bluuebunny/crossref_metadata_2025 huggingface dataset:
Đa dạng thành phần loài lan rừng ở đảo Lại Sơn và đảo Nam Du thuộc tỉnh Kiên Giang
Authors: Trần Tú Trinh , Hồ Thị Phi Yến , Đặng Minh Quân
Published: March 2024

Nghiên cứu này được thực hiện nhằm đánh giá thực trạng đa dạng về thành phần loài lan rừng ở đảo Lại Sơn và đảo Nam Du tỉnh Kiên Giang, làm cơ sở khoa học cho việc khai thác, sử dụng, quản lý và bảo tồn nguồn tài nguyên lan rừng ở hai đảo này có hiệu quả hơn. Các phương pháp được sử dụng bao gồm PRA; điều tra thực địa; so sánh hình thái để phân loại, kết hợp với tra cứu các tài liệu chuyên ngành về họ Lan (Orchidaceae). Kết quả nghiên cứu đã xác định được 31 loài thuộc 18 chi của họ Lan, trong đó, đảo Lại Sơn có 22 loài thuộc 15 chi và đảo Nam Du có 18 loài thuộc 12 chi. Dạng sống của các loài lan rừng khá đa dạng nhưng chủ yếu vẫn là phong lan chiếm 64,52% tổng số loài. Tất cả các loài đều phân bố trong sinh cảnh rừng tự nhiên trên núi đá, chỉ có 12 loài được người dân địa phương gây trồng trong sinh cảnh vườn nhà. Có 30 loài đã xác định được yếu tố địa lý, phần lớn chúng có nguồn gốc từ các nước nhiệt đới châu Á. Giá trị sử dụng của các lan rừng cũng đã được xác định với 22 loài được sử dụng làm cảnh, trong số đó có 4 loài làm thuốc. Tất cả các loài lan rừng thu được đều nằm trong nhóm IIA của Nghị định 84/2021/NĐ-CP, chỉ có một loài nằm trong Sách đỏ Việt Nam (2007) ở mức nguy cấp (EN).
Đánh giá khả năng đối kháng của một số chủng xạ khuẩn đối với nấm Fusarium moniliforme trong điều kiện nhà lưới
Authors: Võ Duy Hoàng , Hà Huỳnh Hồng Vũ , Nguyễn Thị Pha Ly , Nguyễn Thị Ngọc Lành
Published: March 2024

Nghiên cứu được thực hiện nhằm mục đích: Xác định và đánh giá khả năng đối kháng của một số chủng xạ khuẩn đối với nấm Fusarium moniliforme gây von phân lập được, trên giống lúa Jasmine 85 trong điều kiện nhà lưới, ở giai đoạn mạ đến 35 ngày sau khi gieo. Thí nghiệm được bố trí hoàn toàn ngẫu nhiên, một nhân tố với 6 nghiệm thức và 4 lần lặp lại, mỗi lặp lại là 1 chậu lúa, 1 chậu 40 cây. Kết quả cho thấy, chủng xạ khuẩn CT4.8 cho hiệu quả cao nhất với tỷ lệ cây chết là 1,27% tương đương với đối chứng thuốc (1,25%); có chiều cao cây là 553,5 cm tương đương với đối chứng thuốc (548,4 cm) và đối chứng trắng (539,5 cm); tỷ lệ bệnh (40,12%) thấp nhất trong 3 chủng xạ khuẩn, các chủng còn lại dao động từ (45,26 - 50,64%). Ngoài ra, có tỷ lệ nảy mầm là 98,75% tương đương với đối chứng trắng (99,38%).
ALLOPECIA AREATA AND PERIODONTITIS: A CASE REPORT
Authors:   Department of Medical Microbiology, Faculty of Medicine, Medical University, Sofia, Bulgaria., Tsitou Virna-Maria , Rallis Dimitrios ,   "El Greco private dental care" -private practise, Sofia, Bulgaria., Tsekova Mariana ,   Department of Imaging and Oral Diagnostics, Faculty of Dental Medicine, Medical University, Sofia, Bulgaria., Yanev Nikolay ,   Medico - Dental clinic “Yanev Medico Dent” Sofia, Bulgaria.
Published: March 2024

This case report examines the interrelationship between periodontitis and Alopecia areata (AA), an autoimmune condition, within the broader context of the impact of oral health on systemic diseases. The concept of "oral primary foci," encompassing various oral pathologies such as periodontitis, dentoalveolar abscesses, and pulpal necrosis, is highlighted as a key factor in systemic diseases and complications. The report details the case of a 50-year-old female patient with AA who exhibited significant improvement in her condition following periodontal treatment. This improvement underscores the potential systemic influence of oral health conditions, particularly periodontitis, which is characterized by a dynamic interplay between bacterial infection and the host's immune response. The presence of autoantibodies in periodontitis suggests an autoimmune component, potentially linking it to autoimmune diseases like AA. The patient's case also aligns with the epidemiological data on AA, emphasizing its complex etiology and association with various systemic conditions. The report concludes that effective management of oral health, especially periodontal diseases, is crucial in the systemic health and management of conditions such as AA. It advocates for a holistic approach in healthcare, integrating oral health as a fundamental aspect of managing systemic diseases, and calls for continued research into the mechanisms connecting oral and systemic autoimmune responses. This research is vital for developing comprehensive treatment strategies that address both oral and systemic health, thereby enhancing overall patient outcomes.
Living with Metastatic Renal Cell Carcinoma: Survivorship Needs in the Combination Therapy Era
Authors: Baclig Nikita , Sedrak Mina S. , Pantuck Allan J. , Drakaki Alexandra
Published: March 2024

