bluuebunny/crossref_metadata_2025 huggingface dataset:
“Predictor of stress & coping strategies of mothers of neonate admitted in NICU in a selected tertiary care hospital, Bhubaneswar.”
Authors: Dey Susmita , Rath Kalyani , Behera Anusuya
Published: March 2023

Background
: The parent stress is as ‘the experience by a
mother of unpleasant
emotions, such as tension, frustration,
anxiety, anger, and depression, specially
when they see their
child admitted in NICU of neonate as a parent.
Objectives
:To assess the stress level & coping strategies of mothers of
neonates
admitted in N.I.C.U.To establish the correlation between
the stress & coping
strategies among mother of neonates.
Materials & methods
: A descriptive design was used for
this research which was done in selected tertiary care hospital in
Bhubaneswar, Odisha. The sample consisted of 106 mothers whose baby
admitted in NICU. The standardized tool and including modified likert
scale used for data collection. In this study non-probability purposive
sampling technique was used . After collection of the data, the selected
samples was analysed by using Karl Pearson’s Coefficient of Correlation
and chi-square test. and SPSS software version 20 and Microsoft Excel,
2007 used for statistical analysis .
Results
: After
statistical analysis the result was found that majority (86.8 %) mother
comes under severe stress and (13.2 %) of mothers comes under moderate
stress. In case of coping strategies maximum mothers 96(90.6 %) were
undergone moderate coping strategies to reduce the stress, and only few
mothers 10 (9.4%) with poor coping strategy & did not find any
relationship between the stress level & coping strategies ( r = 0.065,
P=0.618). Here, the null hypothesis was rejected. The final table
revealed that there is negative significant association between the
stress level of mothers & socio demographic variables such as mothers
age, Education qualification, family Income per month, mode of delivery,
living area, Number of Children, and treatment pattern except four
variables and these are education (p < 0.005), Income (p
< 0.33) , mode of delivery ( p < 0.001) & family
type (p < 0.001) etc.
Enhanced Direct Power Control of DFIGs driven by Wind Turbine under Unbalanced Grid Voltage
Authors: Shehata E. G.
Published: March 2023

Undesired oscillation components appear in active and reactive powers,
electromagnetic torque and DC-link voltage of doubly fed induction
generators (DFIGs) connected to unbalanced grid voltage. These
components oscillate at double source frequency as a result of negative
sequence components in voltage and current. Different direct power
control (DPC) techniques were studied in literatures to damp these
oscillations. However, these techniques require sequence decomposition
process, axes transformation of stator voltage/current and estimation of
different power components which complicate the overall control system.
This paper presents a simplified DPC of DFIGs in stationary reference
frame under normal and unbalanced grid voltage. Decomposition process,
axes transformation and compensation power terms are totally eliminated.
Vector proportional- integral (VPI) controllers are designed to regulate
stator active and reactive powers. The performance of the proposed DPC
scheme using VPI and proportional-integral-resonant (PIR) controllers is
analyzed and compared under different operating conditions. Bode diagram
of open loop and closed loop control using VPI and PIR are studied to
illustrate stability, steady state and transient response of the two
controllers. Also, the performance of proposed technique and previous
DPCs designed in synchronous reference frame is compared to prove the
validity of proposed one. The results show that proposed DPC using VPI
has superior performance in steady state and transient conditions with
simple implementation.
Crack-like Effectiveness of Some Discontinuities in AA2024
Authors: Molent Loris , Fox M.R.
Published: March 2023

Maintaining aircraft airworthiness to ensure the fleet’s safe operation
and maintain its readiness is critically dependent on accurate modelling
and reliable predictions of fatigue crack growth. In this process a
knowledge of the representative initial discontinuity sizes that cause
fatigue crack nucleation and early growth in aircraft is essential. Here
the effective pre-crack size of aluminium alloy 2024, from samples of
aircraft production material and tested under aircraft spectra, are
considered.
Ku-band Voltage-Controlled Oscillator With Low-Dropout Based Amplitude Control
Authors: KUO YUE-FANG , Chang Shu-Che , Wu Chia-Ying
Published: March 2023

This letter proposes a Ku-band voltage-controlled oscillator (VCO)
equipped with low-dropout (LDO) based amplitude control, fabricated in
the 0.18μm CMOS process. The LDO regulator combines with the voltage
distribution network to generate a stable supply of 1.8V and an internal
bias voltage range of 0.64−0.72V to the VCO core. The VCO demonstrates
an 11.6% tuning range from 15.69GHz to 17.62GHz. The measured phase
noise of 17.62GHz carrier frequency is −111.2 dBc/Hz at 1MHz offset
frequency while dissipating 3.5mA from 1.8V voltage regulator output,
yielding a Figure-of-Merit of 189.4. The whole chip size is 0.6
mm, including testing pads.
A case study on the Healthcare Workers in Karachi: The Effect Of Post-Covid Stress On Anxiety and Coping Mechanisms
Authors: Gillani Syeda Zahra Urooj , Zahid Muhammad Shaheer
Published: March 2023

Abstract

The aim of this research was to examine the impact of post-COVID stress on the anxiety and coping mechanisms of healthcare workers. A phenomenological approach was utilized to gain a deeper understanding of the personal experiences of the participants. The results of the study revealed the challenges faced by healthcare workers in the aftermath of the pandemic and the coping strategies they employed to manage stress. These findings provide valuable insights for healthcare organizations and policymakers in their efforts to support the mental well-being of healthcare workers.

