bluuebunny/crossref_metadata_2025 huggingface dataset:
Presentasi dan Representasi: Lima Desain Sampul dari Satu Novel
Authors: Ajidarma Seno Gumira
Published: April 2023

The novel Coming Home (Pulang) by Toha Mochtar has had five cover designs that have appeared in a span of 41 years. Chronologically, the five novels were published in 1958, 1962, 1967, 1972, and 1999. The focus of this research departs from these five cover illustrations which on one side become narrative representations in the novel. However, on the other hand it can be said to represent socio-political discourses from the era when they were composed. The method used in this study is a qualitative method through examining illustrations. To examine the illustration, representation and discourse approaches (concepts) are used. From the results of the analysis it can be seen that these historical factors and determinants can be interpreted as the cause of the differences in each cover design, and when examined chronologically, the five covers show a cultural and historical process, namely the meeting between peasant life and political history. The findings in this study also show that each cover, apart from being a narrative representation, also has its own story which can be dismantled through various critical analyses. Novel Pulang karya Toha Mochtar memiliki lima desain sampul yang muncul dalam rentang waktu 41 tahun. Secara kronologis, kelima novel tersebut terbit pada tahun 1958, 1962, 1967, 1972, dan 1999. Fokus penelitian ini bertolak dari kelima ilustrasi sampul ini yang di satu sisi menjadi representasi naratif dalam novel. Akan tetapi, di sisi lain dapat dikatakan sebagai representasi wacana sosial-politik dari zaman ketika mereka digubah. Metode yang digunakan dalam penelitian ini adalah metode kualitatif melalui pemeriksaan ilustrasi. Untuk memeriksa ilustrasi tersebut, digunakan pendekatan (konsep) representasi dan wacana. Dari hasil analisis terlihat bahwa faktor-faktor historis dan determinan tersebut dapat ditafsirkan sebagai penyebab adanya perbedaan di setiap desain sampul, dan jika diperiksaÂ dalam perbandingan secara kronologis, kelima sampul tersebut menunjukkan sebuah prosesÂ kultural dan historis, yaitu pertemuan antara kehidupan petani dan sejarah politik. Temuan dalam penelitian ini juga menunjukkan bahwa setiap sampul, selain menjadi representasi naratif, juga memiliki cerita masing-masing yang dapat dibongkar lewat berbagai analisis kritis.
Insolita associazione di malattia di Kawasaki e sclerosi tuberosa in un lattante
Authors: Oliveto Rocco
Published: April 2023

Kawasaki disease is a vasculitis of multifactorial aetiology. The paper reports and discusses an unusual clinical condition of Kawasaki disease in a five-month-old infant with positive rotavirus co-culture and tuberous sclerosis.
Allattamento e infezione da SARS-CoV-2
Authors:   Società Italiana di Neonatologia, Davanzo Riccardo , Mosca Fabio
Published: April 2023

The Italian Society of Neonatology has provided guidance on the overall management of the child born to a Covid-19-positive woman.
Un’aura senza emicrania
Authors: Marinelli Guido , Nobili Lino , Sansone Miriam , Piccotti Emanuela , Severino Mariasavina
Published: April 2023

An aura without migraine.
Occhio normale che sporge senza trauma: pensa al Graves!
Authors: Alagna Maria Gabriella , Salvatore Bruno
Published: April 2023

Normal eye that protrudes without trauma: a case of Graves syndrome.
It’s Complicated: Some Irregular Line-Ending Morphosyllabic Sequences in Piers Plowman B
Authors: Cornelius Ian
Published: April 2023

Recent scholarship on the meter of fourteenth-century English alliterative verse demonstrates that lines end with a trochaic constituent. Piers Plowman is a recognized anomaly, yet there is disagreement about the extent of the differences. In this article, I examine long final dips, the vocalic quality of syllables in the final dip, and the placement of word divisions. Throughout, my focus is on the B version of the poem. I make a survey of lines with a word division after the final lift and of lines ending in -ly adverbs, compounds in -man, compounds in -nesse, nouns in -(i)oun, and gerunds. I compare the frequency of each sequence at the close of the a-verse and b-verse, observing that many individual items skew towards the norms of usage observed in other alliterative poems. Yet, more than other alliterative poets, Langland allows semantic and expository priorities to override prosodic form.
Patient-Centered Integrated Model of Home Health Care Services in South Korea (PICS-K)
Authors: Mun Hanbit , Cho Kyunghee , Lee Sanghyun , Choi Youngeun , Oh Seung‐Jin , Kim Young-Sung , Seo Migyeung , Park Ji-Young , Pak Serng Bai
Published: April 2023

Introduction: As South Korea is fast becoming an aging society, the need for integrated care of the elderly has increased. ‘Community Integrated Care Initiatives’ have been implemented by the Ministry of Health and Welfare. However, home healthcare is insufficient to meet this need.
Description: The National Health Insurance Service (NHIS) launched the initiative, ‘Patient-Centered Integrated model of Home Health Care Services in South Korea (PICS-K)’. Its purpose is to coordinate home healthcare providers by establishing a home health care support center (HHSC) in public hospitals starting in 2021. The PICS-K has six main features: integration of primary care-hospital-personal care-social services through a consortium, HHSC in hospitals with primary care collaboration, increased accessibility, interdisciplinary team (IDT), patient-centeredness, and education.
Discussion: >Integrating healthcare, personal care, and social services at multiple levels is necessary. Accordingly, platforms to share participant information and service records, and institutional payment system reforms are required.
Conclusion: In public hospitals, the HHSC supported primary care, which provides home healthcare. The model combined community healthcare and social services to accomplish the aging-in-place of the homebound population by focusing on their needs. This model will be applicable to other regions in Korea.
Rezension von: von Maur, Karin, Der verkannte Revolutionär Adolf Hölzel
Authors: Setzler Sibylle , Maur Karin von
Published: April 2023

