bluuebunny/crossref_metadata_2025 huggingface dataset:
An Investigation of the Densification Process of the Residential Areas of Dhaka
Authors: Nancy Syeda Jafrina , Hafiz Roxana
Published: October 2023

Dhaka is one of the most densely populated megacities of the world with demography of over 20 million people. With an annual population growth rate of 4.2% Dhaka is set to face the challenges of habitat crisis, lack of communal facilities, and constant pressure on transportation and infrastructure. In response to the demand of the rapidly growing population and scarcity of developable land, urban consolidation through vertical expansion was carried out without any proper diagnosis of the sites or any contextually appropriate densification policy. The unguided nature of densification not only brought a transformation in the urban landscape but also in the built form itself by infusing the concept of compactness into them. The compactness of multi-storied dwellings is often found to compromise with the livability condition posing questions on residential sustainability. Drawing on three residential areas of varied density, age and, settlement type this paper, therefore attempts to investigate the trend of densification of the densifying residential areas of Dhaka in terms of the spatial quality of the built form its effect on the built environment. Key methods of data collection employed extensive field surveys, observations, measurements, map analysis, satellite imagery analysis, interviews with officials, and block surveys for detailed analysis of FAR, land coverage in plot and block level, height, land use pattern, and other design aspects of the built form. The survey findings were analyzed through descriptive statistical methods including frequency distribution and presented through tables, charts, and cross-analysis charts contributing to a better understanding of the ongoing trend of densification. The findings indicate that the spatial quality of the built environment was largely compromised in terms of inadequate ventilation and solar access, loss of acoustic and visual privacy, obstruction of view, and leftover unusable open spaces. However, the interior dwelling spaces conforming to the acceptable standard is suggestive of a moderate degree of urban consolidation. By investigating how urban densification has transformed the urban fabric and residential environment, the study reveals the unintended consequences of unguided densification in Dhaka.
Occupational Polarization in Brazilian Labor Market, 1985-2015
Authors: da Cunha Marina Silva
Published: October 2023

The objective of this paper is to analyze employment and wages in occupational structure of Brazilian labor market, considering the gender gap as well. The analysis is based on information from 1985 to 2015 and estimates from income equations. Results showed that occupational polarization was more evident for women during the three analyzed decades as these women broadened their participation on labor market regarding occupations that were more abstract and manual, non-routine, as professionals and technicians, in the first group, and domestic services, in the second group. On the other hand, men suffered deep transformations in occupational structure regarding manual and routine activities, from agricultural activities to production and operational ones. It was verified a reduction in inequality in wage distribution with the increase of average wages, although occupations that broadened the demand for labor had relative increase in wages, which suggests polarization in women’s payment.
ONE EXAMPLE OF USE OF ACTIVE GEOCOMPOSITES FOR SITE REMEDIATION
Authors: Niewerth Stefan , Dobrić Vitomir , Bakrač Marija
Published: October 2023

The ''Chalk landfill Bruck I/II'', a former industrial landfill is located in Austria. The landfill was filled from 1926-1981 with calcium carbide, CHC and mercury contaminated wastes. The total amount of HCH is estimated to 100-1000 t. Since 1995 different remedial actions took place as well as continuous securing measures. In 2000 the site was put on the list of contaminated sites that need remediation and got codename K20. Additional tests in 2003 gave the site highest priority level one. In 2009 decision is made to remove all stored material and treat or safely store in state-of-the-art landfill. After observation of Hexachlorobenzene in food in the area around the thermal treatment plant works were stopped. The new course of action was to secure the waste on site. The new physical safeguard measures included an innovative, multifunctional surface sealing system consisting of calcium bentonite geosynthetic clay liner, an activated carbon mat, a LDPE membrane with integrated aluminium sheet and a drainage element. This system creates a strong barrier for volatile CHC. There are soil vapor extraction pipes below and above the sealing system to ensure a monitoring. Minimal interference with existing landfill body was requirement. To enable long term stability of the whole sealing system geogrids are used. The construction work was executed in 2016.
GEOSYNTHETIC DEWATERING TUBES - BASIC WORKING PRINCIPLES AND USE FOR FLY ASH DISPOSAL VOLUME INCREASE
Authors: Bakrač Marija , Guanaes Eduardo , Dobrić Vitomir
Published: October 2023

The most common management practice for mining slurries (e.g. tailings, contaminated process byproducts, etc.) is pond storage. Alternatively, mine slurries can be managed by geosynthetic dewatering tubes. By pumping the conditioned slurry into a geosynthetic element the liquid and solids are separated. Due to the permeable dewatering fabric the water can drain through the system while the solid particles are retained inside the tube. The biggest economic benefit can be achieved if waste material is re-used for construction purposes. This is possible using geosynthetic dewatering tubes as the dewatered material can be permanently stored within the tube. The present article describes use of geosynthetic dewatering tubes filled with ashes originated in the process of a thermoelectric power plant located in the northeast region of Brazil and using them to rise the tailing cell capacity without the need for Increasing the footprint. The paper is also intended to illustrate the basic working principles of the geosynthetic dewatering tube system in general.
APPLICATION OF CONTROLLED BLASTING IN THE EXCAVATION OF THE ENTRANCE PORTAL OF THE RIGHT TUNNEL TUBE OF THE "VRANDUK" TUNNEL IN THE VC CORRIDOR
Authors: Bektašević Ekrem , Kadrić Reuf , Gutić Kemal , Kadrić Sead
Published: October 2023

The height of the section of the right portal structure, Vranduk tunnel, starts at 337.24, while the height of the left side starts at 331.74. The projected level of the right tunnel pipe is at 315.24, which means that it is necessary to excavate 22m' of the right and 16.50m' of the left slope. Excavation work was carried out using a combination of mechanical excavation and blasting.
Excavation with a hydraulic excavator to a height of 10-11m' to the level of the tunnel was not economically acceptable because it was a rock mass of considerable hardness with an average uniaxial strength of qu=45 MPa.
The main task and the biggest challenge during the excavation by blasting the rock mass at the intersections is the determination of the drilling and mining parameters that will ensure as little damage as possible to the depth of the contour part of the rock mass, and reduce all potential harmful effects of blasting to a minimum.
This paper describes the determination of drilling and mining parameters during the excavation of the entrance portal of the right tunnel pipe of the "Vranduk" tunnel on the Vc corridor.
RESEARCH AND REHABILITATION DESIGN OF "RATAC" LANDSLIDE, BAR, MONTENEGRO
Authors: Mijajlović Goran , Živaljević Slobodan , Veliu Denis , Međedović Nikola
Published: October 2023

