bluuebunny/crossref_metadata_2025 huggingface dataset:
Iatrogenic Pneumopericardium in a Male Full-Term Newborn with Spontaneous Pneumothorax
Authors: Jevtić Ema , Prodanović Nikola , Savić Jelena , Prodanović Tijana , Simović Aleksandra
Published: September 2022

Neonatal pneumopericardium, a collection of air in the pericardial sac, is less common form of air leak syndrome, but unfortunately with high mortality rate. We report a rare case of male fullterm newborn who soon after birth presented with respiratory distress. Chest radiograph showed spontaneous bilateral pneumothorax after which a chest drain was placed between anterior and midaxillary line in the 5th right intercostal space. The infant soon presented with tachypnea, dyspnea, muffled heart sounds, acidosis indicating cardiorespiratory worsening. On chest radiograph ‘’Halo” sign appeared indicating pneumopericardium. We believe that spontaneous reposition of a chest drain damaged the pericardial sac which combined with ventilation mechanism (‘’Macklin effect”) most likely led to pneumopericardium. After partial chest drain extraction the infant showed signs of improvement, but had to be closely monitored due to risk of tension pneumopericardium. Careful thoracal drain placement and fixation is crucial to prevent iatrogenic pneumopericardium, which can lead to deadly tension pneumopericardium.
Global Wildings
Authors: Seager Joni
Published: September 2022

Militaries are amongst the biggest global environmental players. Militaries are major environmental abusers. All militaries, everywhere, wreak environmental havoc — sometimes by accident, sometimes as “collateral damage,” and often as predetermined strategy. Anywhere in the world, a military presence is virtually the singlemost reliable predictor of environmental damage: wherever there is a military presence (whether a base, a war zone, a storage facility, or a testing facility), one will almost inevitably find environmental damage. From Subic Bay to Goose Bay, from the mountains of Afghanistan to the deserts of Kuwait, from Gagetown New Brunswick, to the South Pacific atoll of Kwajelein, the evidence of a largely unfettered environmental “wilding” by the world’s militaries is overwhelming and inescapable. If every military-blighted site around the world were marked on a map with red tack-pins, the earth would look as though it had measles.
Witness
Authors: Harrigan Lynn
Published: September 2022

Driving down a country roadelated by the sun’s warmth and rolling corn fieldsI glimpse an old woman shuffling down a gravel lanetoward the roadside mailboxa red coat thrown over her housedress
Cabinda
Authors: Shantz Jeff
Published: September 2022

With the cessation of conflict between the Angolan government and UNITA (União Nacional para a Independencia Total de Angola) militias, in April 2002, attention turned to the ongoing separatist conflict in Cabinda. An oil-rich enclave separated from the rest of Angola by a slender strip of territory of the Democratic Republic of Congo, Cabinda has been the site of a decades-long war of independence between the Angolan government and various separatist factions, a struggle that has been called “Africa’s forgotten war.” Approximately30,000 people have lost their lives in almost 30 years of struggles for independence. Despite the severe humanitarian crisis, access to the enclave has been largely closed to all but those who work in the oil industry.
thumbpins, 2005-2006
Authors: Hermant Emily
Published: September 2022

In this project, I ask: are we at war for control of our security, our privacy, our identity? I began by using the fingerprint to intervene in the public sphere. I enlarged my own thumbprint and began leaving a silkscreened version of it in public spaces such as windows, and bus shelters. I went on to create silkscreened textiles with the thumbprint pattern, using an army green camouflage motif.
Perspectivas de la Modernidad. Siglos XVI, XVII y XVIII
Authors: Margot Jean Paul , Zuluaga Mauricio
Published: September 2022

A partir del momento en que se rompe la unidad del mundo medieval, allá en el siglo xIV, hasta que la Modernidad empieza a ser efectivamente dueña de sí misma, transcurren según las interpretaciones del fenómeno "Modernidad" unos trescientos o cuatrocientos años. Es un lapso bastante largo corno para que la expresión "la época moderna" no resulte un tanto ambigua. Fruto del simposio que se realizó durante el segundo semestre del año 2008 es el presente libro. Se trata de diecisiete artículos que cubren algunos de los aspectos más significativos de la filosofía que se desarrolló entre los siglos XVI, XVII Y XVIII, Y de la vigencia de algunos de los problemas más importantes que la tradición moderna legó.
About the dates of foundation of old-age settlements on the territory of the Maslyaninsky district of the Novosibirsk region
Authors: Dotsenko Sergei Vladimirovich , Dotsenko Aleksei Sergeevich
Published: September 2022

