Aspira

Complementary and alternative medicine (CAM) is increasingly present in oncology, challenging the boundaries of conventional practice and raising important bioethical issues. This cross-sectional study investigated perceptions of the therapeutic value of CAM among 832 participants: 411 oncology patients and 421 healthcare professionals at a Croatian university hospital. Using validated CHBQ and IMAQ instruments, the results showed that patients’ expectations were significantly higher than those of physicians (p<0.001), particularly regarding psychophysical well-being (72.1%), immune system support (89.8%), and reduction of side effects (82.9%). Nurses occupied a middle position. These discrepancies reflect empirical differences and deeper ethical tensions between clinical authority and patient autonomy. CAM is a space where patients assert agency, seek meaning, and strive for holistic healing beyond biomedical reductionism. The findings underscore the need for ethical integration of evidence-based CAM into oncology care, supported by improved education and respectful dialogue. Supporting informed decision-making requires bridging epistemological gaps while respecting patients’ values.

Recientemente Luis Andrés Cucarella Galiana, catedrático de Derecho Procesal de la Universidad de Valencia, ha coordinado una obra de notable interés en el ámbito de la tutela de derechos humanos. El volumen, que presta una especial atención a la dimensión colectiva de la misma, examina numerosas cuestiones y desafíos a los que, tanto en el plano internacional como en el nacional, se enfrentan hoy las jurisdicciones que aspiran a dotar a los derechos humanos de una tutela integral y efectiva. A lo largo de ocho capítulos, académicos y profesionales jurídicos de Colombia, Ecuador, México y España abordan retos de importancia en la materia, tales como el desarrollo de nuevas esferas de investigación jurídica y herramientas de protección, las transformaciones actuales de la justicia, el avance del fenómeno globalizador y digitalizador, la igualdad real y efectiva entre mujeres y hombres o la protección de la naturaleza; y todo ello, como el propio título de la obra anuncia, desde el prisma de la consecución de una mayor justicia e integración social.

Bu çalışmanın amacı üniversite öğrencilerinin görüşlerine göre dijital okuryazarlık, çevrim içi öğrenme ve akademik isteklilik arasındaki ilişkileri incelemektir. Çalışmanın örneklemini 2020-2021 öğretim yılında Süleyman Demirel Üniversitesi’nde öğrenim gören 322 öğrenci oluşturmuştur. Çalışma verileri “Dijital Okuryazarlık Ölçeği”, “Çevrim içi Öğrenme Tutum Ölçeği” ve “Akademik İsteklilik Ölçeği” aracılığıyla toplanmıştır. Verilerin çözümlenmesinde betimsel analizler, Pearson Momentler korelasyon analizi, çoklu doğrusal regresyon analizi ve yol analizi uygulanmıştır. Bulgulara göre öğrencilerin dijital okuryazarlık algıları çevrim içi öğrenmeye yönelik tutumlarının ve akademik istekliliklerinin anlamlı bir yordayıcısıdır. Ayrıca öğrencilerin çevrim içi öğrenmeye yönelik tutumları da akademik isteklilikleri üzerinde anlamlı bir etki oluşturmuştur. Bunun yanında öğrencilerin dijital okuryazarlık algıları ile akademik isteklilikleri arasında çevrim içi öğrenmeye yönelik tutumun aracılık rolü oynadığı saptanmıştır. Çalışma sonucunda öğrencilerin dijital okuryazarlık ve çevrim içi öğrenmeye yönelik tutumlarının öğrencilerin akademik isteklilikleri üzerinde etki gösteren önemli birer değişken oldukları tespit edilmiştir. Bulgular doğrultusunda üniversitelerde çevrim içi öğrenme ortamlarının yaygınlaştırılmasına, öğrencilerin ve öğretim elemanlarının dijital okuryazarlık düzeylerinin artırılmasına ve öğretim elemanlarının teknoloji tabanlı ders içeriği hazırlama ve sunumu konusunda yeterliliklerinin geliştirilmesine yönelik tedbirlerin alınması önerilmektedir.

В статье рассматривается проблема использования спортивных мероприятий в качестве инструмента политического давления, развитие взаимоотношений СССР и США в конце 1970х начале 1980х годов. The article concerns the questions of considering sports events as a lever of political pressure as well as evolution of political relationships between USSR and USA at the end of 1970 beginning of 1980.

The main objective of this research work is to demonstrate the technical, economic and social feasibility of installing a hemodialysis center without reuse of dialyzers for patients with stage 5 chronic kidney disease in the city of Lima, with the aim of increasing the offer of the service, improve and prolong the quality of life of the patients, as well as improve their employability.
\nThe methodology used corresponds to the preparation of a pre-feasibility study, which fundamentally demonstrated the existence of an objective market, it was identified that the optimal location for the installation of the center, the social impact of the project was determined and its economic and financial profitability.

Investigate short-term effects of power brushing following experimental induction of biofilm overgrowth in periodontal disease states. Overall, 175 subjects representing each of five biofilm-gingival interface (BGI) periodontal groups were enrolled in a single-blind, randomized study. After stent-induced biofilm overgrowth for 21days subjects received either a manual or a power toothbrush to use during a 4weeks resolution phase. At baseline and during induction and resolution, standard clinical parameters were measured. Subclinical parameters included multikine analysis of 13 salivary biomarkers and 16s Human Oral Microbe Identification Microarray (HOMIM) probe analysis of subgingival plaque samples. All groups exhibited significantly greater reductions in bleeding on probing (BOP) (p=0.002), gingival index (GI) (p=0.0007), pocket depth (PD) (p=0.04) and plaque index (p=0.001) with power brushing compared to manual. When BGI groups were combined to form a shallow PD (PD≤3mm) and a deep PD group (PD>4mm) power brushing reduced BOP and GI in subjects with both pocket depths. Power brushing significantly reduced IL-1β levels at resolution while changes in bacterial levels showed non-significant trends between both brushing modalities. Short-term changes in select clinical parameters and subclinical salivary biomarkers may be useful in assessing efficacy of power brushing interventions in a spectrum of periodontal disease states.

Objectives: The majority of the pathologic structures which are seen in the oral and maxillofacial region are either cystic or tend to show cystic changes. They may have not specific clinical and radiographic findings. Therefore, it is difficult to differentiate these lesions preoperatively. For this purpose, in this research, the value of fine-needle aspiration cytology (FNAC) in preoperative diagnosis was investigated by comparing with the postoperative histopathologic diagnosis.

Abstract Following the general formalism reviewed in [10] we present several examples of possible D3‐brane configurations on four‐dimensional generalized Kähler geometries. We will discuss T‐duality transformations in 𝒩 = 2 boundary superspace and apply the duality transformations to the constructed D3‐branes. The duality transformations lead to a systematic method to construct coisotropic branes, even on target spaces that are not hyper‐Kähler.