bluuebunny/crossref_metadata_2025 huggingface dataset:
Air pollution and emergency department visits for urticaria
Authors: Szyszkowicz Mieczysław , De Angelis Nicholas
Published: December 2021

Introduction. This study investigates associations between air pollution and emergency department (ED) visits for urticaria in Toronto, Canada.

Aim. To verify the hypothesis that urticaria are related to air pollution.

Material and methods. The National Ambulatory Care Reporting System database is used to draw the daily ED visits. The L50 section of the International Classification of Disease 10th Revision is applied to extract ED visits whose primary causes was urticaria-related skin condition. Statistical models (condition Poisson regression) using daily counts of ED visits are constructed for urticaria (health response) with ambient air pollution concentrations and weather factors as independent variable. Two air quality health indexes and six ambient air pollutants: fine particulate matter PM2.5, O3, CO, NO2, SO2, and maximum 8-hour average ozone are considered as an exposure.

Results. A total of 176 statistically significant (P-Value <0.05) positive correlations were identified over the 15 day lag period (0-14 days). For daily average of ambient ozone, 74 positive correlations were observed with the following relative risks (RR) for a one interquartile range (IQR=12.8 ppb) increase: RR=1.361 (95% confidence interval: 1.302, 1.404), 1.359 (1.299, 1.401), 1.351 (1.281, 1.404) in the warm season (April-September), lag 0, and RR=1.019 (1.013, 1.025), 1.023 (1.016, 1.030), 1.014 (1.007, 1.021), lag 1, in the cold period (October-March), for all, females, and males, respectively. 10, 45 and 45 positive correlations were also obtained for sulfur dioxide, fine particulate matter, and daily maximum 8-hour average ozone concentrations, respectively.

Conclusions. The results indicate that urban ambient air pollution could influence the numbers of ED visits for urticaria. Ambient ozone was determined as the main environmental factor contributing to these associations.
The Encounter with the “Favourite Patient”
Authors: Talaban Irena
Published: December 2021

Starting off with a collection of clinical observations belonging to some psychoanalysts at the end of their career, we have tried to underline the specific of that which we call “authentic” in psychoanalysis (and analytic psychotherapy). The clinical sequences do not come from classic cures. They put into question the reciprocity and nature of the transfer, the therapeutic device, but more importantly showcase the significance of the “intersubjective relation” and of “implicit theories” of the patient and the therapist. These clinical encounters demonstrate the importance of technical reworking in the practice of psychoanalysis in the contemporary world.
Identifikasi dan Latar Belakang Sejarah Tinggalan Arkeologis Jangkar di Perairan Kepulauan Sangihe
Authors: Azis Fairuz , Musadad Nfn.
Published: December 2021

Temuan arkeologis jangkar di perairan Kepulauan Sangihe merupakan data baru bagi arkeologi, khususnya arkeologi maritim di Indonesia. Dalam penelitian ini, dilakukan kajian melalui pendekatan arkeologi maritim dan mengkomparasikannya dengan data sejarah terkait untuk mengetahui karakteristik bentuk, identitas, serta latar belakang sejarah dari temuan jangkar tersebut. Penelitian ini bertujuan untuk membuka wawasan baru dalam penelitian arkeologi maritim di Indonesia, terutama dalam hal objek penelitian berupa jangkar. Hasil dari penelitian ini diketahui bahwa temuan jangkar di perairan pantai Desa Lesa, Kepulauan Sangihe tergolong dalam tipe admiralty anchor. Admiralty anchor merupakan desain jangkar yang dikembangkan dan digunakan oleh armada Angkatan Laut Inggris. Berdasarkan sejarah maritim wilayah Laut Sulawesi, terdapat beberapa kemungkinan latar belakang sejarah yang berhubungan dengan keberadaan temuan jangkar di perairan Kepulauan Sangihe. Kemungkinan pertama, yaitu berhubungan dengan perselisihan diantara bangsa asing yang berkuasa di sekitar wilayah Laut Sulawesi. Kemungkinan kedua, yaitu berhubungan dengan eksistensi para perompak di wilayah Laut Sulawesi.
Taman dan Lapangan Awal Abad ke-19 Sampai Awal Abad ke-21 di Kota Makassar
Authors: Octaviani Cresentia Zita
Published: December 2021

Ruang terbuka hijau publik dalam hal ini taman dan lapangan awal abad ke-19 hingga awal abad ke-20 merupakan bagian dari elemen kota Makassar. Taman dan lapangan yang terbagi berdasarkan peta lama awal abad ke-19 dan peta awal abad ke-20 terdiri dari: Koningsplein, Schietterrein voor Infanterie, Schietterrein voor Artillerie, Prins Hendrik Plein, Englsch Plein, Juliana Park dan Kerk Plein. Tulisan ini mengistilahkan “park” dalam penyebutan taman kota dan istilah “plein” dalam penyebutan lapangan. Penelitian ini dilatari oleh fenomena perkembangan bangunan yang semakin pesat di kota Makassar sehingga ruang terbuka hijau sebagai bagian esensial perkotaan semakin berkurang. Metode yang digunakan dalam penelitian ini yaitu pendekatan arkeologi perkotaan dalam analisis kartografi terhadap peta lama awal abad ke-19 hingga awal abad ke-20 melalui overlay peta dengan kondisi eksisting lahan saat ini. Metode penelitian kualitatif juga dilakukan untuk menginterpretasi data berdasarkan studi pustaka dan observasi lapangan. Tulisan ini menghasilkan jumlah penurunan ketersediaan lahan ruang terbuka hijau publik dari awal abad ke-19 berjumlah 484.619 m² menjadi 344.828 m² saat ini (awal abad 21).
Pengaruh stres kerja dan ketidakamanan kerja terhadap turnover intention pada the lerina hotel nusa dua bali
Authors: Komang Aryati Gusti Ayu , Ratna Sari Ni Putu , Suarka Fanny Maharani
Published: December 2021

Abstract

 

                  Based of the research by the increasing problem of turnover intention at The Lerina Hotel Nusa Dua, Bali. Variables that caused of increased turnover intention are variables of work stress and work insecurity. The purpose of this study is to determine the influence of job stress and job insecurity on turnover intention at The Lerina Hotel Nusa Dua Bali, and to determine the effect job stress and job insecurity on turnover intention. Techniques data collection by observation, interviews, questionnaires, documentation, and literature studies. While the sampling technique is saturated sample with a number of respondents of 50 people. This research using descriptive qualitative and quantitative technique consisting of a likert scale, validity test and reliability test, classic assumption test, correlation test, multiple linear regression analysis, t test, F test, and determination test.