Prior to the development of new cancer technologies, metastatic Renal Cell Carcinoma (mRCC) had a poor prognosis. Fortunately, advances in treatment are allowing a growing population of patients to live with advanced or mRCC. While quality of life has been an area of investigation in this population as treatments advance, relatively little is known about the specific survivorship needs experienced by these patients in the modern treatment era. Using the five survivorship domains defined by the National Cancer Institute, this narrative review explores the literature addressing the survivorship needs of patients living with mRCC. Significant physical, mental, emotional, social and financial effects of mRCC are herein discussed. By comparing literature from the pre-combination treatment period to the modern era, this narrative review of the published literature highlights the significant gaps in our survivorship knowledge for this unique and expanding population. Specifically, this review identifies gaps in understanding of symptom burden, psychological impact, financial effects, and the particular impact of immune-checkpoint inhibitor based combination therapies. Here, we highlight these areas for further research with the hope of finding strategies to alleviate the effects of mRCC and improve the quality of life of patients living with metastatic disease.
Fexofenadina: Una revisión de su uso en el tratamiento de la urticaria en poblaciones pediátricas y adultas
Authors: Murrieta-Aguttes Margarita , Amessou Mohamed
Published: March 2024

La urticaria es un trastorno inflamatorio de la piel debido a la activación de mastocitos cutáneos. Los mediadores inflamatorios liberados y la histamina son responsables de la aparición de ronchas y/o angioedema. Las directrices actuales recomiendan antihistamínicos H1 de segunda generación no sedantes, como el clorhidrato de fexofenadina como tratamiento de primera línea. Una revisión reciente llevada a cabo por Ansotegui et al. proporciona información actualizada sobre la urticaria, tanto en poblaciones adultas como pediátricas, y sobre la seguridad y la eficacia del clorhidrato de fexofenadina como opción de tratamiento.
Fexofenadina: uma revisão da sua utilização no tratamento da urticária em populações pediátricas e adultas
Authors: Murrieta-Aguttes Margarita , Amessou Mohamed
Published: March 2024

A urticária é uma dermatose inflamatória resultante sobretudo da ativação de mastócitos cutâneos. Os mediadores inflamatórios e a histamina libertados são responsáveis pelo desenvolvimento de pápulas e/ou angioedema. As diretrizes atuais recomendam anti-histamínicos H1 não-sedativos de segunda geração, como o cloridrato de fexofenadina, enquanto terapia de primeira linha. Uma revisão recente de Ansotegui et al. faz uma atualização da urticária, tanto em populações adultas como pediátricas, e da segurança e eficácia do cloridrato de fexofenadina como opção de tratamento.
Wahrnehmung von Wirksamkeit und Verbesserung der Lebensqualität nach Anwendung von Macrogol 4000 bei Patienten mit Obstipation
Authors: Logusso Georgina , Correia Nuno , Aran Alexia , Militao Maria
Published: March 2024

Mit einer Prävalenz von 14–30% in Spanien beeinträchtigt Obstipation die Lebensqualität und das allgemeine Wohlbefinden der betroffenen Population. In einer Umfrage in spanischen Apotheken unter 100 Kunden, die Macrogol 4000 zur Linderung von Verstopfungssymptomen gekauft hatten, wurde die Wahrnehmung der Verbesserung der Lebensqualität und der Wirksamkeit bei Verstopfungssymptomen bewertet. Nach 14 Tagen Behandlung wurde eine erhebliche Abnahme der körperlichen Beschwerden und psychosozialen Probleme angegeben. 95% der Patienten waren mit der Behandlung zufrieden bis sehr zufrieden.
Des matériaux biocéramiques émettant un rayonnement infrarouge pour soulager les douleurs musculosquelettiques
Authors: Giannakopoulos Bill , Amessou Mohamed , Koscova Eva
Published: March 2024

Les troubles musculosquelettiques (TMS) représentent la principale cause de douleur chronique, de déficience physique et fonctionnelle et de perte de qualité de vie. Environ une personne sur trois dans le monde souffre de douleurs musculosquelettiques. Les effets biologiques des matériaux biocéramiques, comme les émetteurs infrarouges C, sur les tissus corporels et leurs bénéfices en termes d’autogestion des TMS, suscitent actuellement l’intérêt.
Omeprazole vs. Poliprotect®
Authors: Herbst Frederick
Published: March 2024

A randomised, controlled, multicentre, double-blind and double-masked study confirmed the efficacy of Poliprotect®, a molecular complex of natural ingredients designed for the protection of the gastroesophageal mucosa, contained in the medicinal product NeoBianacid®. Poliprotect was non-inferior to the standard dose of omeprazole (20 mg/day) in the treatment of symptoms of non-erosive gastroesophageal reflux and painful functional dyspepsia.
Omeprazole vs. Poliprotect®
Authors: Herbst Frederick
Published: March 2024

Eine randomisierte, kontrollierte, multizentrische, doppelt verblindete und doppelt maskierte Studie bestätigte die Wirksamkeit von Poliprotect®, einem Molekülkomplex aus natürlichen Bestandteilen zum Schutz der gastroösophagealen Schleimhaut, der im Medizinprodukt NeoBianacid® enthalten ist. Bei der Behandlung von Symptomen des nicht-erosiven gastroösophagealen Refluxes und der schmerzhaften funktionellen Dyspepsie war Poliprotect der Standarddosis von Omeprazol (20 mg/Tag) nicht unterlegen.
Surgical Treatment of a Fracture of the Lumbar Spine Associated with Systemic Osteoporosis. Clinical case
Authors:   Neurosurgeon of the Department of spinal neurosurgery and pathology of peripheral nervous system of Center for Neurosurgery, Abishev Nurzhan
Published: March 2024

