bluuebunny/crossref_metadata_2025 huggingface dataset:
Comprehensive Review of Radiological Applications in Cancer Detection and Monitoring
Authors: Algofinah Abdullah Hussain Mohammed , Al Sqoor Tariq Mohammed Abdullah , Alyami Hamad Mohammed Abdullah , AlZaaman Hamad Ali Hamad , Albaltheen Madran Amer , Almahri Mana Mahdi Mana , Alsharyah Saleh Mohammed Mana , Al rizq Saleh Misfer Abdullah , Alyami Jaber Mahdi Hassan , Alarram Abdulmajeed Mana Ali
Published: December 2024

The use of radiological procedures for the identification, assessment, and periodic follow-up of cancer patients has expanded greatly over the last few decades by achieving high standards in the diagnosis of cancer and the planning of treatment plans. A variety of imaging technologies, ranging from x-rays, CT, MRI, and US to PET and nuclear medicine imaging, have become an integral part of oncological practice. These technologies help in the timely diagnosis of a tumour, evaluation of tumour status, and determination of the effectiveness of the treatment. This review provides insight into current developments in radiological imaging, its use in cancer diagnosis, its use in the management of cancer treatment, and the possible limitations and future of radiology in oncology.
Critical Analysis of Global Health Trends, Economic Impacts, And Cultural Adaptations in Healthcare
Authors: Alotaibi Ali Muqbil A , Alruwili Layali Almahdi Eatish , Almutairi Majed Munhai , Alharbi Mohammad Abdullah B , Alotaibi Noura Abdulrhman , Alsaeed Awatif DhiffAllah , Alrogi Majed Sagar , Alotaiby Felwah Gassem , Alharbi Adel Muqbil Obiad , Alharbi Abdulaziz Muqbil Obiad
Published: December 2024

Healthcare systems worldwide are confronted with sophisticated issues that have to do with demography, economics, and cultures. The dynamics of these important health trends are analyzed herein, their economic implications assessed, and cultural considerations in the provision of healthcare services discussed. This paper focuses on fair distribution, originality, and financial viability and blends global examples, quantitative data, and qualitative findings to explain effective change. Results reveal that despite the advances in using technology and addressing cultural relevance in delivered interventions, sustained disparities and limited funding require strategic international partnership. Recommendations are on policy support, building and strengthening the capacity of workforce and developing and expanding available technologies.
The Mediating Role of Intellectual Capital in the Relationship between Human Resource Management Practices and Enterprise Risk Management: Evidence from Egyptian Banks
Authors: Amin Hend Medhat , EL-shawadfy Mohamed Ghamry , Shahwan Tamer Mohamed
Published: December 2024

This paper aims to investigate the impact of intellectual capital (IC) as a mediator variable on the association between human resources management practices (HRM) practices and enterprise risk management (ERM) within the Egyptian banking sector. This study also examines bi-causality linkages between these variables, highlighting the dynamic interplay between these functions.  The designated HRM practices index, the ERM index and the value-added intellectual coefficient method were used to assess the level of HRM practices, ERM maturity and the performance of IC, respectively. The content analysis approach, structural equation modeling (SEM) and Granger causality tests have been used to examine data collected from financial statement of the Egyptian banks listed in the Egyptian stock exchange. The data set is derived from 13 banks listed in the Egyptian exchange from 2018 to 2022. The findings revealed that HRM has a direct impact on enterprise risk management by ensuring that employees are well-trained, engaged, and motivated to adhere to risk protocols. Additionally, VAIC as a partial mediator enhances this relationship, allowing banks to utilize their intellectual resources—such as human skills, organizational structures, and capital—more effectively in risk management. Moreover, a bi-causality relationship can be observed between HRM practices and ERM.
Comprehensive Review of Nursing Collaboration, Skill Development, And Its Role in Multidisciplinary Teams
Authors: Al Taymani Kholod Yaqut , Albalawi Suhaila Salmah , Alwabsi Amal Zaidane , Albalawi Ahlam Zedan , Albalawi Hanadi Hamdan , Albalawi Alanoud Faraj Hmoud , Al-Balawi Salwa Salem Falih , Albalawi Faten Faleh , Albalwi Adel Hamoud Sirhan , Al balawi Tahany Olyan Mohamed
Published: December 2024

Nursing collaboration is crucial in the multidisciplinary health care team practice and promotes the improvement in health practice skills, hence improving the outcome of the care of the patients. This review aims to establish a critical understanding and appreciation of the nurses in a team-based healthcare model within different practice environments concerning the various skills involved and the difficulties encountered. The paper synthesizes recent research evidence and best practice cases with figures and tables to offer practical implications for practicing healthcare professionals and policymakers.
Radiology Critical Analysis of Patient Safety and Ethical Challenges in Radiological Practices
Authors: ALRESHIDI MUSAAD SHURAYWID , ALQABBA ABDULLAH HOMOUD ABDULLAH , ALRASHIDI SAUD SAAD SAUD , ALHINDY HADEEL KALED , ALMDINI ASMA YAUSAF MOHAMMED , AL-SHAMMARI NOURAH SAAD SUWAILEM , AL SHAMMARI SAMI HAMOUD AWAD , ALSHAMMARI FARIS MOHAMMED L , ALSHAMMARI FRAIH FEHAID , AL SHAMMARI SULTAN HAMOUD AWAD
Published: December 2024