Keywords: Post-covid-19, anxiety, depression, infection, mental health, pandemics, frontline workers, qualitative study, covid aftermaths
The Quality optimization of the Facebook in access impacts of the academic performance on the university students.
Authors: Brohi Allah Bachayo , Riffat Saher  , Shaikh Asad Ali
Published: March 2023

The most common social media platform is Facebook social network. Apart from IT experts and professionals, social media is used by the people from every walk of life. When it comes to the users of social media, students are not an exception. Using social media is one of the main online activity of students, since it is easier for them to formulate a group and share study material and assignments with each other. Students are busy in the peers in educational institutes for the enhancement of the skills of learning for improving the learning experience. However, the academic performance of university students may suffer due to excessive use of social media. This study will investigate the impact of social media usage on the academic performance of university students. In this case, has potential to distract young learners around academics and to develop a distraction to undergraduate students at university. The current study requires the data to be taken from the original subjects in the method of quantitative type. To accomplish this research, a comprehensive questionnaire is going to be developed and subjective tests are going to be performed to collect user data. Finally, results are collected and analyzed using statistical packages.
Social capital and members’ loyalty in agricultural producer organizations in Poland
Authors: Chlebicka Aleksandra , Pietrzak Michał
Published: March 2023

The aim of the paper is to explain the importance of social capital for the survival and growth of producer organizations in agriculture. Our main research question concerns the underlying causes of lack of loyalty of growers-members to producer organizations. We link the problem of outside individual sales to deficits in necessary formal institutions safeguarding against member disloyalty. To assess the scale of the problem and to identify ways to counter this opportunistic behaviour, we use data from direct interviews with CEOs of 65 fruit and vegetable producer organizations (POs). We proved that in the smallest POs the occurrence of opportunism was completely eliminated by informal institutions related to bonding social capital. Conversely, in larger POs weak bridging-type relationships proved insufficient to build trust - producers were highly susceptible to outside incentives. Moreover, the use of formal institutions to protect from opportunism turned out to be surprisingly low in medium and large entities.
The invisible participants of the 1990s wars: A view from the perspective of the millennials from the Hungarian national community in Vojvodina
Authors: Lendák-Kabók Karolina
Published: March 2023

Although a considerable amount of research was conducted on the topic of the 1990s Yugoslav wars, the affect the war had on Vojvodinian minorities (in this case the Hungarian ethnic minority) received scant attention in the wider academic community. Millennials, born in the 1980s might be the group most adversely affected by the Yugoslav wars. They did not experience anything from the ?old Yugoslavia? which was idolized by many, and which did serve as a welfare state for the generations who were born in the middle of the century. Millennials had to face the diminishment of the big country on the micro level, i.e. in their families as their fathers were receiving military conscription and anxiety was brought in and on the macro level, i.e. in the society being faced with open nationalism, alienation, and the prospect of being side-lined. The goal of this paper is to investigate the effect of the Yugoslav wars on the ethnic minority millennials childhood and adult life through their narratives about the traumatic experiences caused by the war. The analysis is based on semi-structured interviews conducted with millennials born in homogenous Hungarian marriage or in a Serbian-Hungarian intermarriage of their parents. The findings show that all the respondents, on a micro level, endured fear and anxiety because of their fathers either went to war or went to live abroad, leaving their family for many years to avoid military conscription. On a macro level, the respondents encountered nationalism-fueled incidents during their schooling or in the street that inevitably became embedded into their identities.
The importance of physical appearance and actual body figure of women in Serbia in the contemporary sociocultural environment
Authors: Velov Branko , Jovanovic Tatjana
Published: March 2023

In a social environment that emphasizes the importance of physical appearance and women is valued based on body appearance and sexuality, it raises the question of the relationship it establishes towards its own body. The work was intended to determine the attitude of respondents towards the importance attached to the physical appearance of the female body in the modern socio-cultural context and the degree of (dis)satisfaction with its own body. The questionnaire consists of a Scala attitude towards ?good? physical appearance (DFI scale), a seven-point Liqueur-type scale, and the Photography Figure Rating Scale (PFRS), which contains ten figures with different body mass index (BMI), from skinny to obese female bodies, filled out is by 462 respondents. The attitude towards physical appearance was not directly reflected in body dissatisfaction (there is no connection between these two constructs), but social ideals of beauty (thin ideal), which are transmitted through numerous sociocultural channels, are internalized. Respondents show a tendency to choose a figure (ideal) from BMI categories with insufficient weight. In general, the results show that the importance attached to the physical appearance of a woman?s body is largely determined by the value and psychological component, and that respondents have internalized to some extent social standards that promote slender and thin bodies.
Life satisfaction and positive youth development in Serbia
Authors: Kovacevic-Lepojevic Мarina , Gutvajn Nikoleta , Tadic Violeta
Published: March 2023

Life satisfaction is closely related to emotional, behavioural, social, and environmental youth functioning. Starting from the hypothesis that positive youth development (PYD) qualities such as aspects of eudaimonic well-being lead to higher youth life satisfaction (the hedonic aspect of well-being), we explored predictions of Serbian youth life satisfaction based on the Five Cs on a sample of 215 Belgrade secondary school students (34.9% male students). The research results show that: the youth were mostly satisfied with their friends, their living environment, themselves, and their families, and least satisfied with their school; the Five Cs variables explain the highest percentage of variance in youth satisfaction with the family, and the lowest for satisfaction with the living environment; higher impacts on domain-specific life satisfaction were observed for connection (self-satisfaction, satisfaction with the family and school), confidence (satisfaction with the family and school), and caring (satisfaction with the living environment, school and friends), while competence only predicted self-safisfaction. Providing support for PYD promotion leads to greater satisfaction with different aspects of youth development ecology.
Immunotherapy With Low-Dose IL-2/CD25 Prevents β-Cell Dysfunction and Dysglycemia in Prediabetic NOD Mice
Authors: Qureshi Farhan M. , Panzer Julia K. , Põder Janika , Malek Thomas R. , Caicedo Alejandro
Published: March 2023