Fractures in osteoporosis are typically for all bones of skeleton, except for cranial bones. Most often, fractures of bodies of the thoracic and lumbar vertebrae, carpal bones and femoral bone are developed. Osteoporosis is the fourth among the most common diseases leading to disability, after diseases of the cardiovascular system, diabetes mellitus, and oncological neoplasms.Hybrid stabilization is a common surgical strategy for unstable osteoporotic fractures of thoracolumbar vertebrae, leading to good clinical outcomes in most patients.This article describes an experience of successful surgical treatment of fracture of lumbar spine associated with a distant complication after percutaneous vertebroplasty in an elderly patient.Keywords: osteoporotic spine, vertebral subluxation, spinal fracture, instrumented fusion, complication.
The Quality of Life of Obese Patients after Hip Replacemen
Authors:   Kazan State Medical University, Kazan, Ardashev Sergey , Akhtyamov Ildar ,   Kazan State Medical University;
Published: March 2024

Obesity is considered as one of the main risk factors for the progression of osteoarthritis of the hip joint, which significantly affects the quality of life of patients.Objective: to evaluate quality of life of overweight and obese patients who have undergone total primary hip replacement at a time of 3,6,12 months and 5 years.Мethods. A comparative study of 154 clinical observations using the SF-36 instrument in the aspect of violation of the weight characteristics of two groups of patients was carried out.Results. In the comparative aspect of the two surveyed groups of patients, comparable results were obtained after undergoing surgery for all criteria for quality of life, assessed by the SF-36 scale.Conclusion. Total hip replacement is an effective operation in both patients with normal body weight and obesity, which has a greater positive impact on the social aspects of quality of life, vitality, general health and mental health within a BMI of 18.5 to 40 kg / m2.Key words: obesity, arthroplasty of the hip joint, quality of life.
Pathological Fractures in Paget's Disease with a Clinical Example
Authors:   Astana Medical University, Karina Karlygash , Ashimov Kairat ,   National Scientific Center for Traumatology and Orthopedics named after Academician N.D. Batpenov, Makimova Diana ,   Astana Medical University, Bigaziyeva Zhuldyzai ,   Astana Medical University
Published: March 2024

This article presents a clinical case of a 71-year-old woman with a pathological fracture caused by Paget's disease. One of the most common signs of this disease is a deformity of the skeleton, which develops over many years and is most noticeable in the skull and lower extremities. Pathological fractures are most likely to occur in the femoral bones. The pathological restructuring of bone tissue not only adversely affects the general condition of patients but also their quality of life and psycho-emotional state since newly formed bone tissue is prone to deformations and fractures due to bone resorption.Therapies conducted for Paget's disease help to effectively control the course of the disease and improve the general condition of patients. This, in turn, emphasizes the need for early diagnosis of Paget's disease in specific clinical cases with pathological fractures.Keywords: Paget's disease, Paget's disease of bone, pathological fractures, age-related patients, clinical case.
Congenital Kyphosis with Rapid Progression In Adolescence: A Case Report
Authors:   Gazi University Faculty of Medicine,, Baymurat Alim Can
Published: March 2024

Congenital kyphosis deformity represents a relatively infrequent spinal disorder in comparison to other types of spinal deformities. However, when left untreated and neglected, it can result in significant morbidity and associated complications. The objective: To present a patient with congenital kyphosis who presented with severe hunchback and weakness in the lower extremities and to review the literature.Case presentation. A 15-year-old patient, accompanied by their parents, presented to our outpatient clinic with a chief complaint of a recent increase in severe kyphotic deformity of the back. Additionally, the patient reported experiencing lower limb weakness and difficulty walking long distances. Following a thorough examination and radiographic evaluation, no intraspinal pathology or comorbidities were identified. Consequently, surgical intervention was planned, and a Schwab 4 osteotomy procedure was performed. Substantial clinical and radiological improvements were observed in the postoperative period. The preoperative angular measurements of the spinal curvature were as follows: thoracic kyphosis (TK) measured at 136º, local kyphosis at 145º, lumbar lordosis (LL) at 109º, sacral slope (SS) at 18.5º, and pelvic tilt (PT) at 39.3º. Notably, a significant postoperative correction was observed, resulting in improved alignment: TK 64º, LL 66º, SS 34º and PT 24º. No intraoperative or postoperative complications were observed.Congenital kyphosis conditions have the potential to exhibit a rapid progression of deformity during adolescence. Therefore, timely surgical correction becomes crucial before the deformity attains advanced dimensions. Early-age surgical interventions for correcting the deformity hold significant importance in improving the overall quality of life for affected individuals.Keywords: Congenital kyphosis, posterior instrumentation, spinal osteotomy.Corresponding author: Alim Can Baymurat, Department of Orthopedics and Traumatology, Gazi University Faculty of Medicine, Ankara, Turkey Address: Emniyet Mahallesi, Mevlana Bulvarı No:29Phone: 05455452589E-mail: alimcanbaymuratahoo.comJ Trauma Ortho Kaz 2023; 2 (67): 34-38Recieved: 15-06-2023Accepted: 24-06-2023 This work is licensed under a Creative Commons Attribution 4.0 International License
The Expected Contribution of the Domestic Intramedullary Telescopic System to the Surgical Treatment of Children with Osteogenesis Imperfecta in Kazakhstan
Authors:   Astana Medical University, Dossanov Bolatbek , Khassenkyzy Altyngul ,   Astana Medical University
Published: March 2024

Osteogenesis imperfecta (OI) is a group of inherited connective tissue disorders in collagen structure, processing or cross-linking, new bone formation and osteoblast differentiation, which result in fragility of the bones, recurrent fractures and deformities.The article presents scientific data on the types and features of metal structures used in intramedullary osteotomy performed for the surgical treatment of fractures and deformities of long tubular bones with osteogenesis imperfecta in children and outlines the benefits of the developed domestic intramedullary telescopic system "DOSSANOV" in providing surgical treatment to children with osteogenesis imperfecta. For the "crystal children", whose number is growing in Kazakhstan, the expected advantages of using this system are analyzed.Key words: Osteogenesis imperfecta, children, intramedullary osteosynthesis, osteotomy, intramedullary rods, intramedullary telescopic system.
The Most Common Diagnoses in Orthopedic Oncology: Southeastern Anatolia Region in Turkiye
Authors:   Harran University,, Orhan Özlem , Bozdoğan Burak ,   Harran University, Atilgan Numan ,   Deva Hospital, Gül Orkun ,   Nedical Park Trabzon Yıldızlı Hospital, Çetin Volkan Baki ,   Harran University, Altay Mehmet Akif ,   Harran University
Published: March 2024

