bluuebunny/crossref_metadata_2025 huggingface dataset:
Hear our voices: The perceptions and experiences of women who are Deaf on gender-based violence
Authors: Davids Ronel , Van Staden Maria
Published: November 2024

Background: While all women are at risk of gender-based violence (GBV), it is essential to acknowledge that women are not a homogenous group and that women who are Deaf may experience GBV differently. This study aimed to answer the question: What are the perceptions and experiences of GBV among women who are Deaf?Objectives: The study’s objectives were to explore and describe these women’s understanding of GBV terminology, their perceptions of GBV and challenges regarding support strategies in place to respond to their unique circumstances.Method: A qualitative study with four workshops was conducted with 60 participants. The data collected were analysed using thematic analysis.Results: The results yielded three themes that intrinsically spoke to women’s understanding of GBV terminology, perception of GBV and challenges accessing support. The results highlight that women who are Deaf are at a greater risk of GBV. Participants emphasised the importance of exploring the perceptions of GBV among men who are Deaf. Findings also indicated women’s challenges when seeking support.Conclusion: The findings underscore the necessity of offering specific assistance to Deaf women facing GBV. Based on the study findings, it can be concluded that those providing support in GBV matters should receive specialised training in GBV, including Deaf culture and South African sign language.Contribution: The study findings contribute to the field of disability and the development of effective GBV strategies and programmes that are inclusive of women who are Deaf within a South African context.
A Control Risk Template to address the risks with the implementation of prescriptive analytics
Authors: Smit Werner A. , Lamprecht Christiaan
Published: November 2024

Purpose: This study addresses the complex risks of implementing prescriptive analytics in vineyard management. It focusses on integrating diverse, previously isolated data resources into operational decisions in irrigation, nutrition and pest management. Aligning with the United Nations’ Sustainable Development Goals (SDGs), this integration is crucial for optimising vineyard growth and production, and advancing precision agriculture techniques within the framework of sustainable agriculture. In this context, it introduces a Control Risk Template (CRT) to manage these risks effectively.Design/methodology/approach: The study uses an exploratory research design and grounded theory methodology to conduct a comprehensive systematic literature review.Findings/results: The findings demonstrate how the CRT can effectively identify, assess and manage the risks of deploying prescriptive analytics in vineyard management. This approach minimises risks and significantly improves decision-making and operational efficiencies in vineyard management, contributing to the advancement of sustainable agricultural practices.Practical implications: This research offers valuable insights for vineyard managers and information technology (IT) governance leaders. It provides a robust model for enhancing vineyard management through advanced data-driven decisions. Implementing the CRT facilitates better resource allocation and improved crop health management, fostering a transition towards more sustainable agricultural practices.Originality/value: This research suggests a comprehensive approach to integrating IT governance with practical agricultural operations, significantly contributing to academic research and industry practices. Moreover, the study delivers essential insights into the effective integration of prescriptive analytics in vineyard management, underscoring the transformative potential of IT governance frameworks in enhancing the sustainability and efficiency of vineyard management.
Professional development of teachers: Perceptions and challenges of foundation phase teachers
Authors: Dyosini Thokozane P.
Published: November 2024

Background: South Africa’s teacher retention crisis calls for policy makers, school leaders and teachers to explore ways for professional growth. This study examined six novice teachers’ experiences and views on continuous professional development (CPD) and how it benefits teachers as they transition from mentees to mentors.Aim: The study aimed to explore novice teachers’ engagement with CPD within the context of foundation phase (FP) teaching. It specifically investigated their understanding of CPD in communities of practice and how they preferred to be inducted, mentored and coached.Setting: This qualitative case study was conducted in six inner-city public primary schools in urban Johannesburg, South Africa.Methods: The research followed a case study design, using semi-structured interviews with six novice teachers to gather data.Results: The findings revealed the significance of informal mentorship, offering support despite the absence of formal structures in FP settings. This highlights the need for educational institutions to establish formal mentorship opportunities to promote professional development and well-being of teachers.Conclusion: CPD goes beyond fulfilling professional requirements – it empowers teachers. By upskilling and reskilling, CPD prepares teachers to meet modern teaching challenges.Contributions: This research adds to the limited literature on novice teachers’ experiences with CPD in FP. It highlights CPD’s crucial role in enhancing pedagogical strategies, supporting diverse learners, improving teacher wellness, and informing educational policy and leadership decisions.
Teaching transference focused psychotherapy to South African mental health practitioners
Authors: Temmingh Henk S. , Fanidi Iliana , Bracken Craig , Lee Tennyson
Published: November 2024

Background: Personality disorders (PDs) are estimated to occur in 6.8% of South Africans and in 45% to 80% of clinical populations. Mental health practitioners often harbour negative attitudes and lack confidence in working with such patients. Brief training in transference focused psychotherapy (TFP) has been shown to improve attitudes and confidence in the management of clinical encounters with PD.Aim: This study aimed to describe the characteristics of attendees at a brief TFP training workshop and determine the impact of training on attitudes and clinical confidence towards patients with PD.Setting: We conducted two 3 h online workshops, spaced 1 week apart to staff at South African University training hospitals.Methods: At baseline, participants (N = 41) completed questionnaires on demographics, perceived need for training, supervision adequacy and perceived confidence. At baseline and after the second session, the Attitude to Personality Disorder Questionnaire (APDQ) and the Clinical Confidence in Personality Disorder Questionnaire (CCPDQ) were completed. Longitudinal data were analysed using linear mixed-effects regression.Results: In the completer sample (N = 13), there were significant improvements in the APDQ enthusiasm subscale (p = 0.029) and in clinical confidence (CCPDQ) (p = 0.032). The APDQ total and other subscales also showed improvements. Participants with higher baseline confidence were more likely to drop out.Conclusion: Brief training in TFP can lead to significant improvements in attitude and confidence in managing patients with PD.Contribution: This is the first study in the South African context demonstrating the potential value of brief teaching in TFP.
Ricci limit flows and weak solutions
Authors: Choi Beomjun , Haslhofer Robert
Published: November 2024