Radiology is one of the important specialties of medicine that plays a useful role in diagnosing and approaching different diseases. Nonetheless, as many patients depend on radiological imaging technologies, the factors that revolve around the safety of patients, as well as the ethical issues, come into play. This manuscript seeks to provide a critical review of patient safety concerns in radiology, emphasizing radiation protection, technology, and ethical issues accompanying innovations in imaging services. The strategies to deal with these issues are also examined, together with the role of the radiologist in addressing these problems and the significance of patient consent and patient-oriented care practices within the scope of radiology. In responding to these issues, the present paper shall endeavor to engender further informed debate on the appropriate propagation of radiology today.
Critical Analysis of Laboratory Automation and Its Role in Quality Assurance
Authors: Alreshidi Bander Saad , Rasheedi Mousa Hamad Muatiq , Alrasheedy Abdullah HAjaj Hejji , Nidaa Saud Abdullah , Alreshidi Abdulrahman Magbool , Alsudayri Hamoud Abdulaziz , Alreshidi Naif khidhran , Alrashidi Hameed  Maedh , Almuthebry Abdulaziz Musleh , Alreshidi Turki Ali K
Published: December 2024

Automation in laboratories has enhanced operations as a diagnostic tool to reveal accuracy, efficiency, and all-around quality in laboratories. The automation of specimens in the management of laboratories is shed light on in this review, focusing on increased efficiency, less human interference for increasing errors, and quality control as a number one priority. Automated liquid handling RFs, robotic systems, laboratory information management systems (LIMS), and point-of-care automation devices have been consistently found to enhance diagnostics and efficiency. However, contradictions have included high initial investment, integration into existing systems, and a major concern of staff training as factors that hinder organizations from adopting them. This paper presents a thorough literature review on laboratory automation, assessing the benefits and drawbacks of the solution concerning quality assurance and suggesting ways to enhance the practical application of the solution in clinical laboratories.
Comprehensive Review of Healthcare Workforce Needs, Training, And Long-Term Workforce Planning
Authors: Alqaysi Nasser Ali Ahmed , Al Ghythan Ali Mohd Edah , Alyami Yahaya Mana Mahdi , Alzamanan Ibraheem Hussain Mahdi Zumaiea , Alhaider Masuod Naseer Salah , Alyami Ibrahim Mana Mahdi , Al hamid Yahya Hamad Jaber , Alyami Khalid Ahmed Ibrahim , Alyami Hatem Mana Mahdi , Al jafar Mohammed Mojeb Obead , Alyami Abdullah Saleh Al duways
Published: December 2024

The healthcare workforce is the vital benchmark for rendering proper healthcare across the globe. More so, as populations age, chronic diseases grow, and the improvement and expansion of healthcare systems are advanced, there is a dire need for a skilled and sufficiently strong healthcare workforce. This review assesses the existing supply of the healthcare workforce, the general education course to join the healthcare profession, and the adequacy of long-term healthcare workforce planning. Depending on the gaps in manpower supply, training dearth, and upcoming demand, the paper provides solutions for fighting the healthcare workforce shortage. Technological improvement, policies and change, and new approaches to developing a sustainable and fair health workforce are also discussed.
Radiology Comprehensive Review of AI-Driven Imaging Technologies and their Impact on Diagnostic Accuracy
Authors: Alrashdi Ahmed Aiah Abdullah , Alrasheedi Afrah Manwer Eieed , Alazmi Norah Fahhad G , Algharbi Adel Abdullah Bakheet , Alanazi Khalid Sihman Dhahir , Alshammari Hadeel Obaid Saleh , Alshammari Dalal Hamdan Saleh , Alshammari Homoud Tulayhan Mubarak , Aldubl Ibrahim Saud Salh , Alharbi Ayed Hameed
Published: December 2024

Radiology has also received the double-edged gift of artificial intelligence (AI) that accelerates the speed and efficiency of diagnosis. This systematic review aims to present the outcome of AI-assisted imaging, from accuracy examinations to advancing radiology work processes. It looks at different AIs using algorithms in imaging techniques like X-rays, CT scans, MRI, and ultrasounds. AI can benefit radiologists by enhancing results in detecting diseases, including cancers, cardiovascular diseases, and neurological disorders. Still, some barriers to adoption, data quality, and ethical issues have not been addressed. This review addresses these concerns while also considering how AI may enhance patient outcomes and radiology operations.
Critical Analysis of Digital Transformation, Leadership Challenges, And Operational Success in Hospital Management
Authors: Alawi Thabet Mohammed Taher , Alharthi Abdulhakeem Ahmed , Alhujaily Abdullah Saleh , Banon Shog Solaiman , Althagafi Sameer Aiedh , Shashah Ashraf Ali Mohammad , AL said Abdullah Saad , Shashah Ayman Ali Mohammad , Alsulami Omar Aziz Omar , Alshomrani Muslah Break K , Aljuaid Sultan Hajjad Owaidh
Published: December 2024

