bluuebunny/crossref_metadata_2025 huggingface dataset:
Serial Kasus: Perdarahan dan Transfusi Masif pada Plasenta Akreta
Authors: Fadinie Wulan , Uyun Yusmein
Published: March 2023

Placenta Accreta Spectrum (PAS) adalah gangguan pertumbuhan plasenta yang menyimpang di dinding rahim, penyebab utama perdarahan peripartum dan kematian ibu. Anestesi neuraksial paling sering digunakan, tetapi bila invasinya sudah tinggi dinilai dari Placenta Accreta Index Score (PAIS), maka anestesi umum adalah pilihan yang lebih baik. Plasenta akreta memiliki risiko tinggi untuk pendarahan intraoperatif oleh karena itu persiapan darah dan protokol transfusi masif sangat penting. Empat pasien dengan plasenta akreta menjalani seksio sesarea, terjadi perdarahan masif dan dilakukan protokol transfusi masif. Histerektomi intraoperatif dilakukan pada tiga pasien, sedangkan pada satu pasien lainnya terjadi adhesi plasenta ke abdomen karena kehamilan intraabdominal. Pembiusan dilakukan dengan teknik anestesi umum pada satu pasien, tetapi pada tiga pasien lainnya dimulai dengan anestesi epidural dengan perubahan menjadi anestesi umum intraoperatif karena hemodinamik tidak stabil akibat perdarahan dan pada keempat pasien dipasang alat monitoring invasif. Pascaoperasi dipindahkan ke Surgical Intensive Care Unit (SICU), tidak ada reaksi transfusi ataupun kematian ibu. Protokol transfusi masif penting dalam penanganan perdarahan masif, persiapan darah serta perhitungan jumlah perdarahan intraoperatif menjadi faktor yang penting. Kapan dilakukan histerektomi juga membuat perbedaan untuk jumlah perdarahan. Perubahan teknik anestesi dari regional ke umum harus dilakukan untuk menjaga kestabilan hemodinamik dan menjamin oksigenasi agar memberikan hasil yang baik serta masa rawatan pascaoperasi di SICU yang lebih singkat. Keberhasilan penatalaksanaan plasenta akreta dengan perdarahan masif merupakan hasil dari manajemen perioperatif yang tepat, persiapan yang matang dan kerja sama antar disiplin ilmu yang baik.
Worldwide Fiscal Progressivity: What can we Learn from Subjective Wellbeing Economics?
Authors: Ruíz Guillermo Angela , Gómez García Francisco , Palma Martos Luis
Published: March 2023

The link between fiscal progressivity and subjective well-being at global level is an issue that has hardly been considered in the literature on the Economics of Happiness. Oishi et al. (2012) is almost the only work in this field, and they concluded that those countries which had more progressive income tax systems were also happier. Our work use their definition of progressivity as the difference between the upper and lower marginal rate on income, in order to prove its relationship with subjective well-being (SWB), but we have observed that such indicator is not very significant for a sample of 111 countries. Besides, we conclude that the fact that a country's maximum income tax rate is high turns out to have a strong influence on the declared subjective well-being of its citizens. One possible explanation for it could be that they are countries with a high GDP per capita in which disposable income after taxes remains high. However, it must be taken into account that in our work we have managed to isolate the influences that the GDP per capita variable could have using the principal component analysis method.
The Impact of Business Intelligence and Analytics Adoption on Decision Making Effectiveness and Managerial Work Performance
Authors: Hurbean Luminița , Militaru Florin , Muntean Mihaela , Danaiata Doina
Published: March 2023

Business Intelligence and Analytics systems have the capability to enable organizations to better comprehend their business and to increase the quality of managerial decisions, and consequently improve their performance. Recently, organizations have embraced the idea that data becomes a core asset, and this belief also changes the culture of the organization; data and analytics now determine a data-driven culture, which makes way for more effective data-driven decisions. To the best of our knowledge, there are few studies that investigate the effects of BI&A adoption on individual decision-making effectiveness and managerial work performance. This paper aims to contribute to bridging this gap by providing a research model that examines the relationship between BI&A adoption and manager’s decision-making effectiveness and then his individual work performance. The research model also theorizes that a data-driven culture promotes the BI&A adoption in the organization. Using specific control variables, we also expect to observe differences between different departments and managerial positions, which will provide practical implications for companies that work on BI&A adoption.
Financial Performance - Organizational Sustainability Relationship. Literature Review
Authors: Neacșu Mihaela , Georgescu Iuliana Eugenia
Published: March 2023

Organizational sustainability efforts focus on three main areas: people, profit, and the environment (Elkington, 1998). With an increasing emphasis on sustainable development, economic entities are concerned with achieving long-term performance, the capacity to create value and to meet the needs of interest groups (investors, employees, customers, communities, local development), but also on the development, promotion and implementation of concrete actions for environmental protection. This study aims to identify the current stage of the relationship between sustainable development and financial performance, in order to identify key elements, trends and research gaps. Based on these considerations, we performed a quantitative analysis of a sample of 62 articles from 3 databases (ScienceDirect, Scopus and Web of Science), which we subsequently studied qualitatively.
The Impact of Environmental Effects of Sustainable Development on Direct Investments
Authors: Onofrei Mihaela , Siriteanu Adelina-Andreea , Doacă Erika-Maria
Published: March 2023