The purpose of this study: Musculoskeletal tumors are very rare, and their distribution varies regionally. We aim to share the musculoskeletal system tumors and tumor-like lesions that orthopedic surgeons in the region commonly encounter in their daily practice.Methods. In this retrospective study, 339 patients diagnosed with tumor and tumor-like lesions in the musculoskeletal system who consulted a single orthopedic surgeon between 2022 and 2023 in a tertiary hospital in the Southeast of the country were included. Age, gender, size, type of lesions, tumor diagnoses, and anatomical sites were examined.Results. Bone localization (62.8%) is more common than soft tissue. Benign lesions are most commonly seen in both bone and soft tissue. Osteochondroma (21.7%) and chondrosarcoma (54%) are the most common benign and malignant bone tumors, while osteomyelitis (47.6%) is the most common tumor-like lesion. Hemangioma (27%) and peripheral nerve sheath tumor (62.5%) are the most common benign and malignant soft tissue tumors, while ganglion cyst (63.8%) is the most common tumor-like lesion. Benign bone tumors are larger in males than females (p:0.008). Lower extremity located of musculoskeletal tumors and tumor-like lesions is more common than upper extremity.Conclusions. In the Southeastern Anatolia region, benign bone and soft tissue tumors (osteochondroma and hemangioma) are more likely. The most common malignant tumors are chondrosarcoma and peripheral nerve sheath tumors. Additionally, it should not be forgotten that musculoskeletal system tumors are often located in the lower extremities.Keywords: Benign tumors, bone tumors, malign tumors, musculoskeletal tumors, soft tissue tumors, tumor-like lesions.Corresponding author: Özlem Orhan, Assistant professor of the Department of Orthopedics and Traumatology, Medical Faculty, Harran University, Sanlıurfa, Turkey. Postal code: 63300Address: Turkey, Sanlıurfa, Osmanbey campusPhone: +905057475401Email: droorhan@gmail.comJ Trauma Ortho Kaz 2023; 3 (69): 12-18Recieved: 28-07-2023Accepted: 11-09-2023 This work is licensed under a Creative Commons Attribution 4.0 International License
Giant Cell Tumor of the L1 Vertebra with a Large Soft Tissue Component: A Case Report
Authors:   Gazi University Faculty of Medicine, Baymurat Alim Can , Daldal Ismail ,   Medicana International Istanbul – Beylikdüzü, Yılmaz Bilge Kağan ,   Afyonkarahisar State Hospital, Tokgöz Nil ,   Gazi University Faculty of Medicine, Ataoğlu Ömür ,   Gazi University Faculty of Medicine, Şenköylü Alpaslan ,   Gazi University Faculty of Medicine
Published: March 2024

Giant cell tumor (GCT) is a locally aggressive benign tumor that most often appears on long bones. Less than 10% of GCT’s in the spine are occur above the sacrum, and cases involving the lumbar spine are relatively little reported in the literature. Soft tissue invasion of GCT is rare. We present a case of GCT in the L1 vertebra, a large soft tissue component, that occurred in a 24-year-old female patient with low back pain and right radiculopathic thigh pain for approximately 3 months. The patient had no neurological deficit. A lytic lesion involving the L1 vertebral body, more prominently in the right half, extending to the pedicle and transverse process on the right was detected in computed tomography (CT) and magnetic resonance imaging (MRI) sections. In the MR imaging taken 2 months later; It was noted that the mass increased in size and the soft tissue content extending to the right psoas muscle developed. Tru-cut biopsy was performed for the diagnosis and the pathology diagnosis was evaluated as consistent with GCT. The patient underwent L1 vertebral spondylectomy and T1–L3 instrumentation with pedicle screw/mesh cage. Denosumab treatment was started after surgery. The histopathology results of the excised bone and soft tissues were also evaluated as consistent with GCT. As a result, GCT should be considered in the differential diagnosis of destructive lesions with a soft tissue component in the lumbar vertebra.Key words: giant cell tumor, lumbar spine, soft tissue component, clinical case.Corresponding author: Alim Can Baymurat, Assistant Professor of the Department of Orthopedics and Traumatology, Gazi University Faculty of Medicine, Ankara, Turkey Postal code: 06560Address: Turkey, Ankara, Polis Mah, Gazi University Rectorate, Bandırma Cad. No:6/1, YenimahallePhone: +903122022000Email: alimcanbaymurat@yahoo.com Gani.box.94@gmail.comJ Trauma Ortho Kaz 2023; 3 (69): 19-24Recieved: 18-05-2023Accepted: 04-06-2023 This work is licensed under a Creative Commons Attribution 4.0 International License
Long-teаm Results of Revision Hip Replacement with Instability of the Acetabulum Component with Concomitant Rheumatoid Arthritis
Authors:   Medical University of Karaganda, Alibayev Bauzhan , Tuleubayev Berik ,   Medical University of Karaganda
Published: March 2024