Karin von Maur: Der verkannte Revolutionär Adolf Hölzel. Werk und Wirkung. Hohenheim Verlag Stuttgart 2003. 203 Seiten mit zahlreichen, meist farbigen Abbildungen. Gebunden € 58,-. ISBN 3-89850-112-4
Rezension von: Napf, Karl, Der wahre Jakob
Authors: Setzler Wilfried , Napf Karl
Published: April 2023

Karl Napf: Der wahre Jakob. Das wundersame Leben des Emmerich Pülcher. Deutsche Verlags-Anstalt München 2003. 303 Seiten. Pappband € 19,90. ISBN 3-421-05456-8
Lecții care trebuie învățate din conflictul Nagorno-Karabah
Authors: CHIRIAC Cătălin
Published: April 2023

Noile amenințări ale războiului modern obligă la gândirea și dezvoltarea unei capacități credibile de apărare aeriană, bazată pe sisteme de avertizare timpurie, rachete sol-aer, avioane de luptă și sisteme de comandă și control asociate. Apărarea aeriană cu baza la sol, neglijată destul mult în campaniile aeriene care au dominat ultimii ani de conflicte militare, în care amenințarea aeriană era destul de scăzută, este din nou în prim-planul analiștilor militari. Răspunzători pentru acest lucru sunt combatanții implicați în conflictul din Nagorno-Karabah din 2020
Considerations on the role of information (-psychological) operations in Russian military thinking
Authors: MĂRĂȘOIU Eveline
Published: April 2023

Russian military thinking and strategic documents attribute information warfare (and its associated concepts) to external authors only. This creates a vacuum in terms of how Russia actually implements itself information-psychological operations and how this fits into the broader Russian military thinking. This article looks at how information (-psychological) operations (IOs) are applied pragmatically through the prism of specific and well-established Russian concepts, such as Reflexive Control, Asymmetry and Initial Period of War, with a specific focus on the current conflict in Ukraine. It also looks at specific capabilities and formation in the field of IOs, as pertaining to the military field.
The Nagorno-Karabah conflict – zero point of future conflicts?
Authors: CHIRIAC Cătălin
Published: April 2023

The 44-day war between Armenia and Azerbaijan from September to November 2020 was the latest escalation of unresolved tensions in the Nagorno-Karabakh region. The war gained widespread attention, particularly due to the extensive use of unmanned aircraft systems.These systems, regardless of their country of origin, were assigned various missions, from reconnaissance to artillery fire support or even missions to destroy military targets or equipment. Analyzing the preparation process of the Azerbaijani army and their approach to the conflict, through the use of a wide range of technologies and systems that often did not require the physical presence of soldiers, allows for the detection of important trends and perspectives on how future conflicts will be shaped by the widespread use of missiles, unmanned aircraft systems, and artillery.
The Survival of NATO in the Post-Cold War Era: A Comparative Analysis of Neorealist and Constructivist Theories
Authors: MURGINSKI Petar
Published: April 2023

This scholarly article examines the continued existence of NATO after the end of the Cold War. Despite the disappearance of its primary adversary, the Soviet Union, NATO has continued to exist. The conventional neorealist explanation for the alliance’s longevity, which states that NATO was established as a counterbalance to the Soviet Union and thus should have been dissolved upon its collapse, is challenged by the constructivist perspective. Constructivism argues that NATO persists as a result of the desire of liberal democracies to cooperate for the sake of peace and the influence of member states’ collective identities. However, this constructivist explanation is criticized for being predicated on a specific understanding of NATO and for neglecting the crucial role of the United States in sustaining the alliance. This study contends that offensive neorealism, which takes into account the role of the United States in a value-neutral way, offers the most comprehensive explanation for NATO’s persistence after 1991.
La evolución reciente de las importaciones de bienes a la luz de algunos condicionantes
Authors: García Esteban Coral , Gómez Loscos Ana , Martín Machuca César
Published: April 2023

Motivación

Las importaciones españolas de bienes crecieron en 2022 por encima de lo que se derivaría de sus determinantes tradicionales (demanda final y competitividad-precio), por lo que resulta de interés valorar qué elementos actuaron como soporte adicional de las compras al exterior.

Ideas principales

•Las tensiones en los mercados de la energía provocadas por la invasión rusa de Ucrania impulsaron las importaciones energéticas, debido a las estrategias de almacenamiento ante eventuales problemas de suministro y de reexportación hacia otros países de la Unión Europea.

•Las importaciones de bienes cuyos procesos productivos son intensivos en el uso de energía se habrían visto impulsadas por la pérdida de competitividad de la producción interior ante el encarecimiento de las materias primas energéticas.

