bluuebunny/crossref_metadata_2025 huggingface dataset:
Efficacy and Safety of Adjunctive Triamcinolone in Nasal Endoscopic Dacryocystorhinostomy
Authors: Teyyeb Azeem Janjua  , Abu ul Ala Nafees  , Bushra Akbar  , Rabbiya Mirza  , Shagufta Parveen  , Mohammed Shahid Tarrar
Published: October 2023

Objective: To assess safety and long-term efficacy of use of triamcinolone acetonide (TA) soaked absorbable gel foam dressing in Endoscopic Dacryocystorhinostomy in our population.
Study Design: Quasi experimental study
Place and Duration of Study: Armed Forces Institute of Ophthalmology, Rawalpindi Pakistan, from Jan 2016 to Jan 2019.
Methodology: Endoscopic Dacryocystorhinostomy was performed on 103 eyes of 98 patients for unilateral or bilateral primary acquired nasolacrimal duct obstruction or previously failed Endoscopic Dacryocystorhinostomy without triamcinolone acetonide. Endoscopic Dacryocystorhinostomy was done using a standardized technique employing a 30° nasal endoscope (Karl Storz, Germany). In addition, a gel foam (15x10x5mm) soaked with 1ml of 40mg triamcinolone acetonide was threaded along the silicone tube metallic guide and advanced to ostium at the end of procedure. Anatomical success (patent lacrimal passage on irrigation), functional success (resolution of epiphora) and complications at 6 and 12 months of follow up, were the outcome measures documented and analyzed.
Results: Out of 103 cases, there were 41(39.8%) male and 62(60.2%) female patients. Mean age was 47.10±12.80 years (age range 18–72 years). Anatomical success rate of 90(87.4%) and 89(56.4%) was observed at 6 and 12 months, whereas functional success rate of 88(85.4%) was observed at both 6 and 12 months follow up respectively. No major complications were observed in our study.
Conclusion: Endoscopic Dacryocystorhinostomy with triamcinolone acetonide is a safe and effective procedure for epiphora secondary to previous failed Endoscopic Dacryocystorhinostomy or primary acquired nasolacrimal duct obstruction.
Agreement between Subjective and Objective Parameters Using Meibography for Assessment of Dry Eye Syndrome
Authors: Taimoor Ijlal , Naqvi Syed Abid Hassan , Khan Taimoor Ashraf , Naeem Saquib , Yousaf Waseem , Ghani Muhammad Usman
Published: October 2023

Objective: To determine the agreement between subjective and objective parameters using meibography.
Study Design: Cross-sectional observational study.
Place and Duration of Study: Armed Forces Institute of Ophthalmology (AFIO), Rawalpindi Pakistan from August 2021 till February 2022.
Methodology: 100 patients were included in the study. Non-contact infra-red meibography was performed on each patient. Subjective assessment was done using the four-grade and five-grade scales while objective assessment was done by applying computerized grading.
Results: A total of one hundred (n=100) patients participated in the study. Out of total, 60% patients were male and 40% were females, with a mean age 42.25±14.9 years. There was statistically significant difference was seen Session I OII vs Session II OII as p-value <0.001 in Grade-4, Session-I OIII vs Session-II OIII as p-value <0.001 in Grade-5. There was not statistically significant difference seen in Computerized Grading (100-grade scale) as p-value >0.05. Correlations between observers was best with the 5-grade scale followed by the computerized 100-grade scale and 4-grade scale.
Conclusions: We found that the reliability of the 5-grade scale was poorer to that of the 4-grade scales. We also concluded that computerized grading offers a better intra and inter-observer assessment.
Spasm of Near Synkinetic Reflex: Outcomes of a Comprehensive Management Protocol
Authors: Qadir Abdul , Naeem Saquib , Khan Taimoor Ashraf , Liaqat Talha , Farooq Muhammad Asad , Humayun Fakhar
Published: October 2023

Objective: To find out the frequency of spasm of near reflex presenting to our clinic and outline the management outcomes.
Study Design: Quasi-experimental study.
Place and Duration of Study: Armed Forces Institute of Ophthalmology, Rawalpindi Pakistan, from May to Dec 2022.
Methodology: A patient who was suspected to have spasm of near reflex underwent subjective and objective refraction and detailed orthoptic evaluation. Dry and cycloplegic retinoscopy was obtained along with post-mydriatic refraction achieved after 3 days of Cycloplegic. Spasm of near reflex was categorized as mild if it resolves on administration of a weaker cycloplegic drug like cyclopentolate, moderate if administration of stronger cycloplegic i.e., atropine/homatropine is required or severe if long term home therapy of atropine 0.5% once daily is required.
Results: Our study included 236 patients with suspected spasm of near reflex, among which it was confirmed in 200 only. Of the 200 patients with confirmed spasm of near reflex, there were 74 mild cases (37%), with no spasm of near reflex during their post-cycloplegic visit. Eighty-eight patients (44%) had moderate spasm of near reflex that was relieved by the post atropine examination. Whereas, 38 patients (19%) had severe spasm of near reflex, requiring long-term atropine 0.5% management.
Conclusion: Spasm of near reflex is often a diagnostic dilemma which is otherwise not very difficult to treat. Most of such cases were found to be mild to moderate having good visual outcomes to once or twice application of moderate (Cyclopentolate 1%) to stronger acting Cycloplegic eye drops (Atropine 1%).
LINGUISTIC MANIFESTATIONS OF AGGRESSIVE SPEECH BEHAVIORS OF MALE AND FEMALE POLITICIANS IN TELEVISED DEBATES
Authors: MARABYAN LUIZA
Published: October 2023