The "Ratac" landslide occurs on the section of Belgrade-Bar international railway from railway station Sutomore to railway station Bar. The paper deals with the rehabilitation of the "Ratac" landslide, which extends from km 449+309.00 to km 449+473.00, with a total length of 164m, and which was created in the last unfavorable geological structure (paleo - gully filled with a thick deluvium over 15 m), changing climatic conditions, inflow of groundwater and load from trains. Geodetic surveys and monitoring of landslide activity (2018), geotechnical and geological research, monitoring of measuring devices (2018-2020), monitoring of installed piezometers and geophysical tests of the geological environment were carried out for the purposes of the development of the Main Landslide Rehabilitation Project "Ratac". A geotechnical analysis of two variant solutions for the stabilization of an embankment affected by an active landslide was performed. Variant 1 includes the strengthening of the existing railway embankment with a curtain of piles (jet injected) Φ60 cm/1.5m, and Variant 2 includes the construction of three rows of bored piles diameter of 100 cm interconnected by a reinforced concrete cap at the toe of the railway embankment. Based on the data from the geological study, the geotechnical analyzes included: (i) stability calculations using the limit equilibrium method at critical sections and (ii) back-analysis for obtaining failure zone. Variant 2 was adopted for the rehabilitation of the "Ratac" landslide.
REHABILITATION OF UNSTABLE SLOPE DURING THE CONSTRUCTION OF THE UVAČ 4 VIADUCT ON SMOKOVAC - MATEŠEVO HIGHWAY SECTION IN MONTENEGRO
Authors: Čađenović Nikola , Maretić Ivan , Drnda Ševket
Published: October 2023

The rock slide that occurred in Montenegro in May 2019, damaged the support of the Uvač 4 highway viaduct under construction. The rock sliding happened in the mountain section, where the terrain is composed of tectonically crushed flysch sediments represented by sandstones, marlstones, and siltstones. Initially, deformations appeared on the ground with the formation of a 90m long scar, that after four weeks the movement of the L2O1 support of the Uvac 4 viaduct by more than 40 cm was registered. Additional geological investigation works were carried out and the sliding plane was registered with inclinometer measurements at a depth of 18m. Rehabilitation works included the formation of the new deep foundation supporting structures and securing the slope with cable anchors. The paper analyzed the values of flysch sediment shear parameters given in the rehabilitation project, as well as the adopted rock mass disturbance factor. The assessment is that the main reason for sliding terrain is caused by stress relief.
PROTECTION OF THE FOUNDATION PIT AT THE S2 PILLAR LOCATION DURING THE CONSTRUCTION OF THE POCITELJ BRIDGE
Authors: Jurišić Mario , Kvesić Marija
Published: October 2023

In the last few years, the construction works on Počitelj Bridge, the largest giant of the Corridor Vc, have been executed. Počitelj Bridge connects two banks of the “divine” (as named by the Illyrians) river Neretva, thus connecting Bosnia and Herzegovina with Croatia and Hungary. The Počitelj bridge is being built north from the town having the same name - Počitelj. Its length of about 980 m and height of about 100 m above the river make it the largest bridge in Bosnia and Herzegovina. It consists of seven spans, i.e. six middle pillars and two abutments. The subject of this paper is a review of the construction of the foundation at the S2 pillar location using analyses and comparisons with the main project, especially the protection of the construction pit during the works execution at the above-mentioned pillar location.
LITHOLOGICAL COMPOSITION AND GEOTECHNICAL SOIL PARAMETERS OF PETRINJA TOWN HISTORICAL CENTER
Authors: Grabar Kristijan , Bek Anja , Jug Jasmin , Strelec Stjepan
Published: October 2023

With the aim of reconstruction of the historical center of the city of Petrinja, which was completely destroyed in the devastating earthquake, geotechnical surveys were carried out on the sites of collapsed and damaged buildings. With the intention of obtaining an overview of the broader lithological soil composition, a comparison with the soil profile east of the town of Petrinja is made in this paper. For this purpose, the Petrinja-Moscenica-Sisak profile was selected. Three main geotechnical zones were recognized in the profile. For each geotechnical zone comparison of characteristics tip resistance showed that the mechanical properties are relatively uniform in a wider area, with the lowest values in the area of the historical center of Petrinja. The upper lithological member was named geotechnical zone 1 and extends to a depth of 7 meters. The named layer was separated for systematization of geotechnical parameters in the city center. The characteristic parameter values were derived from the laboratory results, which were then compared with the cone penetration results, also after statistical processing. The analyzed data are in agreement. Thus, the obtained parameters can be used as intermediate parameters for the Petrinja city center.
EFEITO ANTITUMORAL INVITRO DA CURCUMINA NO CARCINOMA UROTELIAL DE BEXIGA CANINO E HUMANO – REVISÃO DE LITERATURA
Authors: Oliveira da Silva Thayná , Ramos de Moraes Calheiros Luis Gustavo , Laufer Amorim Renée
Published: October 2023