Low-dose IL-2 is a promising immunotherapy in clinical trials for treating type 1 diabetes. A new IL-2 analog, IL-2/CD25 fusion protein, has been shown to more efficiently delay or prevent diabetes in NOD mice by expanding the population of activated regulatory T cells. This therapy is intended for use before clinical diagnosis, in the early stages of type 1 diabetes progression. During this prediabetic period, there is a chronic decline in β-cell function that has long-term implications for disease pathogenesis. Yet, to date, the effects of IL-2/CD25 on β-cell function have not been evaluated. In this study, we treated prediabetic NOD mice with low-dose mouse IL-2/CD25 over 5 weeks and determined its impact on β-cell function. This treatment limited the progressive impairment of glucose tolerance and insulin secretion typical of the later stages of prediabetes. Intracellular Ca2+ responses to glucose in β-cells became more robust and synchronous, indicating that changing the local immune cell infiltrate with IL-2/CD25 preserved β-cell function even after treatment cessation. Our study thus provides mechanistic insight and serves as a steppingstone for future research using low-dose IL-2/CD25 immunotherapy in patients.

Article Highlights

Immunotherapies such as IL-2/CD25 are known to prevent or delay diabetes. However, their impact on individual β-cell function is not yet understood. Female NOD mice progress from stage 1 to 2 pre–type 1 diabetes between 12 and 17 weeks. Treatment with mouse IL-2 (mIL-2)/CD25 prevents this progression even after treatment cessation. Individual β-cell function (measured via intracellular Ca2+ responses to glucose) declines during the pathogenesis of type 1 diabetes. Treatment with mIL-2/CD25 therapy limits β-cell dysfunction, and function continues to improve after treatment cessation. Insulin secretion is improved with mIL-2/CD25 therapy.
Earlier Age at Type 2 Diabetes Diagnosis Is Associated With Increased Genetic Risk of Cardiovascular Disease
Authors: Lee Hyunsuk , Choi Jaewon , Kim Na Yeon , Kim Jong-Il , Moon Min Kyong , Lee Seunggeun , Park Kyong Soo , Kwak Soo Heon
Published: March 2023

OBJECTIVE

We investigated genetic risk of cardiovascular disease (CVD) by age at type 2 diabetes (T2D) diagnosis.

RESEARCH DESIGN AND METHODS

We compared incident CVD events by age at T2D diagnosis using UK Biobank (N = 12,321) and the Seoul National University Hospital (SNUH) cohort (N = 1,165). Genetic risk was quantified using polygenic risk score (PRS).

RESULTS

Individuals with earlier T2D diagnosis had higher CVD risk. In UK Biobank, the effect size of coronary artery disease (CAD) PRS on incident CAD was largest in individuals diagnosed with T2D at ages 30–39 years (hazard ratio 2.25; 95% CI 1.56–3.26) and decreased as age at diagnosis increased: ages 40–49 (1.51; 1.30–1.75), 50–59 (1.36; 1.24–1.50), and 60–69 years (1.30; 1.14–1.48) (Pinteraction = 0.0031). A similar trend was observed in the SNUH cohort. This increased genetic risk associated with earlier T2D diagnosis was largely mitigated by a healthy lifestyle.

CONCLUSIONS

Individuals with an earlier T2D diagnosis have a higher genetic risk of CAD, and this information could be used to tailor lifestyle interventions.
A comparison of daily glucose fluctuation among GCK-MODY and type 2 diabetes using continuous glucose monitoring technology
Authors: Ren Qian , Zhang Ping , Pang Wuyan , Ma Yumin , Gong Siqian , Ba Tianhao , Liu Wei , Zhang Fang , Zhang Xiuying , Zhang Rui , Wang Xiangqing , Zhang Xiaomei , Yang Wenjia , Lv Fang , Gao Leili , Han Xueyao , Ji Linong
Published: March 2023

  

Glucokinase variant-induced maturity-onset diabetes of the young (GCK-MODY) exhibits the unique clinical features of mild fasting hyperglycaemia. However, formal studies of its glucose excursion pattern in daily life in comparison with those with or without other types of diabetes are lacking. We conducted a case-control study including 25 patients with GCK-MODY, 25 A1c-matched, drug naive patients with type 2 diabetes (T2DM) and 25 age-, BMI- and sex-matched subjects with normal glucose tolerance (NGT). All the subjects wore flash glucose monitoring (FGM) sensors for 2 weeks, and glucose readings were masked. Glucose excursion was significantly lower in the GCK-MODY than that in A1c-matched T2DM during the daytime, but was similar during the nighttime. The daytime coefficient of variation [CV] driven by postprandial glucose could separate GCK-MODY from well-controlled T2DM, but the nighttime CV could not. In discriminating between GCK-MODY and T2DM, the area under the curve (AUC) of the CV was 0.875. However, in GCK-MODY and NGT subjects, the CVs were similar at 24h, whereas the other four excursion parameters were significantly higher in GCK-MODY than those in NGT subjects. FGM confirmed the stability and mildness of hyperglycemia in GCK-MODY patients. Postprandial regulation is a key driver of the difference in excursion between GCK-MODY and T2DM.
An Exponential Decay Model for Decaying of Contact Patch Friction Steering Moment with Rolling Speed
Authors: Prakash Jai , Vignati Michele , Sabbioni Edoardo
Published: March 2023