With more women entering politics, it is unclear if they are held to the same standards as their male counterparts or if they must adjust to new voter expectations. According to the Language Expectancy Theory, women are less successful than men in persuasion through verbal aggression because they are thought to go against social norms on acceptable behavior while men’s aggressive behavior is not perceived negatively. It is assumed that people form expectations about linguistic actions (language as a tool for communication) that ultimately influence their acceptance or rejection of persuasive messages. Men and women are expected to behave differently when being verbally aggressive, and those who do not fit these expectations are viewed more negatively than those who adhere to them.
This research looks at two political debates to analyze aggressive speech behaviors of male and female politicians held on 19th February 2020 in Las Vegas and 15th October 2019 in Ohio . The study examines the linguistic manifestations of aggressive speech behaviors of male and female politicians in televised debates, considering the effects of the gender of the speakers. Two democratic presidential debates were used in this research.
ՄԻՋՈՒԿԱՅԻՆ ՆԱԽԱԴԱՍՈՒԹՅՈՒՆՆԵՐԻ ՈՒ ՆՐԱՆՑ ՓՈԽԱԿԵՐՊՆԵՐԻ ՀԱՄԱԳՈՐԾԱՌԱԿԱՆ ԱՐԺԵՔԸ ԽՆԴԻՐ ԼՐԱՑՈՒՄՆԵՐԻ ԴԵՐՈՒՄ / SYNTACTIC FUNCTIONS OF NUCLEAR SENTENCES AND THEIR TRANSFORMATIONS IN FUNCTION OF OBJECT IN ARMENIAN
Authors: MIRUMYAN MARGUSH
Published: October 2023

The paper aims to study the transformations of nuclear sentences in the Armenian language into phrases and compound words and their syntactic functions. In the process of transformation, certain features are manifested by the constructions that fuction as a direct and an indirect object.
In the transformation of the sentence into a phrase and futher into a compound word, it is the verb that undergoes the main functioning as the main member of the participial phrase and as a verbal base and the main component of a compound word.
The syntactic commonality of nuclear sentences and their transformations is conditioned by the logic of the transition: when the expression plane of a language unit changes, its content is preserved, which implies functional identity at the syntactic level.
ԿԱՐԼ ԳՈՒԹՑԿՈՎԻ «ՈԳՈՒ ԱՍՊԵՏՆԵՐԸ» ՎԵՊԸ 19-ՐԴ ԴԱՐԻ ԳԵՐՄԱՆԱԿԱՆ ԳՐԱԿԱՆՈՒԹՅԱՆ ՀԱՄԱՏԵՔՍՏՈՒՄ / KARL GUTZKOW’S NOVEL ‘’DIE RITTER VOM GEISTE’’ IN THE CONTEXT OF THE 19TH CENTURY GERMAN LITERATURE
Authors: MKRTCHYAN ARMINE
Published: October 2023

The article is devoted to the analysis of Karl Gutykow’s novel “Die Ritter vom Geiste”. The focus of the article is to highlight the characteristics of Gutzkow’s narrative technique, namely the technique of juxtaposition and the triggering of the main hero - supporting characters hierarchy. We have highlighted through analysis that this innovative narrative technique has become a reference point for later period novels.
IDEOLOGEME “WAR” AS A PART OF MACRO-IDEOLOGEME ARTSAKH IN MEDIA TEXTS DURING 44-DAY-WAR IN ARTSAKH
Authors: SARKISYAN LUSINE
Published: October 2023

The article is devoted to the explanation of concepts “ideologeme” and “macro-ideologeme” in media texts. The aim of this study is to identify their main functions based on the analysis of English articles during the specified period (from September 27th to 10th November, 2020), where the essence of the ideologeme “war” is defined through the image of the country (Artsakh, as macro-ideologeme).
Outcomes of orbital decompression for thyroid eye disease over a 10-year period at a tertiary eye care referral center
Authors: Shahraki Kourosh , Tavakoli Mehdi , Khosravifard Keivan , Aletaha Maryam , Salour Hossein
Published: October 2023

Background: Orbital decompression is frequently indicated to treat exophthalmos and compressive optic neuropathy, among other indications for thyroid eye disease (TED). This study aimed to evaluate the outcomes of orbital decompression and compare the results by urgency and type of surgery in patients with TED.

Methods: In this cross-sectional study, we recruited patients with TED who had undergone emergency or elective orbital decompression surgery at a tertiary eye care referral center in Tehran, Iran, between 2010 and 2020. Ophthalmic examination findings, demographic and clinical profiles, and types and outcomes of surgical interventions were reviewed and analyzed.

Results: Fifty-one orbits of 35 patients with a mean (standard deviation [SD]) age of 36.2 (12.0) years and male-to-female ratio of 23 (66%)/12 (34%) were included. The mean (SD) duration from the diagnosis to the surgery was 41.0 (39.0) months. The surgical method was fat decompression in 1 (2%) orbit; fat and inferior wall decompressions in 2 (4%) orbits; fat, inferior, and medial wall (two-wall) decompressions in 43 (84%) orbits; and fat, inferior, medial, and lateral wall (three-wall) decompressions in five (10%) orbits. Three-wall decompression surgery resulted in significantly lower exophthalmometry readings than those associated with two-wall surgery at all postoperative follow-ups (P < 0.05). Ten (20%) orbits required emergency decompression because of sight-threatening conditions and revealed comparable exophthalmometry readings with electively decompressed orbits at the 1-year visit (P > 0.05). Thirty-seven (73%) orbits required other surgeries within the 1-year follow-up. The mean (SD) exophthalmometry readings before and 1-year after surgery were 26.3 (4.0) and 18.3 (2.7) mm, respectively, with a significant decrease and significant 5.5 (3.3)-mm change from baseline in decompressed orbits (both P < 0.001). Diplopia was reported in 29% (n = 10) of patients less than 2 months postoperatively.