•El elevado dinamismo de las importaciones también se habría apoyado en la orientación de la producción industrial hacia ramas con mayor contenido importado, cuya demanda se habría incrementado por los cambios de hábitos asociados a la pandemia (p. ej., farmacéutica, informática y telecomunicaciones) y por la recuperación de la movilidad (p. ej., textil).
Януш Корчак и правата на детето днес през погледа на учителите
Authors: Kriviradeva Bozhidara
Published: April 2023

One of the pioneers for the creation of an international document for protecting children’s rights as a special and vulnerable group is the Polish doctor and pedagogue Janusz Korczak. His rich literature works has created a significant trace in the development of pedagogy and has been studied in several subjects in the coursework of future teachers at Faculty of Education. In the light of 80 years of his death we have decided to study the perceptions and attitudes of educational specialists toward the idea for children rights and Korczak ideas in the field and to outline the challenges that educational specialists face when they have to provide protection and education of children about those rights.
Didactic Aspects of Graphic Modeling in Physics Education
Authors:   Plovdiv University “P. Hilendarski”, Petrova Hristina , Atanasova Hristina ,   Secondary school “Chernorizets Hrabar”
Published: April 2023

Our focus is on graphic modeling in Physics education. The specificity of the graphic models: physics graphs, thermodynamic diagrams, vectors, force lines, oscillograms, computer graphic models are presented. Emphasis is put on the didactic possibilities for usage of graphic modeling in Physics education. In order to develop the internal structure of graphic modeling, the main techniques that can be used are considered. Possibilities for applying computer graphic modeling in Physics education are presented.
Special Education Teacher Profession in the Czech Republic
Authors:   Univerzita Jana Amose Komenského – Praha, Stárek Lukáš
Published: April 2023

The expert contribution brings knowledge not only about the special education profession itself, but also describes important competencies that are crucial for the performance of the special education profession in the Czech Republic. The mentioned profession is included in the system of helping professions, which have their specificity not only in the context of the demanding performance of the given profession. As part of the presentation of the legislation related to professional requirements, we also discuss the level of personal assumptions, which is based on the personal setting of each special education teacher. The special pedagogue is a key actor in the integratively inclusive process and, thanks to his competences, abilities and personality, he works to shape the next generations and social thinking.
A Study on the Interaction Between “State Learning” and International Structure from the Perspective of Comparative Politics: A Case of Japan’s Taika Era Reforms and China’s Westernization Movement in the Qing Dynasty
Authors: LI Yuhong , ZHAN Lingfeng , FENG Junze
Published: April 2023

This paper attempts to take Japans Taika Era Reforms and China’s Westernization Movement in the Qing Dynasty as positive and negative cases to explore the role of “state learning” under the pressure of different international structures and how it leads to changes in state formation. In the positive case of Japan’s Taika Era Reforms, the international structure is not a balance of power system, so Japan’s “state learning” behavior is not dominated by the consequence logic and adaptive logic of the balance of power system. Japan’s Taika Era Reforms are more due to the “elite struggle” Reformists, desire to obtain political power and “state learning” within the country, which enables Japan to feedback to the international structure through “state learning”. This case shows that the international structural pressure of the balance of power cannot effectively explain all the situations of the transformation of state formation. In the negative case of China’s Westernization Movement in the Qing Dynasty, although the pressure of the international structure forced the emergence of “state learning”, the “elite struggle” reformers in the country could not have a stable power base and their willingness to “state learning” was not strong, which led to the change of the state formation that could not be positively fed back to the international structure. The hypothesis of “cognitive structure institutional change interaction” in this paper can effectively explain that “state learning” is a situation in which China and Japan have different behaviors in the face of different international structural pressures and highlight the importance of “state learning” will and the struggle between elites within the country.
Manajemen Kurikulum Terpadu dalam Membentuk Insan Kamil
Authors: Abidin Zainal , Rahmatullah Asep
Published: April 2023

Studi ini akan mendeskrisikan kurikulum terpadu dalam membentuk insan kamil, tepatnya di Pondok Pesantren al Ma’ruf, Bandar Lor, Kediri. Studi ini menggunakan peneltian kualitatif dan jenis studi kasus. Teknik pengumpulan data dilakukan dengan wawancara mendalam, observasi dan dokumentasi. Hasil penelitian ini menunjukan bahwa manajemen kurikulum terpadu di Pondok Pesantren al Ma’ruf dilakukan dengan melibatkan pemaduan kegiatan di pondok pesantren dan sekolah formal termasuk di dalamnya kegiatan ekstrakurikuler. Penguatan kegiatan dalam pembentukan insan kamil dengan melibatkan selurh santri pada semua kegiatan dengan berbasis kepada pelayanan dan sinkronisasi kegiatan para santri baik kegiatan pondok maupun kegiatan sekolah.
Research on Brand Strategy Planning and Operation of BD Glasses Company
Authors: Li Maofen
Published: April 2023