On the background of the exponential decrease of natural resources and the continuous and accentuated degradation of the quality of the environment, ensuring the sustainability of economic and social processes has become a reality of everyday life. However, the primary focus is on the degradation of the quality of the environment, which has the main effect of global warming. The idea of sustainable development is based on 3 fundamental pillars, namely the economic, the social and last but not least the environmental. In contemporary society, direct investment is often seen as a vital source for development and even sustainable development. Thus, the desire for development must go hand in hand with sustainable development, implicitly with the quality of the surrounding environment. At the level of the European Union, it is important that all member countries implement common measures on sustainable development. This is the generous context in which the paper aims to analyse the impact of environmental effects in the volume of direct investments. We will analyse the countries of European country in the period 2004-2020, and we will use the Stata program. Thus, following the running of the multiple regression equation, we found that in attracting direct investments in European country in the period 2004-2020, the environmental effects have a positive influence.
The Buried Grammar of Racial Injustice and the Pedagogical Practices for Unearthing it
Authors: Myskow Gordon
Published: March 2023

Racially problematic views are not typically inscribed explicitly on the surface of pedagogic texts as positively/negatively charged lexical choices (evaluations). Instead, they are often construed covertly through grammatical choices of authors. Developing students’ ability to interrogate their pedagogic texts for underlying assumptions about race requires deliberate instructional attention and appropriate conceptual tools. Systemic Functional Linguistics, with its fine-grained analytical tools, is well-suited for digging into texts and mining underlying ideologies. Drawing on insights from systemic functional grammar, this paper presents a series of six practical grammatical analysis activities. A key takeaway from the chapter is that although the materials analyzed in it are advanced, grammatical analysis need not be overly challenging for learners. The often highly-developed grammatical metalanguage that many learners in the Japanese EFL context already possess can be a valuable scaffolding resource for helping them understand not just what English grammar is, but what it does.
‘Woke’ Up!: An Ongoing Journey of Teaching for Social Justice
Authors: Ellis Michael
Published: March 2023

In this chapter, the author provides a narrative account of his slow but transformative progression from a teacher who avoided confronting issues related to social justice in his classroom to one who does not shy away from tackling them. In particular, he focuses on two units which he taught to EFL learners in a private high school in western Tokyo, one about gender identity and sexual orientation, and one about racial equity. The goal of both units was to expose students within their greater EFL curriculum to issues which affect vulnerable minority populations, and to challenge them to become more inclusive and accepting individuals. In this chapter, he explains the rationale and methods of the units and summarizes student learning outcomes. By contextualizing these units in his teacher development path and sharing the lessons he has learned, he hopes to offer encouragement to other teachers interested in engaging in similar content.
Equity in ELT Japan: Learning through Transparency
Authors: McCandie Tanja , Smith Eleanor , Clark Gretchen , Taylor Jaime
Published: March 2023

In this chapter, the authors outline the formation and advocacy efforts of Equity ELT Japan. Created in 2018 in response to female underrepresentation at ELT conferences in Japan, the group functioned as an online directory of women in ELT and their fields of expertise for use by organizations wishing to promote gender parity while planning events. As the site grew, so did awareness of other groups often dismissed or systematically underrepresented in ELT circles. Equity ELT Japan created an online forum showcasing presentations and workshops by and for those frequently overlooked while simultaneously creating space to learn. The event highlighted the extent to which native-speakerism, racism, sexism, ableism, and heterosexism prevail in ELT, how a lack of consciousness of these issues persists, and how many individuals operating in the field may not have been aware of their own agency and opportunities for empowerment. The event also brought about a realization of the authors’ own positionality and privilege.
The ‘Half-Visible’ Teacher: Experiences of a Hong Kong Canadian English Teacher in Japan
Authors: Lee Jackson Koon Yat
Published: March 2023

In English education in Japan, there has been a historical tendency to view foreign teachers of a specific race and/or ethnicity favorably as representatives of the target language and culture, regardless of their individual ability to teach. These discriminatory biases have unfortunately hindered other groups of teachers from fully embracing their identity, sometimes resulting in self-perceptions synonymous with the phenomenon of impostor syndrome. In this chapter, the author adopts an autoethnographic approach to illustrate his professional experiences as a Hong Kong Canadian through different stages of his English teaching career in Japan which include team teaching, English conversation schools, and university teaching. It demonstrates how the clash between his identity as a non-Japanese Asian teacher and the idealized image of the native English-speaking teacher in Japan had haunted him during each stage of his career. The latter sections of the chapter focus on the conclusions reached by the author after almost a decade of struggling with these identity complexes, as well as suggestions for changes and actions to positively move forward from these complexes and contribute meaningfully to society.
Outsider Teachers? Filipino Teachers’ Reflections on English Teaching and Raising Intercultural Awareness in Japan
Authors: Okada Tricia
Published: March 2023

The issues of Filipino teachers, other so-called ‘nonnative’ English language speaking teachers (NNESTs), and native-speakerism in Japan have recently become commonly researched themes. Through analyzing open-ended questionnaires and interview data, the author presents a conceptual frame to examine the intersectionality of race, identity, and teaching ability by describing how participants—without initially having any English language teaching background—present their pedagogical approaches and perceive their agency. She draws from Makris’s definition of outsider teachers, or those who may have roles that are more contextually dependent than static, but may also possess “insider” characteristics. By exploring this notion of outsider teachers, Okada contends that Filipinos who become English teachers negotiate these roles in a myriad of ways.
Rate of Consanguineous Marriages in Afghan Society and Its Effects on Health
Authors: Pameer Aamir Khan
Published: March 2023

Purpose: This study exposes the rate of consanguineous marriages in afghan population and its effects on the health of their children.