Steering torque is a very important quantity for the driver's response. In fact, it gives the driver an idea of the road adherence condition during driving. Several models have been developed to simulate shear forces at the contact patch; most of them are based on semi-empirical tire models that account for slip and slip angles. They have good reliability when speed is high enough, but at very low speed, such as in parking, these models suffer from reliability and numerical issues. This paper presents a model to compute the steering moment due to contact patch friction at any longitudinal speed including pivot steering condition. In particular, it supplements the pivot steering model with a novel exponential decay of moment model to simulate steering moment for various wheel rolling speeds. The decay rate was found to be dependent upon contact patch geometry and rolling speed.
Fotografias do cotidiano da Belle Époque no Rio Grande-RS
Authors: Ortigara Andrea Maio
Published: March 2023

Neste estudo analisamos os álbuns de fotografia nos quais o imigrante francês Jorge Ruffier registrou suas vivências entre os anos 1910 e 1930 no município do Rio Grande, revelando uma fase da modernidade conhecida como Belle Époque. Exploramos a potencialidade documental das fotografias para compreender a história dos processos de urbanização no Rio Grande decorrentes da industrialização. O acervo fotográfico nos permite observar o desfrute do espaço público por meio dos passeios ao ar livre, os veraneios no Balneário Cassino, a chegada da eletricidade e do transporte por bondes e ainda, a sintonia com a moda europeia identificada nas vestimentas dos sujeitos. Adotamos a fotografia como fonte e objeto de estudo para a produção do conhecimento multidisciplinar, e a sua análise como proposta metodológica inerente ao processo de investigação. Assim, a fotografia é recurso para compreensão do cotidiano expresso nos hábitos empregados na reprodução da vida, ampliando as evidências documentais da realidade social do passado.
Penerapan pola Kebersihan Lingkungan yang Baik di Desa Cimanuk Kecamatan Way Lima Kabupaten Pesawaran
Authors: Gunawan Indra , Rahayu Pudji , Indriyani Dwi May
Published: March 2023

Upaya peningkatan kesehatan yang ditujukan kepada Masyarakat di Desa Cimanuk berpedoman pada program Gerakan Masyrakat Sehat (Germas) yang menekankan pada paradigama sehat pada upaya promotif, salah satunya melalui penerapan pola kebersihan lingkungan yang baik dan ketersediaan sarana dan prasarana yang menunjang keberhasilan program. Kegiatan pengabdian kepada masyarakat yang dilakukan Tim Dosen Jurusan Farmasi dilakukan berdasarkan skema Program Kemitraan Masyarakat (PKM) telah memberikan kontribusi nyata terhadap peningkatan pengetahuan kelompok masyarakat Desa Cimanuk, tentang pentingnya pola hidup sehat dan lingkungan sehat melalui program pola hidup bersih dan sehat (PHBS). Kegiatan pengabdian kepada masyarakat menghasilkan luaran berupa peningkatan pengetahuan masyarakat Desa Cimanuk terhadap kebersihan diri dan lingkungan dengan nilai delta (δ) sebesar 1,53; dan 2 unit SPAL rumah tangga sebagai proyek percontohan (pilot project). Evaluasi hasil kegiatan adalah masih diperlukannya pembinaan malaui pendampinag penggunaan SPAL dan penambahan unit SPAL melalui yang bersumber dari anggaran desa dan swadaya masyarakat.
MENGENALKAN RESIKO DARI INTRUSI AIR LAUT MELALUI PEMETAAN PARTISIPATIF MASYARAKAT PESISIR
Authors: Ghazali Mochamad Firman , Salsabila Choirunnisa , Dermawan Ananda , Zahra Lauditta , Aulia Mila , Meliana Ni Made Mega
Published: March 2023

Intrusi air laut atau masuknya air asin ke dalam tanah merupakan ancaman lingkungan bagi masyarakat pesisir. Fenomena tersebut akan menyebabkan tercemarnya air tawar, tanah, dan vegetasi yang berada di sekitar garis pantai. Salah satu masyarakat yang terkena dampak buruk dari adanya intrusi air laut adalah petani. Tingginya kadar garam pada lahan sawah akan mengakibatkan terganggunya pertumbuhan padi dan mengurangi jumlah gabah, dan produksi padi per ha. Petani di Desa Sriminosari dan Margasari, Labuhan Maringgai, Lampung Timur memanfaatkan lahan di sekitar pesisir pantai sebagai lahan sawah, hal tersebut berpotensi tercemar oleh intrusi air laut. Maka dari itu kegiatan ini bertujuan untuk memetakan intrusi air laut dan produktivitas padi di Desa Sriminosari dan Margasari. Lahan di Desa Sriminosari dan Margasari memiliki nilai salin (%0 sebesar -0,531 – 0,92. lahan sawah di kedua desa tersebut juga tercemar intrusi air laut dengan tingkatan sedikit parah dan cukup parah. Sawah yang dekat dengan tambah memiliki nilai intrusi yang lebih tinggi. Hal tersebut juga berpengaruh terhadap produktivitas lahan sawahnya. Selain itu, produktivitas lahan sawah juga dipengaruhi oleh jenis pengairan pada lahan sawah. Hal itu ditunjukkan dengan Desa Margasari yang memiliki tingkat produktivitas lahan sawah yang lebih tinggi dibandingkan dengan Desa Sriminosari.
Penerapan Teknologi Vakum Sealer Sebagai Upaya Optimalisasi Pengemasan Produk Olahan Ikan Teri di Desa Maja Kalianda Lampung Selatan
Authors: Darajat Anisa Ulya
Published: March 2023

