bluuebunny/crossref_metadata_2025_split huggingface dataset:
HYPONATREMIA IN LIVER CIRRHOSIS: A RETROSPECTIVE STUDY AT A TERTIARY CARE HOSPITAL
Authors: Ahmad Wiqas , Jan Naeem , Mahmud Aurangzeb Jehan , Iltaf Muhammad 
Published: January 2025

Objective: This study’s main objective was to ascertain the frequency of hyponatremia in patients with liver cirrhosis and to assess its relationship with the severity of liver cirrhosis and the duration of liver cirrhosis.
Materials and Methods: This retrospective study was carried out in Gastroenterology unit at Hayatabad Medical Complex Peshawar after approval from the hospital's ethical committee. A total of 175 patients with liver cirrhosis who fulfilled the inclusion criteria were included. Patients were categorized according to the Child-Pugh score into three classes. Serum sodium level was determined in the hospital laboratory. Patients were labeled to have hyponatremia if their blood sodium level was less than 135 mmol/L. The Statistical Package for the Social Sciences (SPSS) version 25 was used for data analysis.
Results: The participants in our study were from 18 to 60 years. The mean age was 46.68 ± 10.24 years. This study has more male participants than females. 48% of the participants in this study had hyponatremia. The mean serum sodium level was 131.36 ± 6.51 mmol/L. Disease duration and Child-Pugh class are significantly associated with hyponatremia (p <0.001). Age, gender, and BMI had no significant association with hyponatremia.
Conclusion: Hyponatremia is a common electrolyte abnormality in liver cirrhosis. Prolonged duration of liver cirrhosis and patients with advanced liver disease (Child-Pugh class C) are more likely to have hyponatremia.
Intersezione tra intelligenza artificiale generativa e educazione: un’ipotesi
Authors: Fortino Giancarlo , Mangione Fabrizio , Pupo Francesco 
Published: January 2025

INTERSECTION BETWEEN GENERATIVE ARTIFICIAL INTELLIGENCE AND EDUCATION: A HYPHOTHESIS Abstract This study explores the impact of integrating Generative Artificial Intelligence (GenAI) into adaptive and personalized learning environments, focusing on its diverse applications in the field of education. It begins with an examination of the evolution of GenAI models and frameworks, establishing selection criteria to curate case studies that showcase the applications of GenAI in education. The analysis of these case studies highlights the tangible benefits of integrating GenAI, such as increased student engagement, improved test scores, and accelerated skill development. Ethical, technical, and pedagogical challenges are also identified, emphasizing the need for careful collaboration between educators and computer science experts. The findings underscore the potential of GenAI to revolutionize the field of education. By addressing technological challenges and ethical concerns, and embracing human-centered approaches, educators and computer science experts can leverage GenAI to create innovative and inclusive learning environments. Finally, the study also highlights the importance of socio-emotional learning and personalization in the evolutionary process that will revolutionize the future of education.
Artificial intelligence and Quality Education: The Need for Digital Culture in Teaching
Authors: Padua Donatella 
Published: January 2025

INTELLIGENZA ARTIFICIALE E ISTRUZIONE DI QUALITÀ: LA NECESSITÀ DELLA CULTURA DIGITALE NELL’INSEGNAMENTO Abstract This paper critically explores the concept of «quality education» as defined by SDG 4, emphasizing inclusivity and equity, particularly in the context of digital transformation. Quality education, in this sense, goes beyond knowledge acquisition to fostering lifelong learning, accessible to all. The integration of artificial intelligence (AI) in education is examined through a socio-pedagogical interdisciplinary lens, highlighting how it reshapes traditional pedagogical models. This shift requires digital literacy and a digital culture, addressing the «digital divide» and promoting inclusivity while raising challenges that necessitate rethinking existing educational frameworks. The rise of digital culture presents a critical pathway for addressing the educational mismatch of contemporary society. By fostering a value-oriented digital culture, educational models must emphasize ethical engagement, critical thinking, and digital citizenship. This transition requires a multi-level approach, acknowledging students’ increasing agency in a bottom-up digital culture. Moving towards Education 4.0 necessitates a rethinking of traditional pedagogies, with teachers adopting new mindsets, roles, and competencies.
L’esperienza e il metodo dell’intelligenza nel pensiero di John Dewey
Authors: Spadafora Giuseppe 
Published: January 2025

