bluuebunny/crossref_metadata_2025 huggingface dataset:
Tiberius on Capri and the Limits of Roman Sex Culture
Authors: Gladhill Bill
Published: January 2024

This paper examines Suetonius’ representation of Tiberius and sex on Capri at Vita Tiberii 43-44. Many of the features of Suetonius’ narrative move through normative elements of Roman sex culture: brothels and prostitutes, sex manuals, erotic paintings in domestic spaces, pederasty and elite garden spaces. But each element is reconstituted as something dehumanizing and dangerous in Suetonius’ telling. Tiberius constructs a radical sexuality, in which the closer an individual orbits the emperor, the more Roman notions of sex become deconstructed, atomized and reassembled in ways that expose a destructive and dangerous pathology. Nearly every structuring category that might delineate and demarcate Roman sexuality is distorted, obscured and blurred. Bodies are controlled and transformed. New functions and constructions of human embodiment are conceived. States of being become iterative replications of images imprinted in paint or on stone. Children become “bracelet workers”, little fishes or hybrid, hooved deities or woodland goddesses. Normative stages and transitions of human development are obliterated and replaced by an assemblage of activity that orbits the sexual organs of the emperor. Tiberius transforms traditional Roman sex culture and assembles an admixture of extreme and complex performances of a particularly disruptive and corrosive sexuality that confounds categories and frameworks.
Boys, Herms, and the Objectification of Desire on Athenian Sympotic Vases
Authors: Bravo Jorge
Published: January 2024

In depicting scenes of youths in the company of a herm, the painters of Athenian sympotic pottery ostensibly portray a scene of daily life. Some, however, construct these scenes for viewing through an erotic lens, drawing on the fact that the two key iconographic elements of the stone herm, the bearded male head and the erect phallus, recall the iconography of the ἐραστής, the older male lover in traditional Greek pederasty. Representing herms in the company of young males thus allows the artists to play on the iconographic schemes of pederastic courtship while implicating the symposiast’s gaze, which becomes equated with the herm’s. The fact that the erotic interplay in the scenes takes place between a living ἐρώμενος (the desirable boy) and inanimate ἐραστής (the herm) is also significant, for it consciously inverts another interplay of person and object: the adult male symposiast who views and handles the sympotic vase. In the latter relationship, the roles are reversed, for now the lover is alive, and the vase, with its painted youth, is the object of the erotic gaze. In light of this allusive power, the herm serves as one of a series of signs through which vase painters show an awareness of their own power to manipulate desire for the symposiasts who engage with their work.
A New Painting of Calypso in Pliny the Elder
Authors: Corbeill Anthony
Published: January 2024

At Naturalis Historia 35.147, Pliny offers precious information on female artists of Greece and Rome. This article emends Pliny’s text, thereby attributing a more precise subject to a painting by a Greek woman. Linderski has discussed the difficulties associated with text and interpretation of the first sentence of 35.147 (ZPE 2003.83-87). Pliny lists female painters from antiquity, including Irene, daughter of Cratinus (text of Mayhoff 1897): Irene, Cratini pictoris filia et discipula, puellam, quae est Eleusine, Calypso, senem et praestigiatorem Theodorum, Alcisthenen saltatorem (sc. pinxit). Since the nineteenth century, scholars have debated whether Calypso is here in the accusative or nominative case; in other words, was she one of the known works of Irene or does Pliny include an unattested painter named Calypso? Linderski ingeniously reconstructed how ancient uncertainty over the form Calypso had corrupted the text. An overly meticulous scribe glossed Calypso with the more common accusative in late antiquity, Calypsonem. This form was subsequently incorporated into the text and miscorrected to Calypso senem. Linderski therefore proposed deleting senem and reading Calypso as accusative, the accusative form that we know Pliny preferred (Char. gramm. p. 162.6-11). While agreeing that Calypso is a painting, I propose here an emendation that is more plausible paleographically and accords well with known representations of the nymph. These fall into two main types: standing beside Odysseus at his raft (three examples) or seated alone (two examples, one of which is attested at Plin. nat. 35.132). I read Calypso sedentem for the transmitted text (Calypso senem et) and then discuss five points that favor this emendation. I close by conjecturing how Irene’s “new” subject – a Calypso seated, presumably after the departure of Odysseus – can supplement our appreciation of women artists of Greece and Rome.
Le lait de la colère : la nourrice criminelle dans la dramaturgie des récits de guerre civile (De la Guerre des Juifs aux Tragiques)
Authors: Foehr-Janssens Yasmina
Published: January 2024

Au livre VI de la Guerre des Juifs, Flavius Josèphe rapporte un événement tragique survenu durant le siège de Jérusalem par les troupes de Titus en 70 après Jésus-Christ. A bout de ressources et d’espoir, une mère commet « un acte qui n’a d’équivalent ni dans les récits des Grecs ni dans ceux des barbares, aussi épouvantable à raconter qu’incroyable à entendre », comme le précise l’historiographe juif. Cette femme tue et fait rôtir son enfant encore au sein, tant pour assouvir sa faim que pour donner libre cours à sa colère et à son affliction. Ce récit tissé de références bibliques et antiques a connu une fortune considérable qui accompagne et souvent dépasse celle, pourtant immense, de l’œuvre dont elle est issue. La concomitance du lien nourricier de l’allaitement et du cannibalisme, ou plus précisément de la tecnophagie, pousse à sa limite ultime le lieu commun qui fait des mères et des nourrissons des icônes victimaires de la violence de guerre. Notre analyse porte sur les usages politiques et poétiques que font de ce récit les auteurs qui s’en emparent, à savoir Flavius Josèphe lui-même et Agrippa d’Aubigné dans ses Tragiques, mais aussi les compilateurs des réécritures vernaculaires médiévales de la prise de Jérusalem, connues sous le titre de Vengeance Nostre Seigneur. Cette anecdote funèbre, loin de se résumer à une simple condamnation des crimes de guerre, place le travail de la reproduction et la vulnérabilité que celui-ci génère au cœur d’un dispositif signifiant qui bouleverse les dichotomies de genre et fait de la mère criminelle un témoin impliqué, voir un acteur décisif des désastres civiques.
L’ars medica au féminin
Authors: Dasen Véronique
Published: January 2024