Conclusions: Emergency or elective orbital decompression significantly reduced exophthalmos in patients with TED within 1 year postoperatively. Three-wall orbital decompression produced the more immediate impact, while two-wall orbital decompression showed the higher effect at a later timepoint. The most common complication was diplopia, while other serious complications occurred infrequently. Further prospective comparative studies involving more participants and longer postoperative follow-up periods are required to verify these preliminary findings.
Headache associated with travoprost
Authors: Jacob Sajeev Cherian , Kalyan Kalikivayi Venkateswara , Kalikivayi Lavanya , Kalikivayi Venkataramana
Published: October 2023

Background: Putative adverse effects of prostaglandin analogs in patients treated for glaucoma include periocular skin darkening, herpes simplex keratitis, cystoid macular edema, iritis, and headaches. Here, we report a case of migraine headache after a travoprost administration and discuss the role of prostaglandin analogs in migraine-like headaches.

Case Presentation: A 70-year-old man visited the hospital complaining of pain, redness, and sensitivity to light for 1 week associated with gradual loss of vision in the right eye after cataract surgery, which had been performed 2 years prior. After the examination, the patient was diagnosed with pseudophakic bullous keratopathy and advised to undergo optical penetrating keratoplasty of the right eye. On postoperative day 3, his intraocular pressure (IOP) was 30 mmHg at 10:00 AM in the right eye. A single dose of 0.004% travoprost was instilled in the right eye on the same day. His IOP decreased to 16 mmHg at 2:00 PM. The next day, he presented with migraine-like headache that had started within 1 h after the instillation the previous night. Unremarkable neurological examination and neuroimaging suggested that travoprost had caused the migraine. Although the headache gradually resolved, it reappeared after the administration of other prostaglandins. Trabeculectomy was performed on the right side. The IOP was controlled, and the headache was resolved.

Conclusions: This case indicates a potential causal relationship between topical prostaglandin analogs and migraine-like headaches, as evidenced by symptom resolution upon discontinuation. However, large-scale studies including control groups are required to prove a causal relationship between topical prostaglandin analog administrations and headache development.
COMPOSITE MATERIALS BASED ON ALICYCLIC COPOLYIMIDE AND ACRYLIC ACID COPOLYMER WITH ACRYLAMIDE
Authors:   A.B. Bekturov Institute of Chemical Sciences JSC, Umerzakova M. B. , Iskakov R.M. ,   A.B. Bekturov Institute of Chemical Sciences JSC, Sarieva R.B. ,   Satbayev University, Kainarbayeva Zh.N. ,   A.B. Bekturov Institute of Chemical Sciences JSC, Espenbetov A.A. ,   A.B. Bekturov Institute of Chemical Sciences JSC
Published: October 2023

Progress in polymer materials science is mainly associated with the development of new composite materials, created by the introduction of modifying additives into the matrix polymer which which improve polymer characteristics due to their properties. The purpose of this work is to obtain composite materials with improved thermal and mechanical properties from copolyimide based on dianhydrides of tricyclotetracarboxylic and diphenyloxydtetracarboxylic acids with diaminodiphenyl ether modified by a copolymer of acrylic acid with acrylamide. Results and discussion. Polymer compositions of copolyimides of arylalycyclic structure in combination with acrylic acid copolymer and acrylamide, as well as composite materials (film) based on them, were obtained. It was found that with an increase in the content of the added component from 0.35 to 2.0 wt%, uniformity is maintained in the polymer mixture. The infrared (IR) spectroscopy method shows that during formation of the above polymer mixtures the interaction of functional groups of the polymers under study with the formation of hydrogen bonds, which determine the homogeneity of the mixture. By methods of thermogravimetry and stretching of the sample with a constant deformation rate were used to determine, respectively, the thermal resistance and mechanical properties of the developed composite films. The increase of thermal resistance and strength of the film is explained by the formation of partial intermolecular cross-linking between the components of the mixture and the elasticity of the material – with the plasticizing effect of the additive. Conclusion. Polymer mixtures were obtained and composite films were molded on their basis.
SYNTHESIS AND CHEMICAL MODIFICATION OF NEW HYDROXYBEZALDEHYDE DERIVATIVES
Authors:   A.B. Bekturov Institute of Chemical Sciences JSC, Sychyeva Ye.S. , Mukanova M.S. ,   A.B. Bekturov Institute of Chemical Sciences JSC
Published: October 2023

A high pharmacological ability of aromatic benzaldehydes makes them important intermediates for the synthesis of medicinal preparations, such as anticancer, bactericidal, antifungal, and herbicidal drugs. The purpose of this work is the synthesis of biologically active compounds, based on 4-hydroxybenzaldehyde and 4-hydroxy-3-methoxybenzaldehyde and the establishment of the structure of the synthesized compounds. Results and discussion. New carbonodithioates, based on O-aromatic systems have been synthesized by the interaction of 4-hydroxybenzaldehyde and 4-hydroxy-3-methoxybenzaldehyde with carbon disulfide in the presence of sodium hydroxide in ethanol at the room temperature. As a result of the reactions, sodium O-(4-formylphenyl)carbodithioate (86 %) and sodium O-(4-formyl-2-methoxyphenyl)carbodithioate (80%) have been isolated. The interaction of sodium xanthates with acid chlorides (4-methoxy-, 4-nitro-, 2,4-dinitrobenzoic) in chloroform has led to the formation of aromatic thioanhydrides of carbonodithioic acids in 55-80 % yields. The reactivity of hydroxybenzaldehydes and their dithiocarboxylic derivatives has been studied in the propargylation reaction. Propargylation of 4-hydroxybenzaldehyde and 4-hydroxy-3-methoxybenzaldehyde has been carried out with propargyl bromide in the presence of a 3-fold excess of K2CO3 in acetone at the temperature of 60°C. The propargylation reaction of sodium xanthate has been carried out with propargyl bromide in acetone at the room temperature. Conclusion. As a result of the reactions, carbonodithioates, thioanhydrides, acetylenic and thioacetylenic ethers have been synthesized based, on O-aromatic systems (4-hydroxybenzaldehyde and 4-hydroxy-3-methoxybenzaldehyde). The structure of the synthesized compounds has been established on the basis of elemental analysis data, IR spectra, 1Н and 13С NMR spectroscopy.
Аутсорсинг митно-логістичної діяльності в міжнародних перевезеннях
Authors: Прокудін Георгій , Чупайленко Олексій , Гілевська Катерина , Колесник Юрій
Published: October 2023