Digital transformation has significantly impacted healthcare, particularly in hospitals, where it plays a crucial role in increasing the effectiveness of operations, delivering care to patients, and changing leaders. However, leadership challenges also emerge when new technologies are implemented in hospitals, such as resistance to change, the need for special skills, and the need to incorporate new technologies into practice. This paper aims to review the literature on the relationship between IT adoption, leadership issues, and hospital management operations. To this end, the study draws from current literature, the analysis of real-life cases, and data collected from hospital settings to establish linkages between the use of digital solutions and healthcare leadership as well as the functioning of the hospital. Takeaways from the study attributed hospital digital transformation efficiency to leadership, a change management plan, and a human factor consideration of digital technologies. Finally, this paper presents some guidelines for hospital managers and leaders regarding developing and promoting regional technologies and leadership training within their facility.
Comprehensive Review of Big Data Analytics, Health Information Systems, And Data Privacy Ethics
Authors: Al Ahmadi Muteb Salah Saad , Alhejaili Fahad Mubarak , Alamry Manal Sarhan , Aljhany Amal Olyan , Al-Jahni Munira Dakhil Allah , Albalawi Manal Dhaher , Algohani Rehab abdalrahman , Almerashy Hanaa Awaed Atheb , Alkhaibri Turkiah Ghalaleb , Aljohani Mousa Salem Awad
Published: December 2024

The convergence of big data analytics and health information systems (HIS) has transformed the health care systems. It has so much potential to redesign and advance patient care and delivery processes and facilitate better decision-making. Nevertheless, using personal health data increases moral issues regarding personal data policy. This review aims to review the literature on handling big data analysis, health information systems, and data privacy ethics, focusing on existing trends, challenges, and prospects. This paper discusses the strengths of big data in healthcare delivery contexts, the growing function of health information systems, and the paramount role of ethical guidelines in addressing PWMI information. The review ends with proposing strategies to improve data privacy while at the same time optimizing the benefits of big data analytics in healthcare.
Critical Analysis of International Collaboration, Crisis Management, And Policy Development In Global Health
Authors: AL HARTH HUSSEIN HASSAN SALEH , ALRABIE MOHAMMED ALI NAJI , ALDAGHMAN YASIR MASOUD ALI , AL RAGEEP MESHAL MOHAMAD , ALWAELI ABDULLAH MUZHIR , ALRUBUO TURKI ABDULLAH , ALYAMI NORAH SALEM HAMAD , BALHARITH ABDULLAH SALEH ALI , AL SHARIAH HADI MUHAMMAD HUSSEIN , AL EDALL ABDULLAH HUSSAIN YAHYA
Published: December 2024

As it is witnessed in pandemics, natural disasters, and other outbreaks of diseases, health management has necessitated international cooperation. To achieve the above objective, this paper critically evaluates international collaboration, crisis management, and policy in global health. Devoted to the analysis of present and previous global dangers like COVID-19, the paper investigates the performance of multiple international health frameworks and the difficulties in implementing them. In addition, the study looks into the specified context to review the contribution of policymaking in such crises and the remaining voids in international health administration. In an attempt to make practical suggestions on how international relations in health should be enhanced to accommodate future crises, this paper presents a synthesis of the resources of literature, data, and case studies available on the subject.
Comprehensive Review of Laboratory Automation, Quality Control, And Workforce Adaptation
Authors: Alyami Abdulaziz Abdullah , Alaqil Naif Mana , Alsulayyim Ali Salem Mana , Al yami Ramzi Mubarak Khayri , Salem Fatimah Jaber Mohd , Al hatailah Abdullah Maadi Hussain , Al zandan Salem Abdullah , Al Mushref Sultan Akram Nasser , AL Musharraf Saleh Akram Nasser , Balharith Ali Saleh
Published: December 2024

There is a very close relationship that exists between the increased use of automation technology and the quality of diagnosis as well as the efficiency of the laboratory. Therefore, this review intends to describe the current position of automation for laboratory facilities and sample analysis and investigate its impact on quality control (QC), efficiency, and workforce flexibility. Automated technologies have been integrated into all functional ranges, beginning from sample management to result determination, increasing the sample & result turnaround time and accuracy. Nevertheless, automation and incorporation of technologies in laboratories have their own issues, such as quality assurance, human resource changes, and flow process challenges. This review summarizes the current literature with advances in laboratory automation, quality control, and workforce management, together with implications for the future of laboratories in clinical and research settings.
A Strategic Approach to Business Transformation for Achieving Sustainable Corporate Performance
Authors: Harianto Frans B. M. Dabukke, , Djohar Bungaran Saragih, Setiadi
Published: December 2024

This study analyzes the Business Transformation Strategy for achieving sustainable corporate performance at PT Pupuk Indonesia (Tbk) using the Analytical Hierarchy Process (AHP). Key factors, actors, objectives, and strategic alternatives were identified to determine the most critical components driving the company's transformation. Governance emerged as the top priority factor, emphasizing the importance of robust governance structures in ensuring transparency and accountability. The Directors were found to be the most influential actors, underscoring the need for strong leadership in steering the transformation process. Improving operational efficiency was ranked as the highest priority objective, reflecting the company’s focus on optimizing processes and enhancing productivity. The most important strategic alternative identified was the implementation of best practices in operational management, particularly through methodologies such as Lean and Six Sigma. The study concludes that effective governance, leadership involvement, operational efficiency, and the adoption of industry best practices are key to PT Pupuk Indonesia’s successful business transformation and long-term sustainability.
Computer Crime in the Digital Age literature review of scientific articles from 2019 to 2024
Authors: Gavilanes Mgs. Luis Antonio Villalta , Villalta Mgs. Leonardo Orleans Labre , Gavilanes Mgs. Adriana Mercedes Villalta , Llauce Dra. Cecilia Teresita de Jesús Carbajal
Published: December 2024