Methodology: A questionnaire was designed to collect the data. A total of 2300 respondents were asked about their socio-demographic and attitude towards consanguineous marriages in which 2201 responded according to criteria. The paper describes the quantitative and qualitative types of surveys, which include field observations and doctor interviews for various positions in private and public health organizations. The target population was the Afghan Community as a whole in Afghanistan.

Findings: By stratified sampling, the respondents highlighted that 69% married people have Paternal and maternal relationship with their partners, among which 47.4% and 33.9% have Paternal and maternal relations respectively. The data analysis exhibits that 20.1% of consanguineous couples mention that their Children have different types of congenital health defects like mental retardation, limb anomalies, stillbirth, recurrent abortion, thalassemia, albinism, cardiovascular, metabolic disorder, dental anomalies, and physical and mental disabilities.  Consanguineous marriage was preferred by 66% of Afghans, while 33% of Afghans were not interested in consanguineous marriage. Big families' trend is commonly a sign of pride and honor in the Afghan community.  Therefore, consanguineous marriages are widely practiced in afghan population.

Unique Contribution to Theory, Policy and Practices: Genetics studies have recognized "consanguinity" as one of the major causes of hereditary diseases. The occurrence of congenital abnormalities, mental retardations, and physical disabilities was noted in the offspring of consanguineous couples; thus, it will be helpful to understand consanguinity as a risky practice in Afghan society.
Differences in the labor market by gender and aggregate income
Authors: Mascarúa Miguel
Published: March 2023

What are the effects on aggregate income of frictions in the labor market that affect women's participation and occupational choices? First, I develop an occupational general equilibrium model with heterogeneous agents that face gender-based idiosyncratic distortions. Second, I extend the model to include an endogenous distribution of formal and informal establishments to closely follow the distribution of Mexican establishments. Third, I use INEGI's National Survey of Occupation and Employment to calibrate the model and quantify gender-based frictions in the labor market in states and regions of Mexico and their effect on aggregate income. I find that aggregate income would increase, on average, by 4.3% without women's frictions to entrepreneurship and by 32.1% without frictions to entry and entrepreneurship.
Mechanistic Insight into Al-Zn, Mg, and Al-Mg-Rich Primer Design for Enhanced Cathodic Prevention on Sensitized Al-Mg Alloys
Authors: McMahon M.E. , Korjenic A. , Burns J.T. , Scully J.R.
Published: March 2023

Three Al-Zn, Mg, and Mg/Al-rich primers (RPs) were evaluated for their ability to suppress intergranular corrosion (IGC) and intergranular stress corrosion cracking (IG-SCC) on highly sensitized aluminum alloy 5456-H116 by sacrificial anode-based cathodic prevention and chemical deposition effects. Tests were conducted in a 0.6 M NaCl solution under full immersion. These evaluations considered the ability of the primer to attain an intermediate open-circuit potential (OCP) such that the galvanic couple potential with bare 5456 resided outside a range of potentials where IGC prevention is observed. The ability of the primer to achieve OCP’s negative enough so that the 5456-H116 could be protected by sacrificial anode-based cathodic prevention and the ability to sustain this function over time were evaluated. The primers consisted of epoxy resins embedded with either (1) spherical Al-5 wt% Zn, (2) spherical Al-5 wt% Zn and spherical Mg, or (3) Mg flake pigments. A variety of electrochemical techniques evaluated the performance specified including OCP, electrochemical impedance spectroscopy, diagnostic cycle testing, as well as zero resistance ammeter tests with simultaneous pH measurement. Electrochemical cycle testing demonstrated that Al-5%Zn did not activate or provide cathodic prevention. Mg-RP had a suitable OCP for cathodic protection of 5456 but the time to primer activation as well as the activated potential both decreased upon utilization of Mg flake content in the primer. The pure Mg-RP activated quickly but ceased to achieve protective potentials after 1 to 11 cycles of DC/AC/OCP cycle testing. Cross-sectional analysis demonstrated that some flakes dissolved while uniform surface oxidation occurred on the remaining Mg flakes, which in combination led to impaired activation. The composite Mg plus Al/Zn-RP mixed primer maintained a suitably negative OCP over time, remained activated, dispensed high anodic charge, and remained an anode in zero-resistance ammeter testing. Chemical stability modeling and zero-resistance ammeter testing suggest that Mg corrosion elevates the pH which activates the Al-5 wt% Zn pigments, thereby providing a secondary pathway for sacrificial anode-based cathodic protection which supports the long-lasting cathodic protection achieved by the Al-5 wt% Zn/Mg primer. These analyses set a baseline for the consideration of Al-Zn/Mg-based coatings to establish effective cathodic protection on highly sensitized 5456-H116 in an aggressive alternate immersion environment and illustrate the merit of using Al/Mg-RP.
Antimicrobial activity of Curcuma longa Along with its Total Polyphenolic and Curcuminoid Content
Authors:   The Himalaya Drug Company,Sahranpur Road Dehradun,UK, India, Chhimwal Suman Lata , Chandra Sonakshi ,   The Himalaya Drug Company,Sahranpur Road Dehradun,UK, India, Gupta Nilesh ,   Department of Biotechnology IILM College of Engineering and Technology, Gr. Noida (201306) U.P., India
Published: March 2023