Estudos recentes vêm demonstrando a eficácia de produtos naturais como agentes terapêuticos anti-tumorais, avaliando-se o mecanismo de ação frente a diferentes células neoplásicas na medicina humana e veterinária. Dentre eles, a cúrcuma, conhecida como açafrão, destaca-se por suas propriedades anti-inflamatórias, anti-proliferativas e pró-apoptóticas. A curcumina é o principal composto ativo da cúrcuma e possui efeito antiproliferativo e pró apoptótico satisfatório, já descrito em diferentes linhagens neoplásicas. Sua eficácia, quando associada a diversos quimioterápicos, tem sido avaliada na busca de aumentar seus efeitos e biodisponibilidade. No trato urinário, a bexiga é o órgão mais acometido por neoplasias, sendo 80% destas malignas, incluindo o carcinoma urotelial canino (CUB), que corresponde a cerca de 2% de todos os tumores malignos do trato urinário inferior e superior. Comumente apresentada como uma neoplasia invasiva de alto grau, localizada na região do trígono e metastática. Seu tratamento inclui excisão cirúrgica, quimioterapia, emprego de inibidores de cicloxigenase (COX), radioterapia, ou a combinação desses. Entretanto, a intervenção cirúrgica muitas vezes é inviabilizada pela localização da lesão. Além disso, estudos recentes demonstraram que esta neoplasia possui semelhança com CUB humano em diferentes aspectos, servindo como um modelo natural na busca de novas estratégias terapêuticas e diagnósticas. Abordamos a respeito do uso de curcumina na terapêutica do carcinoma de bexiga, buscando estimular o desenvolvimento de mais pesquisas acerca dessa temática.
EFEITO DO MIO-INOSITOL NA PRODUÇÃO IN VITRO DE EMBRIÕES OVINOS
Authors: AURELIANO ERIKA KAROLINE DE OLIVEIRA , LIMA ANDREZA MAYARA CARNEIRO , SANTOS DAMARIS RAQUEL PIRES , FREITAS BEATRIZ CAVALCANTI DE , SILVA JOSSIMARA DE MELO , KEALY PIMENTEL DE OLIVEIRA LUANA , LIMA SUELI DE OLIVEIRA , PEREIRA AILTON BATISTA , LOPES ISABELA MARIA , SILVA BRUNA MOURA , CORDEIRO MABEL FREITAS , LOPES JÚNIOR EDILSON SOARES
Published: October 2023

O objetivo do trabalho foi avaliar o efeito da inclusão de mio-inositol no meio de maturação in vitro de oócitos sobre a PIV de embriões ovinos. A colheita de oócitos foi realizada a partir de ovários obtidos em abatedouro, os quais foram aspirados e levados à maturação in vitro, sendo divididos em quatro grupos: no grupo CON, os complexos cumulus oócitos (CCO) foram imersos em TCM-199, suplementado com 500 UI/mL de penicilina, 0,5 mg de estreptomicina, 1,25 µg de anfotericina, 0,2 mM de piruvato de sódio, 10% (v/v) de soro fetal bovino (SFB), 10 ng/mL de fator de crescimento epidérmico (EGF), 10 µg/mL de FSH e LH e µg/ml 17β-estradiol; nos grupos MIO20, MIO30 e MIO40, os oócitos foram maturados no meio do grupo CON, suplementado com 20, 30 e 40 mM de mio-inositol. Após isso, os oócitos foram avaliados quanto a presença ou ausência da expansão de células do cumulus e quanto ao grau de expansão e destinados à fecundação in vitro, em meio FIV, juntamente com espermatozoides. Após a FIV, foram avaliados os presumíveis zigotos que seguiram para o cultivo in vitro.  Foram avaliadas clivagens no dia 1 e dia 2, sendo dia 0 o dia do início do cultivo in vitro. Os dados foram apresentados em porcentagem e foi utilizado o teste do Qui-quadrado no software Epi Info. Os resultados foram considerados significativos quando P<0,05. Foi notório que não houve diferença significativa em relação aos oócitos com expansão ou sem expansão das células do cumulus nos grupos MIO20, MIO30 e MIO40. Em relação ao grau de expansão das células do cumulus, número de presumíveis zigotos e ao número de estruturas clivadas, o mio-inositol não mostrou diferença significativa em relação ao grupo CON. Com base nessas informações, conclui-se que o mio-inositol mostrou eficaz ação antioxidante, atuando de maneira relevante na maturação oocitária. Contudo, são necessários mais estudos para esclarecer os efeitos do mio-inositol na FIV ovina.
PELVIMETRIA EM CUTIAS (Dasyprocta prymnolopha) JOVENS CRIADAS EM CATIVEIRO
Authors: Ferraz Maíra , Miranda Santos Elane , Gomes Rocha Daniel , De Souza Neto Miguel Félix , Tavares Pessoa Gerson , Medeiros de Noronha Albuquerque Daniel , Chácara Pires Luanna , Martins de Carvalho Maria Acelina
Published: October 2023

A pelvimetria consiste na determinação métrica das dimensões pélvicas, e sua utilização está diretamente relacionada à reprodução, sendo um método profilático contra complicações do parto causadas por deformação, mal-formação ou sequelas de afecções presentes nessa estrutura óssea. Entretanto, são escassos os relatos a respeito da técnica de pelvimetria em cutias, especialmente em animais jovens. Dessa forma, objetivou-se com este trabalho descrever as características pelvimétricas de cutias (Dasyprocta prymnolopha) jovens, com até 1 ano de idade, através de mensurações externas e internas (radiográficas), e avaliar a existência de diferenças pélvicas quanto ao sexo nestes animais. Foram utilizadas dezenove cutias de até 01 ano de idade (11 fêmeas e 08 machos) provenientes do Núcleo de Estudos, Produção e Preservação de Animais Silvestres (NEPPAS) do Centro de Ciências Agrárias (CCA) da Universidade Federal do Piauí (UFPI). Os parâmetros externos medidos foram o diâmetro biilíaco externo; o diâmetro biisquiático externo; diâmetros ilioisquiáticos externos direito e esquerdo. Os diâmetros internos foram avaliados por meio de exame radiográfico em que foram mensurados: diâmetro conjugado verdadeiro; o diâmetro conjugado diagonal; o diâmetro vertical; o diâmetro sacral; diâmetro sagital; diâmetro da tuberosidade coxal; diâmetro biilíaco superior; diâmetro biilíaco inferior; e diâmetro biisquiático. A partir dos resultados obtidos conclui-se que as cutias jovens podem ser classificadas como dolicopélvicas, apresentado diferenças nos tamanhos da pelve entre machos e fêmeas. Além disso, há alta correlação entre o peso dos animais e os diâmetros pélvicos externos e internos, entre os diâmetros externos e internos e dos diâmetros internos entre si.
Zona Franca- Nº 20 (2011) [Parte V]
Authors: CEIM UNR
Published: October 2023

Zona Franca- Nº 20 (2011) [Parte V]
“Una visión más amplia”: cooperativismo y mujeres, una lectura desde la experiencia de Santa Fe
Authors: Carini Gabriel , Martínez Jimena
Published: October 2023