This systematic review study was conducted from 2019 to 2024 following the guidelines of the PRISMA protocol through an exhaustive search in Scopus, SciELO, Redalyc, Dialnet, Erih Plus, Latindex, the University César Vallejo library, and other databases, and aims to identify current trends and challenges in the prevention of cybercrime in Ecuador. The results show that, despite legislative efforts, cybercrime remains a growing problem in the country. The findings of this research have important implications for public policy formulation, investment in technology, and cybersecurity education in Ecuador. Lack of user awareness, insufficient resources for law enforcement, and the rapid evolution of technologies were identified as key factors. Public policies that promote cybersecurity education, investment in protection technologies, and collaboration between public and private institutions are recommended. In conclusion, this systematic review underscores the need to adopt a multidisciplinary and proactive approach to combat cybercrime in Ecuador.
Book publishing in Ukraine in the context of the Russian-Ukrainian war (2014-2024): Main development trends
Authors: Molotkina Valentyna , Molotkina Yuliia
Published: December 2024

Since 2014, Russia has been conducting a hybrid war against Ukraine, aiming to keep it within its sphere of influence. This aggression encompasses not only military, economic, and diplomatic aspects but also an informational dimension, particularly in the regulation of the book market. Following the full-scale invasion, the protection of the Ukrainian language has become a factor in national security. Beyond market pressure, Russia has waged war on Ukrainian books at a much deeper level: assassinating authors, deliberately destroying libraries, and eradicating Ukrainian literature from occupied territories. Therefore, the development and analysis of the publishing industry are of utmost importance and require in-depth study. This article aimed to investigate the key trends influencing the development of Ukraine’s publishing industry between 2014 and 2024. The methodology of the study is based on historical, retrospective, logical, chronological, and analytical research methods. It has been established that a significant achievement in the publishing sector is the shift in readers’ preferences towards Ukrainian-language books. As a result, the number of new publications has grown, with trends such as children’s educational literature, motivational or business books, and foreign bestsellers emerging. It was found that during the war with Russia and the economic decline in 2014-2015, the book market experienced a downturn. Between 2016 and 2019, some recovery was observed, with a broader genre range and an increased share of Ukrainian-language literature in the market. In 2020, due to the economic crisis caused by the pandemic, the publishing industry faced reductions. By 2021, the decline slowed, and the number of titles increased. After 24 February 2022, publishers and printing houses ceased operations. However, within a few months, most publishers managed to resume work, establish new logistics routes, and secure funding. The findings of this study can be used for further exploration of the scientific issues outlined in the article, as well as serve as a foundation for the development and teaching of relevant courses in higher education institutions
Comparative Evaluation of Complications in Untreated and Recurrent Urinary Tract Infections
Authors: Ali Furqan , Butt Rehan Hassan , Iman Shazil , Haroon Abdullah Mustafa , Shahid Muhammad Shahmeer , Hussain Syed Tahir , Zulfiqar Ibtesam
Published: December 2024

Background: Urinary tract infections (UTIs) are common but can cause severe complications if untreated or recurrent, affecting renal function and antibiotic resistance. This study uniquely uses biomarkers such as CRP, NGAL, IL-6, and TNF-α to predict renal dysfunction and antibiotic resistance, highlighting their clinical significance. Objectives: To compare the complications of untreated and recurrent UTIs concerning renal function, systemic inflammation, oxidative stress, and antibiotic resistance using biomarker analysis. Methods: A comparative study was conducted on 500 adult patients (2022–2024) from two tertiary care hospitals. Patients were categorized into recurrent UTIs (≥3 episodes/year) and untreated UTIs (≥1 month without antibiotics). Biomarkers for renal dysfunction (creatinine, eGFR, NGAL), inflammation (CRP, IL-6, TNF-α, procalcitonin), and oxidative stress (MDA, KIM-1) were analyzed. Multivariate regression and statistical tests assessed predictors and significance. Results: Untreated UTIs were associated with significantly worse renal outcomes (creatinine: 2.1±0.4 mg/dL, eGFR: 54.2±6.1; p<0.001), higher inflammation (CRP: 35.7±5.9 mg/L; procalcitonin: 2.1±0.6 ng/mL; p<0.001), and elevated oxidative stress (MDA: 6.7±1.3 μmol/L). Recurrent UTIs had higher multidrug resistance rates (45% vs 28%, p=0.002). CRP, NGAL, and procalcitonin independently predicted renal dysfunction, while IL-6 and TNF-α were strong predictors of antibiotic resistance. Conclusions: Untreated UTIs pose severe risks for renal health and systemic inflammation, while recurrent UTIs increase antibiotic resistance. Biomarkers offer valuable predictive tools for early intervention, improving patient outcomes.
Implementación Plan de Gestión de Continuidad de Negocios para una Empresa de Call Center en Chile.
Authors: Silva Santibáñez Rodrigo Benjamín , Ferro Azcona Hakna
Published: December 2024