Abstract-Turmeric or Haldi, a spice derived from the rhizomes of the plant Curcuma Longa. Curcuma longa is a member of the Zingiberaceae family or the ginger family. The bright yellow color of turmeric comes mainly from compounds known as Curcuminoids. Curcuminoid is a group of fat-soluble polyphenolic compounds includes curcumin, desmethoxycurcumin, and bisdemethoxycurcumin. Curcumin is the primary curcuminoid in turmeric, it has powerful anti-inflammatory effects and is a very strong antioxidant and is approximately 77% of the curcuminoid content. Turmeric is also a source of polyphenols, which is a category of plant compounds that offers various health benefits. They can act as antioxidants, meaning they can neutralize harmful free radicals that would otherwise damage cells, regularly consuming polyphenols is thought to boost digestion and brain health, as well as protect against heart disease, type 2 diabetes, and even certain cancers. Plants show medicinal properties because of the phytochemical present in them. In order to extract these essential phytochemicals out of the rhizomes of turmeric, Acetone, Methanol, Ethanol, and Chloroform solvents were used and further analysis were done by Qualitative Phytochemical Screening, Analysis of Polyphenolic component using UV-Visible Spectrophotometer, analysis of curcuminoid content using HPLC (High-Performance Liquid Chromatography) and anti-microbial testing via well diffusion method on S.aureus (Gram +ve) and E.coli (Gram -ve).
Comparative Study on Antimicrobial Activities of Ziziphus jujube and Ziziphus nummularia Fruits Extract
Authors:   QA/QC Department, Himalaya Wellness Company,  Faridabad Haryana India, Beg Mirza Azim , Ali Ragib
Published: March 2023

detecting the phytochemicals and evaluating comparative antimicrobial activities of Ziziphusjujuba, and Z. Nummulariafruits extract known for their medicinal properties in folk medicine. The comparative assessment of antifungal activity was performed in terms of percentage of radial on solid medium (potatoes dextrose agar PDA) against Aspergillus flavus, M.gypseum, T. flavurus clem and Penicillium expansum. The antibacterial effect was studied by the agar direct contact method using Staphylococcus aureus, Pseudomonas aeruginosa B.cereus, B.pumilus, M. luteus and Escherichia col strains. The results revealed that the methanolic extract and the acetonic extract exhibited significant antimicrobial activity of concentration of 100-500 µg/ml against tested organisms respectively.
HEXACO personality factors as predictors of physical activity, resting heart rate, body mass index, and healthy lifestyle behaviors
Authors: Anderson Jonathan , Bloom Myra , Broshous Wyatt , Chen Gladys , Jost Scarlet , Lang Andrew , Neto Luiz , Mankin Nancy , McMahan Ericka , Merheb Jonathan , Nelson Philip , Valderrama-Araya Enrique
Published: March 2023

Background

Personality traits are known factors that may influence levels of physical activity and other healthy lifestyle measures and behaviors that ultimately lead to health problems later in life.

Participants and procedure

The aim of this study was to examine the association between personality traits (HEXACO) and levels of physical activity and resting heart rate (RHR) – measured using Fitbits, BMI, and a self-reported whole-person healthy lifestyle score for N = 2580 college students. Data were collected and analyzed for students enrolled in a University Success type course from August 2017 to May 2021. The relationships between HEXACO personality traits and various physical activity and healthy lifestyle behaviors were analyzed by building several multiple regression models using R version 4.0.2.

Results

In general, students who are extraverted were more physically active and students who are more open to experience had a higher RHR, even when controlling for gender. Females and males however had different profiles as to how personality influenced physical activity and other health-related measures. Male extraverts with high negative emotionality scores tend to be more physically active, whereas females tend to be more physically active when they were high in extroversion and conscientiousness, and low in openness to experience. BMI values were higher for female participants with high honesty-humility and low agreeableness and conscientiousness scores. Females also had a lower RHR for high honesty-humility and emotionality and low conscientiousness scores.

Conclusions

Personality can influence levels of physical activity, RHR, and BMI. This is especially true of women. Being aware of one’s personality and the relationship of personality traits to levels of physical activity and other measures of leading a healthy lifestyle can be beneficial in determining strategies to improve long-term health outcomes.
Demographic factors, personality, and executive functions as predictors of procrastination
in Polish and Ukrainian youth
Authors: Markiewicz Katarzyna , Oryshchyn-Buzhdyhan Lidiya
Published: March 2023

Background

Procrastination is an irrational and unproductive behavior that disrupts psychological well-being and the quality of interper-sonal relationships. The study aimed to determine the differences between Polish and Ukrainian youth in procrastinating and establish personality and executive functions as predictors of procrastination. Also, cultural differences were taken into account.

