bluuebunny/crossref_metadata_2025_split huggingface dataset:
Особливості розвитку внутрішнього аудиту нефінансових активів державних установ
Authors: Цятковська Олена 
Published: September 2024

Одним із основних активів державних установ, який в результаті господарської діяльності потребує детальному аналізу, оцінюванню, контролю та моніторингу є об’єкти нефінансових активів. Відповідно в кожній установі доцільно створювати відповідну систему внутрішнього аудиту, яка буде сформована з елементів націлених на об’єктивну оцінку діяльності установи та всіх процесів з метою дотримання законодавства, цільового використання бюджетних коштів, ефективності діяльності, управління ризиками з метою їх покращення та надання рекомендацій щодо вдосконалення. Питання побудови ефективної системи внутрішнього аудиту з використанням ризико-орієнтованого підходу залишається невирішеним як в науковому середовищі, так і практичному. Метою статті є дослідження системи внутрішнього аудиту нефінансових активів в державних установах через виокремлення особливостей розвитку системи внутрішнього аудиту, зокрема основних елементів внутрішнього контролю на основі ризико-орієнтованого підходу. У процесі дослідження особливостей розвитку внутрішнього аудиту нефінансових активів державних установ використовувалися такі методи, як узагальнення і групування – при визначенні класифікаційних ознак для класифікації ризиків для управління державними установами, аналіз та синтез - використано при дослідженні наукової та нормативно-правової літератури, а також логічний та емпіричний метод при формуванні системи внутрішнього контролю на основі ризико-орієнтованого підходу. За результатами дослідження узагальнено, що внутрішній контроль – це управління ризиками зі сторони керівництва установи, а внутрішній аудит – це вже оціночна діяльність не тільки функціонування процесів в установі, але і оцінка внутрішнього контролю також. Встановлено основну мету внутрішнього аудиту, а також систематизовано та запропоновано класифікацію ризиків в управлінні державними фінансами на основі ризико-орієнтованого підходу, що сприяло проаналізувати особливості розвитку його. Систематизовано, узагальнено та запропоновано такі основні елементи системи внутрішнього аудиту нефінансових активів державних установ, як планування, визначення ризиків, ідентифікація ризиків та формування матриці оцінки ризиків. Проте проблемними та дискусійними залишаються питання щодо оцінки ризиків в системі внутрішнього аудиту через формування матриці ризиків та картування їх.
Upper gastrointestinal endoscopy in rural setting: an experience of a trained General Practitioner in Himalayan region of Nepal.
Authors: Dangal Binod , KC Archana 
Published: September 2024

Introduction: Gastrointestinal disorders are very common in general population. Upper Gastrointestinal (UGI) Endoscopy plays important role in evaluating oropharynx, esophagus, stomach and proximal duodenal problems. UGI endoscopy is utilized for various diagnostic and therapeutic purposes. Because patients in rural Nepal are primarily served by General Practitioners (GPs) and have limited access to specialists and endoscopes, a study was initiated to assess the spectrum of diseases, outcomes, and complications of UGI endoscopy performed by a trained GP in Tsho-Rolpa General Hospital, Dolakha, Nepal.

Method: This study was retrospective observational study conducted at Tsho-Rolpa General Hospital, Dolakha, Nepal. The convenience sampling method was used. Records of UGI endoscopy book were reviewed and analyzed from Jan 2023 to Dec 2023. Data entry and descriptive analysis were done in SPSS version 25 and descriptive statistics were performed.

Result: A total of 436 Upper Gastrointestinal Endoscopy was performed by a trained General Practitioner over a period of 1 year. Among them, 307 (70%) were females and 129 (30%) were males. The mean age of the population studied was 41.6 ±14.56 years. Patients of age group 35 to 44 years were one third. 61% (267) cases and had commonest problem of gastritis and interestingly 14% also had normal findings. Epigastric pain was the major complaint among 226 (52%) cases. And, 159 cases (36.5%) presented from Bhimeshor municipality of Dolakha where the hospital lies and 19 (4.3%) cases presented from other districts. No major complications were noted during and after the procedure.