In this paper we reconcile several different approaches to Ricci flow through singularities that have been proposed over the last few years by Kleiner–Lott, Haslhofer–Naber and Bamler. Specifically, we prove that every noncollapsed limit of Ricci flows, as provided by Bamler’s precompactness theorem, as well as every singular Ricci flow of Kleiner–Lott, is a weak solution in the sense of Haslhofer–Naber. We also generalize all path-space estimates of Haslhofer–Naber to the setting of noncollapsed Ricci limit flows. The key step to establish these results is a new hitting estimate for Brownian motion. A fundamental difficulty, in stark contrast to all prior hitting estimates in the literature, is the lack of lower heat kernel bounds under Ricci flow. To overcome this, we introduce a novel approach to hitting estimates that compensates for the lack of lower heat kernel bounds by making use of the heat kernel geometry of space-time.
Should mathematicians worry with PISA and TIMSS math results?
Authors: Crato Nuno , Marôco João
Published: November 2024

Since the end of last century, international large-scale assessment
studies have been providing systematic information about countries’
education results. The news they convey regarding European
education are not at all reassuring and have worsened with school
closures and the disruption due to the recent Covid-19 pandemic.
The size of the education losses and the distance of most European
countries to other areas of the world, namely South East Asia,
are often overlooked. A simple statistical analysis shows most
European students are about one to two school years behind their
peers in most advanced countries and regions, and the gap is
increasing. These facts will negatively impact European workforce,
economic competitiveness, and development. They will most likely
also negatively impact mathematics higher education and research
in our continent. To recognise the problem is the first step to cope
with it. [1]
Magnetic reconnection in magnetohydrodynamics
Authors: Caro Pedro , Ciampa Gennaro , Lucà Renato
Published: November 2024

We provide examples of periodic solutions (in both 2 and 3 dimension) of the magnetohydrodynamics equations such that the topology of the magnetic lines changes during the evolution. This phenomenon, known as magnetic reconnection, is relevant for physicists, in particular in the study of highly conducting plasmas. Although numerical and experimental evidences exist, analytical examples of magnetic reconnection were not known.
Effectiveness of activated carbon from rubber seed shell as adsorbent of liquid waste of heavy metal
Authors: Robenita Yulia Eva , Munandar Andika , Taher Tarmizi
Published: November 2024

Iron or Fe is classified as a metal that has low toxicity, but if the concentration exceeds the quality standard, it can potentially cause pollution to the environment. This study aims to make activated carbon from rubber seed coat shells as an adsorbent for artificial Fe liquid waste using Fe2(SO4)3. 05 grams of activated carbon was activated using a ratio of 2:1, 3:1, 4:1 (NaOH: charcoal), and then an FTIR test was carried out to see the characteristics of the activated carbon. Measurement of Fe concentration using UV-VIS spectrophotometry, with various concentrations of 1, 1.5, 2, 2.5, 3, 4, 6, and 10 mg/L. After that, an analysis of the effect of contact time with the addition of activated carbon as an adsorbent for heavy metal Fe liquid waste was carried out, using variations of 05, 10, 15, 20, 30, 45, 90, and 120 minutes. An analysis of the effect of Fe concentration, with various concentrations of 10, 20, 30, 40, and 50 mg/L. Obtained from the linear equation of the calibration curve y = 0.0679x - 0.0013 with a correlation coefficient of 0.9996. The results of the third FTIR test showed that the ratio of NaOH and carbon activators did not change significantly. The functional groups that appeared were O-H, C=O carboxylate, C-C-C, aromatic C-H, aromatic C=C, C-O, and Si-O. Activated carbon 2:1, 3:1, and 4:1 have an absorption percentage of 86.72%, 89.45% and 96.37%. The greatest absorption efficiency is at a ratio of 4:1, optimum at 90 minutes. Sample 2:1 has an adsorption capacity of 0.163 mg/g, sample 3:1 of 0.259 mg/g, and 4:1 of 1.340 mg/g. The greatest adsorption capacity of activated carbon is at a ratio of 4:1, adsorption occurs physically (Freundlich) with a multilayer layer.
Towards differentiation of Panax vietnamensis and Panax vietnamensis var. fuscidiscus by UPLC-QTOF-MS
Authors: Vu Long Huynh Kim , Nguyen Duc Minh , Phan Long Ke , Nguyen Yen Trang Hai , Nguyen Huy Truong
Published: November 2024