El presente artículo sintetiza los resultados de un informe relativo a la participación de las mujeres en cooperativas y mutuales de la provincia de Santa Fe. Fue elaborado sobre la base de información obtenida de una encuesta realizada colaborativamente entre la Dirección Provincial de Economía Social, Agricultura Familiar y Emprendedorismo del Gobierno de la Provincia de Santa Fe, el Consejo de Asociativismo de la Provincia de Santa Fe y el Instituto Cooperativo de Enseñanza Superior (ICES). Sobre esa base, se presentan las principales conclusiones vinculadas a, por un lado, dimensionar la presencia de las mujeres en las cooperativas y mutuales de Santa Fe, en particular, en las tareas de gobierno. Por otro lado, a describir tanto la percepción sobre el rol de las mujeres en esas entidades como la necesidad de diagramar políticas de género.
Ensayos posibles para una ESI des-orientada. Apuntes para una educación sexual integral en clave travesti-trans*
Authors: Oneglia Malena
Published: October 2023

La Educación Sexual Integral, si bien es una herramienta de transformación que contiene grandes potencialidades, también presenta algunas limitaciones que dan lugar a la producción de o bien zonas grises o bien prácticas y discursos sostenidos sobre y desde matrices heterocisexuales con efectos materiales y simbólicos sobre las corporalidades que no se ajustan a ella. Éstos son discutidos por y desde el activismo sexo-genérico. Este artículo se propone, a partir de un punto de vista etnográfico fenomenológico, describir y analizar las estrategias de producción de herramientas pedagógico-políticas de un colectivo travesti-trans local, elaboradas con el objetivo de contribuir al abordaje de las corporalidades e identidades de este colectivo que se realiza desde la Educación Sexual Integral. Para ello, en primer lugar se presenta una aproximación analítica a la esta política pública en sexualidad desplegada principalmente en el ámbito educativo, para luego poner el acento en las prácticas desplegadas por el colectivo. De este modo se ilustra la compleja trama que aborda la Educación Sexual Integral, una política pública que se construye en la puesta en diálogo entre los niveles macro y micropolíticos.
Presentación al dossier: “En(tre) las calles y las redes: expresión pública y activismos feministas digitales”
Authors: Laudano Claudia , Sued Gabriela
Published: October 2023

Presentación al dossier: “En(tre) las calles y las redes: expresión pública y activismos feministas digitales”
Desde la Maestría
Authors: Arce Itatí , Moreno María Mercedes
Published: October 2023

Desde la Maestría
SUTTON, Bárbara & VACAREZZA, Nayla Luz. (Editoras) (2021) Abortion and Democracy: Contentious Body Politics in Argentina, Chile, and Uruguay, London, Routledge, 276 pp.
Authors: Iturrieta Yanina Edith
Published: October 2023

SUTTON, Bárbara & VACAREZZA, Nayla Luz. (Editoras) (2021) Abortion and Democracy: Contentious Body Politics in Argentina, Chile, and Uruguay, London, Routledge, 276 pp.
PROGRAMMATIC ADVERTISING: Evolution, Efficacy, and Ethical Implications In The Digital Age
Authors: Meirezaldi Onni
Published: October 2023

The digital landscape has witnessed significant transformations over the past few decades, with programmatic advertising emerging as a pivotal force reshaping the world of brand communication. This article delves deep into the evolution of online advertising, highlighting the inefficiencies of traditional digital ad-buying methods that paved the way for the algorithmic and data-driven paradigm of programmatic advertising. While offering advantages like precision targeting, automation, scalability, and real-time analytics, programmatic advertising has challenges, especially concerning data privacy, regional nuances, and ethical considerations. Through a lens of global and regional case studies, the article underscores the intricate dynamics and cultural sensitivities crucial for successful campaigns. As we stand at the cusp of technological advancements, integrating Artificial Intelligence, Augmented Reality, and 5G into the programmatic ecosystem promises further evolution. The article concludes with robust recommendations for researchers, emphasizing the importance of interdisciplinary studies, ethical considerations, and the need for continuous adaptation in this ever-evolving digital world.
Pemanfaatan Google My Business Sebagai Alat Promosi UMKM pada Pembuatan Tempe di Desa Paya Gambar
Authors: Tanjung Sunilfa Maharani , Abdillah M. Oemar , Rayhannur M. Jaffar , Melsya Laura , Lubis Farhan Rusdy Asyhary , Usiono
Published: October 2023

This community service focuses on the development of micro, small and medium enterprises (MSMEs) “Tempe Endul” in Paya Gambar Village, Deli Serdang Regency. Previously, these MSMEs faced barriers to promotion and sales because they were not registered on Google My Business and did not use digital technology. The purpose of the service is to increase the visibility of MSMEs by registering them on Google My Business and provide support in implementing digital marketing strategies. Through mentoring, field observations and interviews, “Tempe Endul” MSMEs can understand the importance of digital marketing. Loyalty helps register these MSMEs on Google My Business and optimize their business profile with contact information, address, product photos, and customer reviews. As a result, this business is now shown on Google Maps with a clear address, opening hours and full contact details. Using Google My Business offers significant benefits. Customers can easily find and order Endul tempeh, and this MSME can enhance its positive image and revenue. The use of digital technology enables MSMEs to compete in the industry 4.0 era and expand their market reach. This service illustrates the importance of adopting digital technology to increase MSME competitiveness, overcome advertising limitations and boost the local economy. The result of this service has been increased visibility and performance of “Tempe Endul” MSMEs through the implementation of Google My Business. With the help of digital technology, MSMEs can optimize marketing activities, reach more customers, and increase revenue. This move reflects the strategic potential of MSMEs in supporting the local economy and overcoming obstacles encountered in the current era of digitalization.
The Gamifikasi Pembelajaran Berbasis Quizizz Sebagai Upaya Peningkatan Kompetensi Pemanfaatan Teknologi Pengajar
Authors: Al Adawiyah Aisyiah , Arifin Akbar Syamsul , Prasetya Dany Buyung Yudha
Published: October 2023

Post-pandemic, the implementation of IT makes learning more creative, innovative, and interactive. The presence of interaction and collaboration between students through ICT-based learning means is important for them to become enthusiastically engaged in learning. With the development of technology, educators must have knowledge and skills in using IT to support learning in the smart society era. However, based on the basic research conducted by one of the students of the SMA Negeri 8 Semarang department, the department found that there is still no optimal way to use ICT as a means of learning due to the time it takes to prepare materials. learning is limited. On the other hand, thanks to Quizizz, preparing to use it does not take much time because Quizizz offers many different features to help teachers learn more easily. Quizizz is a game-based educational app that features fun and free games that entertain you during the learning process. Quizizz training aims to ensure that teachers have equal opportunities to maximize learning using ICT-based media, so that Quizizz can be a solution embedded in the learning media creation framework. IT-based learning takes a lot of time to create an accessible, student-centered environment. The classroom atmosphere in the development of critical thinking (critical thinking), cooperation (collaboration), communication (communication) and creativity (creativity) are called the 4Cs.
COVID-19 LIGOS NEUROLOGINĖS APRAIŠKOS IR KOMPLIKACIJOS
Authors: Kimševaitė Liudmila
Published: October 2023