The 21st century, in the process of economic internationalization, the golden age of competition between China and domestic brands in the eyewear industry has arrived. The competition within the market is becoming more and more fierce, homogenization is becoming more and more serious, and consumer selectivity is gradually increasing. It is an urgent problem for the eyewear industry to create products with good reputation and do a good job in brand strategic layout. This paper takes BD Eyewear Company, which is the largest and classic eyewear marketing company at home and abroad, as an example. First of all, it systematically reviews the theories and literature related to the enterprise brand strategy, and uses PEST analysis method to analyze its macro environment, and summarizes the above analysis methods. Then according to the way of questionnaire survey, comprehensive and systematic study of the enterprise brand strategic planning and operation, so as to understand the key points of the success of the enterprise brand strategic planning and operation, so as to reasonably sum up the main problems faced in the process of the enterprise brand strategic planning and operation; Finally, according to the conclusion of the above study, through the application of EFE and IFE evaluation matrix to judge the brand planning suitable for BD glasses company, and for the overall strategy to provide some targeted measures and suggestions, BD glasses set the important strategic significance, enterprise brand value positioning and conception and BD glasses long-term vision planning, etc. In order to achieve the overall implementation of BD glasses company brand strategic planning requirements.
Enjektör ile Beslenen Prematüre Bebeklerin Annelerinin Taburculuk Sonrası Beslenmenin Devamlılığını Sağlama Durumları ve İlişkili Faktörler
Authors: GÜNER BAŞARA Sultan , BAHADIR ARSU Emel , NOĞAN Raziye
Published: April 2023

Giriş: Prematüre bebeklerin beslenmesinde optimal bir metot tanımlamak çok zordur. Bu nedenle anne memesini emme durumuna gelene kadar emzirmeye alternatif beslenme metodu kullanılmıştır

Yöntem: Araştırma gözlemsel prospektif olarak yapılmıştır. Yenidoğan yoğun bakım ünitesinde tedavi ve bakım alan prematüre bebeğe sahip 75 anne ile yürütülmüştür. Annelere enjektörle beslenme eğitimi verilmiştir. Taburculuk sırasında ve sonrası dönemde bebeğin beslenme yöntemi ve kilosuna ait veriler anneler ile telefon görüşmesi aracılığıyla elde edilmiştir.

Bulgular: Çalışmaya katılan annelerin %68.0’ı daha önce bebek emzirme deneyimi yaşamış, %77.3’ü de bebeğini enjektör ile iyi beslendiğini ifade etmiştir. Bebeklerinin %52.0’ının 30-32. gestasyon yaşında, %74.6’sının postnatal 1-5. gün peroral beslenmeye başladıkları tespit edilmiştir. Taburculuk sonrası 7. gün beslenme yöntemleri ile kilo alımları arasında istatistiksel olarak anlamlı fark bulunmuştur (p=0.018).

Sonuç: Annelerin doğum şekli bebeklerinin besleme yöntemini etkilemektedir. Anneler 0. gün enjektör yöntemi ile beslemeyi tercih etmektedir. Gestasyon yaşı 36 hafta ve üzerinde olan prematüre bebeklerin enjektör yönteminde verilen süt veya mamayı daha iyi alabilmektedir. Kanguru bakımı alan annelerin enjektör ile beslenme yöntemini tercih edebildikleri saptanmıştır.
The Role of Head Associated Lymphoid Tissues in Infectious Bronchitis Virus
Authors: Al-Rasheed Mohammed , Shawky Mohamed
Published: April 2023

Infectious bronchitis virus (IBV) replicates primarily in the epithelial tissues of the respiratory tract, particularly the trachea. However, little is known about IBV replication and immune responses in relation to head-associated lymphoid tissue (HALT), such as the Harderian gland (HG) and choanal cleft, as well as respiratory (turbinate) tissues. Furthermore, few studies have looked into the role of the HG, choanal cleft, pharyngeal tissues, and turbinate in innate, cellular, and mucosal immune responses of commercial broiler chickens and laying hens infected with IBV, compared to the studies about the effects on the trachea. This review article overviewed the role of avian HALT, conjunctival-associated lymphoid tissue (CALT), concerning the anatomical, physiological, and immune responses to infectious bronchitis disease in chickens. The HG, choanal cleft, and turbinate in innate, mucosal, and cellular immune responses play a significant role in avian protection through virulent or attenuated vaccines of IBVs. The IBV viruses could not reach the trachea in chickens vaccinated with IBV vaccine due to the inhibition of viruses by HALT and respiratory tissues by innate, mucosal, and cellular immunity. It can be concluded that other than the trachea, the HALT and respiratory tissues play an important role in the infectivity and immune induction against IBVs due to their proximity to the upper air passages. Keywords: Avian immunity, Chicken, Harderian gland, Infectious bronchitis, Turbinate
Occurrence of Antibiotic Resistance in Salmonella Serotypes Isolated from Environment, Humans, Animals, and Animal Products in Morocco: A Systematic Review
Authors: El Hanafi Motassim , Nourredine Bouchriti , Saadia Nassik , Hakim Karib
Published: April 2023