                  The results shows that Fcount (39,020)> Ftable (3.20) with a sig value of 0,000 or <? (0,05). This shows that job stress variables (X1) and job insecurity (X2) simultaneously have a positive and significant effect on turnover intention (Y) at The Lerina Hotel Nusa Dua. The t-test or partial results show that job stress has a total influence of 2,566 with a significance level of 0.014 <0.05 and job insecurity has an influence of 5,849 with a significance level of 0,000 <0.05 which means that job stress and job insecurity have a positive and significant effect on employee turnover intention in The Lerina Hotel Nusa Dua. Furthermore, the results of the determination test showed that the effect of job stress and job insecurity on turnover intention was 62.4% and the remaining 37.6% was influenced by other factors not included in this study.

 

 

Key Word : Job Stress, Job Insecurity, Turnover Intention, and The Lerina Hotel Nusa Dua Bali
Analisis pengaruh online review pada booking.com terhadap keputusan wisatawan menginap di de vins sky hotel seminyak, bali
Authors: Sevtiani Silvia , Putri Sri Anak Agung , Ratna Sari Ni Putu
Published: December 2021

Abstract

On the site for online review there are some elements that are often read, namely information about the object sought, products presented in the form of reviews, photos, places and facilities downloaded on the page which will influence the decision to stay at a hotel. The purpose of this study was to determine the effect of an online review market (general information, reviews, photos, location, and facilities) on the booking.com site on travelers' decisions to stay at De Vins Sky Hotel, Seminyak. To find out the most significant variable influencing tourist decisions to stay at De Vins Sky Hotel, Seminyak. The way to collect data is through observation, questionnaires and literature study. The research method used in this research is Descriptive Statistical Analysis with Likert scale calculation, and Inferential Statistical Analysis consisting of correlation analysis, Multiple Linear Analysis, Simultaneous Analysis (F Test), Partial Analysis (T test), Determination Analysis. The results showed that there was a positive and significant influence from the Online Review on Booking.com on travelers' decision to stay at De Vins Sky Hotel with an F value of 19.667> F table (3.94) and sig. 0,000 <0.05, which means that the effect simultaneously so if the X variable (Online Review) increases or influences in one unit, then the variable Y (Decision Overnight) will increase or be fulfilled. The conclusion in outline is that online review has a positive and significant effect on travelers' decision to stay at De Vins Sky hotel with the most significant sub-variable facilities.

 

Keywords : Online Review, Booking.com, Decision to Stay.
PERTUMBUHAN DAN HASIL RUMPUT GAJAH KATE (Pennisetum purpureum cv. Mott) YANG DIPUPUK DENGAN PUPUK CAIR LIMBAH BUAH NAGA DENGAN DOSIS BERBEDA
Authors: Prasadana D. E. Dwipa , Witariadi N. M. , Budiasa I K. Mangku
Published: December 2021

Penelitian yang bertujuan untuk mengetahui pertumbuhan dan hasil rumput gajah kate (Pennisetum purpureumcv. Mott) yang dipupuk dengan pupuk cair limbah buah naga dengan dosis berbeda. Penelitian dilakukan di Rumah Kaca, Stasiun Penelitian Sesetan, Fakultas Peternakan, Universitas Udayana. Penelitian berlangsung selama 8 minggu, menggunakan rancangan acak lengkap (RAL) dengan enam level dosis dan lima ulangan sehingga terdapat 30 unit percobaan. Perlakuan terdiri atas dosis pupuk cair limbah buah naga yang terdiri atas: 0 l ha-1, 2.500 l ha-1, 5.000 l ha-1, 7.500 l ha-1, 10.000 l ha-1, dan 12.500 l ha-1. Variabel yang diamati yaitu variabel pertumbuhan, variabel hasil dan variabel karakteristik tumbuh. Hasil penelitian menunjukkan bahwa pupuk cair limbah buah naga pada dosis 7.500 l ha-1 dapat meningkatkan jumlah daun, sedangkan pada tinggi tanaman dan jumlah anakan menunjukkan hasil yang sama. Pemberian pupuk cair limbah buah naga juga meningkatkan hasil berat kering daun, berat kering batang, dan berat kering total hijauan, namun pada berat kering akar menunjukkan hasil sama. Karakteristik tumbuh tanaman memberikan hasil sama pada variabel nisbah berat kering daun dengan berat kering batang, nisbah berat kering total hijauan dengan berat kering akar, dan luas daun per pot. Dapat disimpulkan bahwa rumput gajah kate (Pennisetum purpureum cv. Mott) yang dipupuk dengan pupuk cair limbah buah naga dapat meningkatkan pertumbuhan dan hasil rumput dan dosis 7.500 l ha-1 memberikan pertumbuhan dan hasil rumput gajah kate (Pennisetum purpureum cv. Mott) paling baik.