Conclusion: A trained general practitioner can perform upper gastrointestinal endoscopy in rural setting. Gastritis is the major finding with epigastric pain as a major complaint. Significant proportion of people had normal findings. Further research is needed to assess quality of endoscopy performed by GP in rural setting. General Practitioners need guidance from GI experts to consult cases and seek advice.
Socio-demographic and clinical profile of patients visiting general practitioner clinic for general health check-up in a tertiary care center of Nepal: a descriptive cross-sectional study
Authors: Tiwari Sanjeeb , Poudel Bipin , Bista Apeksha , Maharjan Bunu , Maharjan Kritima , Shrestha Shubham 
Published: September 2024

Introduction: General Practitioners (GPs) are vital in preventive medicine and health promotion due to their frontline contact with the public. However, more research is needed on the sociodemographic and clinical profiles of the patients seeking care from general practitioners. Understanding these profiles can aid in developing effective interventions and strategies to enhance patient and caregiver participation in healthcare decisions. This study aimed to evaluate the sociodemographic and clinical profile of patients visiting a general practitioner clinic for general health check-ups in a tertiary care center in Nepal

Method: A descriptive cross-sectional study was conducted in the Tribhuvan University Teaching Hospital, Maharajagunj, Kathmandu, Nepal from December 2020 to January 2021, including all the patients visiting the general practitioner clinic for general health check-ups. Relevant data were extracted using a structured proforma. Data was entered using Microsoft Excel 2019 and analyzed using IBM SPSS Statistics version 16.0.

Result: Out of 115 patients, the mean age was 45 + 14 with a female predominance of 60 (52.2%). 46 (40%) of the patients visited for general checkups which were followed by the majority of musculoskeletal problems. 38 (33.3%) of the participants were overweight. Regarding the lipid profile, the patient exhibited borderline abnormal levels, indicating the necessity to assess for screening, monitoring, and potential intervention.

Conclusion: Socio-demographic factors, existing medical conditions and lifestyle elements such as obesity and abnormal lipid profiles influence visits to primary care physicians. This information can aid in planning, resource allocation, prioritizing research, policymaking, guideline development, and training primary care professionals.
ANÁLISE DOS EXAMES INTRAOPERATÓRIOS REALIZADOS EM UM HOSPITAL ONCOLÓGICO DE REFERÊNCIA
Authors: Braga Stephanie , Salles Paulo Guilherme de Oliveira 
Published: September 2024

INTRODUÇÃO: O exame anatomopatológico intraoperatório consiste na análise “em tempo real” de materiais colhidos em biópsias ou cirurgias de modo a fornecer um diagnóstico rápido, com objetivo de oferecer orientações ao médico assistente em relação à conduta a ser tomada. Esse exame pode ser feito por meio de cortes com criostato (“congelação”), imprints ou raspado. As principais indicações de exame intraoperatório são o diagnóstico de neoplasias (presente ou ausente), avaliação de margens cirúrgicas, determinar a natureza da lesão (por exemplo, processo inflamatório) e confirmar metástases, principalmente linfonodais. Apesar da vantagem no que diz respeito ao tempo, o uso da técnica com cortes histológicos de material processado rotineiramente (processamento overnight e confecção de blocos de parafina) não pode ser substituída, dada as limitações dos exames intraoperatórios: a amostragem é limitada e nem sempre têm bons cortes, o que pode influenciar na interpretação do médico patologista. Nesse sentido, o presente estudo tem como objetivo apresentar os resultados dos exames anatomopatológico intraoperatório realizados em um hospital oncológico (com demanda contínua de exames intraoperatórios) e a sua correlação com os resultados anatomopatológicos definitivos, realizados em um período de 08 anos.MÉTODO: Foi feita uma análise retrospectiva dos laudos de exames anatomopatológicos em que houve exame intraoperatório no período de 2016 a 2023 nos arquivos do Laboratório de Anatomia Patológica do Instituto Mário Penna. RESULTADOS PRELIMINARES: Durante esse período, foram realizados 893 exames intraoperatórios. Desse total, os resultados foram separados por órgão/topografia dos espécimes cirúrgicos.Em um segundo momento, será avaliada a correlação entre os achados dos exames intraoperatórios e dos exames de cortes histológicos definitivos.
A Review on Breast Cancer Prediction Using Machine Learning and Deep Learning Techniques
Authors: Potta Mounika , Narayanan B. , Rani Balmuri Kavitha 
Published: September 2024