Several studies have been carried out in Morocco on Salmonella contamination in humans, domestic and wild animals, food products, and the environment. This bacterial genus is responsible for several infections and foodborne illnesses worldwide. The epidemiological situation of contamination by Salmonella is worsened by the development of antibiotic resistance to the main antibiotics used in human and veterinary medicine. The purpose of this study was to review the leading research carried out in this field, emphasizing the antibiotic resistance of this bacterium to antibiotics in humans and animals. Although some studies could not demonstrate the presence of Salmonella in the environments studied, the prevalence of contamination remained relatively high in humans, animals, food products, and the environment. The most critical contaminations were observed in poultry farms and poultry meat. Salmonella causes 42.8% of food poisoning cases in Morocco. It is the second most common cause of poisoning after pesticide poisoning. Morocco ranks first in the Middle East and North Africa for human salmonellosis, with a prevalence of 17.9% (1997-2012). Its prevalence in food products, especially those of animal origin, is very high and could reach 52.9% in turkey meat. Food products have been studied more for their contamination by Salmonella species. Meat products accounted for 17.35% of food poisoning cases. This study revealed that the isolation rate of Salmonella from food products of animal origin was dominated by isolations from meat products, with prevalence rates of 41.76 % from red meat and meat products and 25.88% from poultry meat, followed by prevalence rates of 12.44 % from fish products and 11.80 % from eggs. On the coast of Agadir, the incidence rates of Salmonella were 6.8% and 4.1% in sediment and seawater, respectively. This occurrence was 2.38% in the surface waters of Oued Khoumane. The development of resistance, particularly multi-resistance to antibiotics of therapeutic interest in both humans and animals, is alarming, especially with the ease of transmission of the bacterium to humans and facilitates its dissemination. Research findings indicated that 93.02% of isolates of Salmonella from humans, 79.37% of the strains isolated from poultry, and 46.27% of isolates from food products were resistant to at least one antibiotic.
A New Computer Science Academic Word List
Authors: Uba Sani Yantandu , Irudayasamy Julius , Hankins Carmel Antonette
Published: April 2023

This corpus-based vocabulary study aimed to develop a new computer science academic word list across ten sub-disciplines of computer science defined by Association for Computing Machinery (hereafter ACM). A corpus of Computer Science containing 2,500,990 running words was developed from 300 Computer Science Research Articles (hereafter CSRAC) as a database of this study. Drawing on and combining procedures and methods from Coxhead (2000), Gardner and Davies (2014) and other previous studies, this study developed a New Computer Science Academic Word List (hereafter NCSAWL), containing the most frequently-used computer words in computer research articles from the corpus. The NCSAWL contains 444 words, which accounts for approximately 20.33% of the coverage in the CSRAC, the NCSAWL has a much better coverage of computer English. The result of this study has numerous implications for computer science learners, English teachers, researchers, as well as material writers and course syllabus designers. For examples, English computer teachers should focus on teaching learners the most high-frequent words which have a dispersed coverage and have special meaning and use in the discipline of computer science. Teachers could also raise the awareness of learners that some words have different meanings and uses in general English. The material designers for English for academic and special purposes could incorporate the NCSAWL vocabulary into their academic reading and writing materials for computer science students. Researchers and English language teachers who are interested in expanding their computer science academic vocabulary could also use this NCSAWL.
Bioenergy and Employment. A Regional Economic Impact Evaluation
Authors: Romero Carlos , Ernst Christoph , Epifanio Daniele , Ferro Gustavo
Published: April 2023

Estimating green energy’s impact on regional economies of developing countries is challenging, owing both to the lack of disaggregated data of non-conventional energy sources at the subnational level and a method to address its participation in the energy matrix. We develop a methodology to solve both problems and apply it to the case of Santa Fe province, Argentina, an important producer of biofuels (biodiesel from soybean and ethanol from maize). To disaggregate the participation of biofuel sectors we combine aggregated sector information with subsector surveys. Once established the share of biofuels in the economy and their potential to create jobs, it is possible to generate statistics on the input-output relationships. With the latter, we estimate a hybrid input-output model and calculate the effects of shocks on production and employment stemming from the full utilization of existing idle capacity, as well as from new investments in the sector. The instrument allows us to several policy evaluations, for instance, of acceleration of the energy matrix transition to renewables through regulations, to study the effect of changes in relative prices of energy, determine the effect on potential employment creation of subsidies to promote the activity, etc. The sector we analyze empirically had an initial value added of 745 million dollars and employs near to 1200 persons, and an important idle capacity plus delayed projects because of external shocks. In a conservative scenario of full capacity utilization plus ongoing investments, production more than doubles, and employment can grow 414 percent. On the other hand, a 50 percent additional increase in new capacity implies a total value-added increase of 421 million dollars and a 378 percent increase in jobs. Even when the output effect is lower than in the former scenario, the employment effect is proportionally much larger since the latter scenario includes transient jobs in the construction phase.
Intraobserver and Interobserver Reproducibility of Classifications of Tibial Plateau Fractures and the Surgical Approaches Chosen Comparing 2D CT and 3D Printing: Reliability Study
Authors: Osma-Rueda Jose , Mantilla-Angarita Fabian , Lopez-Gualdron Clara
Published: April 2023

Introduction:

Reliability is the study of internal consistency, reproducibility (intraobserver and interobserver), and agreement. Reproducibility studies that classify tibial plateau fractures have used plain radiography and two-dimensional (2D) CT scans and three-dimensional (3D) printing. The objective of this study was to evaluate the reproducibility of the Luo Classification of tibial plateau factures and the surgical approaches chosen for these fractures based on 2D CT scans and 3D printing.

Methods:

A reliability study was performed at the Universidad Industrial de Santander, Colombia, that evaluated the reproducibility of the Luo Classification of tibial plateau fractures and the choice of surgical approaches based on 20 CT scans and 3D printing, with five evaluators.