EXPERIENCE AND THE METHOD OF THE INTELLIGENCE IN JOHN DEWEY’S THOUGHT Abstract In this essay I will try to analyze the John Dewey’s concept of experience, examining, in particular, the first chapter of «Experience and nature»’s second edition. The concept of experience links to the relation with nature and only science with the method of intelligence can organically relate experience, nature and the construction of democracy. Due to this education it is fundamental to guide the individual to build democracy through science.
Serum metabolome indicators of early childhood development in the Brazilian National Survey on Child Nutrition (ENANI-2019)
Authors: Padilha Marina , Keller Victor Nahuel , Normando Paula , Schincaglia Raquel M , Freitas-Costa Nathalia C , Freire Samary SR , Delpino Felipe M , de Castro Inês RR , Lacerda Elisa MA , Farias Dayana R , Kroezen Zachary , Shanmuganathan Meera , Britz-Mckibbin Philip , Kac Gilberto 
Published: January 2025

Background:The role of circulating metabolites on child development is understudied. We investigated associations between children’s serum metabolome and early childhood development (ECD).Methods:Untargeted metabolomics was performed on serum samples of 5004 children aged 6–59 months, a subset of participants from the Brazilian National Survey on Child Nutrition (ENANI-2019). ECD was assessed using the Survey of Well-being of Young Children’s milestones questionnaire. The graded response model was used to estimate developmental age. Developmental quotient (DQ) was calculated as the developmental age divided by chronological age. Partial least square regression selected metabolites with a variable importance projection ≥1. The interaction between significant metabolites and the child’s age was tested.Results:Twenty-eight top-ranked metabolites were included in linear regression models adjusted for the child’s nutritional status, diet quality, and infant age. Cresol sulfate (β=–0.07; adjusted-p <0.001), hippuric acid (β=–0.06; adjusted-p <0.001), phenylacetylglutamine (β=–0.06; adjusted-p <0.001), and trimethylamine-N-oxide (β=–0.05; adjusted-p=0.002) showed inverse associations with DQ. We observed opposite directions in the association of DQ for creatinine (for children aged –1 SD: β=–0.05; pP=0.01;+1 SD: β=0.05; p=0.02) and methylhistidine (–1 SD: β = - 0.04; p=0.04;+1 SD: β=0.04; p=0.03).Conclusions:Serum biomarkers, including dietary and microbial-derived metabolites involved in the gut-brain axis, may potentially be used to track children at risk for developmental delays.Funding:Supported by the Brazilian Ministry of Health and the Brazilian National Research Council.
Aunque nos digan. Racismo, clasismo y el equipo más querido de Chile, Christian Álvarez Rojas. Santiago: Gol Triste Ediciones, 2° Edición, 2021, 263 páginas.
Authors: Maldonado Oyarzo Aldo Nicolás 
Published: January 2025

Reseña de la obra de Christian Álvares Rojas Aunque nos digan. Racismo, clasismo y el equipo más querido de Chile, que aborda las figuras y discursos racistas y clasistas a partir del hincha colocolino como caso de estudio de las discriminaciones a lo largo de la historia de la humanidad y en el Chile actual.
Comparative study of K-wire combined with screw vs. K-wire in the treatment of AO type B3.1 phalangeal fractures
Authors: Ma Xuelin , Wang Li , Zhang Xiaoran , Zhang Zhemin , Xu Yali , Lv Li , Shao Xinzhong 
Published: July 2023

Abstract
Purpose
The purpose of this study was to introduce the surgical method of K-wire combined with screw in the treatment of Arbeitsgemeinschaftfür Osteosynthesefragen (AO) type B3.1 phalangeal fractures and to compare its clinical, radiological and functional outcomes with K-wire fixation.

