bluuebunny/crossref_metadata_2025_split huggingface dataset:
Liver Abscesses in Patients Who Have Had a New Coronavirus Infection
Authors: Bagatelia Z. A. , Bedin V. V. , Chechenin G. M. , Eminov M. Z. , Kolotilshchikov A. A. , Gorbanev S. V. , Voloschenko L. N. 
Published: April 2024

Aim of study To analyze clinical, laboratory, instrumental and microbiological data in patients with diagnosed liver abscesses who had previously had a new coronavirus infection.Material and methods An analysis of the work carried out with 13 patients who received treatment at the surgical clinic of the Botkin Hospital in the emergency surgical department No. 76 from September 2021 to October 2022 for liver abscesses and previous COVID-19 is presented.Results All presented patients were comprehensively examined. Surgical intervention was performed — transcutaneous drainage of liver abscesses under ultrasound guidance. Positive changes were revealed in the course of complex therapy, including antibacterial (based on the Results of a microbiological study with determination of the sensitivity of the flora to antibacterial drugs), anti-inflammatory, and daily sanitation of the abscess cavity. All patients were discharged for outpatient follow-up treatment in stable, satisfactory condition. Nine patients (69.2%) were discharged with drain under the supervision of clinic doctors. In 5 patients (30.8%) with regression of the abscess cavity, drainage from the abscess cavity was removed before discharge.Conclusion Patients with previous COVID-19 may develop liver abscesses. It is important to conduct thorough diagnostic measures in patients who present with fever and (or) abdominal pain after a coronavirus infection. Further prospective studies are needed, including morphological assessment of liver changes (upon autopsy in case of death).
Measuring tissue oxygen saturation in the orad intestinal segment during equine colic surgery may aid in predicting the occurrence of postoperative ileus
Authors: Verhaar Nicole , Grages Anna Marei , Sauer Fay J. , Geiger Tobias , Reineking Wencke , Hewicker-Trautwein Marion , Geburek Florian , Kästner Sabine B.R. 
Published: April 2024

Abstract

OBJECTIVE
To assess the histological injury and intestinal microperfusion measured by laser Doppler flowmetry and spectrophotometry (LDFS) of the small intestine orad to a strangulation during colic surgery.

ANIMALS
Horses with naturally occurring small intestinal strangulations undergoing colic surgery were included.

METHODS
In this prospective clinical trial, intestinal tissue oxygen saturation (tSO2) and tissue blood flow (tBF) were measured by LDFS orad to the strangulation following release of the strangulation (n = 18). The number of horses with postoperative reflux (POR) and the cases that survived until discharge were compared between groups using Fisher’s exact test (P < .05). Intestinal biopsies were taken in cases that underwent intestinal resection or intraoperative euthanasia (n = 28). Measurements were compared between injured and noninjured segments with a Mann-Whitney U or t test.

RESULTS
The tSO2 and tBF of the orad intestine were lower than previously reported in healthy horses. Horses with low tSO2 of < 35% were significantly more likely to suffer from POR (6/6 cases) compared to cases with tSO2 > 69% (1/6). The number of horses that survived were not statistically different between these groups (2/6 and 6/6). All horses with mucosal injury developed POR (6/6), which was significantly more likely compared to horses without mucosal injury (3/13). No significant difference in tSO2 or tBF could be found between the segments with and without histological injury.

CLINICAL RELEVANCE
The results suggest that measuring tSO2 in the orad segment during colic surgery may aid in predicting postoperative issues.
PRINCÍPIO DA PARTICIPAÇÃO NO DIREITO AMBIENTAL
Authors: Carvalho Laplace Guedes Alcoforado Leite de , Cunha Fábio Leandro de Alencar , Pereira Fábio de Souza 
Published: April 2024

Objetivo: Analisar o princípio da participação no Direito Ambiental, identificando suas bases conceituais, sua aplicação e os mecanismos de participação

Metodologia: A metodologia adotada se baseia em uma revisão bibliográfica, visando explorar as contribuições dos principais autores no campo do Direito Ambiental e Constitucional.