Results:

For the trauma surgeon, reproducibility was better when evaluating the classification using 3D printing, with a kappa of 0.81 (95% confidence interval [CI], 0.75-0.93; P < 0.01) than when using CT scans, with a kappa of 0.76 (95% CI, 0.62-0.82; P < 0.01). When comparing the surgical decisions made by the fourth-year resident with those of the trauma surgeon, a fair reproducibility was obtained using CT, with a kappa of 0.34 (95% CI, 0.21-0.46; P < 0.01), which improved to substantial when using 3D printing, with a kappa of 0.63 (95% CI, 0.53-0.73; P < 0.01).

Discussion:

This study found that 3D printing provided more information than CT and decreased measurement errors, thereby improving reproducibility, as shown by the higher kappa values that were obtained.

Conclusion:

The use of 3D printing and its usefulness are helpful to decision making when providing emergency trauma services to patients with intraarticular fractures such as those of the tibial plateau.
Amniotic Fluid Index and Its Relationship with Poor Apgar Score in Term Pregnancy
Authors: Awan Sehrish , Tabasum Shahista , Parveen Tahira , Bhutto Arooba , Mandvia Aqsa , Kaleem Rabia , Fazal Adnan
Published: April 2023

Amniotic fluid bathes the fetus and works as cushion, permits fetal lung growth and prevents fetus from infection. It peaks with gestational age and peaks at 32 -34 weeks of pregnancy. Amniotic fluid index is important and shares important relationship with APGAR (appearance, pulse, grimace, activity and respiration) for fetal wellbeing. Objectives: To determine the amniotic fluid index and its relationship with poor APGAR score in term pregnancy. Methods: This Descriptive study was done in department of Obstetrics and Gynecology, Holy family hospital, Rawalpindi from 2nd October 2017 to 1st April 2018. We enrolled 222 patients meeting the criteria. Informed consent was taken. Results: Mean age was 30.53 ± 4.66 years. Mean gestational age was 38.95 ± 1.38 weeks. Mean parity was 2.28 ± 0.70. Mean gravidity was 2.43 ± 0.89. Amniotic fluid index was found ≤50 mm in 76 (34.23%) and >50 mm in 146 (65.77%). The babies with Apgar score <6 at 1 minute were 43 (56.58%) having mothers with AFI <50mm and 05 (3.42%) with AFI >50mm. Conclusion: This study concluded that frequency of Amniotic fluid index < 50mm in term pregnancy is quite high with higher frequency of poor APGAR score in term pregnancy with AFI < 50 mm
Oral Health Status of elementary school aged children in Rawalpindi, Islamabad, Pakistan
Authors: Farrukh Habib Muhammad , Pervaiz Ayesha , Shanzar Butt Muhammad , Ali Khan Asad , Muhammad Numan Hafiz , Rafique Rizwana
Published: April 2023

Dental caries among Pakistani’s school children continue to increase. To identify treatment needs, current epidemiologic data are needed. Such statistics are currently not available for elementary school children. Objectives: To determine the oral status of school children using Decayed, Missed, Filled, Teeth index. To identify treatment need by using Community Periodontal Index of Treatment Needs index. Methods: An analytical cross-sectional study was performed on 385 elementary school children aged between 13 to 17 years. A simple random sampling method was performed. The participants were both from government and private schools of Rawalpindi, Islamabad, Pakistan. Data were collected by modified WHO questionnaire. Oral examinations were performed in accordance to WHO guidelines. After taking permission from school, informed consent from parents, and assent from students, oral examinations were done by undergraduate and DMFT and CPITN index were assessed. Results: Mean DMFT and CPITN score among school children came 1.17±2.182 and 1.04±0.910 respectively. More than a one-third of the elementary school students needed high level dental care. Conclusions: Oral health status of elementary school aged children is relatively unsatisfactory. There is a need to introduce dental camps and oral hygiene awareness programs in educational settings.
Esophageal and Gastric Stricture Formation Following Corrosive Ingestion in Our Local Population
Authors: Khan Asfand-e-Yar , Abdullah Sadaf , Kamran . , Ejaz Zubair , Sohail Muhammad , Alam Abubakkar , Ullah Inam , Gillani Syeda Rubina
Published: April 2023

Corrosive substances are defined as chemicals which cause injury upon coming in contact with living tissues such as the skin, gastrointestinal tract, respiratory tract and eyes. These include acids, alkalis, oxidizing agents, hydrocarbons among others. Objective: To determine the frequency and difference in the frequency of upper gastrointestinal stricture formation following corrosive ingestion in the gastroenterology unit of Lady Reading Hospital, Peshawar. Methods: This cross- sectional study was held in the Gastroenterology unit of Lady Reading Hospital, Peshawar from 16th July, 2019 to 16th Jan, 2019. Detailed history was taken from the patient and the container of the chemical ingested was examined to find out the duration since ingestion, amount of chemical ingested, and the type of chemical ingested (acid or alkali). Results: Mean and SD for age was 35 ± 5.55. Mean and SDs for duration since ingestion. Mean and SDs for amount of corrosive ingestion was 24 ± 1.54. 50 (34.48%) patients were recorded in 10-25 years’ age group and 95 (65.51%) patients were recorded in 26-40 years’ age group. 97 (66.89%) patients were male, and 48 (33.10%) patients were female. 41 (28.27%) patients had acidic corrosion and 104 (71.72%) patients had alkali corrosion. As per frequencies and percentages for stricture formation, 57 (39.31%) patients had stricture formation. Conclusions: Although the mortality and morbidity of corrosive gastric injuries is high, the key to improve the survival is early identification of perforation, maintenance of nutrition and control of sepsis.
Non refert quam multos libros, sed quam bonos habeas: Vilniaus evangelikų reformatų sinodo bibliotekos XVII a. knygos Lietuvos mokslų akademijos Vrublevskių bibliotekos Retų spaudinių skyriaus fonduose
Authors:   The Wroblewski Library of the Lithuanian Academy of Sciences, Radvilienė Violeta
Published: April 2023