The subject of the study is the dates of the founding of old-age settlements in the Maslyaninsky district of the Novosibirsk region. The goal set by the authors is to clarify the dates of the settlements. The relevance lies in solving the problem of erroneous dating of old-time settlements. The scientific novelty is due to the fact that this topic is poorly studied. There are popular science books, literary collections of local lore, anniversary albums and newspaper publications on the history of the district, but they only give the dates of the founding of settlements without any indication of the source. No special works on the research topic were found. The main methods used in the work are information collection and comparative analysis. The materials of the State Archive of the Altai Territory, the data of the Russian State Archive of Ancient Acts and the work of Russian scientists were used: D. N. Belikov, Y. S. Bulygin, N. A. Minenko, A. H. Elert. The authors studied the currently known dates of the founding of old-time settlements and determined the causes of their occurrence and spread. Based on archival documents, it was possible to determine the dates of occurrence of a number of settlements. The conclusion reached by the authors is that the settlement of the territory of the modern Maslyaninsky district of the Novosibirsk region begins no earlier than the middle of the XVII century. In the course of the study, it was confirmed that the foundation of a number of settlements belongs to a later period than is commonly believed. It was possible to determine the dates of the foundation of the first settlements. The data obtained will be interesting and useful to museums, libraries, teachers and anyone interested in the history of the development of Siberia.
INFORMATION PROVISION OF FORENSIC ACCOUNTING
Authors:   Vadym Hetman Kyiv National University of Economics, Stelmakh Natalia
Published: September 2022

An important mission of forensic accounting expertise is to identify and prevent economic crime. Today, scientists and practitioners mostly study procedural issues of forensic accounting expertise. Organizational and methodological principles ofthe prevention, identification and termination of economic offenses in the conditions of the accounting reform are not stud-ied efficiently. At the same time, today the possibilities of committing violations have expanded, state control over the activi-tiesof economic entities has significantly weakened, motivation for theft and other abuses has significantly increased.Practical need for forensic accounting expertise is due to the fact that investigators often experience difficulties in de-tecting distortions in the fact of economic activities of the enterprise and violations of financial discipline that caused materi-al losses for the enterprise. Thus, forensic accounting expertise is an important means of collecting evidence in many crimi-nal and civil casesof violation and abuse. A qualified opinion of an expert accountant contributes to the establishment of objective truth and a fair court decision. To provide the expert’s opinion, it is necessary to provide sources of information. Information sources of forensic accounting expertise are divided into legislative, normative, and factual. Authentic sources of information provided to the expert for study must meet the quality criteria (formal criterion, legality criterion, reality criteri-on, and validity criterion of carried out transaction).Documents, both accounting and non-accounting, reflect a variety of economic transactions. To identify unfavourable documents, the experts needs to consider that prescribing, paperwork can take place in hindsight, etc. To establish these vio-lations, you must check all related documents. However, the expert accountant must have not only knowledge of accounting, analysis and control, but also know the specifics of the business entity (branch of economy: construction, trade, agriculture) to provide a qualitative conclusion.
INNOVATION AND INVESTMENT SYSTEM OF AIC: CONCEPTUAL BASIS
Authors:   Chernihiv Polytechnic National University, Kosach Iryna
Published: September 2022

The article substantiates the basic principles of the functioning of the innovation-investment system of the agro-industrial complex as a complex interaction of subjects, relevant institutions, objects of innovation and financial infrastruc-ture, which contribute to the development, dissemination and implementation of innovations in agro-industrial production. The purpose of the article is to form the conceptual foundations of the innovation-investment system of the agro-industrial complex in the crisis macroeconomic conditions of management. The importance is substantiated and the main aspects of the innovation-investment system of the agro-industrial complex based on a systemic approach have been highlighted.The spe-cifics of the formation of the innovation-investment system of the agro-industrial complex is related to the need to overcome negative factors that affect the development of innovative activities, the implementation of investment projects for the devel-opment of agribusiness enterprises and, at the same time, are related to the deepening of the crisis in the economy.The prior-ity tasks and conditions of operation of the innovation-investment system of the agro-industrial complex have been deter-minedsuch as: improvement of the institutional environment of innovation and investment development; implementation of direct and indirect support of agro-industrial complex enterprises in the creation and development of innovations; the devel-opment of effective forms of cooperation between the state and business based on long-term partnership; training of highly qualified personnel in the field of organization and implementation of innovative activities for agro-industrial complex at the micro, meso, and macro levels; promoting the development of the material and technical base of the agro-industrial complex; development of international cooperation in the field of innovation. A theoretical organizational model of the innovation-investment system of the agro-industrial complex in the context of the implementation of the state innovation policy is pro-posed.It is justified that the components of the system are the subsystem of formation of knowledge potential, the subsystem of education, the subsystem of innovative activity, the subsystem of technological infrastructure, the subsystem of financial infrastructure, and the subsystem of information infrastructure.
PENINGKATAN KOMPETENSI DAN MOTIVASI BELAJAR BAHASA INGGRIS MELALUI PENDEKATAN TERPADU (INTEGRATED APPROACH) BAGI MAHASISWA NON BAHASA INGGRIS
Authors: Amri Samsul
Published: September 2022

English as a subject in the higher education is used as supplement of the core courses. Dealing with the prelimenary observation, the learners do not yet use it maximally. It leads to lack of motivation, vocabulary, learning interest, time allocation, and others. Thus the reseacher chose the Integrated Approach to cope those problems. The study aims at investigating if the Integrated Approach boosts English proficiency and engagement in learning, as well as to see how learners’ progress and what variables affects their progress. it is designed as Classroom Action Research. Accounting major learners of the Islamic University of Indragiri were the respondents. Test results and questionnaires were utilized in gathering the data. Additionally, the research findings reveal that there are better results on the learners’ profeciency and motivation in leearning English. Some integrated processes support their improvement that comprise of civilizing, investigating, observing, controlling, and rehearsing. Moreover, internal and external variables including learner autonomy, instructional approaches, and educator tasks are influencing the advancement. Finally, the use of Integrated leads to better learners' academic achievement and engagement.
Endolymphatic duct and sac decompression: A new technique for Ménière’s disease treatment
Authors: Salvinelli Fabrizio , Bonifacio Francesca , Greco Fabio , Cavicchioni Giulio , Frari Valeria , Pierri Michelangelo , Trivelli Maurizio , Iacoangeli Maurizio
Published: September 2022

Background:

The present article aims to introduce the endolymphatic duct and sac decompression technique (DASD) and to give a spotlight on its benefits in Ménière’s disease (MD) treatment.