Vietnamese ginseng (Panax vietnamensis Ha et Grusvh., Araliaceae - PV) is a high-value medicinal plant of Vietnam. Recently, a new variety of this plant P. vietnamensis var fuscidiscus (PVF), so-called Lai Chau ginseng, was discovered and circulated on the Vietnam market along with PV. PV and PVF rhizomes and roots are preliminarily reported to possess similar saponin composition. However, PV is much more expensive than PVF due to the higher regard of the consumer, which consequently leads to the inattentive misuse or intentional adulteration of PV by PVF. In this study, a UPLC-ToF-MS method was developed to distinguish PV and PVF based on their saponin profiles. The UPLC qualitative result showed that the saponin constituent of PVF is more complex than that of PV. The significant differences in the chromatogram of PV and PVF extracts are the peaks eluted from 32 - 48 min. Vina-ginsenoside R2 (9), chikusetsusaponin L8 (10), and notoginsenoside R4 (12) are characterized for PVF, while notoginsenoside Fa (13), quinquenoside R1 (16), and pseudoginsenoside Rs1 (19) are specialized for PV. The preliminary quantitative determination result showed that the content of majonoside R2, ginsenoside Rg1, ginsenoside Rb1, and ginsenoside Rd in PV is higher than in PVF. In contrast, the content of majonoside R1 and vina-ginsenoside R2 in PVF is significantly higher than in PV. The developed method could be used as an effective method to distinguish PV and PVF.
About the determinant of complete non-ambiguous trees
Authors: Aval Jean-Christophe
Published: November 2024

Complete non-ambiguous trees (CNATs) are combinatorial objects which appear in various contexts.Recently, Chen and Ohlig studied the notion of permutations associated to these objects, and proposed a series of nice conjectures.Most of them were proved by Selig and Zhu, through a connection with the abelian sandpile model.But one conjecture remained open, about the distribution of a natural statistic named determinant.We prove this conjecture, in a bijective way.
Pure Premium Modeling for Property Fire Insurance Using Monte Carlo Method
Authors: Putri Linda Damayanti , Firdaus Muhammad Rayhan
Published: November 2024

Modeling pure premium of property fire insurance is an important aspect for insurance companies in managing risk. This article discusses the Monte Carlo method in modeling pure premium of property fire insurance. The Monte Carlo method is used to simulate various scenarios and loss factors due to property fire. Monte Carlo simulation offers an effective approach to modeling property fire risk. The results of this study are expected to provide an overview of the modeling of pure premium of property fire insurance and assist insurance companies in decision making and determining optimal premium prices.
Gastroesophageal reflux disease and risk factors in schoolchildren
Authors: Polivanova Tamara V. , Vshivkov Vitaliy A. , Ahmetshin Timur N.
Published: November 2024

Aim. To study the association between family predisposition to gastrointestinal diseases with gastroesophageal reflux disease (GERD) in schoolchildren in ethnic populations of Tuva.
Material and methods. A total of one thousand seventy nine children (761 Mongoloid-Tuvinian and 318 Caucasian) aged of
7–17 years in the Republic of Tyva were examined. Anamnestic data and information on gastrointestinal complaints in schoolchildren were obtained. The diagnostic criterion for GERD was complaints of weekly heartburn. Statistical analysis was performed using the Pearson chi-square test.
Results. GERD children more often had anamnestic data on gastritis (p = 0.025), gastric ulcer (p = 0.039) and oncological diseases of the gastrointestinal tract (p = 0.052) in parents. At the same time, schoolchildren of the indigenous population with GERD manifestations had greater unfavourable conditions for a number of diseases in parents: gastritis (p = 0.01), gastric ulcer (p = 0.012). Whereas in Caucasians, a similar association was not established. The association between GERD in schoolchildren and gastrointestinal pathology in grandparents (2nd degree of kinship) also concerned only Tuvans in the presence of gastritis (p = 0.023). Summary data on family history of gastrointestinal diseases (1st and 2nd generation relatives) in GERD children, as expected, prevailed in Tuvans (gastritis (p = 0.004), peptic ulcer (p = 0.033) and specifically gastric ulcer (p = 0.02)). A more negative association between GERD in Tuvan children and a family predisposition to gastrointestinal diseases, in contrast to Caucasians, may be due to a higher prevalence of a number of gastrointestinal diseases in adults and is related with the functional features of the system, formed under the influence of the features of traditional life and nutrition.
Conclusion. In the Republic of Tyva, GERD in native schoolchildren is associated with a wide range of gastrointestinal diseases in relatives.
Manejo de herida abierta en perros con presión negativa y apósitos: una revisión
Authors: Acosta Cindy , Castillo Edy
Published: November 2024

Las heridas difíciles de tratar representan un desafío significativo en la medicina veterinaria, especialmente cuando no se manejan correctamente desde el inicio. Existen diversas opciones terapéuticas para abordar heridas de distintos tamaños, niveles de exudado y contaminación. Los apósitos especializados y la terapia de presión negativa (TDPN) han demostrado ser efectivos en el manejo de heridas en animales. Este trabajo de investigación tiene como objetivo determinar el efecto del manejo de heridas abiertas con TDPN y apósitos en perros, mediante una revisión bibliográfica descriptiva. La información recopilada y analizada proporcionará a los veterinarios una base sólida para tomar decisiones informadas en el tratamiento de heridas abiertas en perros.
Fibrodisplasia osificante progresiva en un felino, a propósito de un caso clínico
Authors: Bayas Galarza Jose Andres , Aguilar Caivinagua Andrés Santiago
Published: November 2024