Resultados e análise dos dados: Os resultados ressaltam a importância da participação popular como princípio democrático fundamental no contexto do Direito Ambiental brasileiro. Destaca-se a necessidade de conscientização da sociedade em diversos âmbitos, como educacional, comunitário e religioso, para impulsionar a participação efetiva nas decisões ambientais. São citados instrumentos jurídicos, como ação popular e ação civil pública, como meios de garantir a participação dos cidadãos. Além disso, é apontada a necessidade de reformulação dos órgãos ambientais, com ênfase na democratização dos conselhos, para promover uma participação mais representativa. O papel do Ministério Público na fiscalização e proteção do meio ambiente também é destacado. Assim, conclui-se que a participação ativa dos cidadãos é crucial para garantir políticas ambientais justas e sustentáveis, exigindo educação, conscientização e mobilização da sociedade.

Implicações da Pesquisa: Em termos práticos, as implicações da pesquisa incluem a identificação de desafios e lacunas na atual estrutura de participação social em questões ambientais, bem como a sugestão de possíveis medidas para superá-los. Isso pode influenciar políticas públicas e práticas de gestão ambiental, incentivando a implementação de mecanismos mais eficazes de participação popular e promovendo uma maior transparência e responsabilidade no processo decisório.

Originalidade/Valor: O artigo destaca-se pela sua relevância ao examinar a aplicação do princípio democrático no Direito Ambiental brasileiro, com foco nos preceitos da Constituição Federal de 1988. Destaca-se por sua abordagem específica sobre como a participação da sociedade pode contribuir para políticas ambientais sustentáveis, enfatizando a importância do envolvimento ativo dos cidadãos na tomada de decisões e na conscientização sobre questões ambientais. Assim, evidencia a participação popular como um princípio central para um sistema jurídico ambiental mais justo, transparente e eficaz.
Circular Economy and Contributions to Sustainable Development in the Organizational Context
Authors: Luciano Bernardo Hamuyela , Gomes Vitor Carvalho , Silva Cássia Mara Alexandrino , Ferreira Allan Berthier Silva , Leão Airton Pereira da Silva , Gomes Filho Teodoro Antunes , Marques Francisco Roldineli Varela , Sguizardi Juliano , Estevam Stênio Maia , Santos Adelcio Machado dos 
Published: April 2024

Objective: To analyze the contributions of the circular economy to sustainable development in the organizational context.

Methodology: The research used an integrative literature review to investigate the relationship between circular economy and sustainable development in organizations. The studies were selected based on relevant keywords in academic databases, focusing on Brazilian articles published between 2023 and 2024. After the selection, a qualitative analysis of the data was conducted to identify patterns and trends, contributing to a deeper understanding of the topic.

Results and data analysis: The analysis of the studies highlights the importance of the circular economy in the contemporary organizational context, highlighting its relevance to promote sustainable development and mitigate negative impacts on the environment and society. The transition from the traditional linear model to the circular one redefines not only supply chain dynamics, but also challenges the culture of consumption and unrestricted disposal by promoting resource reuse, recycling and remanufacturing. However, its implementation requires operational changes and the support of organizational leaders, tax and legislative incentives, as well as greater awareness and dissemination of information about its practices and benefits. The need for more in-depth studies, especially in the Brazilian context, is highlighted, as is the importance of consumer education on sustainable packaging and the integration of reverse logistics practices. Such an approach not only promotes environmental sustainability, but can also generate significant economic benefits for businesses. The studies also highlight the adaptation of circular economy concepts to different sectors, such as textiles and clothing, highlighting their tangible benefits, such as reducing waste and creating sustainable business opportunities. However, the journey towards the circular economy faces challenges such as effective waste management and stakeholder awareness.

Conclusion: Thus, the conclusions emphasize the need for continued engagement of businesses, governments and consumers to promote a successful transition. By adopting this approach, organizations contribute not only to the preservation of the environment and social well-being, but also to a more sustainable and economically prosperous future.
Digital Financial Services (DFS) And Productivity of Indian Banking Sector - Empirical Evidence Using Malmquist Productivity Index and Panel Data Regression
Authors: Veluthedan Sreekanth Peringanam , Kiran Kunjangada Bheemaiah 
Published: April 2024

Purpose: The aim of this study is to examine the impact of Digital Financial Services (DFS) on the productivity of banking sector in India.

Theoretical framework: This research considered various digital banking services offered by bank and how it affects the actual bank performance in terms of productivity, by adopting a two-stage model i.e., Malmquist Productivity Index (MPI) and panel data regression.