Methods
This was a retrospective comparative study. From January 2015 to February 2022, we treated 86 patients with AO type B3.1 phalangeal fractures. A total of 71 patients were finally included in the statistical analysis. Thirty-nine patients received K-wires combined with screw, and 32 patients received simple K-wires. The follow-up time was at least 6 months. Outcome measures included general information, operative time, total active motion (TAM), pinch strength, radiological union time, pain assessed by visual analog scale (VAS), Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score, cost, and complications.

Results
The follow-up time was 6–12 months, with an average of 7.9 months. All patients achieved clinical and radiological union. Compared with the K-wire fixation group, the TAM, radiological union time and VAS score of the K-wire combined with screw group had obvious advantages. Compared with the opposite healthy hand, the grip strength of the two groups was similar, and there was no significant difference in the QuickDASH score. The incidence rate of complications in the K-wire combined with screw group (2/39) was lower than that in the K-wire fixation group (7/32).

Conclusions
Compared with simple K-wire fixation, K-wire combined with screw in the treatment of AO type B3.1 phalangeal fractures is a safer and reliable surgical method. K-wire controls the rotation and plays a role similar to a “lock”. The screw can exert pressure and fix it more firmly. It shortens the time of fracture healing and has a higher TAM and fewer postoperative complications.
Characteristic Analysis Method for Integrated Multi-Parameter Hydro-viscous Speed Control System
Authors: Ba Kaixian , Wang Yuan , Zhao Kai , Wang Shoukun , Yu Bin , Zou Wenpeng , Gao Feiyue , Zhang Lin , Wang Liang 
Published: July 2023

Abstract
Hydro-viscous clutch has become an inevitable choice for the transmission of contemporary and future special vehicles. As a nonlinear dynamic system with large lagging link, its timing performance is affected by input rotational speed, lubricating oil temperature, lubricating pressure and other factors. However, in the actual application process, the actual influence of the influencing factors on the system performance is often judged by engineering experiences. From the control point of view, the speed regulation law and formation mechanism of hydro-viscous speed control system(HSCS) are not clear, and the control characteristics and global model are indeterminate. To solve the above problems, this paper analyzes the speed control characteristics of HSCS, including steady-state speed control characteristics and dynamic speed control characteristics. The specific characteristic parameters are obtained, and the data-driven model describing the input rotational speed, output speed, control oil pressure and lubricating oil temperature is established. The formation mechanism of the multi-region in HSCS is analyzed. According to the analysis, this paper determines that the effective pressure control range of HSCS is 0-6.2 Bar, the effective force control range is 0–4 KN, the fastest response time is greater than 3s. This paper provides the basis for integrated modeling and control method design. It is helpful to further reveal and obtain the control characteristics and parameters of HSCS, so as to provide the basis for the structure and parameter optimization, performance evaluation and analysis of HSCS machinery and hydraulic system.
Topical Issues of Formation and Development of Moscow Interregional Transport Prosecutor’s Office
Authors: Openyshev O. S. , Zemlina O. M. , Yangez D. I. 
Published: July 2023