La fibrodisplasia osificante progresiva (FOP) es una rara patología genética que provoca osificación heterotópica en los tejidos conectivos debido a mutaciones en el gen ACVR1, causando restricciones severas del movimiento y dolor crónico. En medicina veterinaria, su baja frecuencia dificulta tanto su diagnóstico como su tratamiento en distintas especies. Este estudio tiene como finalidad describir el abordaje diagnóstico y terapéutico de la FOP en felinos, a partir del análisis de un caso clínico en un gato macho de 7 años, presentado en la clínica Bet Lasante, Riobamba, Ecuador, con un crecimiento atípico en el miembro posterior derecho como motivo de consulta. La metodología empleada fue de tipo cuantitativo, no experimental y longitudinal, con múltiples evaluaciones clínicas, diagnósticos por imagen y pruebas de laboratorio que permitieron confirmar el diagnóstico. Posterior a la intervención quirúrgica mediante biopsia excisional y tratamiento con glucocorticoides durante tres meses, se evidenció una mejoría notable en la calidad de vida del paciente. Sin embargo, la recurrencia postoperatoria limitó el éxito a largo plazo, lo que pone de manifiesto la necesidad de explorar enfoques terapéuticos adicionales para controlar las recurrencias y mejorar los resultados a largo plazo.
COMMISSIONING AND QUALIFICATION OF A PHARMACEUTICAL FACILITY
Authors:   Hemofarm, Vršac, Serbia, Tabašević Ilija , Milanović Dragan D. ,   University of Belgrade, Faculty of Mechanical Engineering, Beograd, Serbia, Misita Mirjana ,   University of Belgrade, Faculty of Mechanical Engineering, Beograd, Serbia
Published: November 2024

This work is part of the research of the ongoing doctoral dissertation, which aims to integrate nine years of work on projects in the pharmaceutical industry into a scientific research undertaking and to create a cybernetic model for the qualification of pharmaceutical plants. The conclusions of the study presented in this paper aim to unify the responsibilities between the pharmaceutical industry and the contractors, on pharmaceutical plant construction projects. An integrated approach during the qualification of pharmaceutical plants is essential for the success of the entire project because the activities during commissioning and qualification are extremely complex, time-consuming, financially challenging, and affect the start of production activities. This research was conducted using a questionnaire, exclusively for experts in the field of qualifications of pharmaceutical plants. As such, it provides a significant insight into the theoretical and practical guidelines necessary for the precise definition and implementation of an integrated approach and cooperation between contractors and the pharmaceutical industry, taking into account regulatory frameworks and pharmaceutical standards. The defined factors establish the necessary framework for optimizing cooperation and interaction between key actors, pharmaceutical industry employees, and external contractors.
INTEGRATION OF CIRCULAR ECONOMY AND INDUSTRIAL ECOLOGY: PATHWAYS TO SUSTAINABLE INDUSTRIAL DEVELOPMENT
Authors:   University of Novi Sad, Departmeny of Environmental Enigineering, Technical Faculty Mihajlo Pupin, Serbia, Drakulović Vesna , Mihajlović Višnja ,   University of Novi Sad, Departmeny of Environmental Enigineering, Technical Faculty Mihajlo Pupin, Serbia, Vujić Bogdana ,   University of Novi Sad, Departmeny of Environmental Enigineering, Technical Faculty Mihajlo Pupin, Serbia, Đurđev Mića ,   University of Novi Sad, Departmeny of Environmental Enigineering, Technical Faculty Mihajlo Pupin, Serbia, Marković Milan ,   University of Novi Sad, Departmeny of Environmental Enigineering, Technical Faculty Mihajlo Pupin, Serbia
Published: November 2024

This paper explores the integration of Circular Economy (CE) principles and Industrial Ecology (IE) practices as a means to enhance sustainability and resource efficiency across various industries. The circular economy shifts away from the traditional linear model of “take, make, dispose,” promoting a closed-loop approach that minimizes waste and prolongs the lifecycle of products through reuse, recycling, and remanufacturing. Industrial ecology, on the other hand, emphasizes industrial symbiosis, where waste or by-products from one process serve as inputs for another, mimicking natural ecosystems. The study employs a qualitative methodology, analysing secondary data from industries such as automotive, energy, and electronics, revealing how CE and IE practices lead to significant reductions in resource use, waste generation, and carbon emissions. Results show that industries adopting CE and IE principles achieve improved efficiency and environmental sustainability, with specific examples of resource savings and reductions in CO2 emissions. Despite challenges in implementation, this research highlights the potential of CE and IE to foster innovation, economic growth, and environmental resilience. The paper concludes by stressing the importance of collaboration between governments, businesses, and academia to advance these concepts and address the environmental challenges of the 21st century.
The cornerstones of the protection of fundamental rights in criminal matters in the EU
Authors: Kis László
Published: November 2024

The present paper aims to provide an outline of the protection of fundamental rights, especially the right to a fair trial, from the perspective of criminal procedure and mutual legal assistance in criminal matters in the European Union. It concentrates on the attitude of the Court of Justice of the European Union (CJEU) towards the protection of fundamental rights on a European level - as opposed to national level -, also taking into account the evolution of the system of the European judicial protection of fundamental rights with respect to the dialogue between national ordinary courts and national constitutional courts and the CJEU. The central thematic element is the jurisprudence of the Court of Justice of the European Union, concentrating on the evolution of its case law concerning fundamental rights in criminal procedure and mutual legal assistance in criminal matters during the last two decades, which is the eraof the growing importance of criminal law and criminal procedural law in EU law. The background is rather the horizontal and vertical cooperation incriminal matters, its evolution, the central role of the principle of mutual recognition and the underlying mutual trust of the Member States’ authorities in respect of each other’s criminal justice systems. The relevance of both harmonisation and the application of the mutual recognition principle to mutual legal assistance is inevitably connected to both the similarities and the differences of national legislation and criminal justice systems which are the basis of the preliminary ruling procedures of the Court of Justice of the European Union which also serves as a driving force of mutual trust and development in the area of European criminal law, while also bearing a growing importance in the system of judicial protection of fundamental rights throughout Europe.
Linfoma Primario de Sistema Nervioso Central: Un Desafío Diagnóstico.
Authors: Pérez-Dávila Mauricio
Published: November 2024