Methods:

Eighty-two patients with intractable MD which met the inclusion criteria were recruited and underwent DASD. This technique allows a meningeal decompression of the duct and the sac from the posterior cranial fossa to the labyrinthine block. The authors considered as main outcomes, the change of the dizziness handicap inventory (DHI) results, with the evaluations of the three sub-scales (Functional scale, Physical scale, and Emotional scale); ear fullness and tinnitus change on the perceptions of the patient; and hearing stage with four-Pure Tone Average (500 hz-1000 hz-2000 hz-4000 hz). The differences between the preoperative and the postoperative score were evaluated. A comparison with the literature was conducted.

Results:

After a 14-month follow-up, patients that underwent DASD reported a remarkable improvement of the symptoms in all three functional scales, confirmed by the total DHI. The difference between preoperative and postoperative scores is statistically significant. The data describe an ear fullness and tinnitus improvement. The multi-frequency tonal average before and after the surgery does not suggest a worsening of the value for any of 82 patients.

Conclusion:

The modification of sac surgery includes the endolymphatic duct in the decompression area allowing inner ear functional improvement, vertigo control, ear fullness improvement with minimal risk of facial nerve paralysis, and hearing loss. DASD is an improved old surgical technique.
Factors affecting the choice of becoming a neurosurgeon in the western region of Saudi Arabia
Authors: Alghamdi Khalid Talal , Alamoudi Ahmad Abdullah , Bomonther Mohammed Abdullah , Alasmari Haitham Ali , Nejaim Kenan Hatem , Samman Afnan Mahfouz , Alzahrani Moajeb Turki , Algahtani Abdulhadi Y.
Published: September 2022

Background:

The preference of medical specialty for students can start even before enrollment into medical school, or as late as following their graduation. During their senior years, students often get a prospective on the working environment and the difficulties faced in the field. This, along with other factors, can strongly alter their career choice. This study aims to explore the degree of interest in neurosurgical specialty among medical students and the factors influencing their choice of becoming a neurosurgeon in the western region of Saudi Arabia.

Methods:

This is a cross-sectional study which was done across three universities of the western region of Saudi Arabia including King Saud bin Abdulaziz University for Health Sciences, Umm Al Qura University, and King Abdulaziz University.

Results:

A sample of 1023 students from the second medical year up to the internship was conducted, and out of them, 585 (57.2%) were males and 438 (42.8%) were females. Three hundred and fifty-nine (35.1%) of the students were interested in neurosurgery, while 664 (64.9%) were not. The data show that females have more interest (40.8% of females) compared to males (35.1% of males). Furthermore, there was a general trend toward a decrease in the interest in neurosurgery with time. The impact on patients “rewarding feeling” was the most reported attraction to the specialty, followed by income. Stress was the most reported deterring factor among students. Neurosurgery is one of the most challenging specialties, yet it is still considered one of the most competitive ones.

Conclusion:

Many factors have been found to influence medical students’ choices to apply for neurosurgical training as we described. Interestingly, we noted higher interest among female students, and among college freshmen compared to their counterparts. Further studies should be conducted on a larger scale to analyze these findings.
Trigeminal neuralgia due to intracranial venous reflux following central venous disease in a patient on hemodialysis: A case report
Authors: Hanakita Shunya , Endo Masamichi , Saito Akira , Oya Soichi
Published: September 2022

Background:

A wide variety of conditions can cause trigeminal neuralgia (TN).

Case Description:

We describe a rare case of a 77-year-old female patient on hemodialysis presenting with severe TN on the right side of the face for several weeks. She underwent multiple revisions using catheter for brachiocephalic venous stenosis over 6 years after a therapeutic arteriovenous fistula (AVF) was created in the left forearm. Her facial pain was consistent with Type 1 TN and remained intractable even after carbamazepine treatment. The initial magnetic resonance imaging did not demonstrate arterial compression on the right trigeminal nerve; instead, the vein adjacent to the right trigeminal nerve showed a hyperintense signal. In addition, the contralateral cortical veins and transverse sigmoid sinus were dilated. Angiography from the left brachial artery revealed intracranial venous reflux (IVR) through the left jugular vein due to an occluded brachiocephalic vein. Her pain was relieved immediately after her left upper arm was compressed with a sphygmomanometer to decrease the shunt. Surgical elimination of the AVF on the left forearm resulted in complete resolution of TN. Postoperative radiological examination revealed the resolution of IVR, and her TN has not recurred by her 6-month follow-up.