The objective of the study of issues related to participation of transport prosecutors in solving the problems of ensuring the rule of law in transport is to comprehend the role and significance of the transport prosecutor’s office in the history of Russia and at the present stage of its development, to identify the most significant areas of activity of transport prosecutors and effective means of its implementation in the interests of implementing national tasks of socio-economic development, implementation of the provisions of the Transport Strategy of the Russian Federation until 2030 with a forecast until 2035.Based on the application of the historical and legal method, the stages of formation and development of the transport prosecutor’s office in Russia are identified, the regular relationships between development of the transport industry and the change in the role and legal status of transport prosecutors are identified, conclusions are drawn regarding the significance of development of the transport prosecutor’s office in the modern period and the possibility of using the historical experience of legal regulation of relations with participation of transport prosecutors to solve urgent problems of transport system development.The formal dogmatic and statistical analysis made it possible to reveal the main areas of activity of transport prosecutors, to formulate, based on an analysis of the work of Moscow Interregional Transport Prosecutor’s Office, conclusions about the most promising forms, methods and means of exercising the powers of transport prosecutors to ensure the rule of law in transport sector.The use of systemic legal analysis made it possible to analyse the state and prospects for further interaction between Moscow Interregional Transport Prosecutor’s Office and departments of Russian University of Transport for formation of a legal culture of future transport specialists, legal education of students and young people, to determine ways and means of solving the problems of civil law education of students using the potential and considering possible correlation of the efforts of the professors of legal disciplines of RUT University and transport prosecutors.The implementation of individual proposals formulated by the authors can contribute to the increment of scientific knowledge about the role, directions, and forms of work of transport prosecutors, improve further interaction between Moscow Interregional Transport Prosecutor’s Office and departments of Russian University of Transport to ensure the rule of law in transport, the implementation of the Cooperation Agreement between Moscow Interregional Transport Prosecutor’s Office and Russian University of Transport.
Building Flexible Systems of Digital Interaction between Transport Process Participants in a Changing Environment
Authors: Makeeva E. Z. , Rychkova A. S. 
Published: July 2023

The transport industry is currently undergoing profound changes. They are related both to overcoming the consequences of the pandemic, and – in the longer term – to the fundamental transformation due to the ongoing process of digitalisation.Services created for intelligent traffic flow management, monitoring of infrastructure facilities, rolling stock, customer relations, digital platforms will most probably remain drivers of the ongoing digital transformation of the transport industry in the near future. From the point of view of digital technologies, the main ones include artificial intelligence, blockchain, the Internet of things, big data.Considering the vastness of the topic, the paper highlights the key, from the point of view of the authors, issues of experience and tasks of creating systemic, end-to-end digital platform solutions in the Russian transport industry, as well as on the example of railway transport (including at the corporate level), classification of already implemented solutions and promising areas of digital change in the transport and logistics industry.
The role of lean organizations management in achieving quality educational services
Authors: شران هدية ربيع , حنظل قاسم أحمد 
Published: July 2023

Agility has an important role in many organizations، so the management of agile organizations as a role in improving the changing quality / education services، which in turn is reflected in the development of the organization and making it agile in a rapidly growing environment، so this research focused on clarifying the role of organization management. Agile in improving the quality of educational service، and the answer to it is aimed at clarifying the intellectual mplications and theoretical and practical philosophy of these variables (agile organizations management، educational service quality). This research falls into two main sections: The first section included the research methodology، and theoretical approaches to the research variables and its dimensions، and the second section presented the practical framework for the research hypotheses، as well as its conclusions and recommendations. The "research sample" was epresented by a group of teachers and students in public and private secondary schools in Tikrit، by testing the relationships of influence and correlation between the research variables (management of agile organizations، quality of educational service)، The descriptive analytical method was adopted، as well as the selection of a sample of teachers and students، numbering (93) students، by adopting a questionnaire as a measurement tool، and the data was processed through the statistical program (SPSS:21) to prove the validity of the research hypotheses. agile organization management، educational service quality)، And the use of the correlation coefficient and the coefficient of determination as statistical methods، and the most prominent conclusions reached by the research in the theoretical and field framework، the most important of which was the presence of a positive moral correlation between the management of the agile organizations combined and the quality of the educational service for schools the research sample in terms of its variables according to the value of the relationship The total level. And based on conclusions، among which the research، the research presented some of the recommendations، the most important of which is the necessity for schools to pay attention to the subject of agility، by carrying out the implementation of agile administrative procedures so that each step adds value to achieve quality. Educational service and through performance its educational operations without failures or malfunctions.
Analysis of the Implementation Strategy forElectronification of Local Government Transactions (ETPD) in Soppeng Regency, Indonesia
Authors: Burhan Andi Ulil Amri , Gunadi Gunadi 
Published: July 2023