Rheumatoid arthritis is an autoimmune systemic disease that affects the joints and is often disabling. Most often, a positive effect in improving the quality of life can only be achieved through joint replacement. The increase in the prevalence of the use of the prosthetic method in the last 40 years has put forward the problem of replacing a failed endoprosthesis with a leading position in terms of complexity in the field of orthopedic surgery.The purpose of this message: To evaluate the results of treatment of a patient with instability of the acetabular component of the hip joint endoprosthesis with concomitant rheumatoid arthritis.As a clinical example, we present the case of the treatment of patient M., 48 years old. Rheumatoid arthritis, seropositive, ACCP positive, late stage, activity I, R st. II. FC II. Vitamin D deficiency, generalized osteoporosis, mixed genesis (autoimmune, steroid, postmenopausal). There is a concomitant pathology: Arterial hypertension of the first degree, P 1.At the follow-up examination in February 2023, the patient notes complete painlessness in the area of the left hip joint at rest and during movement. Range of motion in the left hip joint flexion 90 abduction 30 extension 185. In general, the patient is adapted to social conditions and notes the overall positive effect of the surgical intervention.Conclusions: In this clinical case, the causes of aseptic instability were poor-quality components of the endoprosthesis during primary prosthetics, concomitant rheumatoid arthritis, the young age of the patient, which caused rapid wear of the endoprosthesis in the friction node and, as a result, bone resorption.Keywords: hip arthroplasty, revision arthroplasty, instability of the acetabular component, bone allograft, Marburg system.
ON THE POSSIBILITY OF FORMING AN UPDATED PARADIGM OF THEORIES OF INDIVIDUAL AND GROUP CHOICE
Authors:   Moscow School of Lomonosov Moscow State University, Nekipelov Alexander D.
Published: March 2024

It is proposed to make adjustments to V. Pareto’s theory of utility, recognizing the category of individual utility as primary in relation to the category of individual preferences. With this approach, the properties of preferences become derivatives of the properties of the utility function, and the latter turns out to be uniquely determined up to linear transformations. Attention is drawn to the fact that when analyzing the problem of group choice, researchers relying both on maximizing the group utility function and on binary comparisons of alternative social states traditionally strive to ensure that the social optimum meets the requirements of Pareto efficiency. The failure of such attempts in the article is associated with ignoring the peculiarities of the choice made in hierarchical and network groups. A two-tier model is proposed as a starting point. First, the collective welfare function «constructed» by the members of society is maximized, and then the redistribution of the received benefits through horizontal interaction leads to the consistency of their interests. It is shown why, in practice, making a choice is accompanied by the use of an aggregated social utility function, delegation of the functions of a large group to specially created small groups. The need to pay attention to the formation of adequate motivation in small groups is particularly justified.
TRANSITION TO NOONOMY, PROBLEMS OF TECHNOLOGICAL SOVEREIGNTY, AND REGIONAL DEVELOPMENT
Authors:   S. Yu. Witte Institute for New Industrial Development, Bodrunov Sergey D. , Zolotarev Aleksander A. ,   S. Yu. Witte Institute for New Industrial Development
Published: March 2024

Modern Russia is now at the transitional phase of its development. This transition is related to the major transformation of civilizational trends which has been outlined in the beginning of XXI century. Macro-shocks of last years, first pandemic and then sanctional, has forced this transformation giving it an irreversible character. This leads to the re-orientation of the civilizational path to the direction: modern socioeconomic system – new industrial society of the second generation – noonomy. The article considers features of the development with given direction, taking into account features of modern challenges, including the context of a necessity to ensure technological sovereignty of Russia. Emphasis is put on the contribution of regions into these processes, also a necessity of correction is mentioned in relation to the renewed conditions, systems of regional politics.
Propuesta de mejora para el despacho de mercancía en la empresa Serviaf SAS en Bogotá
Authors: Vasco-Tovar Jhoan
Published: March 2024

Este proyecto se basa en el objetivo principal de crear estrategias para mejorar el proceso en el área de despachos debido a las falencias presentadas en la empresa Serviaf SAS, quien provee servicios logísticos de la cadena de abastecimiento a la empresa Chiper SAS, una plataforma de venta de productos para tenderos en la ciudad de Bogotá. Básicamente las principales razones de este diseño de estrategias es poder cumplir con la promesa de servicio pactada con los clientes, que determina realizar las entregas de última milla al cliente final en un rango máximo de 24 horas desde el momento de la realización del pedido por parte del cliente. Lo anterior se ha incumplido en un gran porcentaje debido a la planificación de los procesos de alistamiento y la nulidad en la trazabilidad de las entregas en tiempo real de los vehículos repartidores de pedidos.
A gramática da relação com a terra entre quilombolas do Maranhão e camponeses do sertão do Piauí
Authors: Godoi Emília Pietrafesa de
Published: March 2024

Neste artigo, realiza-se um esforço para decifrar a gramática dos relacionamentos com a terra entre quilombolas de povoados do interior de Alcântara, no Maranhão, e camponeses do sertão, no sudeste do Piauí. Para essas populações, os significados da terra vão além do agrário e do fundiário e incorporam em suas relações outros seres, além dos homens e das mulheres. Além disso, terra é a categoria pela qual homens e mulheres referem-se localmente aos seus espaços de vida. Falam também em território, sobretudo quando encontram-se organizados nas lutas pela terra. Propomos que a gramática de relacionamentos com a terra implica sistemas de usos diferenciados e de direitos combinados entre o coletivo e o individual. Este artigo pretende ser uma contribuição ao entendimento dos sistemas de uso comum próprios de muitas populações tradicionais no Brasil.
Povos da pesca artesanal sob as marcas do desastre do petróleo
Authors: Ramalho Cristiano Wellington Noberto , Antunes Gilson Macedo
Published: March 2024

Este artigo objetiva abordar os impactos gerados pelo desastre do petróleo na vida dos Povos da Pesca Artesanal na Região Metropolitana do Grande Recife, em Pernambuco. Esta pesquisa indagou: quem são os pescadores e pescadoras artesanais atingidos pelo desastre do petróleo? Quais foram os impactos do desastre do petróleo na pesca artesanal em Pernambuco, especialmente no litoral metropolitano de Pernambuco? Em que medida afetou o trabalho, o comércio, a vida dos Povos da Pesca Artesanal? O procedimento metodológico apoiou-se em um estudo quantitativo. Os resultados apontam as características tradicionais da pesca exercida pelos entrevistados e entrevistadas, a grande queda na renda das pescadoras e pescadores artesanais durante e mesmo depois do desastre, a questão da injustiça e do racismo ambiental aí presentes.
降低頭頸部癌病人在放射治療中擺位誤差
Authors: 何聖佑 何聖佑 , Sheng-Yow Ho 謝禮存 , 陳佳群 陳佳群 , Chia-Chun Chen 李淞維 , 楊淑琴 楊淑琴
Published: March 2024