This article aims to give an overview of the 17th-century documents that are now kept in the Rare Books Department of the Wroblewski Library and that belonged to the library of the Vilnius Evangelical Reformed Synod until February 1941. This library was established 465 years ago, at the time of the establishment of the Vilnius Evangelical Reformed Synod, Unitas Lithuaniae. The library had a difficult time surviving since its very establishment; it was burned, moved from Vilnius to Kėdainiai and also to Slutsk, a town where the Radvila princes set up some schools (the Reformers were deprived of a right to establish higher schools in Lithuania). Extant books from the library of the Slutsk Gymnasium shed light on how books in various scholarly disciplines were registered, classified, and marked. After the World War I, the library was returned to Vilnius, where it continued to be looked after, there were attempts to compile and publish its catalogue. In 1940, when Lithuania was annexed by the Soviet Union, the Vilnius Evangelical Reformer Synod was terminated, and its library was given over to the Library of the Lithuanian Academy of Sciences, an institution established on the basis of the former Wroblewski Library. The war Soviet Union with Nazi Germany, which started on June 22, 1941, became an obstacle to the integration of the Synod library. There is no evidence as to how it was stored and handled during the war. During the retreat of the German army from Vilnius in July 1944, the building of the Synod library in Pylimo Street burned down (perhaps, it was set on fire intentionally). Information spread that the library had perished, therefore the books that had been saved in some way and emerged afterwards, were given over to various libraries, in spite of the fact that they were supposed to have been transferred to the Library of the Academy of Sciences. 320 items have been discovered in the holdings of the Rare Books Department. 126 of them constitute just three composite sets. Most of the extant publications are on religious topics and reflect the development of the Reformation. The majority of the documents are in Latin. Very few historical and fiction books are extant. However, that which remains makes it possible to grasp some realities of the 17th-century life and thus represents interesting and valuable heritage. Keywords: Vilnius Evangelical Reformed Synod; Synod library; Reformation; Slutsk Gymnasium; theological dispute.
„Tėve mūsų“ Rytų Prūsijos lietuviškuose raštuose nuo Mažvydo iki Vilentos
Authors:   The Wroblewski Library of the Lithuanian Academy of Sciences, Judžentis Artūras
Published: April 2023

This paper looks at the origins of the Lithuanian prayer “Pater noster” in the Enchiridion by Baltramiejus Vilentas (1before 1572, 21579). To fulfil this task, the prayer is compared with all its variants that have previously appeared in East Prussia. The article reveals that Vilentas did not retranslate it, but took it from the hymnal Giesmės krikščioniškos, part II, of Martynas Mažvydas and Baltramiejus Vilentas, to which it was transferred, almost unchanged, from the Forma krikštymo of Martynas Mažvydas. The relationship between the prayer texts, published in the previous work and the Mažvydas’ Catechism is also examined. The author is of the opinion that the text in Forma krikštymo is not a new translation, but only a new version of the previous text, edited according to the language of the western Aukštaitians of that time. The relationship between the prayer texts, published in the previuos work and the Mažvydas Catechism is also examined. The author is of the opinion that the text in Forma krikštymo is not a new translation, but only a new version of the previous text, edited according to the language of the western Aukštaitians of that time. A classification of the versions of the prayer is given at the end of the article. Keywords: Martynas Mažvydas; Baltramiejus Vilentas; catechism; prayer; translation.
RESERVA LEGAL, ESTRUTURA FUNDIÁRIA E VEGETAÇÃO REMANESCENTE NA REGIÃO AGRÍCOLA DE JAÚ
Authors: Henriques Rezende Jozrael , Da Silva Tatiana , Toledo Veniziani Jr. José Carlos
Published: April 2023

Este estudo analisou a legislação federal e estadual no que diz respeito ao uso sustentável dos recursos naturais dos imóveis rurais, em especial aqueles relacionados a exploração de espécies arbóreas nativas em áreas protegidas nos municípios da região de Jaú, centro-oeste do Estado de São Paulo, considerando a estrutura fundiária das propriedades rurais, os biomas e o índice da vegetação remanescente. O passivo de Reserva Legal, evidenciado pelo total de 8,4% de vegetação remanescente na região, indica a importância da implementação dos instrumentos econômicos previstos na lei de proteção da vegetação nativa, Lei Federal nº. 12.651/2012, que permite o plantio com fins conservacionistas e produtivos em sistemas florestais multifuncionais nas áreas protegidas das propriedades rurais. A situação atual comprova a necessidade do aprimoramento da resolução que trata da exploração de espécies nativas no estado de São Paulo, garantindo a segurança jurídica, promovendo a desburocratização e fomentando a sustentabilidade.
THE ALGORITHM OF AWARENESS: UNIVERSALITY AND POTENTIAL FOR THE DEVELOPMENT OF PSYCHOTHERAPEUTIC SCHOOLS
Authors: Гафарова О.Н.
Published: April 2023

В докладе сформулированы 6 «камней преткновения» современной психотерапии и показана эмпирическая последовательность процесса осознания, который как «лакмусовая бумажка», проявляет диапазон действия психотерапевтических модальностей и «зону развития» их в пространстве психики. Рассматривается алгоритма этого метакогнитивного процесса как возможность перехода психотерапии на новый уровень, где возможен принципиально новый – «квантовый» – скачок в её развитии, вместо горизонтального преумножения множества методов и методик.