Breast cancer is one of the most prevalent and chronic disease that affect women. To overcome this disease, effective medical treatment is required. Early detection of the disease plays an important role for suitable medication and survival of patient. To identify the breast cancer in the patients, standard imaging technique mammography is used. Due to the subtle and varied nature of cancer tissues interpreting mammogram images can be a challenge to doctors. Machine learning (ML) and Deep Learning (DL) techniques offer promising solutions that provide efficient breast cancer detection from mammograms. In this review paper a comprehensive review of ML and DL algorithms and their applications in mammogram image analysis are presented. Various supervised and unsupervised learning techniques, such as convolutional neural networks (CNNs), support vector machines (SVMs), random forests, and other popular ML and DL models are discussed in paper. The integration of these DL methods that are efficiently used in image preprocessing techniques, feature extraction, and classification strategies. The overall survey focusses on various performance metrics, datasets, and benchmarks used in existing studies. Further the strengths and limitations of different approaches used by various researchers are identified. By understating current research trends this paper aims to contribute to the ongoing development of more accurate and reliable breast cancer detection systems using advanced ML techniques.
ادارة الانظمة البرلمانية التعددية (الأسس والآليات السياسية والمؤسسية)
Authors: م.م. زهراء علي محيسن م.م. زهراء علي محيسن 
Published: September 2024

تحتاج المجتمعات التعددية التي تشهد انقسامات اثنية إلى التعايش السلمي بين المجموعات العرقية المتنافسة وهذا يتطلب التوفيق والتسوية، وهي أهداف تتطلب بدورها أكبر قدر ممكن من إشراك ممثلي هذه المجموعات في عملية صنع القرار، لذا يواجه واضعو الدستور في تلك المجتمعات خياراً صعباً، هو شكل النظام السياسي ، أو نمط الحكم اذ يجب أن يكون الخيار مرتكزا على إمكانية هذا النظام أن تشارك فيه السلطة ولما كان مجلس الوزراء في النظام البرلماني هو هيئة اتخاذ قرارات جماعية فهو يقدم البيئة الأمثل وسهولة اكبر لترتيب هذا التقاسم للسلطة الذي غالباً ما يطلق عليه بالديمقراطية التوافقية كآلية سياسية مؤسساتية لادارة الصراعات وتحقيق الاستقرار في تلك المجتمعات.
الكلمات المفتاحية : الانظمة ، البرلمانية ، التعددية،المؤسسية.
ازمة الهوية الوطنية ما بين التحديات الخارجية والجهود الاقليمية والدولية
Authors: ا م د بشرى حسين صالح ا م د بشرى حسين صالح 
Published: September 2024

تعد ازمة الهوية الوطنية ظاهرة عالمية، يقصد بها تفضيل واستخدام للهويات الفرعية على حساب الهوية الوطنية، سواء كانت هذه الهويات الفرعية دينية ام قومية ام مذهبية، لذلك تعد هذه الازمة من ابرز مشاكل التنمية، وقد تكون سبب او نتيجة لازمات اخرى ترتبط بها، ولا تنشأ هذه الازمة من تلقاء نفسها، بل لها اسباب داخلية تعاني منها الدولة، وتنتهي في وجود تحديات خارجية قد تكون اقليمية ودولية تساهم في تصدع الهوية الوطنية في زمن اصبحت للتقنية القول الفصل في هذا الموضوع ، اذ بالإمكان التدخل من على بعد اميال في شؤون الدول بل وتأجيج الفتن المتمثلة بالطائفية بضغطة زر، ان ازمة الهوية الوطنية حاضرة منذ تأسيس الدول العراقية، لأسباب داخلية واخرى خارجية، اذ نعتقد ان الاخيرة هي الاخطر لأنها هي من تسبب في التحديات الاولى، لذلك على الدولة العراقية ان تلتفت لحل الازمة وان تنتبه لكلا التحديات مع اعطاء اولوية للتحدي الاخير، بجملة حلول منها استثمار الفرص في اقامة علاقات صداقة مع دول الجوار وعدم التدخل في الشؤون الداخلية واعطاء اولوية لأمن الحدود، وتعزيز التعاون الدولي بتوازن في العلاقات الدولية واعلا مصالح العراق اولاً وهذا يتطلب البحث عن الكوادر الدبلوماسية الوطنية التي تتصف بحنكة وذكاء تساهم في ان يأخذ العراق الدور العالمي الذي يستحقه ومكانته التاريخية والجغرافية.
كلمات مفتاحية: ازمة، هوية، تحديات، خارجية، جهود.
Exploring the integration of cross-cultural elements in jazz guitar instruction
Authors: Люй Ш. 
Published: September 2024