"目的：運用品管圈手法降低頭頸部癌病人在放射治療之擺位誤差。材料與方法：影響擺位誤差要素分為:身體僵硬或病因性原因無法配合、病人太緊張而導致定位誤差、定位記號線不見了，和不明原因無法與定位時的位置一致，根據三現原則和真因驗證，擬定4個對策群組共10項改進對策。結果：對策實施後X、Y 和 Z 三軸平移擺位誤差平均值和標準差，分別1.67±0.93mm降至1.49±0.58mm(p =0.141) 、1.43±0.66mm降至1.08±0.45mm (p <0.001)和4.05±1.8mm降至1.16±0.55mm (p <0.001)；3D向量方向從5.00±1.67mm 降至2.54±0.65mm (p <0.001)。Y軸(roll)旋轉方向從0.76±0.37°³降至0.51±0.24°(p <0.001)，而其在3D向量方向>3mm由90%，降低至48%、>5mm則由43%降低至0。結論：有顯著的降低擺位誤差，未來持續提升治療品質與成效。

 

Purpose: To reduce setup errors in the treatment of head and neck cancer patients during radiotherapy by applying quality control circle techniques. Materials and Methods: The following factors contributed to setup errors: bodily stiffness or medical conditions preventing patient movement, patient anxiety leading to localization errors, the disappearance of localization markers, and discrepancies between the positioning and reference locations for unknown reasons. Based on the principles of the Three occurrence and verifying true causes, 4 groups consisting of a total of 10 improvement strategies groups were created. Results: Following the implementation of these strategies, the means and standard deviations of setup errors in the X, Y, and Z axes improved from 1.67 ± 0.93 mm to 1.49 ± 0.58 mm (p =0.141), from 1.43 ± 0.66 mm to 1.08 ± 0.45mm (p < 0.001), and from 4.05 ± 1.8 mm to 1.16 ± 0.55 mm (p < 0.001), respectively. Additionally, 3D vector directional setup errors decreased from 5.00 ± 1.67 mm to 2.54 ± 0.65 mm (p < 0.001), and the Y-axis (roll) rotation error decreased from 0.76 ± 0.37° to 0.51 ± 0.24° (p < 0.001). For 3D vector directional errors >3 mm, errors decreased from 90% to 48%; for vector directional errors >5 mm, errors decreased from 43% to 0%. Conclusion: Setup errors were substantially reduced by the adopted strategies.

 
跨越性別框架，深化對跨性別者的理解
Authors: 于政民 于政民
Published: March 2024

隨著同性婚姻合法化，社會對性少數議題關注增加，但跨性別相關議題仍未受到足夠重視。本文從不強調生理性別、不隨意幫人出櫃、以及適當的稱讚方式等方面，提出對跨性別者的互動需注意的要點。在臨床和日常生活中，尊重性別認同、避免刻板印象，有助於建立更友善、尊重的溝通氛圍。

 

Since the legalization of same-sex marriage in Taiwan in May 2019, Taiwanese citizens have become increasingly aware of the concerns of sexual minorities. One subgroup of sexual minorities that continues to be underappreciated is transgender individuals. This article offers several recommendations for sensitively interacting with transgender individuals, such as not emphasizing their biological sex, refraining from outing individuals against their wishes, and avoiding inappropriate words of praise. In both clinical and daily settings, respecting gender identity and avoiding stereotypes helps establish a friendly and respectful atmosphere.

 
在全人照護中我們還能做些什麼？
Authors: 王志中 王志中
Published: March 2024

在全人照護中我們還能做些什麼？在盤點現行的醫療作為後，可以歸納為以下三點：1.病人在健康生活型態的建立方面應給予指導，加速病人的康復及預防疾病的復發。2.病人在疾病的治療及預防上應採取主動，有積極的態度及作為，使疾病的治療更為有效。3.病人的家屬或其照護者對於病人疾病的治療或其生活上的照護，應給予指導，以提升病人照護的品質。基於以上資訊，在此提出兩點建議：1.提升病人主動照護自己。2.指導病人之家屬或其照護者，協助病人的照護。適時告知及指導病人及其照護者，強化全人照護品質。

 

What else can be done in holistic health care? By compiling existing medical practices, this study summarized its findings into the following three points: First, patients should be guided to establish a healthy lifestyle, thereby accelerating their recovery and preventing disease recurrences. Second, patients should take initiative in their disease treatment and prevention. Their proactive attitude and conduct will enhance the treatment outcomes. Third, guidance should be provided to patients’ family or their caregivers regarding disease treatment or routine care, thereby improving the quality of care received by the patient. Based on the aforementioned findings, we propose two suggestions. First, patients should adopt a more active attitude toward self-care. Second, patients’ family or caregivers should be guided to assist them in caring for the patients. The aforesaid suggestions may be included in shared decision-making pamphlets for the timely notification of patient conditions, provision of relevant guidance to patients and their caregivers, and reinforce the quality of the holistic health care received by patients.

 
Single-center experience with Knee+™ augmented reality navigation system in primary total knee arthroplasty
Authors: Sakellariou Evangelos , Alevrogiannis Panagiotis , Alevrogianni Fani , Galanis Athanasios , Vavourakis Michail , Karampinas Panagiotis , Gavriil Panagiotis , Vlamis John , Alevrogiannis Stavros
Published: March 2024

BACKGROUND

Computer-assisted systems obtained an increased interest in orthopaedic surgery over the last years, as they enhance precision compared to conventional hardware. The expansion of computer assistance is evolving with the employment of augmented reality. Yet, the accuracy of augmented reality navigation systems has not been determined.

