobility, and functional capacity. Early weight management strategies, physiotherapy, and lifestyle modification are needed to avoid musculoskeletal complications of obesity. To decrease the burden of joint disorders, public health policies should focus on obesity prevention.

Keywords: Obesity, Joint Integrity, Mobility Impairment, Osteoarthritis, Range of Motion, Musculoskeletal Disorders, Adipokines, Radiographic Assessment.
Balancing Demands and Resources
Authors: Syarifuddin  , Indriani Dian , Junaidin
Published: February 2025

This study explores the relationships among job demands, job resources, burnout, psychological capital, and work engagement in a rice milling factory. Using a quantitative approach, data were collected from 102 employees and analyzed with structural equation modeling. The findings reveal that job demands significantly increase burnout, while job resources reduce burnout and directly enhance work engagement. Burnout negatively impacts work engagement and mediates the effects of job demands and resources. Psychological capital moderates the relationship between job demands and burnout and between job resources and burnout, emphasizing its role in reducing stress and improving resilience. Additionally, psychological capital has a direct positive effect on work engagement. These results underscore the importance of managing job demands, optimizing resources, and fostering psychological capital to reduce burnout and enhance engagement. Practical recommendations include creating supportive environments, providing resilience training, and implementing effective workload management strategies to enhance employee well-being and productivity
A importância das deduções fiscais para o agronegócio brasileiro frente a um novo cenário tributário
Authors: Yamada Larissa , Carraro Nilton Cezar , Oliveira Edenis Cesar de , Sousa Marco Aurélio Batista de
Published: February 2025

O agronegócio é um dos pilares da economia brasileira, compreendendo atividades relacionadas à produção, processamento, armazenamento e distribuição de produtos agrícolas. Com uma participação de 26,6% no PIB em 2020, o setor é fundamental para o crescimento econômico, geração de empregos e exportações. No entanto, a alta carga tributária, composta por impostos como PIS/PASEP, ICMS e Funrural, representa um desafio significativo, impactando a rentabilidade dos produtores, os preços dos alimentos e a competitividade do setor. A recente reforma tributária, aprovada em 2023 por meio da PEC 45, propõe mudanças estruturais, como a substituição de tributos pelo IVA Dual, com alíquotas que podem chegar a 25%, e a criação da Cesta Básica Nacional de Alimentos, com alíquota zero para itens essenciais. Essas alterações geram incertezas sobre os impactos no agronegócio, especialmente para pequenos e grandes produtores. Este estudo busca analisar a importância das deduções fiscais no contexto do novo cenário tributário, visando compreender como as mudanças podem afetar a sustentabilidade e a competitividade do setor. A pesquisa justifica-se pela necessidade de orientar os agentes do agronegócio na adaptação às novas regras fiscais, garantindo o cumprimento das obrigações tributárias de forma justa e minimizando impactos negativos na produção e na economia nacional.
Effectiveness of Knotless Suture as A Wound Closure Agent for Impacted Third Molar
Authors: Kumar Naresh , Ali Anwar , Bai Tivishna , . Kiran , Ram Gobind , . Roma
Published: February 2025

Impacted third molar extraction is a common surgical procedure performed by oral and maxillofacial surgeons, often requiring effective wound closure techniques. Conventional sutures have been widely used; however, knotless sutures have emerged as an alternative method, potentially offering faster wound closure and reduced post-operative complications. This study evaluates the effectiveness of knotless sutures as a wound closure agent compared to conventional sutures in impacted third-molar surgeries in the Pakistani population. Objective: To compare the outcomes of knotless sutures versus conventional sutures regarding wound closure time and post-operative swelling in impacted third-molar surgeries. Methods: A randomized controlled trial was conducted at the Department of Oral & Maxillofacial Surgery, Dr. Ishrat Ul Ebad Institute of Oral Health Sciences, Dow University of Health Sciences, Karachi, Pakistan. 72 patients undergoing impacted third molar extraction were randomly allocated into Group A (knotless sutures) and Group B (conventional sutures), with 36 patients in each group. Primary outcomes included wound closure time (measured in minutes) and post-operative swelling (measured in millimeters) at 1-hour and 72-hour intervals. Data were analyzed using SPSS version 23, and statistical significance was set at p≤0.05. Results: The mean age of participants was 26.14 ± 4.66 years in Group A and 24.50 ± 4.39 years in Group B. Mean wound closure time in Group A was significantly lower (2.78 ± 0.90 minutes) compared to Group B (4.47 ± 1.30 minutes, p=0.0001). Swelling at 1 hour post-operatively was significantly lower in Group A (42.69 ± 4.82 mm) than in Group B (46.22 ± 4.46 mm, p=0.002). Similarly, at 72 hours, swelling was lower in Group A (34.75 ± 4.80 mm) compared to Group B (40.80 ± 6.56 mm, p=0.0001). Conclusion: Knotless sutures improved wound closure efficiency and reduced post-operative swelling compared to conventional sutures in impacted third-molar surgeries. These findings support adopting knotless suturing techniques in oral surgical procedures to enhance clinical outcomes and patient comfort.
Implementasi Kebijakan Perlindungan Anak Terhadap Kekerasan Anak di Kota Bandung Tahun 2023
Authors: Indriani Rhaisa , Delianoor Nandang Alamsyah , Sagita Novie Indrawati
Published: February 2025