джазовая гитара, как форма музыки, включающая в себя элементы многих культур, введение кросс-культурных элементов в образование не только помогает улучшить понимание и уважение студентов к различным культурам, но и стимулирует их творческий потенциал и глобальную перспективу. В данном исследовании рассматривается интеграция кросс-культурных элементов в обучение игре на джазовой гитаре и ее влияние на глубокое обучение студентов. В результате обзора литературы и изучения конкретных примеров выяснилось, что интеграция кросс-культурных элементов в обучение игре на джазовой гитаре значительно расширяет музыкальный кругозор студентов, усиливает их музыкальное самовыражение и улучшает их чувство идентичности с различными культурами. На основе теории поликультурного образования, социокультурной теории и теории конструктивизма в исследовании предлагаются стратегии интеграции музыкальных элементов из разных культур в обучение игре на джазовой гитаре. Эти инициативы направлены на обогащение содержания образования, расширение музыкального понимания и творческого потенциала учащихся, а также на развитие их глобального сознания и навыков межкультурной коммуникации. Данное исследование не только показывает практическое применение и положительное влияние кросс-культурных элементов в обучении игре на джазовой гитаре, но и предоставляет полезные идеи для будущего музыкального образования.
jazz guitar, as a form of music that incorporates elements of many cultures, introducing cross-cultural elements into education not only helps to improve students' understanding and respect for different cultures, but also stimulates their creativity and global perspective. This study examines the integration of cross-cultural elements in jazz guitar instruction and its impact on students' deep learning. Through literature review and case study, it was found that integrating cross-cultural elements into jazz guitar teaching significantly broadens students' musical horizons, enhances their musical expression, and improves their sense of identity with different cultures. Based on multicultural education theory, sociocultural theory, and constructivist theory, the study proposes strategies for integrating musical elements from different cultures into jazz guitar instruction. These initiatives aim to enrich educational content, expand students' musical understanding and creativity, and develop their global awareness and intercultural communication skills. This study not only shows the practical application and positive impact of cross-cultural elements in jazz guitar teaching, but also provides useful insights for the future of music education.
Adaptive Complexities and Evolutionary Paradigms in Market Dynamics for Theoretical Exploration
Authors: Hamed Ameera Fares , Salman Riyadh Yousuf , Mahdi Saad , Khalil Ziyad Tariq 
Published: September 2024

Background: This academic article acknowledges the intricate interactions between numerous elements that shape economic systems as it examines market dynamics via an evolutionary perspective. The dynamic and adaptive character of markets is frequently ignored by traditional economic theories, calling for a paradigm change in favor of an evolutionary viewpoint. Objective: This study's main goal is to clarify the evolutionary processes affecting market dynamics. Our goal is to develop a complete framework that captures the complex evolutionary processes influencing market structures and behaviors by integrating insights from economics, sociology, and biology. Methods: This research uses a multidisciplinary approach to analyze the evolutionary forces at work in market dynamics by synthesizing actual data, current literature, and computational models. Our conceptualization of markets as dynamic ecosystems takes evolutionary biology into account, taking into account elements like competition, adaptation, and selection. Results: According to our research, market players adapt to shifting circumstances and competitive pressures in ways that are similar to biological evolution. Market structures are shaped by evolutionary processes, which also affect the dynamics of innovation, market entry, and exit. The study also identifies important factors that function as evolutionary catalysts in the evolution of markets, such as legislative changes and technology advancements. Conclusion: Evolutionary viewpoints provide important insights into comprehending the intricate and ever-changing character of markets. Understanding markets as dynamic systems enables a more nuanced understanding of economic events and lays the groundwork for creating flexible policies and tactics that are in line with the natural evolutionary dynamics of markets. By bridging the gap between conventional economic theories and the changing realities of modern marketplaces, this research helps.
Social Media during Crisis: Special reference to Covid-19
Authors: Modwel Shikha , Tulsyan Divya , Narang Pravin , Mhatre Rajesh 
Published: September 2024

Among various new trends changing life globally, social media is among the top rankers. It has affected our lives largely and has huge potential to generate awareness during crisis periods. The role of social media during Covid-19 has been multifunctional from disseminating Covid-19 related awareness to acting as a prime source of entertainment during a depressing environment of social isolation and lockdown. The paper discusses recent advancement in the role of social media during crisis situations with reference to Covid-19. The paper also talks about the need of regulations to keep control on fake and unauthentic contents floated on social media platforms. The study attempts to assess if social media was able to build a positive environment during crisis and also if there was any deviation observed on the kinds of messages circulated on social media platforms during crisis periods from those during normal times. The study, further throws some light on the necessity of social media to broaden its horizon and reach more people. The findings of the article can be used by multiple organizations, social media companies, government agencies and scholars to assimilate the social media users’ views and to further extend the research on multiple fields such as policy development on crisis management, data surveillance, regulations and the community behavior.
Dong's Wind and Rain Bridge in Chengyang Bazhai Village at Liuzhou, China: Public Space and Meaning Change in the Process of Minority Development
Authors: Chen Lu  , Supachai Singyabuth  , Li Ying  , Li Haiyan  , Jiao Pu  , Qiu Yongde  
Published: September 2024

