bluuebunny/crossref_metadata_2025 huggingface dataset:
Surgical treatment of mitral stenosis, complicated by massive thrombosis of the left atrium: stationary stage
Authors: Popov V. V. , Bolshak O. O. , Boukarim V. Zh. , Gurtovenko О. M. , Trembovetska O. M.
Published: April 2023

Objective. Elaboration of the correction methodology of mitral stenosis, complicated by massive thrombosis of left atrium, for improvement of immediate and late results of surgical treatment of this pathology. Materials and methods. Into the group analyzed 344 patients with mitral stenosis, complicated by massive thrombosis of left atrium, operated in Amosov National Institute of Cardiovascular Surgery in a period from 1 January 1984 yr to 1 January 2019 yr, were incorporated. In all the patients surgical correction of mitral stenosis and thrombectomy from left atrium was performed. In 161 (46.8%) patients a radical removal of thrombotic mass together with their base–lining was performed, while in 183 (53.2%) – without it. In 256 (74.4%) patients the left atrium auricle was ligated or resected, while in 88 (25.6%) – left intact. Results. The hospital lethality index have had directly proportionally raised with enhancement of degree of the left ventricle auricle: I – 0%, II – 3.9%, III – 5.1% (p<0.05). In a general group during all period of the investigation a directly proportional dependence of index of hospital lethality due to lethal thromboembolic complications on degree of massive thrombosis of the left atrium auricle was observed: I – 0.0%, II – 3.5%, III – 5.2% (p<0.05). Best indices of hospital lethality were achieved in radical removal of thrombi together with their base–lining with ligature or resection of the left atrium auricle as a possible origin of thrombi creation. Conclusion. While doing surgical correction in patients with massive thrombosis of left atrium it is important to remove the thrombotic base–lining and to ligate or resect the left atrium auricle, what significantly lowers the risk of hospital lethality, thromboembolic complications on stationary stage of treatment.
Surgical management of thyroid disease Clinical and practical recommendations
Authors: Usenko O. Yu. , Khomenko I. P. , Kovalenko A. Ye. , Halochka I. P. , Andreieshchev S. A. , Saliutin R. V. , Varga A. V. , Bobryk M. I.
Published: April 2023

Surgical management of thyroid disease Clinical and practical recommendations
Warunki prawne, finansowe i organizacyjne w koprodukcji kanadyjsko-polskiej. Przypadek filmu "Przysięga Ireny"
Authors: Kożuchowski Tomasz
Published: April 2023

An international film co-production is a unique organisational event that adds prestige to any cinematographic production in the world. It also proves the transnational nature of the art of filmmaking, which is based on developed organisational, legal and financial models. The subject matters of co-produced films are usually universal stories or those commemorating past events that are important for the world’s history. One of these is the Second World War, which is still discovering its heroes. The article presents the production history of the making of the film Irena’s Vow, about a Polish woman awarded the title of Righteous Among the Nations. The conditions of international film co-productions are analyzed, in the context of financial and organizational assumptions, as well as in the context of geopolitical risks. In doing so, the differences between the production systems in place in Poland and Canada are highlighted.
Producenckie kino Alka Pietrzaka
Authors: Majer Artur
Published: April 2023

The paper entitled Alek Pietrzak’s Producer’s Cinema focuses on Aleksander Pietrzak, the director of the younger generation, his creative strategies and attitudes. The work’s ethos which he articulates and describes in interviews and press materials indicates his large producer’s awareness. According to him, a film-maker’s task is “the ability to organise work within the set deadline.” He prepares to this work painstakingly in order to fulfill the assumptions of the film set in the most efficient way. He chooses to collaborate not only with other contributors, but also with the institutions and companies whose support – substantive or financial – expedites production processes. Simultaneously, he draws from his personal know-how of the business, as well as makes use of the possibilities which he assumes during the conceptual work on the screenplay and shooting script.
Japonya’da Kokutai (Millî Birlik) Fikrinin Ortaya Çıkışı Ve Muhtevası
Authors: DEVECİ Hülya
Published: April 2023