Conclusion:

The radiological diagnosis of IVR might be complicated because the true causative lesion for focal neurological symptoms might be remotely located. IVR following central venous disease should be a differential when patients on hemodialysis present neurological symptoms.
Sinking skin syndrome in a decompressive craniectomy series: Clinical and radiological features
Authors: Santander Xavier , Hidalgo Yolanda García , Flores José Carlos , Gómez-Jordana Blanca
Published: September 2022

Background:

The sinking skin syndrome (SSS) is a particular complication after a decompressive craniectomy (DC). It still remains a poorly understood and underestimated entity.

Methods:

Retrospective case series of craniectomized patients with and without SSS. Clinical and radiological features (DC diameter, shape of craniectomy flap, and midline deviation) were described and relative volumes of intracranial loss were quantified.

Results:

Twenty-seven patients (63% with SSS). The most common indication for DC was traumatic brain injury: 48.15%. The p50 diameter of DC was 12.8 cm for patients with SSS and 11.1 cm for patients without (Z score = 0.32). DC area was 81.5 cm2 for patients with SSS and 71.43 cm2 for patients without the syndrome (Z score = 0.61). According to the shape of the craniectomy flap, we classified our patients as: «same level» (51.8%), «sunken» (25.9%), and «extracranial herniation» (14.8%). Two patients (7.4%) had paradoxical herniation. Midline deviation was present in 12 (70.6%) patients with SSS. The 3rd ventricle volume average was 1.2 cc for patients with SSS versus 2.35 cc for patients without (Z score = 0.04). About 94.11% of patients (16 out of 17) clearly improved after replacement of the cranial defect.

Conclusion:

In our series, low 3rd ventricle volumes had a good relation with SSS. The presence of a sunken flap does not guarantee SSS per se and we propose the following radiologic description: A = sunken, B = same level, C = extracranial herniation, and D = paradoxical. Replacement of the skull defect is the main treatment.
Brain abscess after meningioma removal caused by Citrobacter freundii infection in an adult
Authors: Costanzo Roberta , Scalia Gianluca , Ponzo Giancarlo , Furnari Massimo , Iacopino Domenico Gerardo , Nicoletti Giovanni Federico , Umana Giuseppe Emmanuele
Published: September 2022

Background:

Citrobacter species are an unusual cause of cerebral abscess in infant. In particular, Citrobacter freundii can invade and replicate in human brain microvascular endothelial cells with a selective neurovirulence, producing ventriculitis and brain abscess mainly in the infant. A delayed brain abscess caused by C. freundii species in adult patients and after surgery is an occurrence that has not yet been reported in the literature.

Case Description:

The authors reported a case of a 60-year-old patient that presented a delayed postoperative brain abscess following resection of a left parietal convexity meningioma. A resurgery was performed, with bone flap removal, debridement, and culture of the purulent content of the previous surgical cavity. The microbiological examination showed the isolation of C. freundii. Postoperatively, the patient improved, with progressive headache reduction and right upper limb weakness improvement. She was continued on medical therapy for 4 weeks, until inflammatory index and white blood cells count gained normal range, then, she was admitted to a neurorehabilitation center.

Conclusion:

A delayed brain abscess caused by C. freundii in adult patients and after surgery is an occurrence that has not yet been reported in the literature, with a consequent complex management, due to the lack of clear guidelines.
Veri ve metin madenciliği ile hava yolu işletmelerinin Covid-19 öncesi ve sonrası sosyal medya yorum ve skorlarının değerlendirilmesi
Authors: BUDAK İbrahim , ORGAN Arzu
Published: September 2022

Veri ve metin madenciliği, anlamlı ilişkileri ve eğilimleri ayırt etmek için kullanıcıların taleplerine göre yapılandırılmış, yarı yapılandırılmış ve yapılandırılmamış büyük bir veri miktarını analiz etme sürecidir. İşletmeler, veri ve metin madenciliği teknikleri kullanarak hem kendi işletmeleri içerisinde hem de rakipleri ile rekabette yaşadıkları sorunlarına etkili çözümler üretebilmektedirler. Böylece elde ettikleri bilgiyi rekabet avantajına çevirebilmektedirler. Bu araştırmada, veri ve metin madenciliği algoritmaları kullanılarak rekabete dayalı pazarda müşterilerin istek ve ihtiyaçlarına göre hava yolu firmalarının üstün ve zayıf yönlerinin değerlendirilmesi amaçlanmıştır. Bu araştırmada, sosyal medya sitelerinden olan TripAdvisor’daki çevrimiçi seyahat incelemeleri araştırma kapsamına alınmıştır. Star Alliance küresel hava yolu birliğine üye 26 hava yolu firması değerlendirilmiştir. Araştırmada kullanılan kriterler; her bir kullanıcının yorum ve skorları temel alınarak belirlenmiştir. Duygu Analizi ile müşteri yorumlarından polariteleri belirlendikten sonra Destek Vektör Makineleri, Naive Bayes, Derin Öğrenme Algoritmaları ile sınıflandırma ve tahminleme yapılarak elde edilen sonuçlar karşılaştırılmıştır. Bunun yanı sıra sonuçlar, Covid-19 pandemisi öncesi ve sonrası olarak da karşılaştırılmıştır. Yapılan karşılaştırmada Derin Öğrenmenin daha iyi sonuç verdiği saptanmıştır.
Gain-of-function genetic screens in human cells identify SLC transporters overcoming environmental nutrient restrictions
Authors: Rebsamen Manuele , Girardi Enrico , Sedlyarov Vitaly , Scorzoni Stefania , Papakostas Konstantinos , Vollert Manuela , Konecka Justyna , Guertl Bettina , Klavins Kristaps , Wiedmer Tabea , Superti-Furga Giulio
Published: September 2022