El Linfoma Primario de Sistema Nervioso Central (LPSNC) es un tumor cerebral infrecuente, representando apenas el 4% de neoplasias intracraneales. Aunque se caracteriza por la ausencia de enfermedad sistémica, es un tipo de linfoma no Hodgkin que es particularmente agresivo y tiene una alta tasa de recurrencia, a pesar de responder favorablemente a distintos protocolos de quimioterapia y tratamientos de consolidación. El linfoma difuso de células B es el subtipo más comúnmente observado. Otros LPSNC que se ven con menos frecuencia son también de células B, y solo una pequeña proporción son linfomas de células T y células natural killer (NK). El LPSNC se observa más frecuentemente en pacientes mayores de 65 años. Por lo tanto, la incidencia de esta patología se ha ido incrementando a medida que la esperanza de vida se prolonga. Esta neoplasia ocurre con mayor frecuencia en pacientes masculinos, en una proporción de 2:1. Tener antecedente de inmunosupresión primaria, infección por el virus EBV o HIV, trasplante de órganos o exposición prolongada a inmunomoduladores, son factores de riesgo reconocidos. El LPSNC puede afectar cualquier región del eje neural y el humor vítreo, pero la mayoría de las veces se localiza en la sustancia blanca periventricular. La sintomatología es generalmente subaguda y depende de la localización del tumor. Sin embargo, un 70% de pacientes se presenta con síntomas neurológicos focales, un 45% con alteraciones cognitivas o neuro-psiquiátricas, un 35% con síntomas de hipertensión intracraneal y una minoría con convulsiones o alteraciones visuales. Los síntomas relacionados al compromiso de la médula espinal son raros y a menudo se observan en asociación a una lesión cortical e invasión hacia las leptomeninges.
Consenso de expertos para el tratamiento de los pacientes con Esclerosis Múltiple en Ecuador.
Authors: Correa-Díaz Edgar P. , Acuña Gabriela , Arroyo-Ortega Hyland , Barrera Raúl , Di Capua Daniela , Loor Alcivar Dolores , Ortiz Angelica , Paredes Victor , Sig-Tú Marcia , Toral Ana M. , Torres Herrán Germaine
Published: November 2024

Durante los últimos 25 años, la Esclerosis Múltiple (EM) ha experimentado cambios importantes con nuevos criterios diagnósticos, una mejor identificación de los fenotipos de la enfermedad, la individualización del pronóstico de la enfermedad y la aparición de nuevos tratamientos. Como resultado, el manejo de los pacientes con EM se ha vuelto más complejo y desafiante. El objetivo de estas recomendaciones de consenso fue establecer cómo se debe abordar la enfermedad en Ecuador para optimizar el cuidado y mejorar el acceso a corto, mediano y largo plazo en los pacientes afectados. Métodos: un panel de expertos en Neurología de Ecuador, dedicados al diagnóstico y atención de pacientes con EM, se reunieron virtualmente durante 2023 y 2024 para llevar a cabo estas recomendaciones de consenso sobre el manejo de pacientes con EM en Ecuador. Para lograr el consenso se utilizó la metodología de consenso “formal-RAND/UCLA”. Resultados: Las recomendaciones se establecieron con base en la evidencia publicada y la opinión de expertos. Las recomendaciones se centraron en el diagnóstico, el pronóstico de la enfermedad y el tratamiento personalizado, la identificación de la falla al tratamiento y el proceso de farmacovigilancia. Conclusiones: Las siguientes recomendaciones pretenden optimizar la atención y el manejo de los pacientes con EM en Ecuador.
Crisis focales como síntoma de presentación del síndrome HaNDL (cefalea transitoria y déficits neurológicos con pleocitosis linfocitaria).
Authors: Del Brutto Oscar H.
Published: November 2024

Una mujer de 38 años de edad, con antecedentes de migraña, se presentó con dos crisis convulsivas tónico-clónicas confinadas a hemicuerpo izquierdo, que ocurrieron con una hora de diferencia. La segunda crisis fue seguida de cefalea intensa y hemiplejía ipsilateral a las crisis, la cual persistió por 24 horas, revirtiéndose por completo. La IRM de cerebro y un EEG de 21 canales fueron normales. Una punción lumbar reveló un LCR con presión de apertura normal, discreta pleocitosis linfocitaria y niveles normales de glucosa y proteínas. Esta paciente cumple los criterios diagnósticos del síndrome de HaNDL, una rara condición de causa desconocida, cuyo pronóstico suele ser favorable, con reversión completa de los síntomas en pocas semanas. Su diagnóstico debe tenerse en cuenta para evitar la práctica de exámenes invasivos o de tratamientos no desprovistos de efectos adversos.
Neuropatía autoinmune por anticuerpos antigangliósidos GD-1b asociada a Síndrome de Sjögren primario.
Authors: Sastre-Martínez Andrés David , Agudelo-Rojas Lina María , Zúñiga-Escobar Gonzalo
Published: November 2024