Kokutai, Japon ulus devletinin kuruluşunu ve gelişimini ideolojik açıdan etkileyen önemli bir kavramdır. Kokutai, kutsal Japon imparatorlarının ebedî-mutlak egemenliğe dayanan Japon devletini ve bu devlet çatısında birleşen Japon halkını temsil etmektedir. Kavram, bu manasıyla ilk kez Aizawa Seishisai (1782-1863)’in 1825’de kaleme aldığı Shinron (Yeni Sav) eserinde kullanılmıştır. Metin yazıldığı dönemde ülkede yaygınlaşmıştır. Seishisai, Mito Hanlığı’na bağlı Konfüçyüsçülüğe dair çalışmalar yapan bilgin olup ülkenin siyasî ve sosyal sorunları üzerine kafa yormuştur. Kaleme aldığı Shinron, 18. yüzyılın sonlarından itibaren Japonya’ya gelen yabancı gemilerin tehditine karşı Tokugawa Yönetimi’nin alması gereken önlemlere dair Seishisai’in görüşlerini yansıtan bir metindir. Seishisai, metinde Sonnō Joi (imparatoru say ve barbarları kov) sloganını savunmuştur. Halk ile imparatorun birliğine dikkat çekmiştir. Bu makalede, Kokutai fikrinin ortaya çıkmasına neden olan Japonya’daki tarihî süreç incelenmiştir. Ayrıca Shinron eserindeki kokutai kavramı, içerik analizi yöntemiyle analiz edilmiş, nicel ve nitel tespitler yapılmıştır.
Hafızlık Eğitimi Tutum Ölçeği: Geçerlik ve Güvenirlik Çalışması
Authors: OSMANOĞLU Cemil , ALGUR Hüseyin
Published: April 2023

Hafızlık eğitimi, İslam dünyasında önemli bir yaygın eğitim uygulamasıdır. Türkiye’de hafızlık eğitimi farklı eğitim kademeleri ve yaş düzeylerinde yürütülmektedir. Bununla beraber söz konusu eğitimin bilimselleşme sürecinde bir takım eksiklerin varlığından söz etmek mümkündür. Örneğin hafızlık eğitiminde yer alan öğrencilerin bu eğitime dönük tutumlarını yoklayan, bilimsel açıdan geçerli ve güvenilir bir ölçme aracı henüz geliştirilmemiştir. Oysa bir eğitim süreci ve onun bileşenlerine dönük tutumları incelemek, söz konusu eğitiminin gidişatı ve başarısı hakkında sağlıklı bilgiler üretilmesine, aksayan yönlere dönük önlemler alınmasına katkı sağlayabilir. Buradan hareketle bu araştırmada, hafızlık eğitimi alan bireylerin hafızlık eğitimine dönük tutumlarını ölçen bilimsel açıdan güvenilir ve geçerli bir ölçme aracı geliştirmek amaçlanmıştır. Hafızlık Eğitimi Tutum Ölçeği (HEAS), tutumların dolaylı olarak ölçülebileceği ön kabulünden hareketle geliştirilen bir ölçektir. Çalışmada hafızlık yapan bireylerin aldıkları eğitime yönelik geliştirdiği tutumları üç alt boyut etrafında ölçebilecek bir veri toplama aracı geliştirilmiştir. Araştırma hem yüksek din öğretimi alan hem de aynı anda hafızlık eğitimine devam eden 234 lisans öğrencisi üzerinde gönüllülük esasına dayalı olarak yürütülmüştür. Çalışmanın sonucunda 3 faktör altında 13 maddeden oluşan, açıkladığı varyansı toplamda %51,55 olan, geçerlik ve güvenilirlik testlerinden geçmiş bir ölçek geliştirilmiştir. Ölçeğin alt boyutlarına; “Bilişsel Boyut”, “Sosyal Boyut” ve “Duyuşsal Boyut” adları verilmiştir. Açımlayıcı faktör analiziyle ulaşılan yapının model uyumu, doğrulayıcı faktör analizi ile test edilerek onaylanmıştır.
THE EAST AT GORKY’S BOOK REVIEW: RUSAKOVA M.V. ORIENTAL MOTIFS IN THE WORKS OF M. GORKY. DUSHANBE: RTSU, 2022. 110 P.
Authors:   Russian State University for the Humanities, Domanskii Yuri V.
Published: April 2023

The review considers the monograph “Oriental motifs in the works of M. Gorky” by M.V. Rusakova. The book is highly rated because it fills a very significant gap in Gorky’s studies; previous research references to the subject in Gorky’s prose were quite rare and accidental. It is also important that it is not Gorky’s works usually ranked to be those of the first row in the writer’s heritage were used as an object for studying. Finally the monograph is a very promising study, because each of the aspects considered in the book in any of the analyzed Gorky works can and should be considered in even more detail – with access to the deep meanings and features of the author’s attitude
THE POSTMODERNISM PLAY IN THE PAGES AKUNIN’S NOVEL “ZVEZDUKHA”
Authors:   Lomonosov Moscow State University, Elfimova Mariya G.
Published: April 2023