Solute carrier (SLC) transporters control fluxes of nutrients and metabolites across membranes and thereby represent a critical interface between the microenvironment and cellular and subcellular metabolism. Because of substantial functional overlap, the interplay and relative contributions of SLCs in response to environmental stresses remain poorly elucidated. To infer functional relationships between SLCs and metabolites, we developed a strategy to identify SLCs able to sustain cell viability and proliferation under growth-limiting concentrations of essential nutrients. One-by-one depletion of 13 amino acids required for cell proliferation enabled gain-of-function genetic screens using a SLC-focused CRISPR/Cas9–based transcriptional activation approach to uncover transporters relieving cells from growth-limiting metabolic bottlenecks. Among the transporters identified, we characterized the cationic amino acid transporterSLC7A3as a gene that, when up-regulated, overcame low availability of arginine and lysine by increasing their uptake, whereas SLC7A5 was able to sustain cellular fitness upon deprivation of several neutral amino acids. Moreover, we identified metabolic compensation mediated by the glutamate/aspartate transporters SLC1A2 and SLC1A3 under glutamine-limiting conditions. Overall, this gain-of-function approach using human cells uncovered functional transporter-nutrient relationships and revealed that transport activity up-regulation may be sufficient to overcome environmental metabolic restrictions.
El control de la hipertensión arterial, una asignatura pendiente
Authors: Sosa Liprandi Álvaro , Baranchuk Adrián , López-Santi Ricardo , Wyss Fernando , Piskorz Daniel , Puente Adriana , Ponte-Negretti Carlos I , Muñera-Echeverri Ana , Piñeiro Daniel José
Published: September 2022

El adecuado diagnóstico, tratamiento y control de la hipertensión arterial (HTA) continúa siendo una asignatura pendiente en nuestro intento de reducir la incidencia de mortalidad cardiovascular prematura y discapacidades, siendo esta una realidad a nivel mundial y particularmente cierta en la región de las Américas.

A pesar de contar con adecuados algoritmos diagnósticos y eficientes esquemas de tratamiento, la brecha entre el conocimiento médico y la realidad nos muestra la gran dificultad para que nuestras recomendaciones sean adoptadas por nuestros pacientes. La adherencia representa un gran desafío y la adecuada comprensión de sus dimensiones resulta básico al momento de diseñar estrategias para mejorar el control de la HTA. Es claro que disponer y diseminar información adecuada es una parte de la solución, pero no menos importante son las acciones que garanticen su implementación. Es por lo que damos la bienvenida a guías de práctica clínica que intenten abordar esta problemática. La reciente publicación de guía de la Organización Mundial de la Salud en hipertensión arterial es un claro ejemplo de este tipo de iniciativas.

Los programas de implementación posiblemente sean uno de los mayores desafíos de la medicina contemporánea. El desarrollo de intervenciones multimodales en el primer nivel de atención con el objetivo de mejorar su capacidad resolutiva y promover el desarrollo de redes integradas de servicios de salud, impresiona ser el camino mas adecuado para alcanzar niveles adecuados de control de la HTA.

Estamos convencidos del importante rol que nuestras sociedades científicas tienen con estas iniciativas dando apoyo, soporte y articulando la interacción con los diferentes actores involucrados.
Impacto de la Iniciativa HEARTS en una institución de salud de segundo nivel en Colombia
Authors: Rivas Rivas Sofía , Serna Tobón Danna Camila , Mahecha Gallego Karol Yuliana , Tejada Cardona María Paula , Castrillón Spitia Juan Daniel , Moreno Gutierrez Paula Andrea , Agudelo Ramírez Alexandra
Published: September 2022

Objetivo.

Identificar el impacto de la iniciativa HEARTS en los pacientes con hipertensión arterial atendidos en un hospital colombiano.

Métodos.

Estudio cuasiexperimental, retrospectivo entre 2017 y 2019 con pacientes hipertensos mayores de 18 años, incluidos en la estrategia HEARTS, atendidos en el Hospital Santa Mónica del municipio de Dosquebradas, departamento de Risaralda. La unidad de análisis fue la historia clínica. Se evaluaron las metas de presión arterial (definido en la Iniciativa HEARTS como un paciente con presión arterial sistólica <140 mmHg y <90 mmHg en la presión diastólica) al momento del ingreso al programa HEARTS y un año después. Se incluyeron variables sociodemográficas, farmacológicas, clínicas, metas de presión arterial y cumplimiento de la iniciativa. Se realizaron análisis descriptivos y se aplicó regresión logística binaria (p <0.05).

Resultados.

Se analizaron 372 pacientes de los cuales 262 eran mujeres (70,4%). La edad media fue de 66,3 ± 12,2 años. En la primera consulta de control se reportaron 285 pacientes (76,6%) que presentaron cifras de tensión arterial en metas, en la segunda consulta este logro fue alcanzado por el 84,1% de los pacientes (n=313 diferencia media: 7,5%, IC95%: 1,8 a 13,1; p=0,005). Después de la implementación de la Iniciativa HEARTS el 77,4% en los pacientes (n=288) continuaron con el manejo inicial. Cumplir las recomendaciones HEARTS aumenta la probabilidad de estar en las metas (p=0,033; OR= 2,688; IC= 1,081 - 6,684).