Abstract
This study aims to determine the appropriate strategy for the implementation of Electronification of Local Government Transactions (ETPD) program in Indonesia through SWOT (strengths, weaknesses, opportunities, and threats) analysis. ETPD program, as promoted by the Presidential Decree Number 3 of 2021, is intended to provide maximum benefits to local government and the community. To achieve the primary objective of this study, a descriptive method was employed, with Soppeng Regency Local Government serving as the focal point. Accordingly, the analysis was based on the Cartesian diagram and from the obtained results it was found that the appropriate strategy for digitalization in the Regency lied in Quadrant II (positive, negative). Thisstudy concluded that internal factors such as the decree regarding the P2DD Task Force, increased regional revenue, young and active employees, and the successful bureaucratic reform initiatives, are significant strengths possessed by theSoppeng Regency Local Government. However, these strengths were accompanied by challenges or threats from certain external factors including insufficient banking infrastructure, lack of digital literacy socialization, and inadequate telecommunications network. Given these conditions, it was crucial to adopt a diversified approach and formulate additional tactical strategy, rather than solely relying on existing ones, to ensure that the local government would be able to effectively carry out their tasks and provide optimal services to the community.
Social and racial inequalities in diabetes and cancer in the United States
Authors: Massouh Nour , Jaffa Ayad A. , Tamim Hani , Jaffa Miran A. 
Published: July 2023

BackgroundCancer and diabetes are among the leading causes of morbidity and mortality worldwide. Several studies have reported diabetes as a risk factor for developing cancer, a relationship that may be explained by associated factors shared with both diseases such as age, sex, body weight, smoking, and alcohol consumption. Social factors referred to as social determinants of health (SDOH) were shown to be associated with the risk of developing cancer and diabetes. Despite that diabetes and social factors were identified as significant determinants of cancer, no studies examined their combined effect on the risk of developing cancer. In this study, we aim at filling this gap in the literature by triangulating the association between diabetes, indices of SDOH, and the risk of developing cancer.MethodsWe have conducted a quantitative study using data from the Behavioral Risk Factor Surveillance System (BRFSS), whereby information was collected nationally from residents in the United States (US) with respect to their health-related risk behaviors, chronic health conditions, and the use of preventive services. Data analysis using weighted regressions was conducted on 389,158 study participants.ResultsOur findings indicated that diabetes is a risk factor that increases the likelihood of cancer by 13% (OR 1.13; 95%CI: 1.05–1.21). People of White race had higher odds for cancer compared to African Americans (OR 0.44; 95%CI: 0.39–0.49), Asians (OR 0.27; 95%CI: 0.20–0.38), and other races (OR 0.56; 95%CI: 0.46–0.69). The indices of SDOH that were positively associated with having cancer encompassed unemployment (OR 1.78; 95%CI: 1.59–1.99), retirement (OR 1.54; 95%CI: 1.43–1.67), higher income levels with ORs ranging between 1.16–1.38, college education (OR 1.10; 95%CI: 1.02–1.18), college graduates (OR 1.31; 95%CI: 1.21–1.40), and healthcare coverage (OR 1.44; 95%CI: 1.22–1.71). On the other hand, the indices of SDOH that were protective against having cancer were comprised of renting a home (OR 0.86; 95%CI: 0.79–0.93) and never married (OR 0.73; 95%CI: 0.65–0.81).ConclusionThis study offers a novel social dimension for the association between diabetes and cancer that could guide setting strategies for addressing social inequities in disease prevention and access to healthcare.