Los términos axonal o desmielinizante, tradicionalmente difundidos en la clasificación de las polineuropatías, son interpretaciones electrofisiológicas que nos orientan a determinar el locus patogénico en donde se origina la lesión neuropática; es esta una contribución objetiva para el conocimiento de la etiología de la neuropatía correspondiente; sin embargo, en algunas circunstancias, una interpretación bimodal no permite en un principio determinar la posibilidad de un compromiso a nivel del axolema, como es posible identificarlo en algunas polineuropatías inmunomediadas que comprometen el nodo de Ranvier o sus diferentes dominios; estas neuropatías son de origen autoinmune, las cuales están caracterizadas por la presencia de anticuerpos antigangliósidos dirigidos contra epitopes antigénicos a nivel de este locus anatómico. Este es un reporte de caso de un paciente masculino de 66 años, con debilidad progresiva en sus cuatro extremidades hasta llegar a la postración en el transcurso de unas semanas; no se reportaron infecciones sistémicas previas. Con un diagnóstico inicial de Síndrome de Guillain Barré (SGB) fue evaluado con estudios electrofisiológicos que confirmaron la existencia de una polineuropatía desmielinizante sensoriomotora y tratado con inmunoglobulina intravenosa (IgIV), con mejora clínica parcial. Dos semanas más tarde, fue readmitido con un nuevo episodio de debilidad muscular global, debido a una respuesta fluctuante del SGB al tratamiento inmunomodulador; por lo cual recibió dos ciclos de IgIV con escasa respuesta. Estudios inmunológicos complementarios confirmaron un diagnóstico de síndrome de Sjögren y mostraron anticuerpos IgM anti-GD1b positivos.
Exergy and Energy Analysis of Hydrogen Production Using Electrolysis Process Powered by Wind and Solar Energy
Authors: Rahman Faisal , Fajar T.K Berkah , Rozi Khoiri , Crysmas
Published: November 2024

This study examines hydrogen production using a hybrid renewable energy system combining wind and solar energy sources. The experiment was conducted over four days, with data collected from 9:00 AM to 3:00 PM each day, focusing on solar irradiance, wind speed, and the energy and exergy efficiencies of each component—wind turbine, photovoltaic (PV) panel, and electrolyzer. Solar irradiance varied across the days, peaking at 160 W/m² but experiencing fluctuations due to weather conditions, while wind speeds ranged between 0 and 6 m/s, with the highest consistency observed on Day 3. Each component’s performance was measured by energy and exergy efficiency metrics, which revealed significant differences across the four days. The turbine’s energy efficiency ranged from 3.83% to 8.24%, with exergy efficiency slightly lower, indicating mechanical and aerodynamic losses. Solar panel energy efficiency varied from 13.42% to 22.92%, impacted by irradiance stability, while the electrolyzer consistently showed high energy efficiency, between 59.06% and 63.42%, with exergy efficiency slightly lower. Total system efficiency ranged from 43.09% to 65.30% for energy and 24.23% to 35.35% for exergy. Hydrogen production peaked on Day 1 and Day 2, reaching approximately 6000 mL, due to either stable solar or moderate wind input. Day 3, despite optimal wind speeds, produced slightly less hydrogen (5800 mL) due to limited solar input. Production on Day 4 was lowest (5000 mL), affected by high variability in both wind and solar conditions. The results demonstrate that stable solar and wind inputs are essential for maximizing hydrogen production. High variability in energy inputs leads to reduced efficiency, highlighting the importance of reliable renewable sources or energy storage solutions. Future work could focus on optimizing the exergy efficiency of each component to further improve hydrogen production and reduce energy losses, making the system more resilient and efficient for sustainable energy applications.
Family Social Economic Status and Academic Performance of Students in Public Selected Secondary Schools in Kitagwenda District, Uganda
Authors: Julious Wassajja , Pius Okello Robert , Johnson Adrawa
Published: November 2024

Access to education was often limited to individuals from higher socioeconomic backgrounds. Before the advent of public education systems, formal education was primarily reserved for the wealthy and privileged classes. This created a significant disparity in educational opportunities based on socioeconomic status, with children from lower-income families having limited access to schooling (Lawrence, Grace, John, & Pacifica, 2013). This study aimed to investigate the relationship between family socioeconomic status (SES) and academic performance of students in public secondary schools in Kitagwenda District. The specific objectives were to examine the relationship between family income, parents' level of education, family size, and academic performance. A mixed-methods approach, employing descriptive, correlational, and cross-sectional survey designs, was used. Data were collected from 220 respondents, including teachers, parents of senior four students, and senior four students, using questionnaires and interview guides. Statistical analyses, including correlation and regression analyses, were conducted using SPSS version 24. The findings revealed a strong positive correlation between family income and academic performance (r = 0.693, p = 0.002), indicating that as family income increases, academic performance tends to improve. Similarly, a moderate positive correlation was found between parents' level of education and academic performance (r = 0.438, p = 0.012), suggesting that students with highly educated parents tend to perform better academically. Additionally, a moderate positive correlation was observed between family size and academic performance (r = 0.346, p = 0.011), indicating that students from larger families exhibit slightly better academic performance. In conclusion, the higher family income, the higher the parental education levels, and larger family sizes are associated with enhanced academic performance among students in public secondary schools. Based on these findings, recommendations are made to governments, educational institutions, and community organizations to implement policies and programs aimed at providing economic support to low-income families, supporting parental education, promoting family planning, and addressing socioeconomic disparities in education.
LA OTREDAD COMO PARÁMETRO PARA LA CONSTRUCCIÓN DE LA IDENTIDAD: EL CASO DE LA CHANSON DE ROLAND
Authors: Valeo Anabella
Published: November 2024