Однією з найбільш популярних на сучасному етапі моделей бізнесу є аутсорсинг. Делегування виконання частини своїх бізнес-функцій дає можливість підприємству концентруватися на пріоритетних видах бізнесу й операціях і тим самим забезпечує йому конкурентні переваги. Перехід до аутосорсингової моделі організації митно-логістичної діяльності підприємств зумовлений, насамперед, тим, що динамічне і невизначене ринкове середовище висуває нові управлінські завдання, вирішення яких потребує ринкової реконструкції всіх структурних елементів і підсистем управління підприємством з метою безперервної адаптації до зовнішніх і внутрішніх змін.
Дослідження облікових теорій та їх значення для розвитку бухгалтерської практики
Authors: Сакун Аліна
Published: October 2023

Теорії бухгалтерського обліку базуються на досягненнях розвитку бухгалтерської науки як учення про загальний досвід, що формує наукові принципи та методи бухгалтерського обліку. За загальним правилом, розглянуті теорії бухгалтерського обліку не суперечать одна одній (кожна має свою основу) і при необхідності можуть комбінуватися. У процесі історичного розвитку теорії бухгалтерського обліку відповідають вимогам того чи іншого етапу економічного і соціального розвитку, вирішують проблеми обліково-аналітичного забезпечення. Недоліком кожної теорії є абсолютизація її уявлень щодо предмета обліку, об’єкта обліку та його мети.
Kirlianometry of «Augmented reality» confirmed by Kirlian images to the world - through science
Authors: Ogirko Igor , Kmit Yaroslav , Blank Sofiya , Mykolyshyn Alina
Published: October 2023

For hundreds of years, there have been wars on the planet Earth that continue to this day because people expect them. A shift is needed to move human consciousness where war doesn’t exist. When considering the causes of wars from the standpoint of Aurology and Aurometry, it becomes clear that the impact on people of the forces of evil has been completely neglected before the discovery of Kirlianography. Beliefs and views imposed on uneducated humanity nurtured hatred and all kinds of negative feelings. Nowadays, the insidiousness and negative influence on the consciousness of people and life itself lost their ground. Kirlianography, Kirlianometry, Aurology, and Aurometry play a vital role in this process. The photo-documentary evidence presented now gives people the opportunity to change their worldview and assess the events that are taking place from a different standpoint. The wars unleashed by the demonic hierarchies for thousands of years stem out of the complete blindness of people who had no knowledge of the Subtle World. However, at present, there are real ways to open eyes and end wars on the basis of New Knowledge. It is possible to stop these desecrating processes and save our planet by seeing and understanding the negative impact of the forces of darkness. This timely article is the voice of truth and justice. New proofs and facts presented here serve as a confirmation of our bold statement. From the standpoint of Aurology and Aurometry, the causes of wars are viewed as the unpunished influence of the forces of evil on people. False beliefs and attitudes have been imposed on uneducated humanity and nurtured hatred. The insidiousness of the demonic Hierarchy and the criminal influence on people are exposed and should be made public through documented Kirlian images. KIRLIANOGRAPHY, KIRLIANOMETRY, AUROMETRY, AND AUROLOGY are to play crucial roles. Aurology and Aurometry provide evidence to reconsider many events in life and see them in a different way - objectively - to understand the nature of events past and present.
Морфологічний спосіб творення словотвірної термінної лексики в українській мові
Authors: Мунтян Олександр
Published: October 2023

Статтю присвячено дослідженню української термінної лексики, утвореної морфологічним способом. У дослідженні проаналізовано словотвірні моделі, за якими утворюється термінологія словотвірного рівня мови, детально розглянуто форманти, які використовуються у цих моделях.
The molecular foundations of longevity: genes, epigenetics, and prospects of innovative medicine
Authors: Kuat Sultan Sabriuly  , Minbayeva Nazira , Umbetali Assem , Bakytgani Aibota
Published: October 2023

This scientific article explores the molecular mechanisms underlying the processes of longevity and their connection to genes, epigenetics, and the prospects of innovative medicine. The paper presents a review of recent research in the field of longevity genetics, including the identification of specific genes associated with longevity and the deceleration of aging. The article also analyzes the role of epigenetics - changes in gene expression without altering the DNA sequence - in the processes of aging and longevity. This article provides a comprehensive overview of contemporary research on genetic aspects of aging, longevity, and their association with cardiovascular pathology, Alzheimer's disease, and gene therapy. The conclusion of the article discusses the prospects of innovative medicine in the field of longevity. It delves into the potential applications of cutting-edge technologies such as gene therapy and genome editing to enhance the quality of life in the elderly. Ethical and social aspects of implementing such technologies are also discussed. Overall, the article presents an extensive review of the current state of research on the molecular foundations of longevity, highlighting the importance of genes and epigenetics in this context. It also points out the prospects of applying innovative medical approaches to enhance both the quality and duration of life.
Advancements in neural system bioengineering: precision therapeutics and innovative strategies
Authors: Kuat Sultan Sabriuly  , Nasreddin Kuanysh , Saletayeva Nurgul , Kerimova Aray , Budyrbayev Yerzhan , Gantsa Andrei , Dinassil Ulpan
Published: October 2023