Desa Maja Bakauheni yang terletak di pinggir pantai Kalianda merupakan desa yang penduduknya mayoritas memiliki profesi sebagai nelayan, pekerjaan lain dari nelayan selain menangkap ikan juga mengolah hasil tangkapan ikan menjadi produk makanan yang biasanya dijual dalam bentuk kemasan. Pengemasan produk yang dilakukan di Desa Maja masih menggunakan teknik tradisional, hal ini kurang efektif untuk menjaga ketahanan produk olahan ikan dan kurang menarik minat pembeli. Oleh karena itu, melalui kegiatan pengabdian kegiatan masyarakat yang dilakukan oleh tim Abdimas Jurusan Teknik Elektro Universitas Lampung ini akan dihadirkan teknologi sealer untuk membantu mitra nelayan dalam mengemas produk agar menjadi lebih tahan lama dengan teknologi vakum dan juga dengan kemasan yang lebih menarik pembeli. Dari evaluasi hasil kegiatan pengabdian kepada masyarakat ini menunjukkan bahwa kegiatan pengabdian kepada masyarakat ini memberikan dampak positif kepada mitra nelayan yaitu mitra mengetahui teknologi vakum sealer ini dan mampu menggunakannya untuk mengemas produk olahan ikan teri agar hasil kemasan lebih optimal dan meningkatkan produktifitas di Desa Maja Kalianda Lampung selatan.
The Effect of Self-Service Technology Service Quality on Customer Loyalty and Behavioral Intention
Authors: Radnan Yokie , Christin Velencia
Published: March 2023

The purpose of this research is to know the effect of self-service technology service quality on customer loyalty, behavioral intention, and customer satisfaction, the effect of self-service technology service quality on customer loyalty and behavioral intention mediated by customer satisfaction, and the effect of self- service technology service quality on customer loyalty mediated by brand image. This study uses a quantitative approach using an online questionnaire data collection method (Google Form) and will be disseminated via social media (Line, WhatsApp, and Instagram). The sampling technique used in this study is non-probability sampling – purposive sampling with 218 respondents. The results of the research conducted prove that all hypotheses in the study are supported, including service quality self-service technology has a positive effect on customer loyalty, service quality self-service technology has a positive effect on behavioral intention, service quality self-service technology has a positive effect on customer satisfaction, customer satisfaction mediates the relationship between service quality self-service technology on customer loyalty positively, customer satisfaction mediates the relationship service quality self-service technology positively on behavioral intention, brand image mediates the relationship service quality self-service technology positively on customer loyalty.
Hygiene as a science in modern clinical therapeutic practice: from observation to digitalization (part one)
Authors: Kaminer DD , Dubrovina EA , Sheina NI , Skoblina NA , Sanakoeva EYu , Vorona VP
Published: March 2023

Building on the global medical historiography, this review attempts to demonstrate the continued interest and involvement of doctors in investigation of the influence of environmental factors, their epidemiological and pathological aspects, on life expectancy and health of human beings, as well as to cover the most significant domestically developed prevention measures applicable in everyday life, during epidemics and against occupational hazards. We have also attempted to outline the history of interinfluence of the two medical specializations, including the new round of their transformation as they merge into the digital reality of today. The review shows that when medicine, as science and trade, in Russia was going through its establishing phases in Russia, the prominent Russian experts underscored the need for integrated application of therapeutic and hygienic approaches, development of the most effective combination thereof with the aim of qualitative improvement of public health care. The article considers the historical prerequisites for development of the system of preventive and anti-epidemic measures, which are the key safeguards against diseases, and development of the hygiene, including occupational hygiene, from the moment of inception to the age of digital medicine we live in currently.
Trends in age-specific and sex-specific pulmonary hypertension mortality in Italy between 2005 and 2017
Authors: Zuin Marco , Bilato Claudio , Rigatelli Gianluca , Quadretti Laura , Roncon Loris
Published: March 2023

Aims

Data regarding the pulmonary hypertension (PH)-related mortality and relative trends in the Italian population remain scant. We sought to assess the PH mortality rates and relative trends among the Italian population between 2005 and 2017.

Methods

Data regarding the cause-specific mortality and population size by sex in 5-year age groups were extracted from the WHO global mortality database. The age-standardized mortality rates, with relative 95% confidence intervals (CIs), also stratified by sex, were using the direct method. Joinpoint regression analyses were used to identify periods with statistically distinct log linear trends in PH-related death rates. To calculate nationwide annual trends in DCM-related mortality, we assessed the average annual percentage change (AAPC) and relative 95% CIs.

Results

In Italy, the PH age-standardized annual mortality rate decreased from 2.34 (95% CI: 2.32–2.36) deaths per 100 000 to 1.51 (95% CI: 1.48–1.53) deaths per 100 000 population. Over the entire period, men had higher PH-related mortality rates than women. Moreover, the PH-related mortality trend rose with a seemingly exponential distribution with a similar trend among male and female individuals. Joinpoint regression analysis revealed a linear significant decrease in age-standardized PH-related mortality from 2005 to 2017 [AAPC: −3.1% (95% CI: −3.8 to −2.5), P < 0.001] in the entire Italian population. However, the decline was more pronounced among men [AAPC: −5.0 (95% CI: −6.1 to −3.9), P < 0.001] compared with women [AAPC: −1.5 (95% CI: −2.3 to −0.7), P = 0.001].