Design/Methodology/Approach: The empirical study was based on eight-year balanced panel data from 2012 to 2020. The sample of the study consists of forty-four commercial banks from India. This study is completely based on secondary data collected from the website of the database of the Indian economy and the National Payment Corporation of India (NPCI). To achieve the research goals, a two-stage approach has been used. Initially, Malmquist Productivity Index (MPI) was employed to estimate the total factor productivity changes. In the second phase, panel regression analyses were used to study the impact of Digital Financial Services (DFS) on bank productivity.

Findings: The findings show that the Digital Financial Services (DFS) variables such as mobile banking, online banking, Automatic Teller Machines (ATM) and Point of Sale (POS) transactions are significantly improved the productivity of the Indian banking industry.

Research, Practical & Social implications: The study addresses the issues such as identifications of factors affecting the productivity of banks including Digital Financial Services (DFS). In the world of digital revolution, it analyses whether bank can retain, continue and enhance their performance by offering modern product and services to their customers.

Originality/Value: This article has conducted extensive analyses of Digital Financial Services (DFS) and banks' productivity. The authors also provide suggestions for the policymakers for the future implementation of digital banking services.
Unlocking the secrets of success: learning and relaxing techniques among high achievers
Authors: Saif Marwa , Shabbeer Fatima , Ilyas Hareem , Ahmed Hina 
Published: April 2024

<p><strong>Background:</strong></p>
<p>The environment in medical college itself is recognized as inherently stressful. The competitive atmosphere, constant evaluations, and high expectations can contribute to a feeling of constant pressure and anxiety among students.</p>
<p><strong>Objectives: </strong>This study aimed to determine the learning and relaxation techniques adopted by high-achieving medical students .</p>
<p><strong>Methods:</strong></p>
<p>&nbsp;It was a cross-sectional study completed in six months duration. A self-designed, customized and experts validated questionnaire was used to collect data from consecutive medical students who scored above 70% in their professional exams and were enrolled in a five-year MBBS program of Central Park Medical College, Lahore, Pakistan. . The data were analyzed using statistical software and the percentages of responses were calculated by keeping the power of study at 80%.</p>
<p><strong>Results</strong>:</p>
<p>The results showed that the most frequently adopted learning techniques were group study 63(61.8%)], discussing with classmates 54(85.7%)], selective study pattern but reading once 56(54.9%)], studying a week before the test 51(50%)] and revising twice 60(58.8%).the most common relaxation technique was watching,drams,movies and seasons</p>
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<p><strong>Conclusion:</strong></p>
<p>The high achiever undergraduate medical students employed different learning strategies while the most favoured medium for studying was YouTube channel. Concurrently, brief breaks during study sessions, listening to music, watching movies and other forms of visual entertainments were the most reported relaxation techniques</p>
<p><strong>Keywords</strong>: High Achievers, undergraduates, MBBS, medical education, &nbsp;Study method, Relaxing techniques</p>
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PENERAPAN PENDEKATAN STUDENT CENTERED LEARNING (SCL) PADA PEMBELAJARAN PENDIDIKAN AGAMA HINDU DAN BUDI PEKERTI DI SEKOLAH DASAR NEGERI 22 DAUH PURI DENPASAR
Authors: Ni Putu Nita Pratiwi  
Published: April 2024