Plusieurs obstacles épistémologiques ont freiné l’étude de la pratique médicale au féminin dans l’Antiquité gréco-romaine. En dépit du nombre relativement restreint de sources disponibles, il est aujourd’hui possible de réévaluer le rôle des femmes médecins en déconstruisant nos catégories modernes pour éviter les anachronismes. Le recours à une démarche pluridisciplinaire, basée sur des sources de natures diverses (écrites, iconographiques, archéologiques), permet de nuancer la partition des spécialisations selon les sexes. Les femmes furent non seulement au service d’autres femmes, mais aussi d’hommes. Le croisement des sources met en lumière les modalités d’une agency féminine avec différentes formes d’autorité, médicale et religieuse, et de reconnaissance sociale hors de la sphère privée qui invitent aussi à réévaluer l’impact des préjugés antiques – et modernes – sur l’infériorité « naturelle » des femmes et leur incapacité à gérer les responsabilités.
Gendered Differences in the Recognition Plot: Menander’s Sikyonioi
Authors: Witzke Serena S.
Published: January 2024

This essay argues that character development and self-understanding in Menander’s recognition plots are reserved for men characters: women characters show resolve, but do not develop. Menander’s recognition plot is thus gendered – most observably in Sikyonioi, the only play to show recognitions of an unrelated man and woman in the same play. In this play, a young woman, Philoumene (kidnapped at an early age), finds her father, while a mercenary soldier, Stratophanes, also discovers his true natal family and new role as an Athenian citizen; they marry, and Stratophanes’ brother Moschion loses out. Philoumene protects her respectability, but is otherwise passive and never gains control over her own body. Once recognized by her father, she is engaged to Stratophanes, and her adventure ends. Stratophanes, by contrast, must overcome threats to his finances, identity, and love affair, developing into a responsible citizen. For him, the recognition plot is an adventure that does not end when he finds his parents. Sikyonioi also demonstrates that not everyone wins in the recognition plot: Moschion loses sexual object, sense of self, and status a sole heir. He is forced to develop through the limitations on his privilege. Moreover, the erotic competition highlights the passivity of Philoumene, who is not active participant in a love triangle, but prize. Because Sikyonioi highlights both gender disparity in the recognition plot and the positive and negative repercussions of the plot for male rivals, it is a crucial locus for anyone interested in gender relations in Menander.
Trilingual Love on the Bay of Naples: Philodemus AP 5. 132 and Ovidian elegy
Authors: Newlands Carole E.
Published: January 2024

The paper is a contribution to the growing interest in the influence of Philodemus’ poetry upon Latin poetry, in particular elegy. It explores the socio-cultural and literary-historical implications of Philodemus’ epigram AP 5.132 (Sider 12), which concerns the speaker’s infatuation with an Oscan girl called Flora. This poem, short though it is, reveals a poet interacting with the linguistic and cultural diversity of Campania of the late Republic. It is well known that, in its description of the girl’s physical body, this epigram influenced Am. 1.5, the poem in which Ovid first introduces his girlfriend Corinna. What I shall also argue is that Philodemus’ play in his epigram with the dynamic multiculturalism of Campania transfers in Ovid’s Amores and Fasti to a fuller exploration of the crosscultural resonances in the name of the elegiac woman, including the goddess Flora, who was worshipped in Oscan territory as well as at Rome.
Die Fäden der Altertumswissenschaften in einer Hand: Mademoiselle Ernst und die Antike im 20. Jahrhundert
Authors: Hilbold Ilse , Simon Laura , Späth Thomas
Published: January 2024

In den prosopographischen Untersuchungen zur Geschichte der Altertumswis-senschaften seit dem 19. Jahrhundert finden Frauen als Akteurinnen im akademischen Feld kaum Erwähnung. Und dennoch zeigt ein genauerer Blick, dass Wissenschaftlerinnen zentrale Funktionen wahrnahmen: Unser Beitrag greift die Person Juliette Ernst (1900-2001) heraus, die während rund 60 Jahren für die Herausgabe der Année Philologique verantwortlich war und als Generalsekretärin der Fédération Internationale des Associations d’Études Classiques (FIEC) während 25 Jahren eine Schlüsselposition der internationalen Altertumswissenschaften einnahm. Der Aufsatz geht von einem biographischen Ansatz aus und untersucht mit einer Analyse der Bedingungen der wissenschaftlichen Tätigkeiten von Ernst die Handlungsspielräume einer Frau in den männlich dominierten Altertumswissenschaften des 20. Jahrhunderts. Zugleich diskutieren wir die Biographie als Methode einer geschlechtsspezifisch ausgerichteten Wissenschaftsgeschichte; wir werfen die Fragen auf, in welchem Verhältnis Fremddarstellung und Selbstverständnis zueinander stehen und wie die «biographische Illusion» der nachträglichen Konstruktion der Kohärenz eines Lebens vermieden werden kann, um zugleich die überindividuellen Bedingungen und das individuelle weibliche Handeln im Feld der Altertumswissenschaften zu erkennen.
Sappho 16 and the Sense of Beauty
Authors: Konstan David
Published: January 2024

It is argued that Sappho, in fr. 16, affirms that whereas some regard cavalry, infantry, or a fleet as the finest thing (this is the sense of κάλλιστον), she herself maintains that what is finest is that which one loves, i.e., that which one finds most beautiful (i.e., possessing κάλλος). Desire for the beautiful is contrasted with appreciation for other things, which however are not said to be beautiful or to inspire erotic desire. The key to interpreting the poem is the contrast between κάλλος meaning “beauty” and καλός meaning “fine” or “excellent”; only the former is closely associated with ἔρως.
Zois the Eretrian, wife of Kabeiras (22 Ziebarth): Music, sexuality, and κιθάρισμα in cultural context
Authors: Solez Kevin
Published: January 2024

A 2004 article argues that the word kitharisma as it appears on the defixio 22(A) Ziebarth refers to a variety of sexual foreplay. The argument is that a reading of kitharisma as ‘a piece of music for the cithara’ in an erotic curse is not germane to the context. Based on a semantic analysis of kitharisma, evidence for female lyre-players in ancient Greek culture, and the longstanding connections both historical and metaphorical between lyre music and sex, I argue that kitharisma should be understood literally as ‘a piece of music for the cithara’, which allows a contextualization of another obscure word on the curse, parodos, which should mean ‘a public recital’. In the course of this argument I address the dynamics of musico-sexual metaphors in ancient Greek literature in general with reference to conceptual metaphor theory (Lakoff and Johnson 1980).
Material Girls: Humor and Female Professional Seduction in Greek Literature and Culture
Authors: Foka Anna
Published: January 2024