Straipsnyje analizuojamos COVID-19 virusinės infek­cijos neurologinės apraiškos ir komplikacijos. Tirti 56 37-93 metų (vidurkis – 73,9 ± 1,8 metų) COVID-19 liga sergantys ligoniai, 35 moterys ir 21 vyras. Visi li­goniai konsultuoti gydytojos neurologės, šio straipsnio autorės. Galvos smegenų kraujotakos sutrikimai buvo 20(35,7%) ligonių: praeinantis smegenų išemijos prie­puolis – 2(3,6%), galvos smegenų infarktas – 5(8,9%), intracerebrinė kraujosruva – 1(1,8%), galvos smegenų infarkto padariniai – 12(21,4%). Encefalitas diagnozuo­tas 1(1,8%), užpakalinės grįžtamosios encefalopatijos sindromas – 1(1,8%), encefalopatija – 1(1,8%), galvos skausmas – 6(10,7%), galvos svaigimas – 5(8,9%), anos­mija – 1(1,8%), sinkopė – 1(1,8%), epilepsiniai priepuo­liai – 1(1,8%), mielopatija – 1(1,8%), nugaros skaus­mas – 5(8,9%), sprando skausmas – 1(1,8%), mialgijos – 5(8,9%), tarpšonkaulinė neuralgija – 2(3,6%), polineu­ropatija – 5(8,9%) ligoniams. Dažniausios COVID-19 li­gos neurologinės apraiškos yra galvos skausmas, galvos svaigimas ir sąmonės sutrikimas. COVID-19 liga gali sąlygoti ūminį išeminį insultą, intracerebrinį kraujavimą ir cerebrinių veninių sinusų trombozę. Ligoniams, ser­gantiems ūminiu išeminiu insultu ir COVID-19 liga, daž­nesnė stambiųjų kraujagyslių okliuzija. Su COVID-19 susijusį insultą racionalu gydyti audinių plazminogeno aktyvatoriais. Mažos molekulinės masės heparinai gali sumažinti trombozę ir mirtingumą koagulopatijos atveju. COVID-19 pandemijos metu stebėtas didelis mirtingu­mas nuo galvos smegenų kraujotakos sutrikimų. CO­VID-19 pandemija gali turėti neigiamos įtakos ūminio išeminio insulto valdymui. Meningoencefalitas ir ūminė nekrozinė encefalopatija yra vienos sunkiausių CO­VID-19 infekcijos komplikacijų. Jų baigtis dažniausiai letali. Galvos skausmas yra vienas dažniausių COVID-19 ligos simptomų. COVID-19 galvos skausmas yra inten­syvus ir ilgalaikis, analgetikai jam poveikio neturi. CO­VID-19 liga gali provokuoti epilepsiją. SARS-CoV-2 in­fekcija yra galima trišakio nervo neuralgijos, n.abducens paralyžiaus priežastis. Sergant COVID-19 liga gali pa­sireikšti brachialinė pleksopatija, tarpšonkaulinių nervų neuralgija, polineuropatija ir Guillain-Barre´sindromas. COVID-19 infekcija pablogina sergančiųjų Parkinsono liga motorinius ir nemotorinius simptomus, padidina šių ligonių negalią. COVID-19 infekcija gali turėti įtakos išsėtinės sklerozės progresavimui. COVID-19 liga ser­gantiems vaikams neurologinės komplikacijos yra retos. Sergantiems sunkia COVID-19 ligos forma vaikams gali pasireikšti encefalopatija ir traukuliai. Straipsnyje pateikti COVID-19 ligos neurologinių apraiškų ir komplikacijų klinikiniai atvejai. Apžvelgta naujausia mokslinė litera­tūra apie COVID-19 infekcijos neurologines apraiškas ir komplikacijas.
NEALKOHOLINĖ SURIEBĖJUSIŲ KEPENŲ LIGA: PATOGENEZĖ IR DIAGNOSTIKA
Authors: Grinys Arnoldas
Published: October 2023

Nealkoholinė suriebėjusių kepenų liga (NSKL) papli­tusi visame pasaulyje. Ja serga 25 proc. pasaulio gy­ventojų. NSKL yra pagrindinė kepenų cirozės ir hepa­tocelulinės karcinomos priežastis, apimanti ligų spektrą nuo paprastos steatozės iki nealkoholinio steatohepa­tito (NASH), kuriam būdingas nekrozinis uždegimas ir greitesnis fibrozės progresavimas nei nealkoholiniam kepenų suriebėjimui. NSKL yra stipriai susijusi su me­taboliniu sindromu ir 2 tipo cukriniu diabetu, kuris di­dina kepenų cirozės ir su ja susijusių komplikacijų riziką.

NSKL dažniausiai diagnozuojama atsitiktinai, tiriant pa­cientus dėl kitų ligų arba profilaktiškai. Šią ligą galima įtarti, kai stebimi kepenų funkcijos pokyčiai laborato­riniuose tyrimuose arba atliekant pilvo organų vaizdo tyrimus.

Atsižvelgiant į sudėtingą patofiziologiją ir didelį ligos fenotipų heterogeniškumą, daugeliui NSKL sergančių pacientų greičiausiai reikės taikyti kombinuotą gydymą. NSKL profilaktika ir gydymas vis dar labai priklauso nuo sveikos gyvensenos ir svorio mažinimo, kurie išlieka svarbiausiais komponentais.
ŠIRDIES ARITMIJOS IR KANAPIŲ VARTOJIMAS
Authors: Vertelytė Jūratė , Barysienė Jūratė
Published: October 2023

Fitogeniniai ir sintetiniai kanabinoidai yra dažniausiai vartojama psichoaktyvioji medžiaga. Daugėja duomenų apie širdies ritmo ir laidumo sutrikimus, susijusius su kanapių vartojimu.