Kata kunci: hasil, Pennisetum purpureum cv. Mott, pertumbuhan, pupuk cair limbah buah naga
Theoretical approaches to defining the shadow economy
Authors: PECHERITSA Elena V. , NADEZHINA Ol’ga S. , GOLOVKINA Svetlana I.
Published: December 2021

Subject. This article explores the forms of the shadow economy.
Objectives. The article aims to identify conceptual differences between approaches to defining the shadow economy notion.
Methods. For the study, we used logical, comparative, and content analyses.
Results. The article finds that the concept of the shadow economy includes both illegal activities, which contradict the spirit and letter of the law, and legal activities, through using illegal tools and methods to maximize profits or minimize costs.
Conclusions. Social, legal, and economic factors determine the development of the shadow economy. Whether money comes back to the legal economy sector or not, it depends on the form of the shadow economy. To define the essence of the shadow economy, a comprehensive approach is required.
01110011 01101111 01110011
Authors: Akbari Azadeh
Published: December 2021

This story underlines the high-tech preventive immigration policies and imagines a future where the digital European borders are extended beyond their geographical locations to tackle the “refugee problem” at its origin. The story depicts the contrast between the harsh reality of people fleeing war, terrorism, and patriarchy and the tremendous technological investment to restrain their movement. This piece has been written at a truly unsettling time, as the world is silently watching the demolishment of the women’s movement’s achievements in Afghanistan after twenty years of waging a fruitless war. By describing an encounter between a border robot and a refugee, this story turns our gaze from a problem to a human and unveils the brutality of immigration datafication—reducing wounded bodies and souls to biometric specificities.
A IMPORTÂNCIA DO BRINCAR PARA O DESENVOLVIMENTO DA CRIANÇA
Authors: PEREIRA DANILO CESAR , Silva Daniel De Souza
Published: December 2021

O brincar é de vital importância para o desenvolvimento cognitivo, motor, afetivo e social da criança, considerando que estes aspectos não ocorrem de maneira isolada, mas através de uma inter-relação. Nesta perspectiva, o presente estudo, caracterizado como estudo bibliográfico, vem apresentar a origem e as primeiras teorias pedagógicas sobre o brincar, analisando, ainda, a teoria da Zona de Desenvolvimento Proximal de Vygotsky e como a influência de um adulto ou de outra criança, com maior conhecimento, pode ser fundamental para o aprendizado nas brincadeiras, tornando-as mais significativas para ultrapassar o que já foi assimilado pelas crianças para que o seu desenvolvimento aconteça com maior rapidez e qualidade. É importante considerar neste processo lúdico de ensino-aprendizagem, a presença do professor e de seus conhecimentos didático-pedagógicos em relação à aprendizagem, para promover os benefícios que o brincar oferece para as crianças através de atividades orientadas e adequadas à sua faixa etária, e não apenas supervisionadas, onde o brincar acontece sem a orientação do professor, ou seja, o “brincar pelo brincar” sem compromissos e objetivos com o conhecimento, com a aprendizagem e com o desenvolvimento integral da criança. No âmbito escolar, nas aulas de Educação Física da Educação Infantil e do Ensino Fundamental - séries iniciais, o brincar está inteiramente relacionado às atividades, encontrando maior espaço para auxiliar no desenvolvimento integral da criança de forma sistematizada e adequada para a formação consciente do futuro cidadão.
BIODIVERSIDADE E CONSERVAÇÃO: EDUCAÇÃO AMBIENTAL SOBRE O PARQUE NACIONAL DA CHAPADA DAS MESAS ATRAVÉS DO LÚDICO EM CAROLINA/MA
Authors: Rodrigues Maria Jose , Marques Ana Rosa Marques Rosa
Published: December 2021

Este trabalho propôs a elaboração, produção, aplicação e análise da utilização do jogo educativo: “Roleta Geográfica”: Um olhar sobre a Chapada das Mesas, cujo público-alvo considerado foi de alunos do Ensino Fundamental, do 6º ao 9º ano, com conteúdo relacionado à Educação Ambiental, voltado especificamente para a região do Parque Nacional da Chapada das Mesas. A proposta de aplicação do jogo em sala de aula iniciou-se a partir do pressuposto da inexistência de materiais didáticos pedagógicos nas escolas do município, sugerindo-se assim, a sua utilização, objetivando a conservação e preservação do Cerrado, além da abordagem de assuntos relacionados com a Geografia local do município de Carolina-MA. Apresenta como resultado a análise da aplicação do jogo, constatando que a proposta metodológica em utilizar jogos para o Ensino da Geografia pode proporcionar maior interação entre alunos e assuntos relacionados à mesma.
ESTUDO EXPERIMENTAL DA DINÂMICA DO MOVIMENTO E APLICAÇÃO DO SOFTWARE LIVRE DE VÍDEO-ANÁLISE TRACKER
Authors: Dias Gabriel Da Cruz , De Souza Filho José Cândido , Avancini Everton Rodrigo , Do nascimento Cleiton Feitosa
Published: December 2021

As experimentações e demonstrações, por meio das representações digitais e simulações computacionais tem se tronado um recurso atrativo no ensino de física e as demais ciências naturais, principalmente nos últimos anos. Frente a esse patamar, faz-se necessário uma mudança radical, e a experimentação, de qualquer forma que ela ocorra é uma grande ferramenta para essa isso. Porém nos deparamos com outra realidade: a falta de recursos e equipamentos para a realização de experimentos de qualidade, precisos e principalmente com valores acessíveis. Neste trabalho foi construído um aparato experimental à baixo custo viando o estudo da dinâmica do movimento uni e bidimensional, uma mesa de ar, seguida de coleta, tratamento e análise dos dados experimentais a partir da filmagem e uso do software livre de vídeo-análise denominado Tracker. Os resultados obtidos corroboram com os princípios teóricos sobre colisões apresentados na literatura, demonstrando assim as potencialidades, tanto do aparato experimental quanto do software, para o ensino de física.
DIÁLOGOS SOBRE UMA PSICOLOGIA FEMINISTA: A SORORIDADE NO COM(BATE) À VIOLÊNCIA CONTRA MULHER
Authors: Brunini Barbara Cossettin Costa Beber , CARVALHO SIMONE PAISCA DE , SILVA VANESSA BARBOSA DA , AMARAL LOAN APARECIDO DOS SANTOS DO
Published: December 2021