El presente estudio Implementación del Plan de Gestión de Continuidad de Negocios para una Empresa de Call Center en Chile tiene como objetivo desarrollar e implementar un Plan de Continuidad de Negocios (BCP) según la norma ISO 22301:2019, para garantizar la continuidad operativa de un Call Center que presta servicios al sector financiero en Chile. Los objetivos específicos incluyen analizar la situación actual de la gestión de continuidad, identificar y evaluar los riesgos que puedan interrumpir las operaciones críticas, y clasificar las actividades esenciales. También se busca formular un BCP que integre políticas de gestión, análisis de impacto en el negocio, estrategias de continuidad y planes de contingencia, con procedimientos de prueba y mantenimiento periódicos.
La metodología adoptada fue de enfoque mixto, combinando análisis cualitativos y cuantitativos. Se realizaron encuestas a 24 colaboradores para medir su preparación y conocimiento sobre riesgos antes y después de la implementación del BCP.
Los resultados evidencian mejoras significativas en la resiliencia operativa del Call Center. La confianza del personal para manejar incidentes críticos aumentó considerablemente, al igual que la percepción de estabilidad tecnológica. El estudio concluye que un BCP estructurado incrementa la capacidad de respuesta ante incidentes disruptivos, fortalece la confianza de los clientes y asegura la estabilidad operativa y financiera.
Impacto del voluntariado corporativo en el desarrollo organizacional: un análisis de mejores prácticas en México
Authors: Saburit Mancillas Ramón Felipe , Colmenero Fonseca Fabiola
Published: December 2024

El voluntariado corporativo se ha consolidado como una estrategia clave para el desarrollo organizacional, ofreciendo beneficios tanto para las empresas como para sus empleados. Este estudio analiza las mejores prácticas de voluntariado en México, enfocándose en cómo estas iniciativas pueden alinearse con las habilidades profesionales de los empleados para generar un impacto significativo en la comunidad y en la empresa. A través de un enfoque cualitativo, se investigaron empresas con más de 500 empleados que han implementado programas de voluntariado por al menos un año, utilizando entrevistas y análisis documental. Los hallazgos revelan que, aunque el voluntariado en México sigue un enfoque tradicional centrado en actividades comunitarias generales, algunas empresas globales han adoptado modelos más estratégicos que integran las competencias de sus empleados con las necesidades locales. Estas prácticas han demostrado mejorar el ambiente laboral y fomentar habilidades blandas como liderazgo y trabajo en equipo, al tiempo que refuerzan el sentido de pertenencia y compromiso organizacional. Sin embargo, muchas empresas mexicanas aún no explotan completamente el potencial del voluntariado corporativo como motor de desarrollo organizacional. El estudio concluye que es necesario diseñar programas más alineados con las competencias de los empleados para maximizar su impacto. Se recomienda que las empresas adopten enfoques más estratégicos que utilicen el voluntariado no solo como una actividad de responsabilidad social, sino como una herramienta integral para el desarrollo de sus colaboradores y el fortalecimiento del compromiso hacia la organización.
Analisis Kasus Ujaran Kebencian Mizan Qudsiah Penghina Makam Keramat Lombok
Authors: Muhammad Faozan
Published: December 2024

This research aims to analyze the meaning of “hatred and inter-group relations” as described in Article 28, Section (2) of Indonesia’s Information and Electronic Transactions (ITE) Law, assessing its compliance with Indonesia’s positive legal framework, with a focus on definitional ambiguities and potential for multiple interpretations that impact legal certainty. Using a normative analysis approach, examining related articles and case studies within Indonesian jurisprudence, this study finds that the lack of clarity in the article's formulation leads to varying interpretations, particularly regarding the terms "hatred" and "inter-group." Findings indicate that the article is vulnerable to being used as a tool to silence criticism, thus conflicting with the principles of Lex Certa and Lex Stricta, which mandate precision and clarity in legal drafting. This research contributes by recommending a reformulation of the article to ensure fair legal application and to prevent misuse within the law enforcement process in Indonesia.
¿Por qué los ojos y el sistema visual son incumbencias médicas?
Authors: Casiraghi Javier , Torres Rodrigo M.
Published: December 2024

En este número de la revista se presentan muchos trabajos que muestran evidencias donde, tanto la prescripción de anteojos como la posibilidad de hacer diagnósticos de diversas enfermedades generales, dependen de que el médico oftalmólogo tome su rol, esté actualizado y pueda realizar la correcta asociación entre datos médicos (síntomas y signos). En base a eso, se tomarán decisiones tales como recetar una graduación para la miopía, indicar un tratamiento farmacológico o una cirugía ocular, o solicitar una interconsulta con médicos de otra especialidad. Todos son actos médicos, relevantes para la salud de un paciente. Se trata ni más ni menos de discernir si un ojo es sano o tiene una enfermedad (un ojo, los ojos, el sistema visual), es decir se trata de discernir cómo está la salud de una persona.
A PRODUÇÃO LEGISLATIVA SOBRE SAÚDE NO PERÍODO 2003-2010
Authors: Bahia Ligia
Published: December 2024

O trabalho tem caráter exploratório e objetiva problematizar acepções sobre o caráter particularista das iniciativas do Poder Legislativo relacionadas com políticas de saúde. Tomando como referencial estudos sobre o papel do Parlamento no Brasil, sugestivos da existência de tensões estabelecidas pelas iniciativas de caráter normativo do Poder Executivo na Câmara dos Deputados, foram analisados projetos de lei de integrantes do Congresso Nacional nos períodos 2003-2006 e 2007-2010. Nos dois casos preponderaram projetos de lei benéficos à saúde, mas reiterativos, redundantes e, portanto, dotados de pequeno potencial de questionamento e transformação das políticas, enquanto a elaboração pelo Executivo de leis de maior impacto sistêmico concentrou-se no primeiro mandato do presidente Lula (2003-2006).
Antrenörlük Yapan Bireylerin Ayakkabı Tercihlerinin İncelenmesi
Authors: Erkek Ali , Yıldırım Ahmet
Published: December 2024