Conclusion

In Italy, the PH-related mortality rates linearly declined from 2005 to 2017.
Echocardiography in the preparticipation screening: an old topic revisited
Authors: Donati Federica , Guicciardi Claudio , Lodi Elisa , Fernando Fredrick , Palermi Stefano , Modena Maria Grazia , Biffi Alessandro
Published: March 2023

Background

Preparticipation screenings have been conceived for the potential to prevent sudden cardiac death in young athletes by early identification of hidden cardiac diseases. Commonly used protocols include family history collection, physical examination, and resting electrocardiogram. Transthoracic echocardiography has been hypothesized to have a primary role in the preparticipation screening.

Aims

The present study aimed to evaluate the additional role of echocardiogram in identifying cardiovascular abnormalities that might be undetected by commonly used preparticipation screening.

Methods

We retrospectively reviewed Ferrari Formula Benessere, a corporate wellness program database, and analyzed data recorded from 2017 to 2022 to compare two medical models: a ‘standard’ preparticipation screening including medical history, physical examination, electrocardiogram and exercise stress testing versus an ‘advanced’ preparticipation screening comprising history, physical examination, electrocardiogram, exercise stress testing and echocardiography.

Results

From an initial sample size of 7500 patients, we included 500 patients (420 male, 33.69 ± 7.9 mean age) enrolled for the first time in the corporate wellness program between 2017 and 2022. Three hundred and thirty-nine (67.8%) patients had no abnormal findings at ‘standard’ preparticipation screening and, even if they would have not required further evaluation, we performed echocardiography anyway (‘advanced’ preparticipation screening): 31 (9.1%) showed some abnormal cardiovascular findings at echocardiography, such as patent foramen ovalis, bicuspid aortic valve, aortic root ectasia or mitral valve prolapse.

Conclusions

Screening echocardiogram showed an additional value (about 10% more) in detecting patients with cardiovascular abnormalities, otherwise undiagnosed with the ‘standard’ preparticipation screening protocol.
International Protection of the Rights of Forced Migrants in Judgments of the European Court of Human Rights (Part II)
Authors: Ivanov Dmitriy V.
Published: March 2023

The article highlights the role of the European Court of Human Rights in international protection of the rights of migrants and expands on the practice of the Court regarding various rights and freedoms granted by the European convention on human rights and its Protocols (1950).

The present article continues the overall scientific research of aspects of international protection of forced migrants in the practice of the European Court of Human Rights.
The Correlation of International Treaties And National Civil Legislation: A Problem Of Typology
Authors: Eremenko Alexander S.
Published: March 2023

The investigation of theoretical issues of the concept “international treaties” in aspects of their position in the structure of the Russian legal system and their correlation with the Russian civil legislation is given in this article. The mechanism of correlation of the international treaties and the national legislation is characterized from the law application point of view of the notion “source of law”. The author’s typology of phenomena, being based on the diversity of interaction between the international treaties and the national civil legislation, in the form of conceptions of supernationalism, subconstitutionalism, superlegalism and interlegalism is put forward. An opinion that the interlegalism makes more concrete the international treaties’ function of legal applicability, pointing their status of special ordinary legal acts and their correlation with other legal acts of the domestic law by the maxims of concurrence and collision (conflict) of legal norms, is found.
To the Issue of Status of Okhotsk Sea and Pechora Sea
Authors: Melkov Gennady M.
Published: March 2023

In the Soviet period the areas of seabed in the Okhotsk Sea and in the Pechora Sea were considered in doctrine as the seabed of the USSR’s historic waters. The Russian Ministry of Natural Resources has got different view and regards the above mentioned areas as continental shelf. This means that the status of the areas is less strong than in the Soviet period: instead of claiming sovereignty Russia claims only rights to natural resources. This article addresses the validity of such change of view with reference to the other cessions of continental shelf compared to the position of the Russian Empire and the USSR.
PREVENTION OF POSTOPERATIVE COMPLICATIONS OF CALCANEUS FRACTURES
Authors:   Department of Traumatology and Orthopedics, Yaroslavl State Medical University, Yaroslavl, Russian Federation, SAVGACHEV V.V. , LITVINOV I.I. ,   Department of Traumatology and Orthopedics, Yaroslavl State Medical University, Yaroslavl, Russian Federation
Published: March 2023