This qualitative research focuses on Dong's Wind and Rain Bridges in Chengyang Bazhai in Liuzhou, China. This research explores the academic issue of public space and meaning change in the process of minority development, through the Dong's Wind and Rain Bridges phenomenon. The findings of this research are that public space in all societies in the world is a fusion of space production and meaning and constructs identity and social relations. It has changed in the context of the times and has produced new functions for different groups of people, constantly generating new meanings superimposed on the old meanings. As an important public space in the community, Dong's Wind and Rain Bridges include the physical space production of the surrounding area and the social and mental space production of the Dong ethnic group, emphasizing the close relationship between "space production" and "ethnic identity". In the process of minority development in China, the use of the wind and rain bridge's public space has changed socially, responding to the new needs of different groups. It, therefore, has been constantly undergoing "meaning change".
Avanços e Desafios nas Estratégias de Ventilação Mecânica para Síndrome da Angústia Respiratória Aguda: Uma Revisão de Literatura
Authors: Oliveira Fontenele Barcelos Janice , Kethely Batista Dilson Nycole , Justa Jose William Oliveira dos Santos , Felipe Oliveira Véras Saul Felipe Oliveira Véras , Amorim Araujo Jaine , Gomes Feitosa Junior Nerisvaldo , Erika Neumann Costa Katherine , Dayane Mendes de Oliveira Santiago Barbosa Estefânia , Gomes Xavier Beserra Maysa , Ferreira de Albuquerque Carvalho Roberta , Raquel Barros Ribeiro Ândria , Coimbra Batista Thaís , Aparecida Gomes Silva Hiasmin , Guilherme Dorneles Ferraz João Guilherme Dorneles Ferraz , Beatriz Viana Freitas Costa Lara , Ximena Quisbert Villarroel Paola , Menezes Gashti Sara , Regina Schmitz Acco Victória , Maria Andreoli Fellini Beatriz , Augusto da Silva Araújo Victor , Gomes Pinheiro Amanda , Manoel Vasconcelos da Rocha Sérgio , Caetana Araújo dos Santos Samira , Pereira da Silva Anderson Matheus 
Published: September 2024

RESUMO: Introdução: A Síndrome da Angústia Respiratória Aguda (SARA) é uma condição crítica com inflamação pulmonar e alta mortalidade. A ventilação mecânica é crucial, mas pode causar danos. Avanços recentes incluem a posição prona e ventilação oscilatória. Apesar dos progressos, desafios e complicações persistem, necessitando de mais pesquisas e uma abordagem multidisciplinar para o manejo eficaz.Objetivo: Este artigo tem como objetivo realizar uma revisão sistemática da literatura sobre os avanços, desafios e estratégias inovadoras na ventilação mecânica para pacientes com SARA. Metodologia: A revisão sistemática seguirá o acrônimo PICO, usando descritores em inglês e português, algoritmos booleanos e bases de dados como PubMed e Scopus. Estudos serão triados por critérios de inclusão e exclusão, com dados extraídos e analisados qualitativamente e quantitativamente. Ferramentas como RoB, NOS e ROBINS-I avaliarão o risco de viés para garantir validade. Resultados e discussão: Avanços na ventilação mecânica para SARA incluem a posição prona, ventilação oscilatória de alta frequência (HFOV) e estratégias para minimizar lesões pulmonares. A posição prona melhora a oxigenação e reduz a mortalidade, enquanto a HFOV e a ventilação protetora reduzem lesões pulmonares. A implementação requer padronização, treinamento contínuo e pesquisas adicionais. Conclusão: A posição prona melhora a oxigenação e reduz mortalidade em SARA. HFOV minimiza lesões pulmonares. A ventilação protetora, crucial, enfrenta desafios práticos, exigindo treinamento contínuo e padronização de protocolos para melhores resultados.

Palavras-chaves: Pulmão; Tratamento; Inovação; Terapia; Prognóstico.