ABSTRAK
Seiring dengan perkembangan jaman yang diikuti dengan perkembangan teknologinya yang semakin canggih maka proses pembelajaran sudah seharusnya menggunakan pendekatan yang lebih baik. Siswa harus lebih aktif tampil dan berbicara serta meninggalkan karakter sebagai penonton yang pasif. Karenanya, pendekatan pendidikan Student Centered Learning (SCL) dimunculkan dalam mengatasi kepasifan peserta didik, terutama dalam proses pembelajaran agama Hindu dan budi pekerti. Dalam hal ini, Guru Agama Hindu dan Budi Pekerti memegang peranan penting sebagai mediator dalam memfasilitasi implementasi metode Student Centered Learning (SCL) kepada siswa, dengan menciptakan inovasi-inovasi kreatif dalam membangkitkan respon aktif dari siswa itu sendiri.
Tiga permasalahan yang diangkat dalam penelitian ini: implementasi pendekatan Student Centered Learning (SCL), kendala dan upaya penerapan pendekatan Student Centered Learning (SCL), dan implikasi penerapan pendekatan Student Centered Learning (SCL) pada pembelajaran pendidikan agama Hindu dan Budi Pekerti. Teori yang digunakan untuk membedah permasalahan dalam penelitian ini adalah: (1) Teori Konstruktivisme (Jean Piaget), dan (2) Teori Kognitif (Jean Piaget). Jenis penelitian ini adalah penelitian kualitatif dengan pendekatan psikologi. Data yang diperoleh, dikumpulkan dengan teknik wawancara, studi kepustakaan dan dokumentasi. Data yang telah terkumpul kemudian dianalisis dengan teknik deskriptif kualitatif.
Hasil penelitian ini menunjukkan bahwa Implementasi pendekatan Student Centered Learning (SCL) pada pembelajaran agama Hindu dan Budi Pekerti di Sekolah Dasar Negeri 22 Dauh Puri Denpasar dilakukan dalam 9 (sembilan) metode diantaranya; Small Group Discussion (SGD), Role-Play and Simulation, Discovery Learning, Self-Directed Learning, Cooperative Learning, Contextual Learning (CL), Problem Based Learning (PBL), Collaborative Learning (CbL), dan Project Based Learning (PjBL). Terkait kendala dan upaya penerapan pendekatan Student Centered Learning (SCL) terdapat dalam 3 aspek krusial, diantaranya; pada Kemampuan Guru, Kemampuan Siswa, dan kualitas sarana dan prasarana akademik. Sedangkan implikasi penerapan pendekatan Student Centered Learning (SCL) pada pembelajaran pendidikan agama Hindu dan Budi Pekerti terlihat pada 3 (tiga) aspek mendasar, yaitu Implikasi Kognitif, Implikasi Afektif dan Implikasi Psikomotor.
Kata Kunci: Student Centered Learning (SCL), Pendidikan Agama Hindu dan Budi Pekerti, Sekolah Dasar
Reflection of sacred symbols in folklore and dance culture of Chechens
Authors: Iliasov Lecha Makhmudovich 
Published: April 2024

The article is devoted to the study of sacred symbols represented in the petroglyphs of Chechnya and widely used in the material culture of the local population of the ancient and late medieval era: in the decoration of metal products, the ornament of carpets and ceramics. The author believes that sacred symbolism is reflected in spiritual culture. The circle, the cross, the spiral and other sacred symbols have been embodied in a variety of forms in oral folk art, dance culture, ritual traditions, the Nart epic, thereby defining the stylistic features of the culture of the North Caucasus. Sacred meanings are imprinted not only in the images of dancing anthropomorphic figures on the walls of residential and combat towers, but also the pattern of their movements and gestures repeats the outlines of ancient symbols, thereby testifying to the ritual nature of the origin of folk dance and many genres of oral folk art. The methodological basis of the research is a set of general historical, ethnographic and archaeological research methods, the use of which is determined by the nature of the material being studied. Thus, the internal space and structure of the phenomena of spiritual culture correspond to the forms of the main sacred symbols that existed in the culture of the peoples of the region in ancient times, thereby creating a special style of North Caucasian culture, which is characterized by inner sacredness. The reflection of mythological plots and symbols in petroglyphs and bronze plastics of the Koban culture of late Bronze and early iron testifies to the deep antiquity of folk dance and many genres of oral folk art of the population of the North Caucasus and speaks about the close intertwining of the phenomena of material and spiritual culture in that period, about the sacredness of being in its representations. Ritualism penetrates into all spheres of life (labor, funeral rite, wedding ceremony), protecting the ancient man from all bad things.
To Compare the Efficacy of Sub-Pecto-Interfascial Block with Erector Spinae Plane Block in Postoperative Pain Management in Patients Undergoing Cardiac Surgery
Authors: Singh Rashmi , Choudhury Arindam , Chauhan Sandeep , Hote Milind 
Published: April 2024

Objectives:
Pain following sternotomy has always been an issue of major concern for anesthesiologists. The incidence of pain is as high as 49% at rest following coronary artery bypass grafting. We planned to utilize the sub-pecto-interfascial plane (SIP) block and erector spinae plane (ESP) block to determine its efficacy and quality of analgesia as compared to conventional intravenous analgesia.