Tyrimo tikslas – apžvelgti naujausias publikacijas apie aritmijas ir kanapių vartojimą. Analizuotos 2018 – 2023 metų publikacijos iš PubMed, EBSCOhost, CrossRef duomenų bazių apie kanapių vartojimo sukeltas aritmijas ir laidžiosios širdies sistemos pažaidą.

Rezultatai ir išvados. Kanapės ir sintetiniai kanabinoidai veikia autonominę nervų sistemą, miocitų jonų kanalus ir širdies laidžiąją sistemą. Kanapių vartojimas didina širdies aritmijų riziką. Šių medžiagų vartojimo sąlygoti širdies ritmo sutrikimai yra reti, tačiau gali būti pavo­jingi gyvybei. Aritmijos dažniau pasireiškia vartojan­tiems sintetinius kanabinoidus, vyrams, vyresnio am­žiaus asmenims, sergantiems depresija, išemine širdies liga. Dažniausiai vartojantys kanapes patiria prieširdžių virpėjimą. Yra duomenų apie kanapių vartojimo sąlygotą prieširdžių plazdėjimą, atrioventrikulines blokadas, sil­pno sinusinio mazgo sindromą, skilvelinę tachikardiją, skilvelių virpėjimą ir Brugados sindromą.
DVIKALBYSTĖS IR DEMENCIJOS RYŠYS: NEUROLOGINIAI MECHANIZMAI, STIPRINANTYS KOGNITYVINĮ REZERVĄ
Authors: Ragauskas Lukas
Published: October 2023

Senėjančioje visuomenėje daugėja demencija sergančių asmenų. Demencija – tai sindromas, kurio pagrindinės priežastys yra Alzheimerio liga, kraujagyslinė, fronto­temporalinė demencijos ir demencija su Lewy kūneliais. Šis sindromas pasireiškia progresuojančiu įgytų kogni­tyvinių funkcijų sutrikimu, sutrikdančiu kasdienę veiklą. Šiuo metu nėra efektyvaus farmakologinio demencijos gydymo metodo, todėl bandoma ieškoti nefarmakolo­ginių būdų pagerinti pacientų kognityvines funkcijas. Nustatyta, kad vienas iš kognityvinį rezervą didinan­čių veiksnių yra dvikalbystė, nes ji reikalauja didesnio įvairių smegenų sričių aktyvumo. Dvikalbiai asmenys turi didesnį kognityvinį rezervą, jiems demencija pasi­reiškia vėliau.
POMENOPAUZINĖ OSTEOPOROZĖ. MEDIKAMENTINIS IR NEMEDIKAMENTINIS GYDYMAS
Authors: Ražukaitė Gabrielė
Published: October 2023

Visoms moterims po menopauzės tikslinga įvertinti rizi­kos veiksnius ir rekomenduoti nemedikamentinį gydymą: pakankamą baltymų, kalcio ir vitamino D vartojimą, re­guliarą fizinę veiklą, tabako ir alkoholio vengimą. Mote­rims, turinčioms didelę osteoporozės riziką, kurių kaulų mineralinis tankis yra mažas ir turinčioms kitų rizikos veiksnių, siekiant išvengti kaulų rezorbcijos, galima tai­kyti ir medikamentinius gydymo būdus. Medikamentinio gydymo variantai gali būti estrogenų agonistų ir (arba) antagonistų, bisfosfonatų, RANK ligandų inhibitorių, paratiroidinio hormono receptorių agonistų ir sklerostino inhibitorių preparatai.
PERMAITINIMO SINDROMAS. HIPOFOSFATEMIJA, PATOFIZIOLOGIJA IR RIZIKOS VEIKSNIAI
Authors: Ražukaitė Gabrielė
Published: October 2023

Permaitinimo sindromas atsiranda dėl elektrolitų ir skys­čių apykaitos pasikeitimo, kuris sukelia organų funkcijų sutrikimus. Hipofosfatemija yra pagrindinis sindromo požymis ir priežastis. Simptomai pasireiškia per 2-5 die­nas nuo maitinimo pradžios ir gali būti nesunkūs arba pavojingi gyvybei, priklausomai nuo nepakankamos mi­tybos laipsnio ir gretutinių ligų. Permaitinimo sindromo profilaktikai svarbu nustatyti didelės rizikos pacientus ir saugų kalorijų kiekį, stebėti pacientų būklę, sistemingai stebėti ir kompensuoti elektrolitų trūkumą. Pradinis kalo­rijų kiekis turėtų skatinti svorio augimą nuo pat gydymo pradžios, tačiau nedidinti permaitinimo sindromo rizikos.
LĖTINĖS OBSTRUKCINĖS PLAUČIŲ LIGOS GYDYMO TRIJŲ INHALIACINIŲ VAISTŲ DERINIU POVEIKIS PLAUČIŲ FUNKCIJAI IR LIGOS PAŪMĖJIMO DAŽNIUI
Authors: Lukošiūtė Karolina , Malinauskaitė Austėja , Mažonaitė Liucija
Published: October 2023

Lėtinė obstrukcinė plaučių liga (LOPL) – tai lėtinė už­degiminė plaučių liga, sutrikdanti oro srautą kvėpavimo takuose. Apžvelgtuose tyrimuose nustatytas statistiškai reikšmingas trigubos inhaliacinių vaistų terapijos povei­kis forsuoto iškvėpimo tūrio (FEV1) padidėjimui, kuris vidutiniškai siekė bent 72 ml, lyginant su dvigubos in­haliacinių vaistų terapijos poveikiu ir pasireiškė geresne sergančiųjų plaučių funkcija. Nustatyta, kad vidutinio sunkumo-sunkaus LOPL paūmėjimo dažnis ir miršta­mumas nuo LOPL mažesnis pacientų, gydomų trimis inhaliaciniais vaistais grupėje, lyginant su gydomų dviem vaistais grupėje.