O presente trabalho bibliográfico/ afetivo/ afetado constitui-se a partir de uma obrigatoriedade na formação de Psicologia da Universidade Paranaense (Unipar), das inquietações acadêmicas decorrentes da prática de estágio e dos nossos corpos desassossegados sobre violência contra mulheres e as amarras do patriarcado. Este estudo objetivou contextualizar, através dos Estudos Feministas e de reflexões Pós Estruturalistas, os diálogos propostos pela Psicologia Feminista e suas intervenções nos processos de formação profissional a favor da sororidade em diferentes estabelecimentos de atenção, acolhimento e denúncias destas situações contra o gênero feminino. Apresenta-se como uma pesquisa qualitativa resultante de revisão literária e convida a (o) leitora a refletir sobre as prováveis fissuras que possibilitam a resistência de nosso corpo às práticas enrijecidas por discursos culturais normatizados pelo machismo e patriarcado, reconhecendo a emergência da sororidade enquanto instrumento fundamental para a elaboração de práticas psi no com(bate) às situações de violências contra a mulher.
Escalas clínicas em saúde mental da mulher: uso de instrumentos de autoavaliação em transtornos mentais prevalentes no período perinatal
Authors: Mendes-Ribeiro Jeronimo , Rennó Jr. Joel , Ribeiro Hewdy Lobo , Valadares Gislene Cristina , Cantilino Amaury , Demarque Renata , Rocha Renan , Silva Antônio Geraldo da , Minuzzi Luciano
Published: December 2021

O uso de escalas na prática clínica é bastante conhecido e pode ser útil quando os instrumentos são utilizados como parte do processo de avaliação diagnóstica, na identificação da presença ou ausência de um determinado transtorno, no monitoramento do progresso terapêutico e na quantificação e documentação da gravidade de determinados sintomas. O período perinatal pode estar associado a desfechos adversos e impactar de maneira negativa a saúde mental das mulheres. Embora existam poucos instrumentos especificamente desenvolvidos para essa subpopulação, há uma uma crescente tendência em se afirmar que o monitoramento cuidadoso e contínuo de sintomas e condições psiquiátricas prevalentes nesse período através de questionários de autoavaliação pode trazer benefícios na tomada de decisão ou busca de acompanhamento especializado e precoce, quando necessário.
Atenção as vítimas de ofensa sexual - parte 2
Authors: Valadares Gislene C , Lippi José Raimundo da Silva , Renno Junior Joel , Cavalsan Juliana Pires , Demarque Renata , Hewdy Ribeiro Lobo Hewdy Ribeiro , Cantilino Amaury , Rocha Renan , Ribeiro Jerônimo de Almeida Mendes , Silva Antônio Geraldo da
Published: December 2021

A avaliação das vítimas de ofensa sexual necessita conhecimento, treinamento, sensibilidade e responsabilidade não submetendo a vítima a vivência também traumática da violência sofrida. Os passos dos cuidados são apresentados de acordo com protocolos internacionais. O tratamento psicoterápico e psicofarmacológico é apresentado.
РЕСУРСООЩАДНІ ПОЛІМЕРНІ ДЕТАЛІ ПРИВОДІВ МАШИН. ЗДОБУТКИ І ПЕРСПЕКТИВИ
Authors: Pilipenko Oleg
Published: December 2021

Актуальність теми дослідження. Основним джерелом зростання національного доходу повинно стати ресурсоощадження, тобто обсяг продукції повинен вироблятись без приросту матеріальних ресурсів. А це означає, що майже 80 % приросту продукції повинно бути забезпечено за рахунок економії ресурсів. З цією метою необхідно збільшити застосування прогресивних ресурсоощадних технологій, які вимагають менших витрат праці, енергії та сировини. Постановка проблеми. Застосування нових безвідходних і маловідходних екологічно чистих технологій. Аналіз останніх досліджень і публікацій. З аналізу літературних джерел можна зробити висновок, що вищим класом технологічного процесу є малоопераційність, маловідходність, ресурсоощадливість, коли інструмент або середовище одразу діють на всю поверхню або на весь об’єм деталі; тривалість дії інструменту або середовища на деталь у декілька десятків разів скорочується і в стільки ж разів підвищується продуктивність обладнання. Виділення недосліджених частин загальної проблеми. Представити основні деталі приводів машин, виготовлені за сучасними технологіями з полімерних композитів, їх застосування та перспективи розвитку. Мета статті. Розглянути приклади деталей приводів машин, виготовлених із полімерних композитів за сучасними й перспективними технологіями.Виклад основного матеріалу.Представлені полімерні та металополімерні зірочки, ланцюги й зубчасті колеса приводів машин, зокрема інтегрованих конструкцій, особливості їх виробництва та застосування. Показана техніко-економічна ефективність застосування деталей машин і механічних передач із полімерних композитів. Розглянуті перспективи і недоліки тривимірного друку деталей машин із полімерних композитів. Висновки відповідно до статті. Дедалі більш численні приклади практичного застосування деталей машин, виготовлених за сучасними технологіями з полімерних композитів, свідчать про те, що при правильному виборі та визначенні розмірів деталей полімерні композити часто перевершують метали. А зниження споживання металів веде до скорочення видобування рудних копалин і металургійного виробництва, що, у свою чергу, сприяє вирішенню багатьох економічних, енергетичних та екологічних проблем. Застосування полімерних деталей приводів машин дає можливість отримувати переваги конструктивного, технічного, технологічного та економічного характеру.
МОДЕЛЮВАННЯ ПРОЦЕСІВ ОХОЛОДЖЕННЯ ПОЛІМЕРНИХ ЛИСТІВ
Authors: Kuzyayev Ivan , Mitrokhin Olexander , Kazivirov Igor
Published: December 2021