Current scholarship typically views the ancient Greek prostitute/courtesan figure as an artificially manipulated, sexualized body motivated by material profit. By examining fragments of Middle Comedy and their echoes in post-classical antiquity, this article proposes an alternative view of courtesans and prostitutes as professionals of emotional labor. Through narrative analysis, I show that the Greek comic portrayal of courtesans is multifaceted and not sufficiently illuminated by discussions of their subjectivity, aesthetic modifications, and greed but also extends to the realm of their emotions. Intersecting gender and humor theories with the concept of Emotional Labor (Hochschild 1983), I then argue that these figures can be seen to comically modify their appearance and behavior in order to reflect contemporary ideological and cultural standards of female sexual conduct. Viewing humor as a communicative tool for social hierarchies consequently facilitates a more complex analysis of attitudes towards the commercialization of bodies and emotions in Greek literature and culture.
The poetics of anthropogony: men, women, and children in Lucretius, book five
Authors: Holmes Brooke
Published: January 2024

“The Poetics of Anthropogony: Men, Women, and Children in Lucretius, Book Five” analyzes how Lucretius handles a significant problem in Epicurean accounts of the origins of humans and human culture – namely, how a species that, unlike any other, enters the world “in need of every kind of vital support” (indigus omni uitali auxilio) as Lucretius himself famously writes in an argument against a providential ordering of the cosmos, ever managed to survive. The young nurturing earth plays a crucial role in the early survival of the species, but the earth’s aging necessitates another solution. I argue that this takes the form of the early societies that Lucretius describes in a well-known but puzzling excursus at 5.1011-1027. With the rise of human society, fathers come to take on the role of the young earth in protecting children as well as women, while at the same time taking care to protect themselves through a male community. The passage thus responds not only to Epicurean ideas about justice and friendship but also obliquely addresses, through what I term “poetic logic”, questions of infancy, vulnerability, and care that are generated by the first phases of the origin narrative.
Ibridi e polifonia, binarismo e norma nelle vicende di Eraide e Callò secondo Diodoro (XXXII 10-12)
Authors: Deriu Morena
Published: January 2024

A conclusione del XXXII libro della Biblioteca, Diodoro narra di Eraide, che divenne Diofanto (10.2-9), di Callò, che diventò Callon (11.1-4), e di altre figure protagoniste di avvenimenti analoghi (12.1) occorsi fra la metà del II secolo a.C. e il I a.C. Scopo del contributo è proporre un’analisi di queste rappresentazioni al fine, in primo luogo, di metterne in evidenza la polifonia e, in secondo luogo, di estrapolare da tali ritratti la posizione dell’autore stesso. Nella prospettiva diodorea, infatti, decodificare le due vicende nel senso della verità implica ricondurre tutti i corpi nel solco del binarismo, negando la possibilità che figure ibride possano esistere (12). Inoltre, lo studio dei termini e della lingua utilizzati dallo storico permetterà di mettere in evidenza alcuni aspetti funzionali a svelare il momento in cui Diofanto e Callon furono riconosciuti come uomini, facendo riferimento anche ai processi di costruzione delle idee di maschilità nel mondo antico e non solo. Infine, riconoscere la concezione binaria sostenuta da Diodoro implicherà anche assumere una posizione critica verso quegli studi che hanno cercato spesso di definire Eraide e Callò attraverso i concetti di intersessualità e pseudoermafroditismo. Apparirà comunque possibile (pur non senza problematicità) considerarne le vicende come i due casi più antichi di ‘transizioni’ nella letteratura greca antica al di fuori del mondo del mito: se le loro trasformazioni sono accadute, per l’autore è solo perché una verità a lungo nascosta sarebbe venuta alla luce e, in seguito a ciò, il processo di transizione e ‘normalizzazione’ sociale avrebbe avuto luogo.
WELDED JOINTS STUDIES ON THE DEVELOPMENT OF
BRAZED ALUMINUM SHEETS
Authors: Olaru Ionel
Published: January 2024

Currently, the joints of different steel and aluminum materials are widely used for the manufacture of hybrid structures in the automotive field, in various naval constructions and transports mainly due to the need to reduce weight and achieve energy savings. The joining of aluminum sheets by welding or brazing means that two pieces are connected to each other through certain processes to form a whole and the structure thus created is of high performance. The materials chosen to make this type of welding-brazing are the result of laboratory analyses, they must be properly joined to be able to ensure the required strength of these joints. This work aims to study the realization of MIG welded-brazed joints of aluminum alloys with steel, which are complex joint structures that require high strength connections. The materials to be joined were chosen, a morphological analysis of the joint was carried out with the help of electronic microscopy, as well as various tensile tests to confirm the resistance of these joints.
COVID-19: ATUAÇÃO DA ATENÇÃO PRIMÁRIA À SAÚDE EM UM MUNICÍPIO DO INTERIOR DO CEARÁ
Authors: Melo Dilene Fontinele Catunda , Andrade Matheus Gomes , De Medeiro Neto Calisto Dantas , Lima Lidiana Ximenes Servulo Moreira , Melo Francisca Mayra de Sousa , Rodrigues Víctor Goiano , Freire Francisco Aldemy Alves , Cavalcante Rosangela Sousa
Published: January 2024

O sistema de saúde brasileiro enfrentou um grande desafio, em virtude do surto da doença COVID-19, causada pelo Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-Cov2), o Novo Coronavírus. Diante disso, objetivou-se analisar a atuação de enfermeiros da Atenção Primária à Saúde diante da pandemia da COVID-19. Trata-se de uma pesquisa descritiva de abordagem quantitativa, desenvolvida nas Unidades Básica de Saúde do município de Tamboril-Ceará. Amostra composta por 12 enfermeiros e a coleta de dados foi no mês de dezembro de 2020. Aspectos sociodemográficos, 10 (83,3%) dos participantes eram do sexo feminino, 8 (66,7%) com vínculo trabalhista contratado, 8 (66,8%) possuiam uma pós-graduação lato sensu. Evidenciado que 7 (58,3%) utilizaram as tecnologias como ferramentas para operar os serviços de saúde nesse período de pandemia. A principal potencialidade mencionada por 8 (66,7%) foi a compreensão e adaptação às novas rotinas das Unidades Básicas de Saúde, também relatada como fragilidade por 10 (83,3%). Contudo, achados da investigação apontam interferências do meio social na adesão às novas rotinas da unidade, assim como as concepções político-ideológicas referentes à conduta dos usuários.
REFLEXÕES SOBRE OS DIREITOS DO AUTISTA NA SAÚDE PÚBLICA
Authors: Inacio Sirlene de Oliveira Mario , Ribeiro Sara Neves , Ramos Maria Vanderléia Saluci , Lombardi Raquel Santos , Benvindo Lucimar Dias , Cassimiro Nilton Cesar , Da Silva Marcia , Oliveira Josimá Lima , Oliveira Lusiane Lima
Published: January 2024