This literature review delves into innovative approaches in the realm of neural system bioengineering and their therapeutic implications. The authors address the interplay of contemporary bioengineering strategies, such as 3D bioprinting and biomaterial utilization, in the context of analyzing intricate neurological disorders and cellular interactions. The article presents an overview of precise treatment methodologies employing engineered exosomes capable of delivering therapeutic payloads to specific intracellular locations. The authors explore the prospects of applying engineered exosomes in personalized medicine and their integration with biomaterials and organoids for enhanced efficacy in treating neurological conditions. A pivotal question in neurological bioengineering pertains to overcoming the blood-brain barrier. The article scrutinizes the paradigm of antibody transcytosis, enabling the targeted delivery of therapeutic antibodies to sites of brain pathology. The authors also raise considerations about the role of nanoparticles and biomaterials within this context. Additionally, the paper provides an appraisal of biomaterials capable of mimicking brain tissue architecture and promoting tissue regeneration. The authors also discuss the evolution of brain organoid technology and its contributions to disease investigation and the formulation of therapeutic strategies. In conclusion, the article encapsulates the current status of neurological bioengineering, emphasizing the significance of precise therapeutic modalities and the interplay of biomaterials and technological innovations. Research findings delineate avenues for the development of innovative treatment approaches for neurological disorders and the more effective incorporation of bioengineering in medical practice.
Specifics and practical examples of low-hazard industrial waste utilization for filling technogenic cavities
Authors: Petlovanyi Mykhailo , Sai Kateryna , Malashkevych Dmytro
Published: October 2023

The presented research focuses on the pressing issues of restoration of land areas disturbed by mining operations. The paper studies legislative peculiarities of industrial waste utilization for the purpose of reclamation of disturbed lands in Ukraine. Real practical examples of using low-hazard industrial waste for reclamation of land areas disturbed by quarrying and failure zones are analyzed. It is noted that, provided that all legal and sanitary requirements are met, low-hazard class IV waste can be used at the mining-technical stage of quarry reclamation. Aspects of the prospects for restoring the earth’s surface level are clarified based on the development of directions for the backfill mass formation in technogenic cavities, which will provide stability and geomechanical reliability of the earth’s surface.
Environmental regulation and economic justification of integrated water resources management in the region
Authors: Serbov Mykola , Lavrenov Vladlen
Published: October 2023

A study of ecological and economic approaches to the creation of a system of integrated integrated water resources management at the basin level is presented. As an example, the basin of the Kuyalnitsky estuary of the Odessa region is considered. To create a system of integrated management of the territory's water resources and assess individual components of the water balance, methodological economic and environmental approaches were used. The work used an ecosystem approach based on the notion that "nature is an equal partner". Water resources management took into account their significant transformation under the influence of water management, as well as operational data on the hydrometeorological characteristics of the Kuyalnitsky estuary. The results obtained show that the development of an integrated water resources management system should be based on a general calculation of all components of natural and anthropogenic influence, which allows balancing the assessment of water resources and developing a rational management system.
Модель для формування таблиць стану гідробіонічного рушія плавникового типу
Authors: Ольшевський Сергій , Білюк Іван , Савченко Олег , Гаврилов Сергій , Степанюк Антон
Published: October 2023

Проаналізовано умови для отримання таблиць стану електропривода дослідної моделі. Розраховані параметри системи керування і проведено моделювання з урахуванням нелінійного характеру моменту опору. Складені набори таблиць стану для побудови системи керування рушієм з можливістю програмного завдання параметрів руху елементів. Отримані результати можна використовувати при проектуванні програмної частини моделі рушія.
Аналіз впливу шорсткості корпусу судна та гвинтових систем на витрати суднового палива за допомогою діаграми Ісікави
Authors: Александровська Надія , Пізінцалі Людмила , Россомаха Олена , Россомаха Олег , Рабоча Тетяна , Малишкін Олексій , Гуменний Ігор
Published: October 2023

У наш час актуальним є аналіз різних факторів впливу на вартість та витрати суднового палива, одним з яких є вплив шорсткості корпусу судна, гребного гвинта, деталей двигуна внутрішнього згоряння. Вирішення цієї проблеми автори здійснили через розробку діаграми Ісікави. Діаграма дозволила виявити ключові взаємозв’язки між різними факторами й більш точно зрозуміти досліджуваний процес; сприяла визначенню головних факторів, що роблять найбільш значний вплив на розвиток розглянутої проблеми, а також попередженню або усуненню дії цих факторів.
Development of a Locally Sourced Miniature Facility Capable of Transforming Bio-Waste into Renewable Energy
Authors: Nwankwo Constance Obituo , Igbokwe Nkemakonam Chidiebube
Published: October 2023

The primary challenge facing the globe today is finding environmentally friendly, ecologically balanced ways to use bio-waste as a source of energy. Typically, the term “biogas” or “renewable energy” refers to a gas created when organic matter breaks down without oxygen. Thus, this study designed and developed a 200L miniature facility capable of transforming bio-waste into renewable energy using locally available materials and tested under the existing weather condition in Awka, Anambra State. The facility developed in this study was utilized to decompose cow manure anaerobically, producing 21.9L of cooking gas overall over the course of a 35-day retention period. Additionally, the water boiling test demonstrated that the purified cooking gas’ high methane gas content development of the digesting chamber using high-density polyethylene plastic (HDPE) allows a reduction in the overall cost of setting up a small-scale plant.
In memoriam Ragnar Holte (1927–2023)
Authors: Grenholm Carl-Henric
Published: October 2023

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Att möta vilddjuren i egna kläder
Authors: Berglund Carl Johan
Published: October 2023