Актуальність теми дослідження. Охолодження полімерних листів, як і більшість процесів переробки пласт-мас, належить до неізотермічних процесів, тобто необхідно розв’язувати теплову задачу. Від точного розрахунку теплового балансу дуже залежить кінцевий результат екструзійного процесу. Тому запропонована математична модель та програмний блок для її реалізації допоможуть значно покращити технологічні та економічні показники екструзійних ліній із випуску полімерних листів. Постановка проблеми. Виготовленню полімерних листів присвячено багато наукових праць. При цьому такому процесу, як охолодження кінцевого продукту після екструзії приділено не багато уваги. Аналіз останніх досліджень і публікацій. Створено декілька математичних моделей теплових процесів для теплоенергетичного обладнання. Наприклад: для одночерв’ячних, двочерв’ячних, черв’ячно-дискових екструдерів тощо. При цьому запропоновано різні розрахункові схеми, методи та рівняння для їх вирішення.Виділення недосліджених частин загальної проблеми. Математичну модель для відображення процесів охолодження полімерних листів після їх екструзії можна вважати розширенням цих досліджень. Постановка завдання. Основна мета цієї статті полягає в розробці математичної моделі для аналізу температурного поля при охолодженні полімерних листів на екструзійних лініях, що дозволить оптимізувати не тільки технологічні параметри, а й конструктивні характеристики лінії. Виклад основного матеріалу. При виборі граничних умов треба враховувати реальні конструктивні особливості системи охолодження полімерних листів, що одержують на екструзійних лініях. Представлено розрахункову схему та рівняння теплового балансу. Одержання математичної моделі здійснювалось за допомогою операційного методу, використовуючи інтегральне перетворення Лапласа. Розроблено програму розрахунку параметрів для конкретних умов виробництва. Висновки відповідно до статті.Приведено сучасний літературний огляд теплових задач. Розроблено математичну модель для моделювання процесів охолодження полімерних листів після їх екструзії. Побудовано програмний блок на базі математичного пакета MathCAD для реалізації розробленої математичної моделі
ГЕОДЕЗИЧНИЙ І ДИСТАНЦІЙНИЙ МОНІТОРИНГ ЗЕМЕЛЬ, ВІДВЕДЕНИХ ПІД СОНЯЧНІ ЕЛЕКТРОСТАНЦІЇ
Authors: Lashko Serhii , Shelkovska Inna , Mikhno Pavlo , Kozar Valentyn
Published: December 2021

Розглянуто сучасний стан землекористувань об’єктів, що здійснюють діяльність у галузі сонячної енергетики, як складової частини ринку електроенергії на регіональному рівні. За уточненими даними проаналізовано розподіл земельних ділянок діючих сонячних електростанцій за кількістю та площами в межах Кіровоградської області. Оцінено за 14 критеріями вимоги щодо надання у користування земельних ділянок для встановлення сонячних електростанцій. Відповідність відведених земель вимогам для розміщення підприємств альтернативної енергетики підтверджена. Для оцінки критеріїв використані дані дистанційного зондування Землі. Також проаналізовано наявність на території Кіровоградської області пунктів Державної геодезичної мережі для встановлення на місцевості меж земельних ділянок. Отримані результати оцінки придатності земель можуть бути використані для підвищення при-вабливості сектору сонячної енергетики Кіровоградської області.
Multiple ligament knee injuries: Clinical practice guidelines
Authors: Pardiwala Dinshaw N. , Subbiah Kushalappa , Thete Raghavendraswami , Jadhav Ravikant , Rao Nandan
Published: December 2021

Multiple ligament knee injuries involve tears of two or more of the four major knee ligament structures, and are commonly noted following knee dislocations. These devastating injuries are often associated with soft-tissue trauma, neurovascular deficit, and concomitant articular cartilage or meniscus tears. The complexity of presentation, and spectrum of treatment options, makes these injuries unique and extremely challenging to even the most experienced knee surgeons. A high level of suspicion, and a comprehensive clinical and radiological examination, is required to identify all injured structures. The current literature supports surgical management of these injuries, with cruciate reconstructions, and repair/augmented repair/ reconstruction of collateral ligaments. This review article analyses management principle of multiple ligament knee injuries, and formulates clinical practice guidelines with treatment algorithms essential to plan individualized management of these complex heterogeneous injuries.
THE INFLUENCE OF POSTOPERATIVE ANALGESIA TECHNIQUES ON SPLANCHIC BLOOD FLOW IN CHILDREN WITH INTRAABDOMINAL HYPERTENSION
Authors: Perova-Sharonova V. M.
Published: December 2021