Išvados: Trijų inhaliacinių vaistų (IGKS/LAMA/LABA) terapijos poveikis yra susijęs su statistiškai reikšmingai padidėjusiu FEV1 ir to sąlygota geresne plaučių funkcija. Trijų vaistų derinys yra susijęs su geresne sergančiųjų LOPL sveikatos būkle, dažniau nustatomu sveikatos bū­klės pagerėjimu. Vidutinio sunkumo ir sunkūs LOPL pa­ūmėjimai reikšmingai rečiau nustatomi gydomiems trijų inhaliacinių vaistų deriniu, o pirmasis vidutinio sunkumo-sunkus LOPL paūmėjimo epizodas nustatomas vėliau nei gydomiems dviem inhaliaciniais vaistais.
MIKROVASKULINĖ KRŪTINĖS ANGINA: EPIDEMIOLOGIJA, PATOFIZIOLOGIJA, KLINIKA, DIAGNOSTIKA, GYDYMAS
Authors: Jasaitė Marta , Kavaliauskaitė Toma
Published: October 2023

Mikrovaskulinė krūtinės angina (MVA), anksčiau va­dinta X širdies sindromu, yra krūtinės angina, pasireiš­kianti neobstrukcine vainikinių arterijų liga. Šis širdies ir kraujagyslių sutrikimas, kuriuo dažniausiai serga mo­terys, didina su sveikata susijusias išlaidas dėl pakartoti­nės diagnostinės angiografijos ir dažno hospitalizavimo. Skirtingai nuo obstrukcinės vainikinių arterijų ligos, ku­riai taikoma daug įrodymais pagrįstų gydymo būdų ir gydymo gairių, apie MVA gydymą žinoma nedaug, dėl iki galo nesuprastos patofiziologijos. Gydymo strategija tebėra empirinė, daugiausia dėl to, kad trūksta įrodymais pagrįstų gairių ir klinikinių tyrimų.
PERORALINIŲ ANTIKOAGULIANTŲ VARTOJIMAS PERIOPERACINIU LAIKOTARPIU
Authors: Bružaitė Monika
Published: October 2023

Didėjantis antikoaguliantų vartojimas sunkina chirurginių intervencijų planavimą. Nutraukus šių vaistų vartojimą per anksti, gerokai padidėja trombozių rizika, o nutrau­kus per vėlai, didėja kraujavimo rizika operacijos metu. Prieš operaciją svarbu įvertinti paciento gretutines ligas, kraujavimo ir tromboembolijų, planuojamos operacijos kraujavimo riziką. Įvertinus šiuos veiksnius, galimos trys antikoaguliantų skyrimo taktikos: tęsti, nutraukti pero­ralinių antikoaguliantų vartojimą arba skirti pakaitinę antikoaguliantų terapiją. Šio tyrimo tikslas yra išanali­zuoti mokslinę literatūrą, aprašančią antikoaguliantus ir jų vartojimo rekomendacijas perioperaciniu laikotarpiu.
ANTIOKSIDANTŲ VAIDMUO BEI ĮTAKA REUMATOIDINIAM ARTRITUI IR POLICISTINIŲ KIAUŠIDŽIŲ SINDROMUI
Authors: Paškevičienė Miglė , Petrauskaitė Ieva
Published: October 2023

Nuo seno žinoma antioksidantų nauda gyviems organiz­mams. Jie slopina uždegimus, lėtina senėjimo procesus, kovoja su laisvųjų radikalų sukeliamu oksidaciniu stresu ir net mažina lėtinių, autoimuninių bei onkologinių ligų riziką. Atliktoje mokslinės literatūros apžvalgoje patei­kiama naujausia informacija apie antioksidantų vaidmenį reumatoidiniam artritui ir policistinių kiaušidžių sindro­mui, įtaką jų pasireiškimui.
ci è voluta la mani di dio
Authors: Tortora Rosario
Published: October 2023

meno male che ci siamo riusciti
La medicina emotiva e comportamentale: un nuovo paradigma per i sistemi sanitari?
Authors: Barretta Vincenzo
Published: October 2023

I profondi cambiamenti che si stanno verificando all’interno dei sistemi sanitari sono dovuti all’invecchiamento dellapopolazione, alle maggiori richieste di salute e benessere nonché all’avvento delle nuove tecnologie.Le profonde trasformazioni in atto impattano sulla quotidianità degli operatori sanitari, sulla soddisfazione degliutenti e sulle scelte di manager e decisori politici.Il notevole aumento dei disturbi della sfera emotiva e comportamentale, registrato negli ultimi anni sia in terminiepidemiologici che di impatto sulla clinica, appare un fenomeno ancora sottovalutato e scarsamente integrato nelleattuali conoscenze.In questo contributo sarà valutata l’utilità di un nuovo paradigma teorico allo scopo di migliorare l’efficienza deisistemi sanitari e correlarne l’impatto con alcuni parametri in grado di influenzare lo sviluppo sociale ed economicoL’applicazione di questo paradigma può essere descritta come la possibilità di studiare la nostra salute attraverso lagriglia di lettura costituita dagli aspetti emozionali e comportamentali.Tale operazione risulta gravida di conseguenze in relazione alla maggiore comprensione della correlazione tra piùaree della Medicina, dell’interazione tra diversi ambiti teorici, nonché relativamente alla consapevolezza del valoree dell’entità delle connesse ricadute sociali ed economiche.
Un metodo di Embodied Education in Riabilitazione: approcci di valutazione partecipata e di empowerment psicocorporeo
Authors: Diamare Sara , Ferrara Anna , Polito Gaetana , Salerno Marina , Mantice Marinella , Pocetta Giancarlo
Published: October 2023