Conclusiones.

La implementación de la Iniciativa HEARTS impactó favorablemente las cifras de tensión arterial en pacientes con hipertensión, con beneficios adicionales en variables que disminuyen el riesgo cardiovascular.
Avanzando para mejorar el acceso a los medicamentos y tecnologías sanitarias para las enfermedades cardiovasculares
Authors: Giron Nora , Lim Christopher , Vallini Juliana , Hallar Kemel
Published: September 2022

Los objetivos del presente artículo son describir las intervenciones realizadas por el Fondo Estratégico de Organización Panamericana de la Salud, para facilitar el acceso y disponibilidad de medicamentos antihipertensivos y dispositivos para la medición de la presión arterial a los países de la Región de las Américas en apoyo a la implementación de la Iniciativa HEARTS; y presentar los resultados preliminares de los análisis de los precios de los medicamentos antihipertensivos.

La metodología del estudio incluyó la revisión de informes realizados por el Fondo Estratégico durante los años 2019-2020, la evaluación de las modalidades de adquisición y revisión de las bases de datos de compras públicas para 5 medicamentos antihipertensivos, y el análisis comparativo con el precio obtenido por el Fondo Estratégico. Se identificaron diferencias que oscilaron entre 20% y 99%, lo que evidencia oportunidades de ahorro significativas. Asimismo, se presentan las acciones interprogramáticas desarrolladas en apoyo a la Iniciativa HEARTS, entre las que se destacan la inclusión de medicamentos antihipertensivos recomendados por la Organización Mundial de la Salud; la consolidación de la demanda regional y el establecimiento de precios competitivos con acuerdos a largo plazo para gestionar la adquisición de productos genéricos de calidad; y la definición de especificaciones técnicas y requisitos regulatorios para apoyar con la adquisición de dispositivos para la medición de la presión arterial. A través de este mecanismo, los Estados Miembros pueden disminuir sus costos significativamente, extendiendo cobertura del tratamiento y diagnóstico a más personas.
Resultados preliminares de la Iniciativa HEARTS en México: facilitadores y barreras de los sistemas de información
Authors: Casales-Hernández María Guadalupe , Molina-Cuevas Virginia , Gloria-Hernández Laura Elena , Díaz-Aguilera Miguel Angel , Malo-Serrano Hugo Miguel
Published: September 2022

Objetivo.

Comparar la diferencia en la cobertura y proporción de pacientes controlados con hipertensión arterial sistémica entre diciembre de 2020 y diciembre de 2021 en los establecimientos de salud con implementación de la Iniciativa HEARTS, y explorar los facilitadores y las barreras relacionados con los sistemas de información en México.

Métodos.

Estudio observacional ecológico descriptivo. Se compararon los resultados de los establecimientos de salud que han iniciado la implementación de la Iniciativa HEARTS (n=29) en Chiapas y Sonora, respecto a las variables de cobertura de atención y control de la hipertensión, en 4 periodos (semestres) del 2020 al 2021.

Resultados.

Existe mayor número de mujeres en tratamiento y en control respecto de los hombres en los diferentes grupos de edad. Se identificaron algunas barreras (p. ej.multiplicidad de sistemas, falta de interoperabilidad, conectividad limitada a internet en los establecimientos de salud) y facilitadores (p. ej.acceso libre a la información, disponibilidad de datos desde años previos, generación de estimaciones y proyecciones) en los sistemas de información.

Conclusiones.

El 55% de los establecimientos bajo implementación (16 establecimientos) mejoraron la proporción de pacientes controlados en el periodo analizado. Es importante monitorear indicadores a nivel de procesos, lo cual debe ir acompañado de una redistribución de las funciones de los equipos de salud y asegurar el abastecimiento de medicamentos para potenciar la efectividad de la estrategia. Se sugiere fortalecer la implementación con los impulsores clave para el control de la hipertensión.
Real-time object detector for the visually impaired with voice feedback using openCV
Authors: Rajeshwar Kumar Dewangan , Siddharth Chaubey
Published: September 2022

The goal of this paper is to create an object detector model that can detect objects for visually impaired people and other commercial users by detecting it at a certain distance. Existing object detection algorithms required a huge amount of training data, which took longer and was extremely complex. This is also a difficult task. As a result, it presents a computer vision paradigm for converting an object to text by importing a pre-trained CAFFEMODEL (a machine learning model created by Caffe) framework dataset model, and the texts are further converted to speech. This method allows the detection of multiple objects on the same screen. It helps in real-time object detection. This paper discusses the concept, methodology, and system architecture for the implementation of the system in combination with the obtained intermediate results and analyzes the tools used in the proposed system. This system can then be implemented in any other system. Portable gadgets that detect objects at a certain distance from visually impaired people and transmit a voice signal.
Monitoring of driverless metro train using arduino UNO
Authors: Amit Kumar , Ankit Singh , Adity Pandey , Mansi Srivastava
Published: September 2022