Introduction. Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) often develop in critically ill patients and can lead to affected splanchnic blood flow, intestinal mucosal ischemia, bacterial translocation, sepsis, and multiorgan dys-function. There is limited literature data on the effect of analgesic methods on splanchnic blood flow in IAG / AСS. The aim of the study was to define the effect of different postoperative analgesia techniques on splanchnic blood flow in children with appendicular peritonitis with IAH. Materials and methods. The study included 115 children who underwent surgery for appendicular peritonitis. Children were randomized into three groups depending on the method of postoperative analgesia: “Opioids” (n = 36; intravenous infusion of morphine 10 μg/kg/h); “Lidocaine” (n = 40; intravenous infusion of lidocaine 1.5 mg/kg/h); “EDA” (n = 39; epidural infusion 0.25% bupivacaine 0.4 mg/kg/h). Postoperatively intraabdominal pressure (IAP) was measured 4 times a day using the standard in-direct method through a Foley catheter in the bladder. According to the IAP level and presence of organ dysfunction patients in each group were divided in subgroups: “Without IAH”, “IAH” and “ACS”. The diameters and linear velocities of blood flow in the superior mesenteric artery (SMA) and portal vein (PV) were detected using US. The blood flow indices in SMA and PV (BFISMA, BFIPV, ml/min/m2) were calculated. Results. BFISMA and BFIPV were significantly higher in children without IAH than in children with IAH (p <0.0001) and ACS (p <0.0001). Among patients in all subgroups, BFISMA was significantly higher in the groups “Lidocaine” (p <0.05) and “EDA” (p <0.0001) compared with the group “Opioids”. BFIPV was higher in the group “EDA” (p <0.05) in children with IAH and in the groups “Lidocaine” (p <0.0001) and “EDA” (p <0.0001) in children with ACS compared with children of all subgroups in the group “Opioids”. Among the children without IAH a statistically significant negative correlation between IAP and BFISMA was observed only in the group “Opioids” (rs = -0.5; p <0.001). Among the children with IAH and ACS, a statistically significant negative correlation between IAP and BFISMA was observed in all analgesia groups, but it was weakest in the group “EDA” (rs = -0.24; p <0.04 and rs = -0.39; p <0.05, respectively). In the group “Opioids” a statistically significant negative correlation between IAP and BFIPV was observed only in the children with IAH (rs=-0.31; p<0.01) and ACS (rs=-0.4; p<0.0001). Conclusions. Epidural analgesia is the most optimal method of analgesia for the effect on impaired splanchnic blood flow in children with peritonitis complicated with intra-abdominal hypertension. Intravenous analgesia with lidocaine may be an alternative to epidural anesthesia.
CLINICAL EFFICACY OF TOCILIZUMAB IN THE TREATMENT OF SEVERE COVID-19 IN THE VOLYN REGION OF UKRAINE
Authors: Yakovenko O. K. , Khanin O. G. , Yakovenko T. L.
Published: December 2021

Treatment of coronavirus disease COVID-19 is currently unresolved. Whether it is advisable to use Tocilizumab (TM), whether it is effective and safe for patients with Covid-19 - this question remains open to physicians.The aim of the study: To evaluate the safety and therapeutic efficacy of TM on the course and prognosis of severe COVID-19 during treatment with standard treatment according to the National Protocol without antiviral therapy.Materials and methods: Retrospective cohort study of adult patients (≥18 years) with severe COVID-19, who were admitted to the infectious department №2 KP «Volyn Regional Clinical Hospital» from September 2020 to December 2020.The statistical analysis included a group of patients who received TM and recovered (n=42), a group of patients who recovered without TM (n=59), and a group of patients who received or did not receive TM and died (n=58). Statistical methods of interval estimation, null hypothesis according to U Mann-Whitney criteria, binomial criteria, and T-test for two independent dichotomous samples according to the Bernoulli scheme using SPSS Statistics 26 stepwise direct method LR were used for the analysis.Results: 77.7% of patients with severe COVID-19 who received TM recovered, however, based on the analysis of data from a cohort of patients with severe COVID-19 who did not receive TM, it was found that recovery did not depend on TM. Adverse events associated with TM were noted in 3.7%. It has been found that TM reduces recovery time in the hospital and reduces the risk of being admitted to the intensive care unit. The average value of C-reactive protein (СRP) in the group of recovering those who received TM - 114.1 mg/l, and elevated levels of Procalcitonin (PC) above normal by 59.52% with an average value of 0.35 ng / ml.Conclusions: The high statistical significance of the obtained results in terms of therapeutic efficacy and safety of TM makes it possible to implement the obtained results in wide practice for the use of this drug in the treatment of severe COVID-19.
THE INFLUENCE OF COMPLEX IMPLEMENTATION OF THE ERAS PROGRAM ON THE SURGICAL STRESS RESPONSE FACTORS IN PEDIATRIC PATIENTS UNDERGOING ELECTIVE LIMB SURGERY
Authors: KYSELOVA I.V. , BILIAIEV A.V.
Published: December 2021

Surgical stress response, fluid and nutritional balance, and pain management are among the key factors influencing on the postoperative period. These areas are reflected in the Enhanced Recovery After Surgery (ERAS) concept, which is based on a set of measures aimed at minimizing the surgical stress response. The lack of ERAS recommendations for the pediatric population of surgical patients prompts to search for a solution of adaptation and implementation of the ERAS programs in children.
The aim of the study. To determine the effectiveness of the complex application of the enhanced recovery after surgery by studying its influence on the factors of the surgical stress response in pediatric patients undergoing limp surgery.
Materials and methods. The prospective randomized study included 47 patients aged 1 to 17 years. In the study group (n = 22), the ERAS program was used, which consisted of 14 components of preoperative, intraoperative and postoperative measures. In the control group (n = 25), the complex of all ERAS components was not purposefully applied. We compared glycaemic stress index (GSI) and length of hospital stay after surgery (LOS) as a primary outcome; secondary outcomes were fasting time after drinking fluids before induction of anesthesia, estimated fluid deficiency just before induction of anesthesia, hemodynamic parameters, the need for opioids during and after surgery, blood glucose and beta-hydroxybutyrate in the beginning and in the end of the surgery and next day morning after surgery, postoperative nausea and vomiting.
Results. GSI was significantly less in the study group (1,62 ± 0,78 vs 2,12 ± 0,93, р=0,046). LOS in the study group was 37.5% less than in the control group (p = 0.002). The period of preoperative fasting and fluid deficit in the patients of the study group were shorter. The needs of fentanyl intraoperatively in the study group was 47% less (p<0.001). At the beginning of surgery, the study group had a higher blood glucose concentration and a higher systolic blood pressure. At the end of surgery, blood glucose and beta-hydroxybutyrate in the study group was lower than in the control group. In the postoperative period, 9% of patients in the study group and 36% of patients in the control group complained of nausea (p = 0.041). Linear regression analysis showed a linear relationship between the LOS after surgery and the GSI (R=0,515, R2=0,266, B=2,156, 95% CI 1,04 – 3,27, p<0,001).
Results. The implementation of the ERAS program to children 1-17 years old undergoing elective limp surgery may reduce the effect of the surgical stress reaction by reducing the period of preoperative fasting, fluid deficiency, the needs of opioids and postoperative nausea. Minimizing the surgical stress response may facilitate the achievement of hospital discharge criteria and shorten the length of hospital stay in the postoperative period.
Synthesis of Cyclohexanones by a Tandem Photocatalyzed Annulation
Authors: Bay Anna , Farnam Emmie , Scheidt Karl
Published: December 2021