Participants and procedure

It included 180 students (86 females and 94 males) aged 12 to 17; 84 lived in Lublin, Poland, while 96 lived in Lviv, Ukraine. The Pure Procrastination Scale, Ten Item Personality Inventory, and Comprehensive Executive Function Inventory were used.

Results

There were no significant differences in the level of procrastination between the whole Polish and Ukrainian groups, but age was an important predictor of procrastination. Gender was not a differentiating factor within the Polish or Ukrainian group. The most stable negative set of predictors of procrastination appeared to be age, agreeableness, and inhibitory control. These traits can be helpful in dealing with procrastination tendencies.

Conclusions

Our research shows that an ability to control procrastination depends more on predispositions related to personality traits than on executive function improvement linked to the maturation of the frontal lobes. Combining the demographic, person-ality, and executive variables showed that students in the older age groups were more resistant to procrastination.
Comparison of the effectiveness of electrolysis and microelectrolysis in the treatment of musculoskeletal pain: a systematic review
Authors: de la Barra Ortiz Hernán Andrés , Castillo Rodrigo Chandía , Zarraonandia Megan Denton , Cáceres Isadora Ruiz , Ramírez Vania Rojas
Published: March 2023

Introduction

Musculoskeletal pain (MSP) is a frequent reason for consultation; its high prevalence is a concern. Recently, different electrolysis modalities have appeared to reduce MSP, although studies supporting their use and comparing them are limited. This study compared the effectiveness of electrolysis modalities in MSP treatment.

Methods

The PubMed, Scopus, Web of Science, CINAHL, and ScienceDirect electronic databases were searched for randomized clinical trials (RCTs) (last update: September 4, 2020). Three independent researchers reviewed titles and abstracts to determine article eligibility. Risk of bias and quality were assessed with the Cochrane risk of bias tool and the PEDro scale. Pain reduction was the main outcome and changes in range of motion or disability/functionality constituted secondary results.

Results

Overall, 15 RCTs were obtained after eliminating duplicates and applying the selection criteria. Musculoskeletal conditions treated with electrolysis or microelectrolysis included myofascial pain (n = 3), patellar tendinopathy (n = 2), plantar fasciitis (n = 2), pubalgia (n = 1), subacromial impingement (n = 3), epicondylitis (n = 1), calcaneal tendinopathy (n = 2), and whiplash syndrome (n = 1). The studies had a low risk of bias and an average PEDro score of 9. They revealed pain reduction for electrolysis and microelectrolysis at the end of treatment and follow-up evaluations (p < 0.005), and functionality improvement for all experimental groups (p < 0.005).

Conclusions

Electrolysis and microelectrolysis treatments reduce pain and improve functionality in MSP conditions. Although both techniques are effective, comparative studies are suggested to determine therapeutic differences and user preferences.
Spontaneous Resolution of Lower Extremity Hypoperfusion in Type B Aortic Dissection: A Case Report
Authors: Duman Zihni Mert , Bayram Muhammed , Timur Barış , Aydın Sinem , Memiç Sancar Kadriye , Yıldız Mustafa
Published: March 2023

Lower extremity hypoperfusion occurs in 5.7-30% of Stanford type B aortic dissection cases. A 53-year-old male patient presented with type B aortic dissection. His left femoral pulse was not palpable. The proximal left common iliac artery was nearly occluded in computed tomography angiography. There was no extremitythreatening rest pain, but there was intermittent claudication at 100 meters. Cross femoral bypass was planned for the patient under elective conditions. After two months, the left femoral pulse was palpable, and the patient no longer had intermittent claudication. In this study, we report that lower extremity hypoperfusion, which developed after acute type B aortic dissection resolved without open and endovascular surgery.
The Effect of Conventional and Distal Radial Access Techniques on Radial Artery Structure and Vascular Functions
Authors: Özkan Can , Kızıltunç Emrullah , Çayhan Velihan , Yakıcı İlyas Emre , Çetin Mustafa , Korkmaz Ahmet , Doğanay Birsen , Örnek Ender
Published: March 2023

Introduction: To compare radial artery (RA) diameters, intima-media thickness (IMT), and vascular functions before and after conventional and distal RA cannulation. It has been proposed that distal transradial (DTRA) cannulation can reduce RA complications. However, there has been no comparative study examining the effects of DTR and conventional transradial (CTRA) intervention on RA structure and function.

Patients and Methods: Radial artery diameter, IMT, flow-mediated vasodilation (FMD) response were measured using conventional and Doppler RA ultrasonography before, and one day and one month after the procedure in patients who underwent CTRA or DTRA.

Results: While baseline and first-day IMT values were similar between the groups, first-month IMT values in the CTRA group were found to be significantly increased compared to those in the DTRA group (CTRA= 0.39 ± 0.10 mm, DTRA= 0.32 ± 0.07 mm, p= 0.016). While proximal RA occlusion developed in three patients who underwent CTRA, it did not develop in any of the patients undergoing DTRA (p= 0.072).