En La Chanson de Roland, poema épico cuyo manuscrito la crítica ubica hacia el año 1100, dos mundos irreductiblemente antagónicos colisionan desde el inicio (MAURICE, 1992). Esta oposición maniquea y polarizada, propia de las manifestaciones artísticas de base oral (ONG, 1993), colabora con la constitución de la propia identidad por medio del enfrentamiento de dos facciones: por un lado, “un grupo cultural, territorial y religioso, representado por el sistema feudal, Francia y la Cristiandad” (REAL, 2002, 81); por otro, los sarracenos dirigidos por el rey Marsil, quienes, aunque por momentos destaquen por ciertas cualidades positivas, son finalmente descalificados por ser paganos e infieles. La construcción del ejército rival resulta de suma importancia en una pieza de este carácter, puesto que constituye una alteridad radical en oposición a la cual se delimitan las tropas de Carlomagno. Esta toma de distancia, precisamente, habilita la exaltación de las virtudes de las figuras heroicas y de la nacionalidad (REST, 1979), a partir de lo que Leo Pollmann (1973) llamó “paralelismo de contrastes”. En el presente trabajo analizaremos la configuración de los personajes sarracenos, tanto individuales como colectivos, que permite definir y ensalzar los valores del ejército francés y su ethos.
ASPECTOS ÉPICOS DO FOLHETO DE CORDEL A HISTÓRIA DO PADRE RODOLFO E DO ÍNDIO SIMÃO
Authors: Oliveira Tálisson
Published: November 2024

Este estudo visa realizar um mapeamento e uma análise crítica dos folhetos de cordel, com foco específico no cordel épico intitulado A história do padre Rodolfo e do índio Simão, escrito por Adélia Carvalho de Oliveira. O objetivo principal é examinar os aspectos épicos presentes na narrativa, explorando como esses elementos são desenvolvidos e representados pela autora. Além disso, o trabalho busca contextualizar a obra dentro do cenário da Missão Salesiana, proporcionando uma compreensão mais abrangente das influências e temas que permeiam o cordel. Ao fazer isso, pretende-se não apenas analisar a obra em si, mas também situá-la dentro de um contexto histórico, cultural e social mais amplo, destacando sua relevância e contribuição para a tradição literária brasileira. Essa abordagem multidimensional permite uma apreciação mais completa da obra e sua significância dentro do panorama da literatura de cordel.
ESTUDO DE TRÊS ADAPTAÇÕES DE OS LUSÍADAS, DE CAMÕES
Authors: Souza David , Santos Mirelle , Santos Iara
Published: November 2024

Os estudos de obras clássicas fazem-se necessários para a contribuição do repertório literário do indivíduo. Nesse ínterim, levando em consideração alguns aspectos que caracterizam as obras clássicas tais como a linguagem e o conhecimento vasto e que, no caso aqui tratado, obras do gênero épico, as adaptações são ferramentas-base para a imersão dessas destas dentro de um contexto de ensino básico. Tendo em vista essas condições, o presente trabalho buscou visualizar a importância do estudo de adaptações no âmbito básico. Para tanto, realizou-se uma revisão bibliográfica e fundamentou-se, teoricamente, em alguns autores como Ramalho (2015) e Lima (2023). Não obstante, em especial, as adaptações aqui tratadas referem-se ao clássico “Os Lusíadas” de Camões e o episódio de enfoque para a compreensão dos mecanismos usados para a releitura foi “O concílio dos deuses”. As considerações finais estão pautadas no entendimento sobre a necessidade de disseminar as adaptações e ter uma leitura crítica, usando mecanismos que sejam possíveis compreender os pontos negativos e positivos de cada uma delas.
LA “ÉCFRASIS” EN ARMAS ANTÁRTICAS: SABER Y PODER. RECREACIÓN DE UN MITO DE TRADICIÓN GRECOLATINA
Authors: Turcatti María  Laura
Published: November 2024

Juan de Miramontes y Zuázola escribe Armas Antárticas a principios del siglo XVII en una época en la que se estaba formando en Lima un ámbito constituido por humanistas interesados en géneros del Renacimiento como la épica para tratar temáticas de la materia americana y las costumbres indígenas. Paul Firbas considera que, en su escritura, es posible reconocer saberes cultos, probablemente aprendidos en el ámbito académico peninsular español antes de su viaje a América, como así también saberes procedentes de sus lecturas en las bibliotecas privadas de la ciudad capital del Virreinato de Perú. Entendemos que esas experiencias previas influyeron en la redacción de su poema épico, como podemos apreciar en el uso de la écfrasis como figura retórica con la que reelabora mitos de la tradición grecolatina. Palabras clave: Armas Antárticas; écfrasis; mito
European Diabetes Congress 2024
Authors:   , Faingold María Cristina
Published: November 2024

Diabetes and obesity were the central topics of the European Diabetes Congress 2024 where the new treatments available and in development were presented, and the focus was on the prevention of type 1 diabetes and the complications of type 2 diabetes.
Empowering Lifestyle Changes in Preventing and Managing Type 2 Diabetes
Authors:   Pharmacy Manager, Weatherwax Family Pharmacies Inc, Spring Arbor, Michigan, USA, Andy Adinarayana
Published: November 2024