The rapid synthesis of cyclic scaffolds is of high importance to the chemistry community. Strategies for the convergent synthesis of substi-tuted carbocycles and heterocycles remain underexplored despite the plethora of applications that these cyclic motifs have in the phar-maceutical and materials industries. Reported herein is a tandem carbene and photoredox-catalyzed process for the convergent synthesis of substituted cycloalkanones via a formal [5+1] cycloaddition. Featuring two distinct photoredox cycles and a novel α-oxidation of ben-zylic ketones, this reaction offers a mild approach to construct two contiguous C–C bonds and eliminates the need for strong bases or expensive metal catalysts. The utility of this method is highlighted through various product diversification reactions that allow access to a range of important cyclic scaffolds.
Impact of Clinical Pharmacist Interventions in Management of Diabetes in Primary Care in Saudi Arabia
Authors: Maha Aldraimly  , Syed Azhar Bin Syed Sulaiman  , Ahmed Ibrahim Nouri  , Salma Fahad Alanazi  , Reem Fahad Alanazi  , Saeed Ur Rahman  , Nawaf Talal Alenazi
Published: December 2021

The study aimed to identify the impact and effectiveness of clinical pharmacist intervention on the management and overall quality of life of diabetic patients. Two cross-sectional studies using SF36 Health Survey, involving physicians and pharmacists at the Ambulatory Care Department in Riyadh, Saudi Arabia. Diabetic patients showed significant improvements in their QoL in terms of general health, energy and fatigue, pain scores, and social, emotional, and physical functions. Moreover, PC was found to have a significant impact on diabetes related QoL along with various outcome indicators, such as HbA1c, random blood sugar, and lipid profile in such patients. Additionally, satisfactory knowledge, good practice in identifying prescription errors were found among pharmacists. This study reveals that clinical pharmacists are valuable members of interdisciplinary primary care teams in ambulatory care. This can positively impact glycemic control in patients with type 2 diabetes and improve their quality of life. Also, the current study presented that a satisfactory extent of pharmaceutical care by an ambulatory clinical pharmacist was effective in improving HbA1c in patients with diabetes. A clinical pharmacist in ambulatory care was found to be eminent and of an added value to the patients, physicians, and healthcare team.
Six new species and eight new records of Gesneriaceae from Laos
Authors: Souvannakhoummane K. , Lanorsavanh S. , Tagane S. , Souladeth P. , Phonepaseuth P. , Pongamornkul W. , Lamxay V.
Published: December 2021

Six new species of Gesneriaceae from Laos, namely Didymocarpus angustiflorus Souvann. & Lanors., D. bolavenensis Souvann., Soulad. & Phonep., D. laoticus Souvann. & Lanors., D. trilobus Souvann. & Phonep., Hemiboea olivifolia Souvann. & Tagane and Paraboea planiflora Souvann. & Lanors., are described and illustrated. Additionally, Aeschynanthus bracteatus Wall. ex A.DC., A. micranthus C.B.Clarke, Epithema ceylanicum Gardner, Lysionotus serratus D.Don, Microchirita luteola C.Puglisi, Paraboea swinhoei (Hance) B.L.Burtt, Petrocosmea kerrii Craib and Pseudochirita guangxiensis (S.Z.Huang) W.T.Wang, are newly recorded for the flora of Laos.
An enquiry into the moral conceptions of some New Zealand school children
Authors:   , Clark Harold V.
Published: December 2021

The world today has special concern with morality not that its people are less moral, but rather that two agencies in particular have acted to bring about conditions in which a high standard of morality is difficult to attain. First, the industrial conditions of the Great Society produced the Nation, which, according to Rabindranath Tagore, is an organisation of power breaking the living bonds society, giving place to a mechanical structure, so that the full reality of man is more and more crushed beneath its weight. Secondly the disintegrating influence of Democracy, accelerated by the situation which arose from the World War, has produced a renewed disposition to scrutinise opinion about all sanctions of conduct, whether legal, moral or religious, so that "what is sometimes called 'authority' does not count for what it did. Questions are being raised with freedom that is fresh, about the formulas which express the various kinds of faith."
Renwicktown : a study of a rural community considered as a background to problems of education
Authors:   , Godsiff Patricia Mary
Published: December 2021

"With due regard to realism and administration practicability discuss the need for child guidance clinics in New Zealand, and the more important problems involved in organising them."