Conclusion: In patients who underwent CTRA, RA IMT increased significantly in the first month after the procedure, compared to patients who underwent DTRA. Proximal RAO was not observed in any of the patients who underwent DTRA.
When Should the Sternum Be Closed After Aortic Surgery?
Authors: Başar Veysel , Yiğit Fatih , Jafarov Fariz , Sunar Hasan
Published: March 2023

Introduction: There are many factors affecting postoperative morbidity and mortality in patients managed with delayed sternal closure (DSC) after aortic surgery. This study aimed to examine the postoperative management of patients after DSC and the factors affecting morbidity and mortality.

Patients and Methods: Among 2151 patients who underwent ascending aorta and/or aortic valve surgery between January 2012 and December 2020, 64 patients managed with DSC were included in the study. The records of the patients were obtained from the hospital archive/hospital electronic database. Postoperative day 30 was determined as early mortality.

Results: Uncontrollable bleeding 34.4% (n= 22), LCOS (Low Cardiac Output Syndrome) 31.4% (n= 20) and mediastinal edema 28.1% (n= 18)were the main causes for DSC. In the remaining patients (6.3%, n= 4), DSC was preferred for other non-specific reasons such as uncontrollable arrhythmia. Forty-five patients’ chests (70.3%) were closed in the postoperative period, and 19 patients (29.7%) could not be closed due to death (p< 0.001). Early mortality was observed in 27 patients (42.2%), and sepsis was observed in 10 patients (15.6%). Deep sternal wound infection (DSWI) was present in 4.7% of the patients and the rate of sepsis was higher in this patient group (66.7%-13.1%, p< 0.05). There was no statistically significant difference in the probability of sepsis in the culture-positive patient group (p> 0.05). However, the closure time was longer in patients with a previous operation history, postoperative acute renal failure, surgical site infection, and postoperative bleeding revision/surgical revision (p< 0.05).

Conclusion: DSC can be preferred as a life-saving method for various reasons such as bleeding diathesis, mediastinal edema, and malignant arrhythmia after open-heart surgery. Accurate timing and close follow-up are important for sternal closure. In these patients, a multidisciplinary approach is required in the postoperative period.
Percutaneous Treatment of Massive Pneumoperitoneum Following Reintubation After Coronary Artery Bypass Surgery
Authors: Selçuk Arif , Erol Mehmet Emir , Özyalçın Sertan
Published: March 2023

The aim of this study is to present a percutaneous treatment option for a patient with massive pneumoperitoneum following intubation after coronary artery bypass surgery. After coronary artery bypass surgery, a 74-year-old woman had prolonged endotracheal intubation due to hypoxia associated with pneumonia. On postoperative day seven, she was reintubated with inadequate ventilation leading to hypercapnia due to blockage of the endotracheal tube. Shortly after intubation, the patient was hypotensive, tachycardic, and hypoxic. The breath sound was absent on the right hemithorax, and the abdomen was distended. The chest x-ray showed a right-sided tension pneumothorax. A chest tube was placed on suction to the right hemithorax immediately. The computed tomography scan showed a massive pneumoperitoneum without free fluid in the abdomen. Air evacuation from the peritoneum was performed using a 7 French percutaneous venous catheter and 50 cc syringe. As a practical technique to see air bubbles puffing out from the peritoneal cavity, we connected the sterile water-filled syringe to the line upwards. After the air evacuation, the abdomen was softened and non-distended. Arterial blood gas sample and peak airway pressure became normal. To avoid unnecessary surgical procedures, we need to recognize whether pneumoperitoneum is surgical or not. In non-surgical pneumoperitoneum, the less invasive air evacuation techniques may be faster, more practical, and as effective as placing an intraperitoneal tube or laparoscopy. The percutaneous drainage techniques should be tried as a first-line treatment in pneumoperitoneum without symptoms and signs of peritonitis.
PATTERN OF HEALTH SEEKING BEHAVIOR IN ELDERLY POPULATION
Authors: Acharya Anita , Adhikari Roshan , Bhusal Nirmal
Published: March 2023

Individuals have different opinion regarding willingness to seek help from health care services. Some go readily for treatment, others only when in great pain and in advance state of ill health.  Elderly people are more vulnerable group and have different factors influencing the health seeking behavior. The elderly people also have strong faith on the traditional healing systems. The review study yield information about health care seeking behavior of elderly people majority towards Modern medicine /Allopathy but still there are studies which found health care seeking behaviour elderly population significantly on traditional healing system. Apart from financial reasons the trend towards home remedies might be because of the traditional uses, cultural attachments and unavailability of nearest health centre. So there is definitely a need for establishment of provision of health care services of different systems for elderly population.