The report formulates 6 “stumbling blocks” of modern psychotherapy and shows the empirical sequence of the process of awareness, which, as a “litmus test”, shows the range of psychotherapeutic modalities and their “zone of development” in the psyche space. The algorithm of this meta-cognitive process is considered as an opportunity to bring psychotherapy to a new level, making it possible to make a fundamentally new “quantum” leap in its development, instead of a horizontal multiplication of many methods and techniques.
THE MEANING OF SERVICE IN EXISTENTIAL COUNSELING
Authors: Краснова А.Г.
Published: April 2023

В статье рассматривается служение как один из смыслов деятельности экзистенциального консультанта. Дается определение понятию служения и раскрываются особенности осмысления консультантами собственной практики в экзистенциальной модальности. Предложены критерии, по которым можно оценить деятельность консультанта как служение, и обозначены опасности, могущие привести к его профессиональному выгоранию.

The article considers service as one of the meanings of the activity of an existential consultant. The definition of the concept of service is given and the peculiarities of consultants' understanding of their own practice in an existential modality are revealed. The article proposes the criteria by which the consultant's activity can be evaluated as a service and identifies the dangers that can lead to his professional burnout.
EXISTENTIAL AND ETHICAL ASPECTS OF PSYCHOLOGICAL ASSISTANCE IN THE MODERN WORLD
Authors: Кораблина Е.П. , Тихомирова С.И.
Published: April 2023

рассматривается роль психологической помощи в контексте современных реалий с позиции экзистенциального подхода и этических норм. Обсуждается возможность диалогического взаимодействия для достижения воспитательно-образовательных целей. Предлагается использование творческих ресурсов для духовного изменения и роста человека.

the role of psychological assistance in the context of modern realities is considered from the perspective of an existential approach and ethical norms. The possibility of dialogical interaction to achieve educational goals is discussed. The use of creative resources for spiritual change and human growth is proposed.
BULLYING STRUCTURE AT SCHOOL AS A STRESS COMPENSATION MECHANISM
Authors: Тагильцева Е.В. , Посевкина О.В. , Бахтин М.И. , Зайцева А.С. , Муранов М.А.
Published: April 2023

Повышенный уровень стресса в подростковой среде является одним из последствий прохождения возрастных кризисов и взросления. Отсутствии эффективных моделей и навыков преодоления трудностей приводит отдельную группу подростков к деструктивному компенсаторному поведению, одним из которых является буллинг. Роли участников буллинга: жертва, инициатор, наблюдатель, защитник и помощник. Мы провели исследование буллинг-структуры в средней школе Новосибирской области. В исследовании приняли участие 36 школьников 9 – 11 класса. Подростки демонстрируют высокий уровень стресса, 56% повышенный уровень перенапряжения и 50% высокий уровень противодействия стрессу. Наиболее подверженые стрессу подростки использовали роли инициаторов конфликтных ситуаций (8%) и их жертв (19%). Обычно исследователи уделяют больше внимания жертвам буллинга, отмечая наличие у них элементы самоповреждающего поведения. Действительно, жертвы буллинга более уязвимы и испытывают высокое психологическое напряжение в таких контактах. Нами выявлено, что инициатор также испытывает высокое психологическое напряжение находящее разрядку в травле одноклассников, что демонстрируют корреляционные связи шкалы «Инициатор» со шкалами «Перенапряжение» (r=0,46, p<0,05) и «Воспринимаемый стресс», (r=-0,45, p<0,05). Подросток, выбирающий роль инициатора в буллинг структуре, испытывает стресс из-за проблем в семье, успеваемостью в школе, отношениями со сверстниками из-за чего повышается уровень стресса. Для снижения стресса и перенапряжения, инициатор, использует агрессивное поведение по отношению к своему коллективу, получая разрядку. Аналогичную структуру компенсации напряжения имеет самоповреждающие поведение, как способ уменьшения чрезмерного напряжения и давления стресса. Выработанная деструктивная модель поведения несет риски для инициатора в будущем, при отсутствии возможности сброса напряжения через буллинг бывший инициатор будет искать новые модели поведения для сброса напряжения, и модель атодеструктивного поведения наиболее близкая к привычной.
ISSUES WITHIN OUR COMMON SUPERVISION SPACE. WHO AND WHAT ARE WE SUPERVISING?
Authors: Дуплищев К.Н.
Published: April 2023

В данной статье поднимаются актуальные вопросы возможности формирования единого пространства супервизии в психотерапевтическом пространстве и озвучивается идея о важности супервизирования, в первую очередь, именно личность специалиста и клиент-терапевтических отношений, а не методов или инструментов отдельной модальности.

The article raises current issues of the possibility of forming a common supervision space in the psychotherapeutic space and voices the idea of the importance of supervision, first of all, of the personality of a specialist and the client-therapeutic relationship, and not the methods or tools of a separate modality.