Type 2 Diabetes (T2D) is a significant public health concern globally, with lifestyle factors such as poor diet, physical inactivity, and obesity playing pivotal roles in its onset and progression. This article explores the importance of empowering lifestyle changes to prevent and manage T2D. It examines the impact of dietary modifications, regular physical activity, weight management, and smoking cessation on reducing diabetes risk and improving metabolic health. Behavioral and psychological interventions, including motivational strategies and support systems, are discussed in promoting long-term adherence to healthy habits. Case studies from community-based programs and clinical interventions highlight successful outcomes of lifestyle modification efforts in preventing and managing T2D. The article concludes by addressing future directions in diabetes prevention, emphasizing the potential of further integrating technology and personalized approaches to enhance intervention effectiveness. With a growing focus on prevention and early intervention, lifestyle modifications are critical in reducing the global burden of T2D and improving health outcomes for at-risk populations.
Predictive Patient Readmission Risk Using Salesforce Health Cloud
Authors:   Salesforce Developer, USA, Mamidi Satwik
Published: November 2024

The following article delves into the implementation of the Salesforce Health Cloud as a technology to support the predictive system of the readmission of patients. It highlights the significance of predictive analytics in identifying patients with high risks to support improvement of the readmission rate and strengthening the post-discharge care system. The article is comprehensive to support the entire process of implementation as it has taken a critical approach to deal with the topic by highlighting benefits as well as challenges associated with the process.
PENINGKATAN LITERASI ALKITABIAH MELALUI PROGRAM GEMAR BACA ALKITAB DI GEREJA REFORMASI INDONESIA NGABANG
Authors: Wiyono Slamet , Netsen  , Hanock Edward E. , Laoli Arosokhi
Published: November 2024

Program "Gemar Baca Alkitab" di Gereja Reformasi Indonesia Plasma V Ngabang bertujuan untuk meningkatkan literasi alkitabiah pada anak-anak melalui pendekatan interaktif, kreatif, dan kontekstual. Program ini melibatkan kerjasama antara pengurus gereja dan mahasiswa STT Makedonia yang bertindak sebagai fasilitator. Dengan menggunakan metode multisensori seperti pembacaan Alkitab, diskusi interaktif, dan aktivitas kreatif, program ini berupaya memperkuat pemahaman anak-anak terhadap ajaran Alkitab, serta membantu mereka menerapkan nilai-nilai kristiani dalam kehidupan sehari-hari. Inisiatif ini menanggapi tantangan menurunnya minat belajar Alkitab di tengah dominasi teknologi digital. Program ini berhasil melibatkan anak-anak dengan mengintegrasikan elemen teknologi dan menciptakan suasana belajar yang aktif. Hasilnya menunjukkan peningkatan signifikan dalam literasi Alkitab, pengembangan karakter moral, dan motivasi anak-anak untuk berinteraksi dengan teks Alkitab. Keberhasilan program ini juga menawarkan potensi untuk diterapkan di komunitas gereja lainnya.
The Effect of Using Genially Media on Food Technology Learning Outcomes for Culinary Education Students
Authors: Erli Mutiara  , Siti Sutanti  , Dian Agustina Dalimunthe  , Rossy Luckita Sasmita
Published: November 2024

The research employs a quasi-experimental design and was conducted within the Culinary Education Study Program at Universitas Negeri Medan from July to September 2024. The study population includes all Culinary Education students in classes A, B, C, and D, totaling 93 students. A random sampling technique was used to select the sample, resulting in class A with 30 students as the experimental group using Genially media, and class B with 30 students as the control group using PowerPoint. Data were collected through pre-test and post-test learning outcome scores. Data analysis techniques include descriptive statistics, assumption tests (normality and homogeneity tests), and hypothesis testing using a t-test. The research findings indicate that scores in the Genially group fell predominantly in the "very good" category at 53.33%, while the PowerPoint group showed only 3.33% in this category, which was rated as poor. The normality and homogeneity tests confirm that both groups' data are normally distributed with homogeneous variances. The t-test results reveal a significant positive effect of using Genially media on students' learning outcomes, with the obtained t-value (t = 11.88) exceeding the critical t-value (t = 2.00, p < 0.05). This suggests that Genially media can positively influence the Food Technology learning outcomes of Culinary Education students. The study concludes by recommending Genially as a widely applicable tool in vocational education, especially in courses requiring visualizations and an understanding of complex concepts.
Autocratic Legalism in the Formation of Legal Products During Jokowi’s Administration: A Critical Analysis of Article 218 Of Law Number 1 Of 2023 Concerning The Penal Code
Authors: Amrulloh Rifan Azzam
Published: November 2024

There is a problem of legal products in Indonesia with the ratification of Law Number 1 of 2023 on the Criminal Law Code, which is the emergence of an article that prohibits attacking the honor or dignity of the President and Vice President. This article is allegedly an embodiment of an autocratic legalism. The issue raised is how autocratic legalism in the formation of legal products occurs in the era of the Jokowi administration and what are the legal implications. This research aims to describe autocratic legalism, analyze Article 218 of the latest Criminal Code, measure the legal impact, and recommend future improvements and changes. This research is a doctrinal or normative juridical research with qualitative analysis using statutory and case approaches. This research method is descriptive analysis. The results of this study illustrate that autocratic legalism is a dangerous understanding. The application of this understanding in Indonesia during the Jokowi administration is the existence of Article 218 of the latest Criminal Code Law which prohibits everyone in public from attacking the honor or dignity of the President or Vice President. This article is not based on legal principles. As a result, it creates repressive laws and the protection of human rights is neglected. So, it is necessary to try to stop this autocratic legalism by maintaining the independence of law enforcement officials, institutional reform of political parties, and creating collective popular control.