This quotation resembles a stone thrown into a pool from which a number of ripples radiate all having the same centre. It raises related questions in every field of education, some of which must be solved before the central question can be answered with any finality. In the mind of a student living in Renwicktown, a small rural community in the Province of Marlborough, it could not fail to raise the questions: "How does this affect the country child? How great is the need for guidance in the small community? And most important: " Would parents and teachers avail themselves of clinical services if they were provided?" Three questions require to be answered by the persons concerned.
An enquiry into the factors affecting the child's preference for school subjects
Authors:   , Middleweek R. L.
Published: December 2021

During a teaching career extending over twenty years in which the Writer has
taught as a sole teacher, assistant in large town schools, headteacher of Maori school, as an itinerant instructor in Agriculture, and as an Education Officer
with the Armed Forces, he has been struck by the frequency with which sweeping generalisations are made by many members of the teaching profession. Among these most frequently made are such as, "Boys like handwork better than do girls"; "Clever children prefer arithmetic to handwork." Such statements have aroused his interest in the matter of the child's alleged likes and dislikes for school subjects. If such likes and dislikes do ,in fact,
exist, then it is felt that as teachers we should know what these are.
Reading Strategies in Academic Communication (Based on the Harry Potter Series)
Authors: Pylynskyi M. , Babushko O.
Published: December 2021

This article considers the correlation between reading strategies and peculiarities of academic discourse. Special attention is paid to the upbringing-educational potential of teaching English on the basis of selected materials, namely the seven-book series “Harry Potter” by Joan K. Rowling. The paper discusses a number of ways of sustaining the communicative focus of teaching a foreign language through the prism of a potential reading strategy. It is proved that the series authored by Joan K. Rowling is filled with modern lexical and phraseological means. Texts about Hogwarts magic and spells are exemplary among the works of modern English literary language, because it contains a wide range of thematic material of an instructive nature, which greatly contributes to both teaching and performing basic activities such as reading, speaking, writing, as well as critical thinking, text analysis and the formation of moral values. The study mentions multiculturalism in order to help students master the concept, as well as to realize that each unit of cultural diversity has the right and freedom to exist and respect it.

The authors proved that Potterian material is rich in instructiveness and contains such topics as the influence of folklore on modern culture, multicultural manifestations, issues of freedom and slavery, raising “problem children” or interaction with non-biological parents and others.

Specific techniques and strategies that are most appropriate for the treatment of the above topics are proposed. These can be text analysis, investigation and comparison of book’s world and modern life, as well as critical thinking. It is seen that effective communication is dialogue and group discussion, the amount of oral and written speech which must be balanced with quality.
“The deepest depths of human life”: existential motifs in the novel The Road by Cormac McCarthy
Authors: Kachur I.
Published: December 2021

The implementation of the basic principles of existentialism in Cormac McCarthy’s novel “The Road” is studied in the article. The author states that this philosophical movement, which explores the problem of human existence, had a significant impact on the formation of world literature and origin of a new literary movement that bears the very same name. The works of American writer Cormac McCarthy are philosophical in nature and cover a great variety of themes such as life and death, freedom, relationship between parents and children, man and nature. The post-apocalyptic novel “The Road”, which brought the author worldwide fame, is considered the pinnacle of his writing skills, as it thematically, compositionally, and stylistically embodies the traditional features of McCarthy’s works. It does not have a large number of characters, which allows readers to pay more attention to the philosophical idea of the novel. The author tries to find answers to the essential questions of meaning and purpose of human existence, which makes it possible to identify a significant number of existential motifs, such as absurdity, forlornness, fear, freedom, alienation, individuality, and so on. The motif of absurdity is manifested through the depiction of an almost completely uninhabitable world, in which cruelty and death prevail. The personages of the novel are devoid of illusions and disappointed in life, especially the older generation; so they just try to survive and keep their individuality. The main characters have a dreadful fear of starvation or violent death, and they are also afraid of losing humanity and hope for a better future. Therefore, fear frees them from the conventions and laws of the hostile world and gives meaning to their existence.
Indian Plural Health System and Resilience: Lessons from COVID-19
Authors: Payyappallimana Unnikrishnan
Published: December 2021

Beginning with a brief recent history of plural health systems in the Indian context, this is a commentary on the idea of resilience from the perspectives of AYUSH and local health traditions (LHTs) as witnessed historically and during the COVID pandemic. By narrating the AYUSH systems’ experiences during COVID-19, in providing health care and in attempts at building rigorous research and evidence, it examines their potential future engagement in the public health scenario in the country. The article contextualizes the potential core functions of plural and integrative health systems for the resilience of the Indian health system.
Créditos
Authors: Pantoja Vallejo Antonio
Published: December 2021

Créditos Vol 5 Núm 1 (2021)
Formación universitaria basada en la neuroeducación y la psicología positiva: percepciones de jóvenes con y sin TDAH
Authors: Caicedo de Ortega Esthela , Jiménez Cortés Rocío
Published: December 2021

El estudio fenomenológico explora los significados dados por jóvenes universitarios con y sin Trastorno por Déficit de Atención e Hiperactividad (TDAH) a su experiencia con metodologías didácticas basadas en la neuroeducación y en la psicología positiva. Participan 43 estudiantes universitarios, 22 (15 chicas y 7 chicos) son diagnosticados con TDAH; y 21 (15 chicas y 6 chicos) no tienen este diagnóstico. Tienen edades comprendidas entre los 19 y 27 años y proceden de diversas carreras profesionales. Se sigue una metodología cualitativa con enfoque fenomenológico empleando una entrevista elaborada ad hoc y validada por expertos/as. Los jóvenes han compartido una experiencia formativa con estrategias de enseñanza y aprendizaje orientadas a la mejora del déficit de atención en el marco de una filosofía de educación inclusiva. Los hallazgos en ambos grupos muestran que las estrategias de enseñanza basadas en la neuroeducación son percibidas como herramientas de mejora de la atención y las prácticas de psicología positiva como una ayuda para generar una actitud positiva y fortalecer valores. Los resultados se discuten en relación con otros estudios que muestran las voces de estudiantes con necesidades educativas en la formación universitaria. También con estudios que apuntan a la efectividad de las estrategias utilizadas.