Este artigo aborda a complexidade dos direitos do autista na saúde pública, objetivando examinar como as políticas têm atendido às necessidades dessa população. A heterogeneidade do espectro autista requer uma abordagem multifacetada, considerando não apenas as demandas médicas, mas também aspectos sociais, emocionais e educacionais. Os desafios enfrentados pelos autistas ao buscar assistência na saúde pública, desde a falta de compreensão até barreiras na comunicação, ressaltam a necessidade de serviços de saúde adequadamente preparados para essa população. A conscientização profissional é identificada como crucial para melhorar o atendimento, destacando a importância da capacitação para criar ambientes inclusivos. A saúde pública, além do tratamento clínico, deve abraçar a inclusão social para melhorar a qualidade de vida dos autistas. As famílias desempenham um papel central como defensoras e cuidadoras, sendo essencial o reconhecimento e apoio por meio de políticas específicas. O artigo destaca a influência decisiva das políticas públicas na configuração do ambiente de assistência aos autistas, refletindo o compromisso do Estado em garantir direitos iguais. A transição da adolescência para a vida adulta é identificada como um período crítico, exigindo estratégias adequadas para evitar lacunas no cuidado. A pesquisa contínua e inovação são apontadas como fundamentais para avanços na qualidade dos serviços de saúde. Ao explorar os desafios enfrentados por essa comunidade, o artigo visa fomentar reflexões sobre como a saúde pública pode melhor atender às demandas específicas dos autistas, promovendo uma sociedade mais inclusiva e equitativa.
ENSINO RELIGIOSO E CULTURA NO BRASIL
Authors: Fermo Marcelo
Published: January 2024

O presente artigo discorre a respeito das motivações religiosas e cultura brasileira, sobre as propostas do Ensino Religioso ao longo da história da educação brasileira. Apresenta também o processo de desenvolvimento de valores nos/as alunos/as a partir dessa área do conhecimento, objetivando analisar as contribuições do Ensino Religioso na formação de crianças na Educação Infantil através da relação família-escola diante dos aspectos culturais brasileiros. Teve como recurso metodológico a pesquisa bibliográfica. Concluiu-se que a cultura religiosa está inserida na sociedade brasileira e que seu estudo desde a Educação Infantil contribuirá para a formação da cidadania.
Analysis of British Columbia practice patterns in the management of female stress urinary incontinence with emphasis on mesh use
Authors: Eggenberger Lauren , Walgren Lauren , Houlihan Sara , Bascom Alexandra , Anderson Katherine , Ginis Kathleen A. Martin , Locke Jennifer A.
Published: January 2024

Introduction: Female stress urinary incontinence (SUI) is common and has a profound impact on quality of life. Suburethral slings are the most common treatment for SUI in this population. These can be placed with synthetic mesh or autologous fascia. Mesh-related complications after midurethral sling procedures are documented in the literature but the risk of complications and reoperation is lower than the use of transvaginal mesh for pelvic organ prolapse repair. In this study, we sought to evaluate local practice patterns of management of female SUI with specific emphasis on mesh use.
Methods: A survey created by an expert panel was disseminated to respective provincial societies.
Results: Sixty-eight percent of respondents offer midurethral slings in their practice but only 60.6% of these respondents would offer surgical removal of the sling if there were complications, such as mesh erosion or pain. The majority (39.4%) of respondents are performing transobturator slings as compared to retropubic midurethral slings (36.3%) and only 8.5% have removed the leg component associated with the transobturator sling in their practice. Furthermore, compared to most respondents offering midurethral slings (64.8%), only a minority of surgeons offer alternatives: 23.9% of respondents offer periurethral bulking agent injections, 15.5% offer pubovaginal slings, and 12.7% offer retropubic urethropexies.
Conclusions: Our study supports that surgeons should continue to review surgical risks and alternative treatment options as part of the surgical consent process. As such, surgeons should be able to offer a variety of surgical approaches to manage female SUI.
Association of extended core sampling with delayed intervention and pathologic outcomes for active surveillance patients
Authors: Sayyid Rashid K. , Bernardino Rui , Al-Daqqaq Zizo , Tiwari Raj , Al-Rumayyan Majed , Sildva Tiiu , Cockburn Jessica G. , Klaassen Zachary , Fleshner Neil E.
Published: January 2024

Introduction: Combined systematic plus targeted biopsy sampling improves detection of clinically significant prostate cancer (PCa). Our objective was to evaluate whether extended core sampling at initial biopsy in active surveillance (AS) patients is associated with subsequent AS discontinuation and pathologic outcomes.
Methods: National Comprehensive Cancer Network (NCCN) low- and favorable-intermediate-risk (FIR) AS patients diagnosed between 2010 and 2015 were identified from the Surveillance, Epidemiology, and End Results (SEER) Prostate with Watchful Waiting database. Prostate biopsy sampling was operationalized as: standard (10–12 cores), extended (13–20 cores), or super-extended (21+ cores). Sensitivity analyses using differing cutoffs was performed. Outcomes included delayed definitive intervention (radical prostatectomy [RP]/radiotherapy) and pathologic upgrading and/or downgrading in delayed RP patients. Multivariable logistic regression modelling adjusted for sociodemographic/oncologic variables was performed.
Results: This cohort included 42 459 patients (low-risk: 28 411; FIR:14 048); 25–29% and 3–5% of patients underwent extended and super-extended core sampling, respectively, at diagnosis. Extended core sampling was associated with decreased odds of definitive intervention in low (odds ratio [OR] 0.89, p=0.003) and grade group 2 (GG2) FIR (OR 0.83, p=0.002) patients. Super-extended sampling was associated with decreased odds of definitive intervention in PSA 10–20 FIR patients (OR 0.65, p=0.02). Super-extended sampling was associated with decreased odds of upgrading to ≥GG2 disease in low-risk (OR 0.45, p=0.032) and to ≥GG3 disease in GG2 FIR patients (OR 0.67, p=0.044).
Conclusions: This population-based analysis demonstrates that extended/super-extended sampling at diagnosis is associated with significantly decreased odds of AS discontinuation and pathologic upgrading in low/FIR AS patients. This highlights the significance of extended tissue sampling at initial biopsy to appropriately risk-stratify AS patients and minimize AS discontinuation rates.
Incidence and predictors of delays in commencing fellowship training in urology
Authors: Lavoie Callum A. , Dean Nicholas , Do Christine , Huang Mitchell , Xu Perry , Sparks Scott , Krambeck Amy
Published: January 2024