Objective: To optimize prevention of postoperative complications of closed calcaneus fractures (CCF), considering prediction of risk factors (RF) for their development. Methods: The case histories of 490 patients with CCF were studied for the period 2010-2020. Among them there were 25 women (5%), and 465 men (95%), their age ranged from 18 to 70 years; 94% of patients were having recent trauma. Postoperative complications were diagnosed in 183 cases (37%), such as dislocation of metal parts of prosthesis (14%); osteomyelitis of the calcaneus (9%); trophic disorders, particularly skin necrosis (21%); suppuration of the postoperative wound and osteosynthesis zone (51%); fistulae and tendinitis (5%). For the analysis of risk pathology, RFs and the potential for their realization were evaluated. The data reduction procedure was performed using calculation of the correlation coefficient τ. The final assessment of the identified predictors was carried out using the logistic regression method. A protocol for managing patients with risk assessment of complications at each stage has been developed. Results: Statistically significant RFs were revealed, such as edema in the fracture zone on the day of surgery and three days later, odds ratio (OR) =0.07 [CI: 0.015-0.294]; lack of antibiotic prophylaxis before surgery, OR=0.053 [CI: 0.006-0.402]; serious comorbidities, OR=0.252 [CI: 0.108-0.586]; significant changes in laboratory tests, OR=0.137 [CI: 0.056-0.327]; significant changes in the follow up tests, OR=0.12 [CI: 0.038-0.42]; failure to perform an X-ray after surgery, OR=0.095 [CI: 0.031-0.286]; lack of prevention of thromboembolic complications, OR=0.02 [CI: 0.038-0.38]; the quality of the recommendations presented in the discharge summary, OR=0.073 [CI: 0.038-0.142]; hard physical labor, OR=0.009 [CI: 0.002-0.044]. In 45 cases, a patient management protocol was used with risk assessment of complications at each stage, as a result of which no complications were noted in 96% of cases. Conclusion: The presented comprehensive approach to the prevention of complications based on consideration of the individual characteristics of the patient and the use of multidimensional modeling can effectively reduce the incidence of complications and may help even a novice specialist in choosing of proper treatment tactics. Keywords: Fracture of the calcaneus, risk factors, prophylaxis, complications, prognosis.
ANALYSIS OF THE EFFICIENCY OF APPLICATION OF THE TWO SURGERY METHODS OF TREATMENT OF THE URETHRAL INJURY CONSEQUENCES
Authors:   Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan, KHODZHAMURADOV G.M. , ZIYOZODA S.S. ,   Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan, RIZOEV KH.KH. ,   Department of Urology, Medical Center «Madadi Akbar», Dushanbe, Republic of Tajikistan, ISMOILOV M.M. ,   Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan, SHARIPOVA M.B. ,   Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan, TOLIBOV A.KH. ,   Department of Urology, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
Published: March 2023

Objective: To analyze the results of application of the two surgical techniques in the treatment of the consequences of urethral injuries (CUI). Methods: 38 patients aged 16.4±1.9 years with CUI were examined. CUI were localized in the area of the scaphoid fossa (n=3), the penile part (n=9), the bulbous region (n=6). Multi-site and panurethral lesions were noted in 8 and 12 cases, respectively. Additional research methods included ultrasound examination of the bladder, uroflowmetry, residual urine measurement, and, if necessary, retrograde and voiding urethrography. The patients underwent two types of surgical intervention: one-stage (16 patients, 1st group) and two-stage (22 patients, 2nd group) urethroplasty using a buccal mucosal flap. The results of surgery were assessed by ascending urethrography and uroflowmetry. The follow-up period ranged from 6 to 24 months. Results: The immediate and long-term results between the two groups showed significant difference. According to uroflowmetry data, the main indicator of the effectiveness of surgical intervention was a stable retention of maximum urine flow rate at least 15 ml/sec. In the 1st group, there was one case of early wound dehiscence with the formation of a fistula. In the 2nd group, early divergence was observed in 8 cases, it was also accompanied by formation of fistulas. These complications required additional surgical intervention; their correction was deferred. Conclusion: One-stage urethroplasty using a buccal mucosal flap for CUI proved to be safer and more effective compared to the two-stage technique Keywords: Consequences of urethral injury, urethrography, uroflowmetry, buccal flap.
DYNAMICS OF MISCARRIAGE AMONG THE FEMALE POPULATION OF FERTILE AGE IN UKRAINE AND IN LVIV REGION IN 2014-2021
Authors: Timchenko Nataliia , Gutor Taras
Published: March 2023

Aim. The research aims at rationalizing of the epidemiological component in the process of developing a model for preventing miscarriage among the female population of Ukraine.

Materials and Methods. A retrospective analysis of the indicators of miscarriage among the female population of Ukraine and Lviv region for the period from 2014 to 2021 was carried out. Statistical data of the Center for Medical Statistics of the Ministry of Health of Ukraine were used, namely Form No. 21 "Report on medical care for pregnant women, women in labor and women giving birth". The study uses the methods of a systemic approach and structural-logical analysis, medical-statistical analysis, namely the calculation of chain (relative to the previous year) indicators of a dynamic series: absolute growth, growth rate and increment rate.

Results and Discussion. A decrease in the female population of fertile age by 13.03% in Ukraine and by 5.81% in Lviv region was noted in the analyzed period of 2014-2021, while the number of spontaneous abortions in Ukraine decreased by an average of 3.45% per year, and grew in Lviv region in 2015, 2018, 2019 and 2020 by 5.72%, 6.87%, 19.29% and 6.59%, respectively. The rates of spontaneous abortions per 1,000 women of fertile age in Lviv region were twice as low as in Ukraine. Over the analyzed 8-year period, the share of premature children among all live births increased from 4.68% to 5.68% in Ukraine, and from 4.18% to 5.65% in Lviv region, respectively; these indicators in Lviv region were smaller compared to the indicators in Ukraine. The share of premature babies among stillbirths averaged 63.07% in Ukraine and 67.69% in Lviv region, had a growing trend, and the indicators in Lviv region were higher every year compared to the indicators in Ukraine. The ratio of the total rate of miscarriage to the total number of pregnancies (cases of miscarriage per 100 pregnancies) increased from 5.50 in 2014 to 6.22 in 2021 in Ukraine and from 3.57 to 4.72 in Lviv region respectively.