KEY WORDS: Health seeking behavior, Elderly Population, Traditional Medicine.
Chamber Art Expansion. Zdeněk Miler’s The Little Mole in the City as a Satire on Czechoslovakian Society of Normalization Times
Authors:   Russian State University for the Humanities, Vorotyntsev P.I.
Published: March 2023

Forty years ago, in 1982, the Czechoslovak cartoon The Little Mole in the City was released. The story of Little Mole and his friends (Hedgehog and Hare) who find themselves in a metropolis may be considered the most famous episode about Little Mole, a beloved character of Czech culture. This story is also well known in Russia, not only as a cartoon but also as a book. The tale has been reprinted in several editions in the Russian language. Z. Miler’s cartoon appeals both to the immediate realities of the times and to the broader context of Czech culture of popular laughter. A character, vulnerable and sometimes light-minded (e.g. Švejk, Jára Cimrman, characters in Menzel’s films) confronts a vast and unfriendly reality and sometimes faces real trouble (e.g. war in J. Hašek’s novel). The character’s grand purpose is not to overcome circumstances or turn the world upside down, but to preserve himself. The story of Little Mole blends smoothly into this cultural code. The episode The Little Mole in the City was created in the waning days of Czechoslovak socialism. Behind the outer, touching and fascinating plot of the characters’ urban odyssey, one can discern a rather poignant satire on the social order of those times. The author of the article tries to understand how the creators of the cartoon expose the foolish and senseless bureaucracy, narrow-minded officials, cruelty and the suffocating nature of the times, but most importantly, how they teach to maintain inner freedom in an unfree country.
Structural Features of Film Narrative in Chaplin’s Early Comedies
Authors:   Russian State University for the Humanities, Kolotaev V.A. , Ulybina E.V. ,   Russian Presidential Academy of National Economy and Public Administration
Published: March 2023

The article studies the original way of an action developing, building a narrative in the early films of Charlie Chaplin. Compared to traditional models of film narration in which there is a trajectory of the main character moving through the spatial boundaries of the worlds with a series of trials, losses / gains, and the final return of the renewed hero, the great comedian develops and implements a structure based on the character’s ability to annihilate when he enters an unusual world for him meanings and rules on which the familiar world of other characters, ordinary people, is based. Almost from the first independent works, Chaplin uses the theatrical technique of the quirky quo, the confusion that arose as a result of erroneous recognition, both to achieve a comic effect and for the tasks of film narration, in order to show the main feature of his hero — this is a person who always finds himself out of place, not having an identity. He either pretends to be someone else, or he is not taken for who he really is, and thus penetrates into a strange space for him, the laws of organization of which he undermines with ridiculous behavior, gags, bringing the norms to the point of absurdity, hoatizing the established order.
The Colours Composition in The Diamond Arm by Leonid Gaidai
Authors:   State Institute for Art Studies, Salnikova E.V.
Published: March 2023

The main motives of the colour composition of the film The Diamond Arm are discussed in the article. The variations of the blue and the semantics of the cold range of colours associated with the world of the main character, Senya Gorbunkov, his unconscious and his fears are analyzed. The development of the motif of pale, light colour shades that appear at moments of dramatic uncertainty, extreme tension and preparation for the upcoming climaxes is traced. Silver and metallic tones are assigned to the secret world of smugglers. The author notes that throughout the film a certain dialogue of cold colours and warm ochre-scarlet colour shades unfolds. At first separate “warm” details inside blue landscapes and “pale” interiors appear, then their spatial presence and energy are enhanced. Ochre and red shades accompany the phenomenon of “dark forces”, whether it is a Soviet house manager Varvara Sergeevna or smugglers. The main red scene of the film is the scene of failed seduction of an honest hero. Thus, the main colour of the revolution is recoded into the colour of eroticism, deception, violence, unfortune. The white colour in the film plays the part of a trickster, revealing ambivalent properties and constantly showing that the whole reality and the person in it are not like what they seem. The colour concept forms a kind of visual melody of the film, adding much more semantic overtones.
Apocalyptic Moods in J. Grandville’s Animalistic Caricature
Authors:   St. Petersburg State Institute of Culture, Efimova K.S.
Published: March 2023

J. Grandville’s ironic depictions of humanized animals were popular with French audiences, whose contemporaries and morals became the object of denunciation. The perennial tradition of comparing man and beast was accentuated in the 18th and 19th centuries as new scientific theories appeared. These theories called into question the primacy of man and relegated him to the animal class, thereby greatly complicating the philosophical discourse on the animal being, in which French artists were also involved. In Grandville’s caricature, the juxtaposition of civilization and natural savagery moved to another level, serving not only to play on the commonplaceness of fellow citizens, topical scientific statements and physiognomic studies, but also to channel apocalyptic moods. By creating an otherworldly, mirror image of the human world in his zoomorphic drawings, the master concealed behind humour the speculation about its collapse. Fatalism is perceived in the images of beasts that have replaced humans, have taken their place and have governed their state; in the incorrigibility of characters and patterns of behaviour (predator — prey); and in the physical destruction of the world. This is most fully expressed in the “Un Autre Monde” cycle, whose goal was the need to create a new universe to replace the obsolete globe. Despite the obvious tragedy of such a vision, Grandville presented a sense of doom and imperfection in the form of amusing anthropomorphic animals.
What Language Does the French “Musical Comedy” Speak? On Some Stylistic Experiments of the Legrand — Demy Tandem
Authors:   Rostropovich Nizhny Novgorod State Academic Philharmonic, Platonova O.A. ,   Glinka Nizhny Novgorod State Conservatoire
Published: March 2023