Introduction: The completion of residency and start of fellowship training marks a critical transition for urologists in the pursuit of subspeciality training. Most graduating urology residents are under contract until June 30, and the majority of fellowships are scheduled to begin on July 1. There has been no investigation into the practical implications of fellowship delays in urology from a trainee perspective. Our research study aims to investigate the incidence and predictors of delays in fellowship starts.
Methods: Pediatric urology fellows that began their fellowship training from 2019–2023 and endourologic fellows that began their fellowship training from 2017–2022 were surveyed using SurveyMonkey®. A total of 250 endourology (EU) fellows and 90 pediatric urology (PU) fellows were contacted.
Results: A total of 26.0% and 14.3% of EU and PU fellows, respectively, experienced a delay in their training, despite many leaving their residency positions early (33.8% vs. 44.9%, p=0.2097); 11.7% and 8.2% of EU and PU fellows, respectively, experienced delays they reported to be “very stressful” and 9.1% and 4.1%, respectively, found them “somewhat stressful. Delays of 2–4 weeks were experienced by 5.2% and 6.1%, 4–6-week delays by 7.8% and 4.1%, and delays >6 weeks by 2.6% and 0% of EU and PU fellows, respectively (p=0.0007).
Conclusions: Delays in fellowship training do occur at a notable rate, despite nearly half of urology fellows leaving their residency training positions early, with unclear impacts on patient care and resident colleague well-being. This research highlights the importance of fellowship programs considering delaying fellowship starts to mid-July or August, with support of the prior fellow cohorts.
Raising Roma Educational Participation and Achievement: Collaborative Relationships, Transformative Change, and a Social Europe
Authors: Ryder Andrew Richard
Published: January 2024

The paper gives an overview of Roma, Gypsy and Traveller (RGT) educational exclusion in the European Union and seeks to provide insights into good practice through case studies focusing on Bulgaria and the UK. The paper makes a case for the promotion of collaborative relationships, where RGT communities are active partners in developing curricula and decision-making in school. It is argued in the paper that such action needs to be made in tandem with interventionist and redistributive policy frameworks at the national and European level.
Cultural Mismatch in Roma Parents’ Perceptions: The Role of Culture, Language, and Traditional Roma Values in Schools
Authors: Lambrev Veselina
Published: January 2024

This article draws on data from a two-year qualitative study exploring the factors contributing to Roma students’ disparate outcomes in Bulgaria. I utilize ethnographic observations, oral history, and in-depth interviews with twenty Roma parents to gain understanding of Roma children’s “cultural capital” and relation to formal schools. The article builds on theoretical orientations, generated primarily in the U.S., that emphasize strengths and the need for culturally relevant pedagogy, and explores the possibility to extend these to the case of Roma communities in Europe. The findings indicate that the traditional education of Roma children differs considerably from the mainstream values emphasized in Bulgarian schools. These include the practice of community-based, informal education, child independence, and early participation in adult life, which have the potential to make the transition from home to school problematic. I argue that if educational equity is the goal, policies and practices must shift their current focus from promoting a monocultural Bulgarian curriculum and pedagogical approaches to meaningful incorporation of culturally relevant content and creating educational environments conductive to Roma students’ learning.
Teacher E-professionalism: An Examination of Western Canadian Pre-service Teachers’ Perceptions, Attitudes, and Facebook Behaviours
Authors: Poth Cheryl , McCallum Kendra , Tang Wei
Published: January 2024

This study addresses the pressing need for attending to teacher e-professionalism, that is, the appropriate application of information and communication strategies when using digital media. The authors examine data patterns related to 113 pre-service teachers’ perceptions of e-professionalism, attitudes towards existing technology-related professional guidelines, and current behaviours on Facebook. The results from the online questionnaire suggest that these Western Canadian pre-service teachers are uncertain about what online behaviours should be restricted and whether maintaining e-professionalism was possible. Integrated findings are discussed in light of communication privacy management theory. The paper concludes by advancing implications for informing e-professional education for teachers.
การจัดสรรงบประมาณรายจ่ายมิติพื้นที่และข้อสังเกตต่อการกระจุกตัวและความเหลื่อมล้ำรายจังหวัด
Authors: รัชตพิบุลภพ พิชิต , ปัทมสิริวัฒน์ ดิเรก
Published: January 2024

บทความนี้นำเสนอเรื่องการจัดสรรงบประมาณรายจ่ายตามพื้นที่ของประเทศไทยในช่วง พ.ศ. 2559-2561 และเน้นการจัดสรรงบประมาณรายจังหวัดโดยใช้เศรษฐศาสตร์สถาบันเป็นกรอบวิเคราะห์ วัตถุประสงค์เพื่อการเปรียบเทียบระหว่างพื้นที่ ซึ่งการจัดสรรงบประมาณสามารถอธิบายได้ด้วยทฤษฎีต่างๆ เช่น 1) ปัจจัยเชิงสถาบัน 2) อำนาจต่อรองของหน่วยงาน 3) งบประมาณตอบสนองการเติบโต    4) นโยบายที่ตอบสนองต่อปัญหาเฉพาะ และ 5) นโยบายเพื่อความเสมอภาค วิธีการศีกษาใช้การคำนวณด้วยค่าสัมประสิทธิ์จินี วัดค่าความเหลื่อมล้ำซึ่งแสดงด้วยงบประมาณรายจ่ายต่อหัว จากนั้นจังหวัดต่าง ๆ จะถูกจัดเป็นกลุ่มตามงบประมาณรายจ่ายต่อหัว ผลการศึกษาพบว่า การจัดสรรงบประมาณมีแนวโน้มที่จะกระจุกตัวในจังหวัดภาคกลางและกระจายไม่เท่ากันทั่วภูมิภาค บทความนี้มีข้อจำกัดบางประการเนื่องจากการศึกษาค่อนข้างสั้นและควรศึกษาเพิ่มเติมด้วยการรวมข้อมูลจนถึงปีปัจจุบัน (พ.ศ.2562 ถึงปัจจุบัน)
รูปแบบการท่องเที่ยววิถีป่าชุมชนของกลุ่มวิสาหกิจชุมชนท่องเที่ยว คนต้นน้ำบ้านวังไทร ตำบลถ้ำใหญ่ อำเภอทุ่งสง จังหวัดนครศรีธรรมราช
Authors: สีเขียว นาถนลิน , ชูบัว เสาวคนธ์
Published: January 2024