Penelitian ini membahas tentang implementasi kebijakan perlindungan anak terhadap kekerasan anak di Kota Bandung pada tahun 2023, dengan fokus penelitian pada Dinas Pemberdayaan Perempuan dan Perlindungan Anak (DP3A) dan Unit Pelaksana Teknis Daerah Perlindungan Perempuan dan Anak (UPTD PPA). Penelitian ini menggunakan penelitian kualitatif dengan pendekatan naratif untuk menggambarkan implementasi kebijakan perlindungan anak. Hasil penelitian menunjukkan bahwa meskipun kebijakan tersebut telah diimplementasikan dengan baik, namun masih terdapat kendala dalam hal sumber daya manusia dan biaya. Keterbatasan jumlah pegawai dan anggaran menjadi tantangan dalam mencapai perlindungan anak yang optimal. Namun, partisipasi masyarakat melalui program Perlindungan Anak Terpadu Berbasis Masyarakat (PATBM) dan kolaborasi dengan berbagai pemangku kepentingan telah meningkatkan kesadaran masyarakat akan isu-isu kekerasan terhadap anak. Penelitian ini menekankan pentingnya sosialisasi yang berkelanjutan dan peningkatan sumber daya untuk keberhasilan kebijakan perlindungan anak di masa depan.
 
Kata kunci: Perlindungan anak, kekerasan terhadap anak, kebijakan publik, Kota Bandung, DP3A
Analysis of the Influence of Social Media on Community Participation in the Government Administration Process in Kulo District, Sidenreng Rappang Regency
Authors: Pate Nasir , Sam Muliani , Nilwana Andi , Nonci Nurjannah
Published: February 2025

This study aims to analyze the influence of social media use, particularly WhatsApp, on community participation in the government administration process in Kulo Sub-district, Sidenreng Rappang Regency. Data was collected through in-depth interviews, participatory observation, and document analysis using a descriptive qualitative approach. The results showed that WhatsApp improved communication efficiency between the community and the government, accelerated the service process, and increased transparency and accountability. Most respondents rated the use of WhatsApp as easy and the response of officers as fast. However, the study also identified key constraints, such as low digital literacy and limited technological infrastructure in rural areas. The implications of this study include the need to strengthen digital literacy through training programs for communities and government officials and the development of more inclusive technological infrastructure. This research makes a theoretical contribution to the e-government literature and offers practical solutions for technology-based public service innovation in rural areas.
Extended Refined Neutrosophic Vector Spaces, Subspaces and their Application
Authors:   PG and Research Department of Mathematics, Sacred Heart College, Tirupattur - 635601, India, J. J. ,   Department of Mathematics, Panimalar Engineering College, Poonamalle, Chennai -600123, India,   PG and Research Department of Mathematics, Sacred Heart College, Tirupattur - 635601, India,   PG and Research Department of Mathematics, Sacred Heart College, Tirupattur - 635601, India, Aldring J. , Borg S. John , Ajay D.
Published: February 2025

The objective of this paper is to present a perspective of Refined Neutrosophic Vector Space (r-NVS), Sub spaces and some basic operations on Refined Neutrosophic Sets such as Algebraic sum and Algebraic product. Further some basic propositions, lemma and examples are presented. Finally an application on Refined Neutrosophic Vector Space is presented in the field of e-Commerce buyer oriented product (Smart Phones) ranking to illustrate the advantage of representing r-NVS.
On Energy of Double Dominating Bipolar Single-Valued Neutrosophic Graph
Authors:   College of Computing, Informatics and Mathematics, Universiti Teknologi MARA (UiTM) Kelantan 18500 Machang, Kelantan, Malaysia, Roslan Roslan ,   Special Interest Group on Modeling and Data Analytics (SIGMDA), Faculty of Ocean Engineering Technology and Informatics, Universiti Malaysia Terengganu, 21030 Kuala Nerus, Terengganu, Malaysia,   Mathematics Science Department, The University of New Mexico, 705 Gurley Avenue, Gallup, New Mexico 87301, USA, Hasni Roslan , Smarandache Florentin
Published: February 2025