Nella teoria bio-psico-sociale, la visione salutogenetica (Antonowsky, 1979) è volta a promuovere il benessere. La promozione della salute  indica un processo di cambiamento e sviluppo adattivo diretto alla prevenzione primaria, secondaria e terziaria attraverso la diffusione di stili di  vita sani. Nel presente lavoro si propone un modello di salutogenesi: “I Salotti del Ben-Essere” (S. Diamare, 2015), sperimentato dall’ASL NA 1  Centro UOC. Qualità e Umanizzazione, che prevede lo sviluppo di tematiche di salutogenesi in laboratori esperienziali di consapevolezza psico- corporea, implementato in Campania attraverso la rete OMS di Promozione della Salute: Health Promoting Hospitals & Health Service (HPH &  HS). Quale approccio olistico di Health Advocacy, I Salotti del Ben-Essere© rappresentano uno spazio multicentrico e multiprofessionale di  assistenza partecipativa, rivolta a piccoli gruppi ed a comunità, in cui un team specializzato realizza un programma multidisciplinare di  educazione sanitaria prevalentemente in un setting di riabilitazione. L’educazione alla salute trova, durante un trattamento riabilitativo, la  collocazione più proficua per sostenere la motivazione al cambiamento consapevole di stili di vita perniciosi. Il metodo “Salotti del Ben-Essere”  può essere utilizzato, come Peer Education, anche nel sistema universitario. Questa metodologia è stata testata, infatti, con gli studenti di  Scienze dell’Educazione presso l’Università Suor Orsola Benincasa. I risultati sono stati soddisfacenti in tutti i contesti. 
In bio-psycho-social theory, the salutogenetic view (Antonowsky, 1979) is aimed at promoting well-being. Health promotion indicates a process of change and adaptive development aimed at primary, secondary and tertiary prevention through the diffusion of healthy lifestyles. This work proposes a model of salutogenesis: "I Salotti del Ben-Essere" (S. Diamare, 2015), tested by the ASL NA 1 Centro UOC. Quality and Humanization, which involves the development of Salutogenesis themes in experiential psycho-body awareness workshops, implemented in Campania through the WHO Health Promotion network: Health Promoting Hospitals & Health Service (HPH & HS). As a holistic approach to Health Advocacy, I Salotti del Ben-Essere© represent a multi-centre and multi-professional space of  participatory assistance, aimed at small groups and communities, in which a specialized team carries out a multidisciplinary health education program mainly in a rehabilitation setting . Health education finds, during a rehabilitation treatment, the most profitable place to support the motivation to consciously change pernicious lifestyles. The "Salotti del Ben-Essere" method can also be used, like Peer Education, in the university system. In fact, this methodology was tested with students of Educational Sciences at the Suor Orsola Benincasa University. The results were satisfactory in all contexts.
Nuovi scenari sulle tecniche PMRI: il compressed sense
Authors: Curatolo Calogero , Santoro Vincenzo
Published: October 2023

This Project Work intends to illustrate the technique of Compressed Sense (CS), innovative method introduced in thefield of signal processing, which allows you to capture signals and images with far fewer samplings than “needed”,reducing scan times up to 50% and offering accurate and high resolution images.The Compressed Sense technique can be successfully applied for Imaging in Magnetic Resonance as it satisfies theproperties of sparsity and incoherent. One of the primary requirements of the CS is based on the use of particularmathematical bases, whose function will be to represent the sampled functions. Between these, the Wavelet basesare of considerable importance as they subdivide the data in question into components of different frequencies, andtherefore allow to study every component of the frequency spectrum with a resolution matched to its scale, such as,for example, those that are used in the encoding of images with the JPEG-2000. The Compressed Sense technique hasallowed us to overcome the intrinsic physical limits inherent in the matter, developing a technique that continues toevolve and expand, improving and refining.
Trattamento LVRC: nuovo imaging interventistico per il trattamento dell’enfisema polmonare
Authors: Vallefuoco Erika , Caldeo Andrea
Published: October 2023

Background Treatment of pulmonary emphysema with Lung Volume Reduction Coil (LVRC) technique and relatedthoracic imaging preoperative, interventional, under radioscopic guidance, and postoperative.For the intervention, Nitinol coils are used, implanted through a catheter under radioscopic guidance using an Intensifier. The treatment is performed with induction of anesthesia, during one or two sessions.Coils are implanted on patients in different lobars regions, depending on the case. The patient’s status is monitoredin 3 phases: Phase 1 Preoperative; Phase 2 Intervention; Phase 3 Post-operative up to the following 5 years. Thistechnique, given the effectiveness and an almost total absence of side effects, turns out to be a valid alternative toothers methods for the treatment of severe pulmonary emphysema.Through the analysis of the monitoring results, it is possible to infer that the patients subjected to LVRC (Coil) havehigh clinical benefits, but still not accompanied by significant long-term functional improvements.
Vis medicatrix naturae
Authors: Trimboli Giovanni
Published: October 2023

In questo elaborato, si evidenzia come il ridisegnare i vecchi Collegi o Federazioni delle professioni sanitarie inOrdini, abbia fatto bene a tutte le professioni sanitarie investendole di obblighi gestionali e competenze più precisetonificate da una adeguata formazione ma, nel contempo, anche di meriti e forte necessità sociali legate ai bisogniemergenti di una popolazione sempre più vecchia.Il pensiero medico, quindi sanitario nel complesso, si è sempre scontrato al suo interno fra un pensiero “razionalista”ed un pensiero “empirico” producendo una competizione che, alla fine, è stata produttiva facendo crescere l’operatoredel settore.In questi ultimi decenni la Scienza ha modificato, dopo vittorie ma anche numerose sconfitte, la visione globaletrasformatasi da un insieme di parti che interagiscono fra di loro in modo rigido ed in ambiente inanimato in qualcosadi animato, ricco di emozioni e collegato alla natura.Alla fine, si sottolinea, la visione dualistica dei dogmi creati dalla Scienza e l’osservazione della natura creata nelCosmo, non devono stare separati ma integrarsi in un ragionamento Universale come l’emisfero destro del cervellocomunica con quello sinistro o come il cielo comunica con la terra, separarli significa la fine.
Incidenza e reperti radiologici in pazienti adulti con dolore toracico acuto non traumatico: la nostra esperienza dal 2014 al 2018
Authors: Trovato Piero , Boccagna Francesco , Posillico Giuseppe , Iodice Mariangela , Igino Simonetti , Silvestro Marianna , Moggio Giovanni , Manfredonia Luigi
Published: October 2023

Il dolore toracico acuto non traumatico costituisce una delle maggiori cause di accesso in Pronto Soccorso inItalia e può rappresentare la prima manifestazione clinica di severe patologie pleuro-polmonari e mediastiniche,specie le sindromi aortiche acute, vere e proprie emergenze medico-chirurgiche, in quanto gravate da un elevatotasso di mortalità (25%) nelle prime 24 ore. Lo scopo del nostro lavoro è quello di riportare i dati di incidenza ei reperti radiologici riscontrati nel corso degli anni 2014-2018 nei pazienti adulti pervenuti presso il DEA dellanostra Azienda Ospedaliera “Sant’Anna e San Sebastiano” di Caserta, soffermandoci inoltre sul ruolo centralenell’iter diagnostico di questa sintomatologia della TC multistrato eseguita con mdc ev e con adeguati parametri diacquisizione e protocolli di studio.