การวิจัยนี้มีวัตถุประสงค์เพื่อ 1) พัฒนาเส้นทางท่องเที่ยววิถีป่าชุมชนของกลุ่มวิสาหกิจชุมชนท่องเที่ยวคนต้นน้ำบ้านวังไทร 2) กำหนดกิจกรรมการท่องเที่ยวของกลุ่มวิสาหกิจชุมชนท่องเที่ยวคนต้นน้ำบ้านวังไทร 3) ผลิตสื่อสำหรับเผยแพร่กิจกรรมด้วยเทคโนโลยีสารสนเทศของกลุ่มวิสาหกิจชุมชนท่องเที่ยวคนต้นน้ำบ้านวังไทร และ 4) ศึกษาความคิดเห็นของผู้เชี่ยวชาญที่มีต่อรูปแบบการท่องเที่ยววิถีป่าชุมชนของกลุ่มวิสาหกิจชุมชนท่องเที่ยวคนต้นน้ำบ้านวังไทร งานวิจัยนี้ใช้ระเบียบวิธีวิจัยเชิงคุณภาพ ใช้กลุ่มผู้ให้ข้อมูลสำคัญจำนวน 20 คน โดยเลือกแบบเจาะจง ประกอบไปด้วยนักวิชาการ 5 คน ตัวแทนชุมชน 5 คน เก็บรวบรวมข้อมูลโดยกิจกรรมเดินป่าและการสนทนากลุ่มย่อย และผู้เชี่ยวชาญด้านการจัดการท่องเที่ยวชุมชนจำนวน 10 คน เก็บรวบรวมข้อมูลโดยวิธีการสัมภาษณ์โดยใช้แบบสัมภาษณ์แบบมีโครงสร้าง เพื่อศึกษาความคิดเห็นของผู้เชี่ยวชาญ การวิเคราะห์ข้อมูลใช้การวิเคราะห์เนื้อหา
ผลการวิจัยพบว่า 1) เส้นทางท่องเที่ยววิถีป่าชุมชนคนต้นน้ำบ้านวังไทรมี 1 เส้นทาง ระยะทาง 7 กิโลเมตร ประกอบด้วย 9 จุดเรียนรู้ ที่มีความโดดเด่นและมีศักยภาพในการนำกิจกรรมวิถีป่ามาสร้างการมีส่วนร่วมของนักท่องเที่ยว 2) กิจกรรมท่องเที่ยวแบบ 1 วัน สำหรับนักท่องเที่ยวที่สนใจกิจกรรมท่องเที่ยวชุมชนที่ต้องการความแปลกใหม่ชอบการผจญภัย และชอบท่องเที่ยวธรรมชาติ 3) สื่อเผยแพร่กิจกรรมด้วยเทคโนโลยีสารสนเทศ ประกอบด้วย ป้ายสื่อความหมาย โบรชัวร์คู่มือนักท่องเที่ยวชนิดพกพา  และเฟสบุ๊คแฟนเพจวิสาหกิจชุมชนท่องเที่ยวคนต้นน้ำบ้านวังไทร และ 4) ผู้เชี่ยวชาญมีความคิดเห็นด้านความเหมาะสมของจุดเรียนรู้บนเส้นทางท่องเที่ยววิถีป่าชุมชนบ้านวังไทรทั้ง 9 จุด และ ด้านความเหมาะสมของกิจกรรมการท่องเที่ยวแบบ 1 วันว่าเหมาะสมมากที่สุด สำหรับด้านความเหมาะสมการใช้สื่อสำหรับเผยแพร่กิจกรรมมีความเห็นว่าเหมาะสมมาก และสำหรับด้านอื่นคือการพัฒนาทักษะการสื่อสารภาษาอังกฤษสำหรับนักสื่อความหมายชุมชนเพื่อรองรับนักท่องเที่ยวต่างชาติได้ในอนาคต และเสนอแนะชุมชนให้เตรียมความพร้อมด้านความปลอดภัยของนักท่องเที่ยว
การบริหารต้นทุนการผลิตเพื่อการวางแผนกำไรผลิตภัณฑ์แปรรูปเคพกูสเบอร์รี่ของ“แกน้อย”กรีนโปรดักส์ผลิตภัณฑ์สินค้าจากกลุ่มชาติพันธุ์
Authors: ไชยโย วิไลพร , พงศ์วิริทธิ์ธร ขจรอรรถพณ , ศรีคะ วิภาวี , คำใจ กมลทิพย์ , เศวตรัตนกุล สกลวัฒน์
Published: January 2024