Conclusions. There was a trend of annual increase in the index of the ratio of the total miscarriage rate to the total number of pregnancies, the share of prematures from the total number of live births and the share of premature births from the number of stillbirths in the analyzed 8-year period, both in Ukraine and in Lviv region. The analyzed indicators of the share of premature newborns from the total number of live births in Lviv region were lower every year, and the share of newborns from the total number of stillbirths was higher compared to the average annual indicators in Ukraine. The dynamics of spontaneous abortions showed a clear trend towards an annual decrease in Ukraine and their increase in 2015, 2018-2020 in Lviv region. The rate of spontaneous abortions among women of fertile age in Lviv region from 2014 to 2021 was annually half as low compared to the average annual levels of this indicator in Ukraine.
Penerapan Metode Location Quetiont (LQ) dalam Penentuan Komoditas Unggulan Tanaman Pangan di Kabupaten Sigi
Authors: Dhandy Rahmat , Brillyantina Septine , Asmunir  , Putra Mohammad Edwinsyah Yanuan , Hidayat Taufik
Published: March 2023

Sektor pertanian, kehutanan dan perikanan yang menjadi penggerak utama dalam bidang agribisnis di Kabupaten Sigi merupakan sektor terpenting yang dapat meningkatkan pendapatan masyarakat. Kenyataan ini bisa dilihat dari besarnya kontribusi yang diberikan sektor pertanian, kehutanan dan perikanan masih sangat dominan terhadap pembentukan Produk Domestik Regional Bruto (PDRB) berdasarkan harga konstan Tahun 2015 di Kabupaten Sigi yaitu sebesar 41,68% pada tahun 2019. Perolehan PDRB tersebut belum diketahui dari komoditas apa dan dari kecamatan mana, oleh karena itu guna meningkatkan PDRB saat ini diperlukan informasi yang lebih rinci, yaitu informasi tentang komoditas pangan yang memiliki potensi daya saing kompetitif dan komparatif serta sektor basis dalam pengembangan produksi tanaman pangan.Penelitian ini bertujuan untuk menganalisis macam-macam komoditas tanaman pangan unggulan dan mengkaji struktur pertumbuhan komoditas tanaman pangan di Kabupaten Sigi. Metode yang digunakan adalah Location Quotient (LQ) dengan pengambilan data produksi komoditas tanaman pangan selama 2015 s/d 2019. Metode LQ menghasilkan komoditas yang tergolong unggulan secara keseluruhan yaitu komoditas Ubi Jalar (13,55), Kacang Kedelai (13,05), Kacang Hijau (12,59) dan Ubi Kayu (11,69).
The Unsung Heroes of Holy Garbage: An Analysis of Waste in A.R. Ammons’s Garbage
Authors:   Universidade da Coruña (España), Simal-González Begoña
Published: March 2023

This essay analyzes A.R. Ammons Garbage (1993) through the lens of Waste Studies by focusing on the interactions between the material and metaphorical uses of waste, scrutinizing the complex trope of the dump-ziggurat, and paying special attention to the neglected figure of the waste collector or garbage worker. In the 1990s, when Ammons published his long poem, waste and garbage were becoming pivotal tropes in American poetry. While Ammons deals with the inescapable presence of garbage in his homonymous poem, he also goes beyond the materiality of waste in order to incorporate more metaphorical resonances. Arguably, the most valuable insights that Garbage has to offer derive precisely from its striking juxtaposition of the material and the immaterial, the scatological and the eschatological. Most importantly, Ammons not only sings a hymn to the huge garbage dump and its implications, but also to the “unsung heroes” of modernity (Bauman 2004): the anonymous workers who collect the garbage and maintain the landfill.
Legacies of Slavery: Black Domestic Workers, Waste, and the Body
Authors:   Universidade de Santiago de Compostela (España), Jiménez Placer Susana María
Published: March 2023

One of the legacies of slavery which helped shape the ideology of the Jim Crow South concerned the perpetuation of black women’s exclusion to the margins of the established order through their exclusive association with the body and its functions. This association was used to justify black women’s destiny as domestic workers in the Jim Crow South, which meant that they were doomed to handle filth, and thus to become tainted with it according to the official discourse. This article explores first the deprecating connotations of the association of black women with the body established by the dominant southern ideology as a relic of the slave period, and then focuses on black domestics’ involvement in the management of bodily fluids and waste as part of their professional tasks in the Jim Crow South.
Welcome to America 2.0”: Reading Waste in Gary Shteyngart’s Super Sad True Love Story
Authors:   Universidad de Vigo (España), Urdiales-Shaw Martín
Published: March 2023

This article proposes a reading of Gary Shteyngart’s celebrated novel Super Sad True Love Story (2010), a text that straddles the dystopian and the satiric in its depiction of a quasicontemporary America, from the perspective of Waste Studies. Through the problematic relationship between its two main characters, Shteyngart’s novel articulates the wide-ranging effects of globalization on a generationally-ruptured American society, that in many ways stands also for the First World at large. Drawing from sociologists, cultural critics, and philosophers like Zygmunt Bauman, Ulrich Beck, Byung-Chul Han, John Scanlan and Susan Sontag, who have theorized how individuals today are molded, challenged and threatened by powerful extrinsic forces in the era of globalization, this article aims to explore how Super Sad True Love Story showcases a range of mutually interrelated “modes of waste,” resulting from the writer’s pushing to a satiric/dystopic extreme contemporary American practices in politics and finance, citizenship and social ethics, culture and language, and even biological research.