Bu çalışmanın amacı, aktif olarak antrenörlük yapan bireylerin ayakkabı tercihlerinin araştırılmasıdır. Çalışmanın verileri uygun örnekleme modeli ile belirlenmiş aktif olarak antrenörlük yapan 80 kadın ve 272 erkek olmak üzere toplam 352 antrenör üzerinde gerçekleştirilmiştir. Çalışmada bireylerin ayakkabı tercihlerini belirlemek için “Ayakkabı Tercihleri Ölçeği” ve katılımcıların cinsiyet, yaş, çalıştırdıkları branş grubu ve ayakkabı numarası gibi bilgileri edinmek “Kişisel Bilgi Formu” veri toplama aracı olarak kullanılmıştır. Verilerin analizinde, ikili grupların karşılaştırılmasında Mann–Whitney U testi kullanılmıştır. Araştırma sonuçlarına göre; kadın antrenörlerin erkek antrenörlere göre ayakkabı tercihinde daha seçici olduğu, 20-40 yaş arası antrenörlerin de 41 yaş ve üzerindeki antrenörlere göre ayakkabı tercihinde daha seçici olduğu sonucuna ulaşılmıştır. Bununla birlikte bireysel branş antrenörlerinin takım sporu antrenörlerine göre ayakkabı tercihlerine daha çok önem verdiği bulunmuştur. Bu bulgular, antrenörlerin ayakkabı tercihlerinde demografik ve branş bazında belirgin farklılıklar olduğunu göstermektedir. Araştırma sonuçları, kişisel tercihler ve profesyonel gereksinimlerin ayakkabı seçiminde önemli rol oynadığını, özellikle cinsiyet, yaş ve spor branşı gibi faktörlerin bu süreçte belirleyici olduğunu ortaya koymaktadır.
COMPARISON OF NACA 0012 AND KFM-4 WING PROFILES FOR HIGH SPEED UNMANNED AERIAL VEHICLES
Authors: Gözüm Muktedir , Ozarpa Cevat
Published: December 2024

The aim of the study is to present an analysis and comparison of airflow over KFm-4 (Kline-Fogleman) and NACA 0012 airfoils. The result of this comparison is to evaluate the suitability of using it in high-speed unmanned aerial vehicles. While increasing the speed of high-speed unmanned aerial vehicles, it will be important to fly more stable, have better maneuverability, reduce the drag force and delay separation. The calculations were obtained by performing computational fluid dynamics analyses. Since two-dimensional and three-dimensional airfoils showed equivalent results, two-dimensional airfoils were used. Analysis was conducted under conditions of a low Reynolds number, with a consistent velocity at Mach 0.6 and a zero-degree angle of attack. To validate the precision of the outcomes, a series of tests were executed, involving variations in grid size or node configurations. With the increase in the number of nodes, the transport coefficient exhibited a rising trend; however, upon reaching 305,100 nodes, further increase in nodes did not lead to any significant change in the transport coefficient. As a result, a transport coefficient value of 0.10103 was obtained for the NACA 0012 profile, while a transport coefficient value of 0.072038 was obtained for the KFm-4 profile. Thus, it was concluded that it would be more appropriate to use the NACA 0012 profile in high-speed unmanned aerial vehicles.
Comment l’éthique clinique et organisationnelle est-elle conceptualisée et régulée dans les CISSS-CIUSSS du Québec ?
Authors: Gilbert Nancy , Drolet Marie-Josée , Legault Georges-Auguste
Published: December 2024

Dans les écrits actuels, les impacts de la transformation qu’a connu, en 2015, le réseau de la santé et des services sociaux du Québec (RSSS) traitent surtout des enjeux d’accessibilité, d’efficience et de performance. Les impacts de cette réforme sur la place de l’éthique dans le RSSS sont à ce jour peu documentés. Dans cet article, nous nous intéressons à la place qu’occupe l’éthique clinique et organisationnelle dans les établissements créés par cette réforme, soit les centres intégrés de santé et de services sociaux (CISSS) et les centres intégrés universitaires de santé et de services sociaux (CIUSSS). De quelle façon l’éthique y est-elle régulée? De manière autorégulatoire, c’est-à-dire en s’appuyant sur une réflexion rationnelle à partir des valeurs? Ou plutôt de manière hétérorégulatoire, c’est-à-dire basée sur l’obéissance à des normes dictées par une autorité externe? L’étude que nous avons menée avait pour objectif de mieux comprendre comment l’éthique clinique et organisationnelle est régulée dans les CISSS et CIUSSS. Pour ce faire, une analyse des documents liés à l’éthique élaborés par ces établissements et mis à la disposition du public sur leur site web ont été analysés à l’aide du cadre conceptuel qui a guidé cette étude. Ce faisant, nous avons constaté la prédominance d’une régulation hétérorégulatoire de l’éthique. Ainsi, bien que l’éthique semble avoir une plus grande place que par le passé au sein des établissements du RSSS, la régulation de l’éthique clinique et organisationnelle demeure pour une large part à prédominance hétérorégulatoire.
From Patchwork to Framework: Expert Interview Insights on Establishing a Bioethics
Council for Canada
Authors: Lapteva Alice , Bubela Tania , Chandler Jennifer , Knoppers Bartha , Upshur Ross , Ravitsky Vardit , Illes Judy
Published: December 2024