การศึกษาครั้งนี้มีวัตถุประสงค์เพื่อวิเคราะห์ต้นทุนการผลิต การวางแผนกำไรผลิตภัณฑ์แปรรูปเคพกูสเบอร์รี่และแนวทางการพัฒนา “แกน้อย” กรีนโปรดักส์ ผลิตภัณฑ์สินค้าจากกลุ่มชาติพันธุ์ คณะผู้ดำเนินโครงการได้เก็บรวบรวมข้อมูล โดยใช้แบบสัมภาษณ์แบบกึ่งโครงสร้าง กลุ่มตัวอย่างจำนวน 60 ราย โดยเริ่มต้นด้วยเทคนิคการกำหนดระบบโควตา เป็นกลุ่มตัวอย่างซึ่งทำการคัดเลือกโดยใช้วิธีการเลือกตัวอย่างแบบไม่ใช้ความน่าจะเป็นใช้ เทคนิคสุ่มเลือกกลุ่มตัวอย่างด้วยวิธีการสุ่มโดยใช้ความสะดวก การสุ่มเลือกกลุ่มตัวอย่างโดยใช้วิธีการเลือกแบบเจาะจง และต้องให้ความสมัครใจในการให้ข้อมูล ผลการวิจัยพบว่า การคำนวณต้นทุนผลิตภัณฑ์ไวน์เคพกูสเบอร์รี่จำนวน 30 ขวด (250 ml.) ต้นทุนการผลิตรวมเท่ากับ 4,065.19 บาท ต้นทุนการผลิตต่อขวด เท่ากับ 135.51 บาท และรวมค่าใช้จ่ายในการขายและบริหาร 10.00 บาท ถ้ามีการตั้งราคาขายจากรายการต้นทุนผลิตภัณฑ์ไวน์เคพกูสเบอร์รี่ต่อขวดให้ได้กำไร 39% จะต้องกำหนดการขายต่อขวดเท่ากับ 199 บาท และเครื่องดื่มอัดลมไวน์เคพกูสเบอร์รี่ จำนวน 36 ขวด (75 ml.) ต้นทุนการผลิตรวมเท่ากับ 2,010.19 บาท ต้นทุนการผลิตต่อขวด เท่ากับ 55.84 บาท ถ้ามีการตั้งราคาขายจากรายการต้นทุนผลิตภัณฑ์เครื่องดื่มอัดลมไวน์เคพกูสเบอร์รี่ต่อขวดให้ได้กำไร 25% และบวกค่าใช้จ่ายในการขายและบริหาร 10.00 บาท จะต้องกำหนดการขายต่อขวดเท่ากับ 80 บาท โดยแนวทางการพัฒนา “แกน้อย” กรีนโปรดักส์ผลิตภัณฑ์สินค้าจากกลุ่มชาติพันธุ์ของศูนย์ถ่ายทอดองค์ความรู้ นวัตกรรมเทคโนโลยี ภูมิปัญญาท้องถิ่น (กิจการเพื่อสังคม) ได้กระบวนทัศน์ในการพัฒนาพื้นที่ คือ “5 สร้าง 1 ส่งเสริมและ 1 พัฒนา” ได้แก่ 1) สร้างทักษะด้านเศรษฐศาสตร์ครัวเรือน 2) สร้างทักษะอาชีพการแปรรูปสินค้าผลผลิตทางการเกษตร เพื่อสร้างเสริมรายได้นอกภาคการเกษตร 3) สร้างร่วมมือการจัดการบริหารผลิตภัณฑ์ การตลาดดิจิทัล 4) สร้างการรวมกลุ่มเพื่อให้เกิดกลุ่มอาชีพในการรวมตัวเพื่อให้เกิดการสร้างอาชีพ สร้างรายได้ 5) สร้างฐานข้อมูลทางด้านการเกษตรบริบทพื้นที่ร่วมกับหน่วยงานองค์กร 6) ส่งเสริมให้กลุ่มเป้าหมายสามารถประกอบอาชีพอย่างมั่นคง และ 7) พัฒนาความรู้และสร้างแรงจูงใจแรงงานคืนถิ่นในการประกอบอาชีพการเกษตร
Daun Kelor (Moringa Oleifera) Membantu Mengatasi dan Mencegah Anemia Pada Remaja
Authors: Sri Widayati Rina , Wulandari Riyani , Fatmawati Siti , Sari Dewi Kartika , Khotimah Nurul
Published: January 2024

Latar Belakang : Remaja membutuhkan banyak zat gizi karena masa pertumbuhan mereka yang cepat. Mereka rentan terhadap anemia, terutama anemia yang kekurangan gizi besi. Hal ini dapat meningkatkan kadar hemoglobin dengan ekstrak daun kelor, yang memiliki kadar gizi besi 5 kali lebih tinggi dari bayam. Tujuan: Untuk mengetahui pengaruh kadar hemoglobin remaja putri sebelum dan pemberian ekstrak daun kelor. Metode : Desain penelitian ini adalah kuantitatif dengan rancangan one grup pre test and post test design. Metode purposive sampling digunakan dalam proses pengambilan sampel. Sebanyak 29 responden adalah remaja putri yang mengalami anemia. Untuk melakukan intervensi, air rebusan daun kelor diminum secara berturut-turut selama 2 minggu (14 hari) dengan dosis 2 kali sehari, yaitu diminum setiap pagi dan setiap malam. Hasil : Dari uji wilcoxon menunjukkan bahwa ada pengaruh yang signifikan antara sebelum dan sesudah pemberian ekstrak daun kelor karena p value < 0,05. Kesimpulan : Penelitian ini menemukan bahwa intervensi ekstrak daun kelor memiliki pengaruh dengan peningkatan kadar hemoglobin remaja putri.
Hubungan Usia Kehamilan dan Jenis Persalinan dengan Lama Rawat Inap Kasus Low Birth Weight di RS PKU Muhammadiyah Surakarta Tahun 2022
Authors: Pratama Bangkit Ary
Published: January 2024

Lama rawat inap dapat dipengaruhi oleh banyak faktor seperti faktor klinis dan faktor nonklinis. Penilaian lama inap dapat digunakan untuk menentukan keefektifan dan keefisienan pelayanan yang diberikan oleh rumah sakit. Tujuan pada penelitian ini ialah untuk mengetahui hubungan usia kehamilan dan jenis persalinan dengan lama rawat inap kasus low birth weight di RS PKU Muhammadiyah Surakarta. Penelitian kuantitatif ini menggunakan desain diskriptif korelatif dengan pendekatan retrospektif. Sampel penelitian yaitu seluruh kasus low birth weight tahun 2022 di Rumah Sakit PKU Muhammadiyah Surakarta sebanyak 117 pasien dan diambil secara total sampling. Data penelitian bersumber dari laporan indeksing dan dokumen rekam medis pasien rawat inap kasus low birth weight tahun 2022 di Rumah Sakit PKU Muhammadiyah Surakarta. Analisis data dilakukan secara univariat untuk melihat distribusi frekuensi setiap variabel dan analisis bivariat menggunakan rumus Chi Square untuk menganalisis hubungan antara variabel. Hasil analisis hubungan usia kehamilan dengan lama rawat inap kasus low birth weight didapatkan nilai Chi Square hitung (7,874) > Chi Square tabel (3,481) dan p-value (0,005) < 0,05. Hasil analisis hubungan jenis persalinan dengan lama rawat inap kasus low birth weight didapatkan nilai Chi Square hitung (2,887) < Chi Square tabel (3,481) dan p-value (0,089) > 0,05. Kesimpulan penelitian ini ialah usia kehamilan berkaitan dengan lama rawat inap kasus low birth weight di RS PKU Muhammadiyah Surakarta, sedangkan jenis persalinan tidak berhubungan dengan lama rawat inap kasus low birth weight di RS PKU Muhammadiyah Surakarta.
RESULTS OF THE INTRODUCTION OF ULTRASOUND NAVIGATION FOR CATHETERIZATION OF CENTRAL VEINS IN CHILDREN
Authors: Васильев В.В. , Анохин М.С. , Никитина Н.В. , Переймак Ю.В. , Потанина Н.В. , Симонов А.В.
Published: January 2024

Технические осложнения при катетеризации центральных вен по данным разных авторов встречаются в 5-19% случаев. В детском возрасте риск осложнений повышен в связи с анатомическими особенностями, что делает актуальным вопрос обеспечения безопасности катетеризаций у детей. Цель исследования: проанализировать технические осложнения и неудачи при катетеризации различных центральных вен у детей и оценить роль ультразвуковой (УЗ) навигации в обеспечении безопасности данной манипуляции. Неудачные попытки катетеризации подключичной вены нередко связаны с повторными катетеризациями в анамнезе и ранним возрастом ребенка. Внедрение в рутинную практику катетеризации внутренней яремной вены с использованием УЗ-навигации позволило значительно снизить риск технических осложнений и неудач при катетеризации центральных вен у детей всех возрастных групп и обеспечило высокий уровень безопасности данной инвазивной манипуляции.