Domination and graph energy are fundamental concepts in graph theory for addressing unpredictable phenomena, and they have attracted considerable interest from researchers. In recent developments, the concept of dominating energy has become increasingly significant in the study of graph energies. While fuzzy graphs (FG) sometimes fall short in delivering optimal results, the neutrosophic set (NS) as well as neutrosophic graphs (NG) offer a robust alternative, effectively managing the uncertainties linked with inconsistent and indeterminate information in real-world scenarios. Most existing research on domination energy in the fuzzy environment focus solely on a single membership function. In contrast, bipolar neutrosophic models, which account for both positive and negative influences, provide a more versatile and applicable approach. This paper focuses on advancements in NG theory to address scenarios where imprecision is represented by both positive and negative membership functions. It introduces a new concept called the double dominating energy graph, relying on the currently developed bipolar single-valued neutrosophic graphs (BSVNG). The study further explores the energy of double domination within the BSVNG framework. Specifically, it develops the adjacency matrix of a dominating BSVNG, analyzes the spectrum of this matrix, and elaborates on the associated theoretical aspects using illustrative examples. Additionally, the double domination energy of BSVNG is calculated to demonstrate its applicability. At the end of this study, conclusions are drawn and avenues for future research are discussed.
Analyzing the Relationship Between Project Management and Social Responsibility at Peruvian University Los Andes: Graduate Perceptions for 2024 Using Plithogenic Statistics and the Indeterminate Likert Scale
Authors:   Universidad Peruana los Andes, Perú, Vásquez-Ramírez Michael Raiser
Published: February 2025

The university's mission as established in the World Declaration on Higher Education is to contribute to sustainable development and improve society, which implies training highly qualified professionals. This paper aims to determine to what extent Project Management is related to Social Responsibility at the Universidad Peruana Los Andes, 2024. For the study, a survey is applied to a sample of 384 graduates from a total population of 5823 distributed by faculties, in 2024 regarding the attitude of this university's Center on Project Management and University Social Responsibility. For data representation, we use an Indeterminate Likert Scale. This type of scale consists of the quantitative score of each of the possible nominal values, in this way the opinion of each respondent is captured more faithfully. On the other hand, we use the Plithogenic Statistics, because there are several variables to study, some of them with indeterminacies.
Analysis of Sexist Vocabulary and Countermeasures in English-speaking Countries from the Perspective of Sociolinguistics
Authors: Sun Zhongxiang
Published: February 2025

As an significant tool for communicating and disseminating information, language could not only symbolize general literacy of individuals, but also reflect the socio-cultural profile. With the awakening of females in English countries, some sexism words, especially those which discriminate against women are concerned. This paper is going to take sexist vocabulary as an entry point, systematically analyse the features of composition and semantics, then explore the socio-cultural reasons behind and the countermeasures to eliminate linguistic discrimination. The author hopes to give suggestions to those who are willing to transform gender inequality in modern society, contributing to achieving gender equality.
Language Learning Beliefs and Teaching Effectiveness: Exploring How Teachers' Beliefs Shape Classroom Practices in Second Language Acquisition
Authors: Lan Shanxi
Published: February 2025

The research examines the impact teacher beliefs about language learning have on classroom practices during second language acquisition (SLA). The study investigates educational psychological principles to understand the impact of teachers' previous experiences and professional growth on their instructional methods. The research team implemented a mixed-methods strategy that included surveys, interviews and classroom observations to obtain both quantitative and qualitative information. Teachers who follow communicative language teaching (CLT) principles prefer interactive student-centered teaching methods while teachers with traditional beliefs depend on grammar-based instruction approaches. During classroom observations teachers demonstrated clear connections between their reported beliefs and teaching methods but sometimes their subconscious beliefs diverged from their stated educational philosophies. The findings show how teacher cognition affects teaching effectiveness while demonstrating that reflective practice serves as a critical tool for improving teaching methods. Research findings show teacher training programs must cover multiple teaching philosophies and teach flexible methods to improve how students engage and learn.
The medical sector's use and influence from big data
Authors: Wei Taoran
Published: February 2025

In the age of big data, the healthcare sector is experiencing significant transformations, with data serving as the crucial element for enhancing medical services. Recent research indicates that big data enhances the efficiency and quality of medical services while also advancing precision medicine and individualized therapy. Nonetheless, a research gap persists about the particular applications and accomplishments of big data in the medical domain. The paper analyzes the utilization of big data in the healthcare sector and the transformations it induces, encompassing the three aspects of big data and its implementation in customized medicine, health insurance, and fraud detection. This study demonstrates, via comprehensive research, the beneficial impact of big data on enhancing the efficiency of medical services and achieving precision medicine. The results of this work have considerable importance for enhancing the efficiency of health care big data consumption, guiding future research in precision medicine, and advancing the application of precision medicine in the prevention and treatment of critical illnesses.