AIM

To examine the accuracy of component alignment and restoration of the affected limb’s mechanical axis in primary total knee arthroplasty (TKA), utilizing an augmented reality navigation system and to assess whether such systems are conspicuously fruitful for an accomplished knee surgeon.

METHODS

From May 2021 to December 2021, 30 patients, 25 women and five men, underwent a primary unilateral TKA. Revision cases were excluded. A preoperative radiographic procedure was performed to evaluate the limb’s axial alignment. All patients were operated on by the same team, without a tourniquet, utilizing three distinct prostheses with the assistance of the Knee+™ augmented reality navigation system in every operation. Postoperatively, the same radiographic exam protocol was executed to evaluate the implants’ position, orientation and coronal plane alignment. We recorded measurements in 3 stages regarding femoral varus and flexion, tibial varus and posterior slope. Firstly, the expected values from the Augmented Reality system were documented. Then we calculated the same values after each cut and finally, the same measurements were recorded radiologically after the operations. Concerning statistical analysis, Lin’s concordance correlation coefficient was estimated, while Wilcoxon Signed Rank Test was performed when needed.

RESULTS

A statistically significant difference was observed regarding mean expected values and radiographic measurements for femoral flexion measurements only (Z score = 2.67, P value = 0.01). Nonetheless, this difference was statistically significantly lower than 1 degree (Z score = -4.21, P value < 0.01). In terms of discrepancies in the calculations of expected values and controlled measurements, a statistically significant difference between tibial varus values was detected (Z score = -2.33, P value = 0.02), which was also statistically significantly lower than 1 degree (Z score = -4.99, P value < 0.01).

CONCLUSION

The results indicate satisfactory postoperative coronal alignment without outliers across all three different implants utilized. Augmented reality navigation systems can bolster orthopaedic surgeons’ accuracy in achieving precise axial alignment. However, further research is required to further evaluate their efficacy and potential.
Does progress in microfracture techniques necessarily translate into clinical effectiveness?
Authors: Muthu Sathish , Viswanathan Vibhu Krishnan , Sakthivel Manoharan , Thabrez Mohammed
Published: March 2024

BACKGROUND

Multitudinous advancements have been made to the traditional microfracture (MFx) technique, which have involved delivery of various acellular 2nd generation MFx and cellular MFx-III components to the area of cartilage defect. The relative benefits and pitfalls of these diverse modifications of MFx technique are still not widely understood.

AIM

To comparatively analyze the functional, radiological, and histological outcomes, and complications of various generations of MFx available for the treatment of cartilage defects.

METHODS

A systematic review was performed using PubMed, EMBASE, Web of Science, Cochrane, and Scopus. Patients of any age and sex with cartilage defects undergoing any form of MFx were considered for analysis. We included only randomized controlled trials (RCTs) reporting functional, radiological, histological outcomes or complications of various generations of MFx for the management of cartilage defects. Network meta-analysis (NMA) was conducted in Stata and Cochrane’s Confidence in NMA approach was utilized for appraisal of evidence.

RESULTS

Forty-four RCTs were included in the analysis with patients of mean age of 39.40 (± 9.46) years. Upon comparing the results of the other generations with MFX-I as a constant comparator, we noted a trend towards better pain control and functional outcome (KOOS, IKDC, and Cincinnati scores) at the end of 1-, 2-, and 5-year time points with MFx-III, although the differences were not statistically significant (P > 0.05). We also noted statistically significant Magnetic resonance observation of cartilage repair tissue score in the higher generations of microfracture (weighted mean difference: 17.44, 95% confidence interval: 0.72, 34.16, P = 0.025; without significant heterogeneity) at 1 year. However, the difference was not maintained at 2 years. There was a trend towards better defect filling on MRI with the second and third generation MFx, although the difference was not statistically significant (P > 0.05).

CONCLUSION

The higher generations of traditional MFx technique utilizing acellular and cellular components to augment its potential in the management of cartilage defects has shown only marginal improvement in the clinical and radiological outcomes.
Meta-analysis of the clinical efficacy of the Gamma3 nail vs Gamma3U-blade system in the treatment of intertrochanteric fractures
Authors: Wu Xuan , Gao Bo
Published: March 2024

BACKGROUND

The traditional Gamma3 nail is a mainstream treatment for femoral intertrochanteric fractures. Literature reports that the Gamma3U-blade system can increase the stability of the Gamma3 nail and reduce complication incidence. However, comparative studies between the Gamma3U-blade and Gamma3 systems are limited; hence, this meta-analysis was performed to explore the clinical efficacy of these two surgical methods.

AIM

To investigate the clinical efficacy of Gamma3 and Gamma3 U-blade for intertrochanteric fractures.

METHODS

A computerized search for Chinese and English literature published from 2010 to 2022 was conducted in PubMed, Cochrane, CNKI, Wanfang, and VIP databases. The search keywords were gamma 3, gamma 3 U blade, and intertrochanteric fracture. Additionally, literature tracking was performed on the references of published literature. The data were analyzed using Revman 5.3 software. Two individuals checked the inputs for accuracy. Continuous variables were described using mean difference and standard deviation, and outcome effect sizes were expressed using ratio OR and 95% confidence interval (CI). High heterogeneity was considered at (P < 0.05, I 2 > 50%), moderate heterogeneity at I 2 from 25% to 50%, and low heterogeneity at (P ≥ 0.05, I 2 < 50%).