Material and Methods:
After the Institutional Ethics Committee’s approval, we recruited 105 patients and randomized them into three groups. Group 1 received conventional analgesia, group 2 SIP, and group 3 ESP block. Group 2 and Group 3 received allocated blocks after induction of balanced general anesthesia under ultrasound guidance. With high-frequency linear probe (13 MHz) planes identified, a mixture of injection ropivacaine (0.375%) and dexmedetomidine (1.1 mcg/mL) was deposited. In group 2, six injections of 6 mL each at the 2nd, 4th, and 6th intercostal spaces in the bilateral parasternal region. In group 3, two injections of 20 mL of the above-mentioned mixture on each side above the transverse process of the T5 vertebra under the erector spinae muscle plane were injected. All patients were monitored throughout the procedures, and their vitals were recorded. Heart rate, systolic blood pressure, and diastolic blood pressure were noted at baseline, at skin incision, at sternotomy, and 30 min post-extubation. Patients were followed for total fentanyl consumption, pain score (numerical rating scale [NRS] score), and peak inspiratory flow rate, which were noted at extubation and 2, 4, 6, 8, 12, and 24 hours post-extubation. Levels of C-reactive protein (CRP), cortisol, and prolactin were done at baseline and 24 h after surgery. Extubation time, time of first oral intake, and total length of intensive care unit (ICU) stay were also compared between the groups.

Results:
Total fentanyl consumption was significantly lower (P < 0.005) in group 2 and group 3 compared to group 1. Patient receiving blocks were significantly lower NRS score compared to the control group. Spirometry has shown improved results in block groups catering to early discharge from ICU. Rise in levels of CRP, cortisol, and prolactin were much higher in group 1 as compared to group 2 and group 3.

Conclusion:
The application of ESP and SIP blocks is far superior than conventional parenteral analgesics in terms of pain score, total opioid’s consumption, hemodynamic maintenance, spirometry efforts, and length of ICU stays.
Transcranial direct current stimulation-efficacy in mild cognitive impairment: A meta-analysis
Authors: Sandhya G. , Malo Palash Kumar , Issac Thomas Gregor 
Published: April 2024

Objectives:
Mild cognitive impairment (MCI) is a transition state in which individuals have cognitive abilities that are in between those of normal aging and dementia. Although not everyone with MCI develops dementia, the risk of progression to dementia is higher in people with MCI. Interventions at this stage can prevent or delay the onset of dementia. In recent years, studies on non-invasive brain stimulation techniques, namely transcranial direct current stimulation (tDCS), have gained momentum for cognitive enhancement in MCI. Since there are very few studies that also report varied results, it becomes important to analyze the effect of tDCS in MCI. The aim of this study was to systematically review the available evidence about using tDCS for MCI and to assess its efficacy using meta-analysis.

Materials and Methods:
Eight single- or double-blinded randomized controlled trials were included in the study. Montreal cognitive assessment (MoCA) and mini-mental state examination (MMSE) for global cognition; and digit span test forward and backward, trail-making test (TMT) A and B; and logical memory test (LMT) assessing specific cognitive domains were considered. A random-effects model was used wherein the standardized mean difference (SMD) and its 95% confidence intervals were reported.

Results:
The effect of the active tDCS (MoCA [SMD 0.37, 95% CI −0.22–0.95], MMSE [SMD 0.26, 95% CI 0.25–0.77], TMT-A [SMD −0.01, 95% CI −0.42–0.40], and LMT [SMD 0.80, 95% CI −0.24–1.83]) when compared with the sham tDCS was statistically insignificant.

Conclusion:
The current meta-analysis identified insignificant improvement in cognitive performance with active tDCS treatment as compared to sham tDCS among people with MCI.
Transition et transit : des petites théories à usage quotidien
Authors: Bertrand Denis 
Published: April 2024

En prenant appui sur une approche définitionnelle comparée des deux notions de « transition » et de « transit », on interroge les enjeux sémantico-narratifs qu’elles recouvrent (catégories, relation continu-discontinu, actantialité, téléogisation, etc.). Sur la base des résultats de cette analyse, on oriente ensuite la réflexion dans deux directions complémentaires : d’un côté une direction métathéorique, en interrogeant la manière dont la notion de « transition » met en question des modélisations considérées comme acquises dans les schématisations sémiotiques ; de l’autre, une direction épithéorique, au sens où A. Culioli parle d’épilinguistique, antichambre du métalinguistique : « une activité dont nous n’avons pas conscience et qui sans arrêt travaille sur ces mises en relation entre le caché, le pas dire non, le ceci ou le cela » (Bedouret-Larraburu et Copy 2018). Cela nous permet d’envisager ce qu’on appelle « les petites théories à usage quotidien », dont la théorie du « transit » pourrait être un parangon. Notre objectif est, in fine, d’interroger la relation aujourd’hui entre les régimes de modélisation en contexte de « transition », en posant le problème de l’intelligibilité théorique, prise entre méta- et épithéorique.