This study analyzes the early third-century Passion of Perpetua and Felicitas using Kathryn Tanner's theoretical model of cultures as sets of behavioural patterns, continuously upheld by consensus efforts guiding children, newcomers, and rebels towards expected norms and ideals. In early Christian stories such as this one, we may observe how the narrative characters choose between specifically Christian behavioural patterns and patterns that are available in Greco-Roman society more generally. Observations of the narrative's plot, characterizations, and attitudes towards narrated behaviour may inform us of the values of the implied author. Despite the sharp contrast depicted between the defenseless Christian martyrs and the brutal Roman society intent on killing them, the implied author turns out to share many values with Greco-Roman culture. Perpetua's ability to receive and explain prophetic dreams and her calm and rational attitude towards her own execution are ideals that are as valid in a Greco-Roman context as in a Jewish-Christian one. Two values are found to distinguish the Passion from Greco-Roman culture: the norm not to sacrifice to the Greco-Roman gods that constitutes the given plot of an early Christian martyrdom story and the principle of inherent human dignity, extended even to slaves and convicts.
Det heliga uppbrottet och den buffrade individen
Authors: Johnsson Anton
Published: October 2023

This article surveys how "saints" breaking away from their biological families have impacted the view of the self in the West. By employing the historical narrative of philosopher Charles Taylor and the theory of late sociologist David Martin, the question is raised whether the tendency to relativize family has given rise to a new conception of the self as autonomous and buffered. Texts about Clare of Assisi, Dutch anabaptist martyr Elizabeth Dirks, and Swedish Free Baptist Helge Åkeson are used. The texts are understood as functionally hagiographical, and the "saints" represented overlap in time with key movements in the narrative of Taylor. The article suggests that the "saints" have impacted their social worlds in three ways: in their break with their biological families they have made rifts in a world where the personal and familial are in one piece with the political order. They can be said to have secularized the world by giving rise to a more buffered conception of the self. Lastly, however, by assuming some of the values of their times, they have preserved something of the social worlds they rebelled against – thus the communities in succession of the saints does not fit neatly in the impersonal order of modernity. The dialectics of the relation between the "saints" and their social worlds can be said to give contingent rise to a sort of communitarian liberalism, a perspective which can be used to critique, for example, Radical Orthodox nostalgia for a lost medieval Christendom.
Tord Fornberg (red.), Katolsk studiebibel: Bibel 2000 med katolska kommentarer
Authors: Pleijel Richard
Published: October 2023

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Hanna Liljefors, Hebreiska bibeln debatterad: En receptionskritisk studie av diskurser om "Gamla testamentet" i svenska dagstidningar 1987–2017
Authors: Strømmen Hannah M.
Published: October 2023

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David Thurfjell, En lockton i ödemarken: Om människans förmåga att besjäla världen
Authors: Knutsson Bråkenhielm Lotta
Published: October 2023

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Else Marie Wiberg Pedersen (red.), Guds ord i kvindemund: Om køn og kirke
Authors: Mannerfelt Frida
Published: October 2023

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ENFERMAGEM E A VALORIZAÇÃO DA IMPORTÂNCIA DO SEXO NA MELHOR IDADE
Authors: Silva Eloir Marques da
Published: October 2023

O presente estudo se concentra em compreender as questões relacionadas à sexualidade na melhor idade e como os profissionais de enfermagem podem desempenhar um papel fundamental na promoção da saúde sexual desse grupo. O trabalho destaca as transformações fisiológicas que ocorrem com o envelhecimento e como essas mudanças podem afetar a atividade sexual. Também aborda o estigma e a discriminação social enfrentados pelos idosos em relação à sexualidade, incluindo a ideia equivocada de que a sexualidade é exclusiva dos jovens. A pesquisa enfatiza a importância da educação em saúde para desconstruir estereótipos e preconceitos em relação à sexualidade na terceira idade. Isso inclui o uso de linguagem apropriada, a abordagem de mitos e equívocos comuns sobre sexo e o estabelecimento de um ambiente seguro e de apoio para discussões sobre saúde sexual. Além disso, existe a necessidade de os profissionais de enfermagem estarem bem informados e capacitados para lidar com questões de sexualidade na terceira idade. Isso inclui a promoção de medidas de prevenção contra infecções sexualmente transmissíveis (ISTs) e a AIDS. O estudo conclui que a assistência de enfermagem desempenha um papel crucial na promoção da saúde sexual dos idosos e na melhoria de sua qualidade de vida. Os enfermeiros devem estar preparados para abordar abertamente questões de sexualidade, fornecer informações precisas e criar um ambiente de apoio para os idosos, permitindo-lhes desfrutar de uma vida sexual saudável e ativa na melhor idade.
REFLEXÕES SOBRE AVALIAÇÕES NO CONTEXTO ESCOLAR
Authors: Queiroz Amadeu de Magalhães , Sal Maria do Socorro Medeiros Versiani , Silva Nirley Nilza
Published: October 2023

Este artigo tem como premissa a Avaliação, falar de Avaliação é propor reflexões, temos muitos teóricos que fundamentam o tema, o que avaliar? Como avaliar, para que avaliar? Quais objetivos dessa avaliação? Qual a relevância dessa avaliação para o avaliado? São interrogações que permeiam e precisam estar bem claras, com propostas que possam fazer desse processo um meio para aprendizagem e qualificação. No amplo sentido da palavra avaliar, que está presente em nossas vidas desde sempre, cada um no seu momento com suas especificidades, sobretudo está sendo avaliado. É importante também se autoavaliar, será que a minha ferramenta ou o meu olhar está qualificado para tal análise? O conhecimento sobre o contexto sócio histórico cultural é suma de importância, pois somos seres únicos e protagonistas das próprias histórias.
INFLUÊNCIA DO TRANSTORNO DE ANSIEDADE GENERALIZADA NO COMPORTAMENTO ALIMENTAR
Authors: Ramos Raquel Marchiori de Oliveira , Ferreira Ana Wictória Dias , Souza Ângela Marta de , Mallet Aline Cristina Teixeira , Souza Hosana Lima Siqueira de
Published: October 2023