The world is advancing every day in terms of technology, making lives easier. The world is progressing with the modernization of technology exponentially. Each technology is gradually becoming automated, as technology used in transport. Transport is an absolute necessity for people. Thus, in the field of transport, there is also a constant improvement. Previously, trains were operated manually with the help of a driver. The problems encountered with the use of manually operated metro trains were inefficient in terms of the characteristics, such as speed, delay, etc. In addition, a single mistake made by the driver can lead to serious consequences. The main problem is that a manually operated metro train is out of control over time, which negatively affects the railway network management system. To solve this problem, the need for drivers is being eliminated by the concept of driverless metro trains. The advantages of an automated metro system are that the safety of passengers is under control, and the energy consumption is reduced, which improves its operation.
A review of coal mine safety monitoring and alerting system
Authors: Ashutosh Mishra , Abhishek Srivastava , Akash Tiwari
Published: September 2022

Safety is the most important component of any form of industry. The only factor in the mining business is safety. The mining industry takes many precautions to prevent accidents of any kind, including steel accidents. Rising temperatures are causing methane gas leaks and rising water levels in underground mines. The safety alert switch for protection will be enabled when worker is in danger. A reliable communication system should be implemented to improve safety between workers in underground mines and between fixed anti-personnel mines. There should never be gaps in the communication network. This paper offers the best wireless Early Warning System (EWS). Internet of Things (IoT) can track the working status. Every parameter, including methane gas, high temperatures, fire risk, etc., must always be controlled in underground mining. The safe level of coal mine production is still low. Accidents in coal mines occur regularly, which leads to heavy material losses and human casualties.
Multidisciplinary perspectives on equality and diversity in sports 2022
Authors: Esteban Salvador María Luisa , Güngör Göksu Gonca , Di Cimbrini Tiziana , Fernandes Emilia
Published: September 2022

Albeit some exceptions, athletes, practitioners, decision and policymakers, and sports spectators are predominantly men. In this sense, gender segregation and discrimination are present in multiple aspects of sports, and are socially normalised and accepted through a discourse that essentialises the embodied sexual differences between genders. This gender discourse legitimises the exclusion of women in some sports modalities considered masculine and traped them to those considered as predominantly feminine and feminized It traps female bodies in socio-cultural constructions as less able to exercise and engage in sport or as the second and weaker version of the ideal masculine body. Sports and its management continue to be a field where men and masculinity strongly prevail. The International Congress on Multidisciplinary Perspectives on Equality and Diversity in Sport (ICMPEDS) aimed to investigate the complexities of the following questions: What does gender openness mean in the context of sport in the 21st century? What persists as gender closure in the same context? What are the gender cultures that signify sport continuing to be defined by regimes that resort to dominant masculinity embodied in a strong and male athletic body? Which factors are assessed as the driving forces of these gender cultures that reveal male dominance in the sports field? However, there are significant signs that the context of sport may be changing. The European Union and some national governments have efforted to promote gender equality and diversity by fostering the adoption of gender equality codes/policies in various modalities, and international and local sports organizations. These new policies aim to increase female participation and recognition in sports, their access to leadership positions and involvement in the decision-making in sport structures. Additionally, the number of women practising non-competitive sports and as sports spectators have started growing. This improvement leads to new representations of sports and challenges the roles of women in such a context. Different body constructions and the emergence of alternative embodied femininities and masculinities are also challenging how athletes of both genders experience their bodies and sports practice. Nevertheless, the research on the impacts of these changes/challenges in sports is scarce. This book focuses on mapping gender relations in sports and its management by considering the different modalities, contexts, institutional policies, organizational structures and actors. It treats sports and its management as one avenue where gender segregation and inequality occur, but it also adopts such a space that presents an opportunity for change and a widely applicable topic whose traits and culture are reflected in organizations and work more broadly.
Husytyzm jako kąkol. Kalendarium husyckie w kazaniu Dominica V post Epiphaniam Jana z Paczkowa Wettzigera z końca XV w.
Authors: Bracha Krzysztof
Published: September 2022

In a manuscript from the end of the fifteenth century in the University of Wrocław Library, which derives from the Augustinian Monastery (canonici regulares) in Żagań (under the Provost in Zielona Góra), a collection of sermons has survived, a collection of homilies for the entire liturgical year, entitled Sermones varii de tempore et de sanctis, transcribed by Jan z Paczkowa Wettziger (died after 1497). Wettzinger, a canon regularis from Kłodzko (he later lived in Żagań, Wrocław, and Zielona Góra), was not, despite appearances, the author of the collection, but he edited it on the basis of a collection of sermons of the Bernardine Patrick during his stay in Zielona Góra. Between pages 49r and 50v of the manuscript, there is the second (in sequence) sermon Sermo II: Dominica V post Epiphaniam. It is devoted to the phenomenon of heresy, which the preacher compares allegorically to the biblical tares. Wettzinger concentrates, above all, on an anti‑Hussite polemic. He transforms a critical interpretation of heresy into a chronicle‑style piece, incorporating into the sermon a calendar of the history of Czech Hussitism in the form of a long chronicler’s note.
By whom and when was the foundation of the Cistercian nunnery in Dorpat initiated?
Authors: Gąssowska Maja
Published: September 2022