Technical complications during catheterization of central veins according to different authors occur in 5-19% of cases. In childhood, the risk of complications is increased due to anatomical features, which makes the issue of ensuring the safety of catheterizations in children relevant. The purpose of the study: to analyze technical complications and failures during catheterization of various central veins in children and to evaluate the role of ultrasound navigation in ensuring the safety of this manipulation. Unsuccessful attempts to catheterize the subclavian vein are often associated with repeated catheterizations in the anamnesis and the early age of the child. The introduction of internal jugular vein catheterization using ultrasound navigation into routine practice has significantly reduced the risk of technical complications and failures during central vein catheterization in children of all age groups and ensured a high level of safety of this invasive manipulation.
ИСХОДЫ ЛЕЧЕНИЯ ПАЦИЕНТОВ С ТИПИЧНЫМ ГЕМОЛИТИКО-УРЕМИЧЕСКИМ СИНДРОМОМ
Authors: Музуров А.Л. , Панкратенко Т.Е. , Эмирова Х.М. , Абасеева Т.Ю. , Генералова Г.А. , Мстиславская С.А.
Published: January 2024

Типичный гемолитико-уремический синдром (тГУС) – острое заболевание, вызываемое шига-токсин продуцирующими бактериями и характеризующееся развитием тромботической микроангиопатии. ТГУС является основной причиной острого повреждения почек у детей дошкольного возраста. Для тГУС характерен неблагоприятный прогноз при несвоевременной диагностике и лечении. Основой лечения является симптоматическая терапия с акцентом на заместительную почечную терапию. Цель исследования: Оценка лечения детей с типичным гемолитико-уремическим синдромом. Типичный гемолитико-уремический синдром у детей остается тяжелым, жизнеугрожающим заболеванием, требующим интенсивной терапии, включая заместительную почечную терапию. Анурия в дебюте заболевания является неблагоприятным фактором, ассоциированным с повышенным риском полиорганного поражения, вовлечения центральной нервной системы, летального исхода, а также длительной заместительной почечной терапии и неполного восстановления функций почек
ВЛИЯНИЕ РЕЖИМА ПЕРИОПЕРАЦИОННОГО ПРИМЕНЕНИЯ ИНГИБИТОРОВ АПФ НА ВЫБОР МЕТОДА АНЕСТЕЗИИ
Authors: Вейлер Р.В. , Вейлер Р.В.
Published: January 2024

Цель исследования: выявление частоты развития периоперационных осложнений у пациентов с различным режимом применения ингибиторов ангиотензинпревращающего фермента, а также определение оптимальной методики проведения анестезии для уменьшения риска развития данных осложнений. Материал и методы: было проведено ретроспективное исследование у 972 пациентов (средний возраст 64,5 (45–81) года), которым в плановом порядке выполнялись оперативные вмешательства на органах брюшной полости. Режим периоперационного применения ингибиторов ангиотензинпревращающего фермента и блокаторов рецепторов ангиотензина II не влияет на частоту развития осложнений при проведении комбинированной анестезии. Напротив, прием данных препаратов в день операции при проведении сочетанной анестезии достоверно увеличивает частоту развития осложнений, по сравнению с пациентами, которым отменили данные препараты накануне операции. Таким образом, если данные препараты по какой-либо причине применялись в день операции, целесообразно рассмотреть проведение комбинированной анестезии у данных пациентов, с установкой эпидурального катетера для проведения послеоперационной анальгезии.
FIBRINOLYTIC THERAPY OF REFRACTORY ACUTE RESPIRATORY DISTRESS SYNDROME, AS ONE OF THE COMPONENTS, IN THE COMPLEX TREATMENT OF COVID-19
Authors: Агабекян В.С. , Печкуров С.А. , Годунко Е.С. , Лепский А.Ф.
Published: January 2024

Известно, что при развитии острого респираторного дистресс-синдрома (ОРДС) в данном случае ключевую роль играет нарушение процессов коагуляции, которые ведут к отложению фибрина в дыхательных путях и появлению микротромбов в сосудистой сети легких. Цель исследования изучить влияние фибринолитической терапии на течение ОРДС, обусловленного COVID-19. Заключение: введение фибринолитических препаратов в соответствующих дозах и с определенной кратностью введения способствует достижению положительного терапевтического эффекта (клинически и лабораторно), улучшению газового состава артериальной крови, уменьшению степени выраженности дыхательной недостаточности.

It is known that in the development of acute respiratory distress syndrome, in this case, a violation of coagulation processes plays a key role, which lead to the deposition of fibrin in the respiratory tract and the appearance of microthrombs in the vascular network of the lungs. The aim of the study was to study the effect of fibrinolytic therapy on the course of ARDS caused by COVID-19. Conclusion: the introduction of fibrinolytic drugs in appropriate doses and with a certain frequency of administration contributes to achieving a positive therapeutic effect (clinically and laboratory), improving the gas composition of arterial blood, reducing the severity of respiratory failure.
ТАКТИКА АНЕСТЕЗИОЛОГИЧЕСКОГО ОБЕСПЕЧЕНИЯ ПРИ ИЗОЛИРОВАННОЙ ТРАВМЕ СЕЛЕЗЕНКИ
Authors: Зубрилова Е.Г. , Анастасов А.Г.
Published: January 2024

Изолированное повреждение селезенки составляет до 85% всех случаев травматического повреждения органов брюшной полости у детей. Цель исследования. Провести анализ эффективности анестезиологического обеспечения больных с изолированной травмой селезенки, которым потребовалось оперативное лечение – спленэктомия. Несмотря на большое количество используемых методов анестезии при изолированной травме селезенки, мы рекомендуем проводить общую комбинированную анестезию с искусственной вентиляцией легких. При грамотном и правильном применении данного метода анестезии, даже при изначально нестабильной гемодинамике, анестезиологическое обеспечение безопасно