Introdução: O transtorno de ansiedade generalizada (TAG) tem acometido uma parcela importante da população mundial nesses últimos anos, devido às mudanças comportamentais, físicas e emocionais. A ansiedade é caracterizada como sintoma base de diversos transtornos psicológicos que causam danos à saúde física e social dos indivíduos, influenciando de maneira negativa a saúde e o comportamento alimentar, tornando-se um fator de risco para diabetes, obesidade e outras comorbidades. Dessa forma, o presente artigo busca entender e explicitar se há influência do transtorno de ansiedade generalizada no comportamento alimentar e no desenvolvimento de disfunções nutricionais. Metodologia: Trata-se de uma revisão bibliográfica, de caráter descritivo, desenvolvida no período de dezembro de 2022 a agosto de 2023. Utilizou-se como bases, artigos originais nos idiomas português e inglês, publicados entre 2009 a 2023. Referencial teórico: Existem evidências de relação entre o transtorno de ansiedade e o ganho de peso seja devido à desordem do eixo hipotálamo-hipófise-adrenal levando a alteração de apetite e à desregulação de neurotransmissores, como serotonina e a dopamina. Além disso, dietas de pacientes que apresentam transtorno de ansiedade são deficientes de nutrientes, como vitaminas e minerais essenciais, como, ômega 3. Alguns nutrientes têm sido apontados como diferencial no tratamento da ansiedade, pois a correção nutricional tem grande importância na saúde comportamental. Conclusão: concluiu-se que o transtorno de ansiedade generalizada possui influência sobre o comportamento alimentar dos indivíduos, frente à desregulação hormonal e emocional, ocasionando alteração de escolhas alimentares, relação do indivíduo com a comida, alteração de peso e aumento de carências nutricionais.
CUIDADOS PEDIÁTRICOS DE ÚLTIMA GERAÇÃO: PROMOVENDO A SAÚDE INFANTIL
Authors: Biral Juliana Sonni , Bomfim Vitória Vilas Boas da Silva , Rosa Paulo Victor Nunes , Oliveira Lays França de
Published: October 2023

Neste artigo de revisão integrativa, investigamos os avanços e tendências nos cuidados pediátricos de última geração, com foco na promoção da saúde infantil. Realizamos uma busca abrangente na literatura científica e analisamos 50 estudos relevantes. Os resultados destacam o impacto positivo de avanços tecnológicos, como a telemedicina, a genômica e a inteligência artificial, na melhoria do diagnóstico e tratamento de doenças pediátricas. A prevenção continua a ser um pilar fundamental dos cuidados pediátricos, com ênfase na importância contínua da vacinação infantil e na educação dos pais para promover hábitos saudáveis. Além disso, reconhecemos a crescente conscientização sobre a saúde mental infantil e a necessidade de acesso a serviços de saúde mental adequados. O apoio psicossocial, incluindo redes de apoio familiar, demonstrou ser benéfico para o bem-estar emocional das crianças. Concluímos que os cuidados pediátricos de última geração representam uma promessa para a saúde infantil, oferecendo uma abordagem holística que considera não apenas a saúde física, mas também a emocional e social. No entanto, desafios como o acesso equitativo a esses avanços e a necessidade contínua de pesquisa para impulsionar a inovação permanecem. Instamos os profissionais de saúde, pesquisadores e formuladores de políticas a continuarem investindo em cuidados pediátricos de última geração, garantindo que todas as crianças tenham a oportunidade de alcançar seu pleno potencial e desfrutar de uma vida saudável e feliz.
A prevenção continua a ser um pilar fundamental dos cuidados pediátricos, com ênfase na importância contínua da vacinação infantil e na educação dos pais para promover hábitos saudáveis. Além disso, reconhecemos a crescente conscientização sobre a saúde mental infantil e a necessidade de acesso a serviços de saúde mental adequados.
O apoio psicossocial, incluindo redes de apoio familiar, demonstrou ser benéfico para o bem-estar emocional das crianças. Concluímos que os cuidados pediátricos de última geração representam uma promessa para a saúde infantil, oferecendo uma abordagem holística que considera não apenas a saúde física, mas também a emocional e social. No entanto, desafios como o acesso equitativo a esses avanços e a necessidade contínua de pesquisa para impulsionar a inovação permanecem.
Instamos os profissionais de saúde, pesquisadores e formuladores de políticas a continuarem investindo em cuidados pediátricos de última geração, garantindo que todas as crianças tenham a oportunidade de alcançar seu pleno potencial e desfrutar de uma vida saudável e feliz.
Estudio sobre la trayectoria educativa y profesional de las personas graduadas en el Instituto Universitario del Hospital Italiano de Buenos Aires
Authors: Elizondo Cristina M. , Eymann Alfredo , Carrió Silvia , Ladenheim Roberta , Olivar Griselda , Eder María Laura
Published: October 2023