Celem niniejszego artykułu była próba odpowiedzi na pytanie, kto i kiedy zainicjował fundację żeńskiego klasztoru cysterskiego w estońskiej diecezji dorpackiej. Nie ulega wątpliwości, że zakładanie klasztorów żeńskich nie było sprawą priorytetową w świeżo chrystianizowanych, słabo zaludnionych i peryferyjnych Inflantach. Pierwsze klasztory męskie na tych ziemiach powstały w pierwszej dekadzie XIII w., klasztory żeńskie – dopiero na początku drugiej połowy XIII w. Fundatorami wszystkich byli lokalni władcy terytorialni – król duński i inflanccy biskupi (ryski, dorpacki i ozylski). Należy więc uznać, że podobnie było w wypadku klasztoru cysterek dorpackich, i szukać jego fundatora wśród dorpackich hierarchów. Wydaje się, że inicjatorem tej fundacji, która po raz pierwszy była wzmiankowana źródłowo dopiero w 1345 r., mógł być biskup dorpacki Frederick von Haseldorf, sprawujący tę godność w latach 1268 – ok. 1289. Sprzyjały temu stosunkowo długi czas jego pontyfikatu, potwierdzone źródłowo wcześniejsze zainteresowanie biskupa monastycyzmem kobiecym (jego rodzinny Holsztyn, Meklemburgia, Pomorze Zachodnie) oraz wysoka pozycja społeczna i majątkowa. Wydaje się, że zamiar fundacji powstał dopiero w ostatnich latach życia biskupa Fredericka von Haseldorfa i po jego śmierci przeznaczono na ten cel pieniądze sprowadzone przez dorpacką kapitułę katedralną ze Stralsundu, a stanowiące spuściznę po zmarłym biskupie. Samo powstanie klasztoru zapewne było rozciągnięte w czasie, podobnie jak w wypadku nieco lepiej oświetlonych źródłowo i wcześniejszych fundacji żeńskich klasztorów cysterek w Rydze i Rewalu, ale być może zaczął on funkcjonować jeszcze w XIII w. – zamykając okres chrystianizacji Inflant – do którego przynależały wszystkie fundacje cysterskie na terenie Dawnych Inflant.
Rewolucja według Wawrzyńca z Březové
Authors: Iwańczak Wojciech
Published: September 2022

Wawrzyniec z Březové is distinguished among observers and chroniclers of Hussitism, and his chronicles are the best source of information relating to the first phase of the Hussite revolution. Wawrzyniec writes of the years 1414–1421, but his main focus is on the years 1419–1421. He starts with the inauguration of giving communion in two kinds, which was a result of the work of Jakoubek ze Stříbra in 1414. The world of this penetrating observer and thinking man is not black and white. The inevitable companion of revolution – fear – is clear in the pages of Wawrzyniec’s account. Indeed, it accompanies all the phases of these tempestuous events.
Der gotische Muttergottes‑Altar von Guttstadt (1426)
Authors: Jakutowicz Joanna
Published: September 2022

This article offers a stylistic analysis of the Marian altar from the church of the Redeemer and All Saints in Dobre Miasto in the voivodship of Warmia and Masuria. The altar was set up in 1426 as an altar for morning mass. It remains incomplete to this day: several Gothic figures were replaced by later pieces of sculpture, and the altar was provenance is also questionable of the centrally located sculpture of Mary and Child.

The literature up to now has pointed out stylistic analogies with the altar in Pörschken (Nowo‑Moskowskoje), at present in the collection of the Castle Museum in Malbork, and with the altar from Sokolica (Falkenau), which is at present in the collection Museum of the Archdiocese of Warmia in Olsztyn. Stylistic analysis makes it possible to establish that the closest analogy to the Dobre Miasto altar is the altar from Pörschken, while the somewhat later retable from Sokolica has many features in common with the altar from Rauma (Finland), which was a Prussian export.

It is, however, an open question as to the location of the Prussian provincial woodcarving workshop that probably produced the altars in Dobre Miasto and Pörschken, drawing on the at that time rather old‑fashioned tradition of figures of the Madonna on lions. The literaturę suggests Malbork or Gdańsk, but because of stylistic similarities to the Elbląg Apostolic College and the links of the Elbląg Rector Mikołaj Wulsack with Dobre Miasto, Elbląg, too, must be considered.
Topografia sakralna średniowiecznego Gdańska jako problem badawczy
Authors: Kubicki Rafał
Published: September 2022

One of the main aspects of space in the medieval town consisted of various kinds of sacred structures, above all, parish churches, but also churches belonging to religious houses and hospital chapels. Many spheres of the social life of the town centred on them, both in terms of community (corporate ones involving forms of collective religious experience within guilds and brotherhoods) and of individual experience (private piety). The article considers the issue in relation to the settlement complex of medieval Gdańsk, which initially was a city under Lübeck law, which after its destruction became three town centres successively established in the fourteenth century: the Gdańsk Main Town, the Gdańsk Old Town, and the Gdańsk Young Town. It is important to note that within them were pre‑existing and newly built parish and sister churches, hospital chapels, and churches attached to religious houses. All such buildings are of interest in the sacred topography of the settlement complex in the Middle Ages. Detailed studies of this topic should contribute to a fuller picture of the social history of Gdańsk in the late Middle Ages with special reference to functioning church institutions, not only in an institutional sense, but also as a social network linking various social levels among its inhabitants, both individually and collectively.