RESULTS

Following a comprehensive literature search, review, and analysis, six articles were selected for inclusion in this study. This selection comprised five articles in English and one in Chinese, with publication years spanning from 2016 to 2022. The study with the largest sample size, conducted by Seungbae in 2021, included a total of 304 cases. Statistical analysis: A total of 1063 patients were included in this meta-analysis. The main outcome indicators were: Surgical time: The Gamma3U blade system had a longer surgical time compared to Gamma3 nails (P = 0.006, I 2 = 76%). Tip-apex distance: No statistical significance or heterogeneity was observed (P = 0.65, I 2 = 0%). Harris Hip score: No statistical significance was found, and low heterogeneity was detected (P = 0.26, I 2 = 22%). Union time: No statistical significance was found, and high heterogeneity was detected (P = 0.05, I 2 = 75%).

CONCLUSION

Our study indicated that the Gamma3 system reduces operative time compared to the Gamma3 U-blade system in treating intertrochanteric fractures. Both surgical methods proved to be safe and effective for this patient group. These findings may offer valuable insights and guidance for future surgical protocols in hip fracture patients.
Postconstructivisms and the Promise of Peircean Rhetoric
Authors: Simonson Peter
Published: March 2024

This article makes a case for the contemporary relevance of Charles Sanders Peirce’s conception of rhetoric and its further fulfillment through biosemiotics and pragmatist-inflected physiological feminisms. It situates itself in an era when rhetoric is undergoing conceptual change, with the social constructivism that guided much thinking since the 1970s supplanted in part by a family of postconstructivisms. In conversation with new materialist, affective, and biological strands of rhetorical theory, the article maps questions and risks involved in developing newer conceptions of rhetoric not limited to discourse, symbolic action, and exclusively human capacities. It argues that Peircean thinking provides resources for nonreductive understandings of how rhetoric emerges from life itself and is pluralistically mediated through the forming conditions and multimodal consequences that materially give it meaning. Contemporary biosemiotics and physiologically oriented feminisms like Teresa de Lauretis’s then move the promise of Peircean rhetoric closer to reality.
Circumventing Israeli Control: Palestinian Furniture Exports via Israeli Settlements
Authors: Habbas Walid
Published: March 2024

West Bank exports to Israel have faced significant challenges due to the Israeli system of spatial control, aimed at controlling Palestinians and facilitating settler expansion throughout the West Bank. The routing of Palestinian commercial freight through the separation barrier has escalated logistics costs, while settlement expansion in Area C has further impeded mobility between Palestinian self-rule areas. This article highlights the tactics employed by Palestinian economic actors to offset these challenges within the confines of intensified Israeli spatial control. Using data from observations, interviews, and documentary sources spanning 2019–2023, the study focuses on Palestinian furniture exports to Israel. It reveals that Palestinians have leveraged colonial spatial variations to their advantage by forming partnerships with Israelis to export products through Jewish settlements. The article concludes by advocating a disaggregated level of analysis that uncovers the dynamic interplay between Israeli spatial constraints and Palestinian agency in response. In the case of furniture exporters, this has led to deepening Palestinian–Israeli economic ties and increased engagement with the infrastructure of Israeli occupation to mitigate its economic impact.
سيميائية العنوان في الرواية اليمنية الجديدة (2015 - 2022): نماذج مختارة
Authors: أبو طالب إبراهيم
Published: March 2024

The research aims to explain the semiotics of the title in the new Yemeni novel between the years 2015 and the middle of 2022. Four novels that belong to one semiotic field, which is war and the expression of people’s lives in it, were selected. They are Unprotected Migrants by Hayel Al-Madhabi, The Burning Field by Rayan Al-Shaibani, The Cain’s Freak by Balqis Al-Kabsi, and Five Days That No One Heard by Badr Ahmed respectively. The research was based on the semiotic approach and consisted of a preface, a brief introduction that focused on the concept of the title, its importance, its function, and its relationship to semiotics, and four sections that divided the titles, which amounted to (299) novels, into titles that indicate the event or description, a second that indicates the place, and a third that indicates the name of a character or animal and a fourth that indicates time. The research concluded that the titles of the novels mostly revolved around a large semantic field (war, death, love, and history), all of which controlled the writer and directed the title to describe the events he was experiencing whether these events are directly present in the content of the novel and its story, or whether they are indirect, such as in imaginative projections, narrations of history, or other various social topics.
الأسماء الدّالة على الأماكن المغلقة والمفتوحة: دراسة تأصيليّة في اللّغات السّاميّة
Authors: فيصل ميعاد مكي
Published: March 2024

يهدفُ البحثُ إلى تقصي الأسماءِ الدّالةِ على المكانِ في العربيّةِ وشقيقاتِها السّاميّاتِ، والكشفِ عن أصولِها اللّغويّةِ وتطوّرِها الدّلاليّ عبر العصورِ. وقد حاول أن يسلّطَ الضّوءَ على هذه الألفاظِ، فجاءَ الحديثُ عنها بالتّفصيلِ، وذلك بتأصيلِها في اللّغةِ العربيّةِ، وبيانِ ورودها في المعجمِ والقرآنِ الكريمِ والشّعرِ العربيّ، ثمّ تتبّعتُ ورودَها في شقيقاتِ العربيّةِ بدءًا باللّغةِ الأقدمِ في التّدوينِ، وهي اللّغةُ الأكديّةُ الّتي تعودُ إلى (2500 ق.م) حتى اللّغةِ المندائيّةِ الّتي تعود إلى (400م). اقتضت طبيعةُ البحثِ أن يأتي في مقدّمة، ودراسة للألفاظ، ومن أبرزِ ما توصل إليه البحثُ أنّ كلّ الألفاظِ الّتي تمَّ عرضُها ودراستُها، هي مشتركاتٌ لغويّةٌ بينَ اللّغاتِ الّساميّةِ، وهذا يؤكّدُ على أنّ هذه الألفاظَ من الموروثِ السّاميّ القديمِ في هذه الأرومةِ، كما أكّدت الدّراسةُ على تقاربِ هذه الألفاظِ في الأصولِ والدّلالاتِ.