Canada has historically relied on a system of ad hoc committees for ethical
guidance on public health and science policy, unlike the more centralized approach of more
than 140 countries worldwide. Here, drawing on interviews with leaders across the country,
we offer a perspective on the imperative and a strategy for a coordinated, Bioethics Council
for Canada structured to ensure proactive thinking, provide rapid responses, and engage the
public on urgent bioethics matters concerning the health and well-being of
Canadians.
Trial-centrism in the Declaration of Helsinki: A Challenge for Post-Study Access and Preventing Data Colonialism in AI-Driven Health Research
Authors: Haidar Hazar , Shamsi Gooshki Ehsan
Published: December 2024

This letter proposes extending the post-trial provisions of the updated Declaration of Helsinki beyond pharmaceutical drugs to include AI tools, particularly those developed using data from low- and middle-income countries. Such an extension would help prevent data colonialism and ensure more equitable access to these tools, fostering fairness in global health research.
Investigating Problem Issues in Customer Service Using Combined Transport
Authors: Jarašūnienė Aldona , Razgus Martynas
Published: December 2024

With the growth in the number of shipments and the increasing costs of transport and air pollution caused by transport activities around the world, the past decade has seen a search for alternative freight transport methods to reduce these factors. Scientific background and assumptions: it is argued that in combined transport, the transit time is the same as in single mode transport; customers’ needs have increased. The research object of the article: the operation of combined transport and its impact on the quality of customer service. The analytical and scientific part analyses the concept of logistics, its operational processes, as well as presents the main components of the activity in theoretical and scientific aspects, which are used to carry out other analyses of the scientific literature on customer service, combined transport activity, which are necessary for the research. The research part, which is based on the collected statistical data, best practices in foreign countries and an expert survey, seeks to identify the real issues of combined transport and the areas that affect customer service. The results section presents the developed model regarding the solution that can be applied to eliminate or reduce and improve customer service performance in a combined transport mode.
Laser-assisted dentistry, safety, and cross-infection control: A narrative review
Authors: Barenghi Livia , Barenghi Alberto , Scribante Andrea , Pellegrini Matteo , Spadari Francesco
Published: December 2024

The rapidly expanding use of laser-assisted care in dentistry requires exploring all aspects of safety. The acronym laser stands for “light amplification by stimulated emission of radiation”. The laser produces a very narrow beam of electromagnetic radiation (light) and has been exploited for some innovative dental care technologies. So far, regulatory framework and laser safety issues mainly concern the prevention of some tissue damages (eye, non-target oral tissue, and non-target skin), and laser hazards (chemical, fire, and electric shock), but minimal on cross-infection prevention and control. Concerning infection prevention, it is important to remember that the outlook for infectious risk is alarming, dental patients are potentially infectious, and as with any other innovative oral-dental health technology, laser-assisted dentistry cannot claim to be free of healthcare-associated infections. The narrative review focuses on cross-infection prevention of laser-assisted dental care and includes 158 references. The search was adopted using some essential keywords from documents in databases (PubMed, Scopus) from 2010 to 2023. This study focuses on 10 important areas in results and discussion: a) international guidelines and recommendations; b) pre-procedural mouthwash before LD; c) indoor air quality during laser dentistry and recommendations for indoor air quality in dentistry; d) use of personal protective equipment; e) hand hygiene; g) reconditioning of laser safety eyewear; f) standards for the reconditioning of laser accessories; g) clinical contact surface disinfection and the use of transparent barriers; h) limitations; and i) perspectives. To ensure safety and cross-infection prevention, the study highlights the need for sound research and updated international guidelines, and better information for users with detailed recommendations for dental practitioners.
Nose-to-brain delivery of microcarrier in the treatment of neurodegenerative diseases
Authors: Pandey Saurav , Nainwal Nidhi , Negi Teena , Lohar Amit Kumar , Kumar Saurabh , Kumar Shubhankar , Bisht Amrita
Published: December 2024

Neurodegenerative diseases (NDs) have emerged as a major global health concern due to the perpetually aging population and unhealthy lifestyle. The most prevalent NDs, such as Alzheimer’s, Parkinson’s, and Migraine, have seen a great deal of research into dependable and efficient treatment approaches. However, the conventional approach to treating NDs is not very effective due to the presence of the blood–brain barrier (BBB). BBB is a major hurdle for the delivery of various therapeutic agents to the brain. Nasal drug delivery is a novel approach providing direct delivery of drugs to the brain through the olfactory and trigeminal neurons. The nasal route also guarantees quick absorption, avoiding first-pass metabolism and early action of therapeutic activity. The nasal cavity has excellent permeability and effective absorption, of drugs including peptides, proteins, and tiny molecular weight polar medicines, which are difficult to administer by anything other than injection or where a fast onset of action is necessary. Microspheres (MSs) are micron-sized particles that can be used in nose-to-brain delivery. The main justification for using MSs for nose-to-brain delivery is to increase the likelihood that the medication will be absorbed by enabling closer and longer contact between the medication and the mucosal barrier. MSs swell on contact with nasal mucosa and solidify into a gel to prevent its clearance from the nasal cavity. This article made a comprehensive review of the application of MS in nose-to-brain drug delivery as a unique approach to treating NDs.
Integrating particle swarm optimization with backtracking search optimization feature extraction with two-dimensional convolutional neural network and attention-based stacked bidirectional long short-term memory classifier for effective single and multi-document summarization
Authors: Rautaray Jyotirmayee , Panigrahi Sangram , Nayak Ajit Kumar
Published: December 2024

