The possibility of preoperative prediction of pathologic complete response in rectal cancer has been studied in order to identify patients who would respond to neoadjuvant therapy and to individualize therapeutic strategies. Endoscopic ultrasound of the rectum is an accurate method for the evaluation of local tumor and lymph node invasion. Objective: To evaluate the potential of endoscopic ultrasound as a predictor of complete pathological response to neoadjuvant treatment in patients with locally advanced rectal cancer. Material and methods: Retrospective study of patients with rectal cancer from January 2014 to December 2016. Results: We obtained a statistical association between T stage by endoscopic ultrasound and complete pathological response (p = 0.015). It is not so for N, sphincter involvement, circumferential involvement and maximum tumor thickness (p = 0.723, p = 0.510, p = 0.233 and p = 0.114, respectively). When multivariate logistic regression analysis was applied to assess the degree of influence of the predictor variables on pathologic response, none of these variables was associated with complete pathologic response. Conclusion: Prediction of pathologic complete response in rectal cancer has been considered as the crucial point upon which treatments for rectal cancer could be individualized. So far, no imaging method has been able to demonstrate efficacy in predicting complete pathologic response, and in turn there is no direct association between any endosonographic finding that can accurately predict it.
This study aims to predict whether university students will make efficient use of Artificial Intelligence (AI) in the coming years, using a statistical analysis that predicts the outcome of a binary dependent variable (in this case, the efficient use of AI). Several independent variables, such as digital skills management or the use of Chat GPT, are considered.The results obtained allow us to know that inefficient use is linked to the lack of digital skills or age, among other factors, whereas Social Sciences students have the least probability of using Chat GPT efficiently, and the youngest students are the ones who make the worst use of AI.
As Saudi Arabia embarks upon a transformative economic journey under the umbrella of its Vision 2030 and National Transformation Plan, the Saudi government plans to implement various initiatives to engage the private sector in meeting new national development goals, including the provision of 1600 schools through the public-private partnership (PPP) route. This article provides an international outlook and review of the use of PPPs to deliver school infrastructure and analyzes Saudi Arabia’s potential to implement this promising program. Effective use of the PPP model can guarantee the timely provision of schools and other infrastructure projects that could fulfill the vision of Saudi Arabia’s political leadership, potentially serving as a catalyst and blueprint for other Gulf states. The case study argues that, while Saudi Arabia’s schools’ program enjoys significant political support, its government needs simultaneously to pursue the parallel objective of developing the necessary institutional, legal, regulatory, and supervisory frameworks essential for successful PPP projects globally. The article concludes with recommendations to mitigate existing challenges and foster the involvement of the private sector in education sector development.
In the domains of geological study, natural resource exploitation, geological hazards, sustainable development, and environmental management, lithological mapping holds significant importance. Conventional approaches to lithological mapping sometimes entail considerable effort and difficulties, especially in geographically isolated or inaccessible regions. Incorporating geological surveys and satellite data is a powerful approach that can be effectively employed for lithological mapping. During this process, contemporary RS-enhancing methodologies demonstrate a remarkable proficiency in identifying complex patterns and attributes within the data, hence facilitating the classification of diverse lithological entities. The primary objective of this study is to ascertain the lithological units present in the western section of the Sohag region. This objective will be achieved by integrating Landsat ETM+ satellite imagery and field observations. To achieve our objectives, we employed many methodologies, including the true and false color composition (FCC&TCC), the minimal noise fraction (MNF), principal component analysis (PCA), decoration stretch (DS), and independent component analysis (ICA). Our findings from the field investigation and the data presented offer compelling evidence that the distinct lithological units can be effectively distinguished. A recently introduced geology map has been incorporated within the research area. The sequence of formations depicted in this map is as follows: Thebes, Drunka, Katkut, Abu Retag, Issawia, Armant, Qena, Abbassia, and Dandara. Implementing this integrated technique enhances our comprehension of geological units and their impacts on urban development in the area. Based on the new geologic map of the study area, geologists can improve urban development in the regions by detecting building materials “aggregates”. This underscores the significance and potential of our research in the context of urban development.
This research aims to explain the management of the Cekungan Bandung Urban Area with a focus on three policy formulations, namely process, content and context in the social, environmental and economic dimensions. The research method used is a qualitative approach. Data collection techniques include observation and interviews with stakeholders, using purposive sampling techniques, including the Head of West Java Province Regional Development Planning Agency, district/city Bappeda heads, planners (Badan Perencanaan Dan Pembangunan Daerah, Bappeda), Regional People`s Representative Assembly (Dewan Perwakilan Rakyat Daerah, DPRD members), Legal Bureau and Collaboration Bureau Heads in West Java Province, and Academic Manuscript Compiler. Due to the absence of comfortable, safe, and punctual public transportation, people continue to use private vehicles, leading to unresolved traffic congestion and environmental pollution, thus resulting in economic losses. The results show the formulation of policies for managing the urban area of the Cekungan Bandung, specifically the establishment of BP Cek ban, faced challenges due to a lack of authority in managing financial and human resources. The agency couldn’t execute programs or activities and implement the development due to limitations in legal authority over state finances. Alternative policies were not effectively synchronized between government levels and lacked legislative support, hindered by regional autonomy. The contribution of the research is as reference material for the government in formulating management policies for the Cekubgan Bandung urban area.
In the 21st century, brand communication has been significantly transformed through the interaction of users and artificial intelligence (AI), who co-create and recreate texts in digital environments. This evolution challenges traditional disciplines and roles, opening new perspectives for textual production on multiple platforms. The study examines the current state and application of the textual component in brand communication, exploring its disciplinary foundations, rhetorical traces, and research methodologies. To this end, a content analysis of 97 relevant publications from 2000 to 2024 was conducted, selected for their impact on the field of brand communication and following the guidelines established in the PRISMA statement. The results identified three sources of textual creation: Organization, users and algorithms. In addition, persuasion and sentiment take precedence at the rhetorical level, while data mining stands out in message analysis. In conclusion, the advertising text, which previously prevailed in brand communication with corporate authorship, formal prefiguration and a closed entity, now expands in a media and networked context. This text originates from a multiplicity of human and automated sources, overlapping rhetorical phases and fluid textualities. The shift implies a transition from unidirectional communication, characterized by repeated impacts, to multidirectional communication with spiraling trajectories and iterative adjustments. This challenges the boundaries of genres and formats, merging the persuasiveness of rhetoric and the imagination of storytelling. This situation demands commercial policies that integrate new professionals and roles, in partnership with the educational sector, and that address copyright with AI and users.
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