The article is devoted to analysing the stylistic dialogue in the music of Michel Legrand to three films by Jacques Demy: The Umbrellas of Cherbourg (1964), The Young Girls of Rochefort (1967), and Donkeyskin (1971) created in the genre of “comédie musicale” (musical comedy, musical). In the first part of the article the author examines the French sources of the American musical (from the comedy-ballet Le Bourgeois Gentilhomme by Moliere and Lully to the operettas by Jacques Offenbach), which allow us to comprehend the deep connection of the genre with the European art of the past and to understand the naturalness of the appeal to the idea of the musical by Demy and Legrand. The second part is an introduction to Jacques Demy’s creative method which is characterized by ambivalence, constant balancing between the auteur and mass cinema, between a realistic approach and theatricality. The third part is devoted to studying the origins of Michel Legrand’s stylistic experiments (on the one hand — serious academic education, training with Nadia Boulanger; on the other— work with world-class jazz musicians), as well as to analysing three layers: jazz (improvisation, the nature of arrangements and harmonies on the example of The Umbrellas of Cherbourg), romantic (the application of the features of the genre of piano concerto in The Young Girls of Rochefort) and baroque (the use of the principles of orchestration, polyphonic forms, rhetorical figures in the Donkeyskin). The author concludes that Legrand and Demy, along with Bernstein and Sondheim, Webber and Rice, marked with their creativity the overcoming of the musical genre crisis of 1940–1950s associated with a shortage of meaningful librettos, lower quality of vocal-symphonic material, and a shift to entertainment and visual appeal to the detriment of musical dramaturgy. Despite the immutability of the basis of a musical, the director and composer expanded understanding of the genre and gave it an elegant French accent.
Representation of Madness in Comedy Films and Television Series
Authors:   Saint Petersburg State University, Martynova D.O.
Published: March 2023

This article is devoted to analysing humorous strategies and concepts of mental illness representation in contemporary comedy films and television series. It is worth noting that such a study is relevant in Russian discourse, since in the Western scientific literature of the last decade there have been separate interdisciplinary discussions about visualizations of mental pathologies in comedy films. For instance, the comedy film Me, Myself and Irene (2000) and the posters advertising it were subjected to a detailed analysis through the prism of the concept of cultural contextualization of comic madness. Having described the strategies of mental illnesses representation in contemporary comedy films and television series, the author concludes that there is a tendency for a comic interpretation of mental illnesses. Humorous elements appear even in melodramas, thrillers or horror films (for example, in The Shining or in A Beautiful Mind). This, however, can be explained: humorous interpretation of severe ailments makes it easier for viewers to perceive this ambiguous theme. Meanwhile, such an interpretation stigmatizes a disease, making others laugh at the character but not with them. In this regard, in the last decade, comedy films and television series on the topic of mental pathologies have been trying to develop strategies to combat stigmatization and trivialization of psychopathologies. As a result, the attempt to overcome the stigma in the context of visualization of mental pathologies has led to another, more global problem — the construction of cultural images that have turned into clichés.
The Rick and Morty Series: Humor or Philosophy?
Authors:   FMT IOM RANEPA, Gurov O.N.
Published: March 2023

The article explores the philosophy and humour in the popular animated science-fiction sitcom Rick and Morty, which premiered in 2013. The series offers productive material through which important philosophical and cultural questions and challenges can be explored. The subject of the study is the explication of the problem of reality and opposition of determinism and freedom in the context of modern society, which is largely characterized by technological advances. The research aims to show how the creators of the series interpret these problems and what place they leave for a human in the world and Universe. The series has already become a target of academic research, and this article shows how researchers use the material of the series to study social theories, ontological and ethical issues, the boundaries of the human, etc. The author attempts to consider the series as an object of complex humanitarian research. The relevance of the study is due to the fact that the growing interaction between humans and technology makes one turn to philosophy and culture in order to preserve the humane and prevent the formation of a non-human-sized world. The author concludes that the main message of Rick and Morty is the rejection of anthropocentrism and human exceptionalism. However, the seemingly pessimistic viewpoint advocated by the creators of the series is justified by the growing complexity of the world. The series motivates productive reflection on the current state of our world and its future.
KRİPTO PARA KAVRAMI VE DENETİMİ
Authors: GÜNGÖR KARYAĞDI Nazan , YOLCİ Melik
Published: March 2023

Öz

Son zamanlarda küreselleşmenin etkisiyle hayatımıza hızlı bir şekilde giren kripto paralar ticari hayatta sıkça kullanılmaktadır. Dağıtımı internet aracılığıyla gerçekleştirilen ve daha çok yatırım aracı olarak kullanılan kripto paralar bireyler tarafından fiziksel paralara göre daha çok tercih edilmeye başlanmıştır. Hayatımızı çevreleyen bu varlıkların kullanılması ve finansal sistem içerisinde yer almasına ilişkin birtakım gerekliliklerin ortaya çıktığı görülmektedir. Bu gerekliliklerden bazıları, bu paraların muhasebeleştirilmesi, vergilendirilmesi ve bu paralarla yapılan bütün işlemlerin denetlenmesi gibi gerekliliklerdir. Çalışmanın amacı, kripto paraların kullanılması aşamasında ortaya çıkabilecek sorunların, aksaklıkların tespit edilmesinde denetimin önemi ve rolünün belirlenmesidir. Bu kapsamda, çalışmamızda kripto para ve denetim kavramlarına değinilmiş ve kripto paraların denetimine ilişkin kavramsal bir değerlendirme yapılmıştır.

Anahtar Kelimeler: Küreselleşme, İnternet, Para, Kripto Para, Denetim