The internet now offers a vast amount of information, which makes finding relevant data quite challenging. Text summarization has become a prominent and effective method towards glean important information from numerous documents. Summarization techniques are categorized into single-document and multi-document. Single-document summarization (SDS) targets on single document, whereas multi-document summarization (MDS) combines information from several sources, posing a greater challenge for researchers to create precise summaries. In the realm of automatic text summarization, advanced methods such as evolutionary algorithms, deep learning, and clustering have demonstrated promising outcomes. This study introduces an improvised Particle Swarm Optimization with Backtracking Search Optimization (PSOBSA) designed for feature extraction. For classification purpose, it recommends two-dimensional convolutional neural network (2D CNN) along with an attention-based stacked bidirectional long short-term memory (ABS-BiLSTM) model to generate new summarized sentences by analyzing entire sentences. The model’s performance is assessed using datasets from DUC 2002, 2003, and 2005 for single-document summarization, and from DUC 2002, 2003, and 2005, Multi-News, and CNN/Daily Mail for multi-document summarization. It is compared against five advanced techniques: particle swarm optimization (PSO), Cat Swarm Optimization (CSO), long short-term memory (LSTM) with convolutional neural networks (LSTM-CNN), support vector regression (SVR), bee swarm algorithm (BSA), ant colony optimization (ACO) and the firefly algorithm (FFA). The evaluation metrics include ROUGE score, BLEU score, cohesion, sensitivity, positive predictive value, readability, and scenarios of best, worst, and average case performance to ensure coherence, non-redundancy, and grammatical correctness. The experimental findings demonstrate that the suggested model works better than the other summarizing techniques examined in this research.
The largest sauropodomorph skull from the Lower Jurassic Lufeng Formation of China
Authors: Zhang Qian-Nan , Jia Lei , Wang Tao , Zhang Yu-Guang , You Hai-Lu
Published: December 2024

The Lower Jurassic Lufeng Formation of China has long been recognized for its diverse early-diverging sauropodomorph dinosaurs, with eight genera and ten species, representing more than half the Laurasian records. In this paper, we describe a new genus and species of non-sauropodan sauropodomorph, Lishulong wangi gen. et sp. nov., from Yunnan Province in southwestern China. This new taxon is represented by a partial skeleton including the skull and nine articulated cervical vertebrae, which differs from other Lufeng forms in both cranial and cervical characteristics. It bears several autapomorphies of the nasal process, the maxillary neurovascular foramen, and the cervical neural spine. Phylogenetic analysis reveals that Lishulong is an early-diverging member of the Sauropodiformes, and the sister-taxon of Yunnanosaurus. Elucidating the novel osteology of Lishulong, it possessed the largest sauropodomorph cranial material currently identified from the Lufeng Formation, not only enriches the diversity of the Lufeng dinosaur assemblage, but also enhances our understanding of the character evolution in early-diverging sauropodiforms. Furthermore, information about paleobiogeographic distributions indicates that Early Jurassic sauropodomorphs, especially Chinese taxa, have maintained multiple dispersions and exchanges within Pangaea.
The Influence of Physical Activity, Smoking Habits on Prediabetes and Diabetes at Age 18-24 Years
Authors: Pratiwi Surya Ayu , Arsita Cynthia , Konoralma Rahel Amanda , Setiawan Andreas Wilson
Published: December 2024

Objective and Background: Diabetes mellitus is a chronic degenerative metabolic disorder characterized by elevated blood glucose levels (hyperglycemia) due to impairments in insulin secretion, insulin action, or both. The prevalence of diabetes mellitus is increasing globally, and modifiable risk factors such as physical activity and smoking are known to contribute to its development. While physical activity is recognized as a protective factor against diabetes, smoking has been identified as a risk factor that may interfere with glucose metabolism, possibly through mechanisms involving oxidative stress and the activation of the sympathetic nervous system. This study aimed to explore the association between physical activity and smoking habits with the risk of diabetes mellitus among individuals aged 18-24 years.
Methods: This descriptive quantitative analysis used secondary data to examine the relationship between physical activity, smoking habits, and the risk of diabetes mellitus. Data were collected from a sample of individuals aged 18-24 years to assess their physical activity levels and smoking behaviors.
Results: The analysis revealed no significant evidence of an association between physical activity habits, smoking habits, and the risk of developing diabetes mellitus in individuals aged 18-24 years. These findings suggest that, within this age group, neither physical activity nor smoking were found to have a measurable impact on the risk of diabetes mellitus based on the data analyzed.
The Impact of Evidence-Based Practice on Clinical and Patient-centered Nursing Outcomes: A Review of the Literature
Authors: Vishnoi Vartika , Chauhan Prachi , Abdi Istahil Osman , Chauhan Shivani , Rani Deeksha , Tiwari Niharika
Published: December 2024

Evidence-based practice (EBP) is a fundamental approach to enhancing patient care and improving nursing outcomes. This systematic review evaluates how EBP influences key nursing outcomes, including patient safety, clinical efficiency, and professional development. A comprehensive literature search spanning 2000 to 2024 was conducted using PubMed, CINAHL, and the Cochrane Library, employing keywords such as "evidence-based practice," "nursing outcomes," and "patient care." From a total of 112 studies identified, 22 studies meeting the inclusion criteria were analyzed. The findings demonstrate that EBP significantly improves patient safety, reduces complications, enhances nursing efficiency, and fosters professional growth. However, variability in methodologies and barriers to implementation, such as resistance to change and resource limitations, present challenges. This review highlights the importance of addressing these challenges and suggests directions for future research to optimize the integration of EBP in nursing practice.