La evaluación de los aprendizajes y la transferencia de estos a la vida profesional de las personas que egresan es una preocupación de las instituciones educativas que cumplen el papel de formar profesionales para la sociedad. Nos propusimos explorar la relación entre los estudios realizados y la trayectoria profesional de quienes egresan de nuestra institución nuestros graduados a partir de sus perspectivas.
Se realizó un estudio de corte transversal. Se incluyeron todas las personas egresadas de grado y posgrado desde el 2001 en adelante. Se diseñó un cuestionario y se envió a través de medios electrónicos.
De un total de 1691 se envió el cuestionario a 1446 y fue completado por 410 (28,4%). El 95,5% se encuentra actualmente con trabajo y el 92,7% percibió que la formación recibida tuvo relación con su trabajo actual. El 91% estuvo de acuerdo y totalmente de acuerdo con que su formación teórica fue adecuada para su tarea profesional actual. El 79% consideró que la formación práctica también lo fue.
El 51% realiza actualmente actividades docentes, el 36% actividades de investigación y 36% actividades de extensión o transferencia de conocimiento.
El 83% mantiene relaciones académicas, laborales y/o sociales con sus compañeros. La media del puntaje otorgado a la formación fue 8,7 y el 98,3% de las personas que egresan recomendaría a sus amistades estudiar la carrera que realizó en nuestra Universidad.
La mayoría de las personas graduadas consideró que la formación teórica y práctica recibida fueron adecuadas para su tarea profesional actual. La gran mayoría tiene trabajo y este se relaciona con sus estudios en la Universidad.
Palabras clave: seguimiento de graduados, educación médica, gestión educativa, investigación en educación.
Papel de la persona navegadora del paciente en el cáncer de pulmón
Authors: Smith David E. , Raices Micaela , Pollán Javier A. , Pérez Betiana M. , Grande Ratti Maria Florencia
Published: October 2023

Introducción: la medicina basada en el valor ha logrado mejorar la calidad de atención del paciente y/o la satisfacción de las personas, reduciendo costos y obteniendo mejores resultados. Se apoya sobre tres pilares básicos: la medicina basada en la evidencia, la atención centralizada en el paciente, y la sustentabilidad. Sin embargo, existen pocas publicaciones sobre la estrategia de personas navegadoras para pacientes con cáncer de pulmón, que podrían ser una herramienta clave para brindar apoyo, asegurando que tengan acceso al conocimiento y los recursos necesarios a fin de completar la vía de atención clínica recomendada.
Estado del arte: se trata de una intervención en salud cuyo objetivo principal es lograr vencer las barreras relacionadas con la atención (p. ej., logísticas, burocrático-administrativas, de comunicación y financieras) para poder mejorar la calidad y el acceso a la salud en el marco de la atención del cáncer. Estas personas cumplen un papel de guía para pacientes durante el proceso de diagnóstico y tratamiento activo. Su labor consiste en vincular al paciente con los proveedores clínicos, brindar un sistema de apoyo, asegurar un acompañamiento individualizado, garantizar que tengan acceso al conocimiento y a los recursos necesarios para completar el seguimiento y/o tratamiento adecuado.
Discusión/Conclusión: indudablemente, es un elemento cada vez más reconocido en los programas de cáncer, centrado en el paciente y de alta calidad. Su implementación será de especial interés en la Unidad de Práctica Integrada para personas con cáncer de pulmón.
Análisis del conocimiento sobre los Inhibidores selectivos de la recaptura de serotonina (ISRS) y manejo de la depresión por médicos residentes y concurrentes de clínica médica de 5 hospitales de CABA
Authors: Barbosa Eyler Gonzalo E. , Ravizza Sergio D.
Published: October 2023

Introducción: la depresión es un trastorno cada vez más prevalente alrededor del mundo. Los médicos generales son los profesionales de la salud más consultados por pacientes deprimidos. Más del 70% de los pacientes con depresión son vistos por médicos generales y no por especialistas en Psiquiatría. Según estudios realizados en Buenos Aires, más del 25% de los pacientes internados en Servicios de Clínica Médica en hospitales generales presenta depresión. Estos pacientes suelen ser atendidos y seguidos por médicos en formación, sean residentes o concurrentes de Clínica Médica.
El objetivo del trabajo fue analizar el conocimiento sobre los inhibidores selectivos de la recaptura de serotonina (ISRS) que tienen los médicos residentes y concurrentes de Clínica Médica de 5 hospitales de la Ciudad Autónoma de Buenos Aires (CABA) y describir el tratamiento de un paciente depresivo por ellos.
Material y métodos: se realizó un estudio descriptivo de corte transversal con un muestreo de tipo no probabilístico. Se utilizó como instrumento de medición un cuestionario semiestructurado organizado en dos secciones, una de datos demográficos que permiten caracterizar la muestra. La otra, de 15 ítems, explora los conocimientos sobre los ISRS y el tratamiento de la depresión. Dicho cuestionario fue revisado por 4 expertos. El instrumento es anónimo. Se aplicó a 59 médicos en formación en Clínica Médica, residentes y concurrentes, de 5 hospitales de la CABA, que participaron de forma voluntaria, durante el período agosto-septiembre de 2022.
Resultados: la mayoría de los médicos en formación en Clínica Médica no tratan cuadros depresivos y, ante un paciente deprimido, solicitan la evaluación por un especialista en Salud Mental. Solo un 6,8% lo medica con un antidepresivo. Más del 75% de la muestra refiere recordar los conocimientos que tiene sobre de los ISRS de la cursada de Farmacología y un 13,6 de la cursada de Psiquiatría en la Facultad de Medicina.
Conclusión: se observa un conocimiento deficitario sobre los ISRS en médicos residentes y concurrentes de Clínica Médica. Se considera necesario reforzar la formación sobre depresión y manejo de antidepresivos durante la residencia/concurrencia de Clínica Médica.
Medicina interna pediátrica: abordaje y manejo clínico del paciente pediátrico en la internación
Authors: Pace Alejandro
Published: October 2023

Pediatric Internal Medicine combines a vast and outstanding selection of contents chosen according to frequency, relevance, and complexity with comprehensive, safe, and quality pediatric care in terms of technical, scientific, and human aspects addressed to pediatricians in hospitalization, pediatric sub-specialists, pediatricians in training and medical students.