There is increased interest in history as a basis for searching the answers to many questions of our time recently. The historical project by B. Akunin clearly demonstrates improved author’s methods well knowns of his early works. The article analyzes B. Akunin’s controversial view of the Horde invasion of Old Russia a difficult period in its history. The writer deconstructs the chrestomatic representation of that era, depicting it from different angles: the publicist (“Part of Asia”) and the fiction (“Zvezdukha”). Such textual polyphony allows Akunin to involve readers in a kind of postmodern game with history. In such a way, B. Akunin not just shows and analyses events of the past but also creates the complex fictional text with filled a lot of description of the era and transformations of the main characters against the background of history.
A Study on National Defense Policy during the Chun Doo-hwan administration
Authors:   The Korean Association Of Area Studies, SIM Sehyeon
Published: April 2023

This research aims to analyze the national defense policy during the Chun Doo-hwan administration in the 1980s. In particular, it deals with the decision-making process with significant elements to affect the policy. One of the main characteristics of the Chun administration's national defense policy was the ally-centered character. The Chun administration focused on the ally, the United States of America, to promote the regime legitimacy with support from the US. In the early 1980s, the end of the detent period causes other conflicts between the US and the Soviets. America needed to strengthen its relationships with its allies in Northeast Asia, South Korea, and Japan in such a situation. In addition, the Chun administration's national defense policy contains individual beliefs. Then-President Chun believed that importing cutting-edge weapons from America has more effective ways than self-development in Korea to narrow the military gap between North and South Korea. Such factors worked in complicated ways to lead the national defense policy of the Chun administration to turn to the ally-centered one.
IDENTIFIKASI KERUSAKAN BANGUNAN DAN JALUR EVAKUASI MENGHADAPI BENCANA GEMPA DAN BAHAYA KEBAKARAN DI DESA MERTAK TOMBOK, KABUPATEN LOMBOK TENGAH
Authors: Pepadu Jurnal , Murtiadi Suryawan , Sasmito Sasmito , Agustawijaya Didi S. , Sulistiyono Heri , Akmaluddin Akmaluddin
Published: April 2023

Dampak signifikan dari bencana gempa adalah kerusakan infrastruktur dan korban jiwa. Filosofi bangunan tahan gempa menyatakan apabila gempa kecil bangunan tidak mengalami kerusakan apapun. Pada gempa sedang, komponen non struktur boleh mengalami kerusakan, tetapi komponen strukturnya tidak boleh mengalami kerusakan. Dan apabila gempa kuat, komponen non struktur maupun strukturnya boleh mengalami kerusakan namun masih dapat memberi kesempatan kepada penghuninya untuk menyelamatkan diri. Efek lain dari gempa adalah terjadinya bahaya kebakaran. Kebakaran terjadi apabila ada tiga unsur yang bertemu yaitu sumber api (ignition), material yang mudah terbakar (combustible material) dan oksigen (O2). Kegiatan ini bertujuan mengasah kemampuan masyarakat beradaptasi dan tangguhmenghadapi bencana. Solusi yang ditawarkan adalah pelatihan identifikasi kerusakan infrastruktur dan upaya perbaikannya pada tingkat kerusakan sedang dan ringan. Pengenalan bangunan tahan kebakaran juga dipresentasikan yang intinya adalah bangunan mampu memberikan waktu kepada penghuninya untuk menyelamatkan diri dan harta bendanya serta waktu yang dibutuhkan pasukan pemadam kebakaran memadamkan api. Oleh karena itu, tingkat ketahanan api (TKA) suatu bangunan dinyatakan dengan waktu. Pengenalan ramburambu jalur evakuasi dilaksanakan dengan teknik presentasi dan simulasi untuk keselamatan seluruh penghuninya. Simulasi dan evaluasi jalur evakuasi dimulai dari dalam bangunan gedung menuju tempat aman berupa titik kumpul (assembly point). Alat peraga kegiatan pengabdian ini telah dimanfaatkan oleh mitra berupa rambu evakuasi yang terpasang pada halaman Kantor Desa Mertak Tombok. Hasil dari kegiatan ini adalah meningkatnya pemahaman dan ketrampilan masyarakat/peserta pelatihan mitigasi bencana gempa dan bahaya kebakaran. Dengan demikian masyarakat akan lebih siaga beradaptasi dan lebih tangguh menghadapi bencana.
PENINGKATKAN KEMAMPUAN BAHASA INGGRIS MASYARAKAT DI DESA WISATA KEMBANG KUNING MELALUI PROGRAM ENGLISH CLASSS
Authors: Pepadu Jurnal , Scabra Andre Rachmat , Saputra Haris , Ibrahim Muhammad Sofyan Maulana Yusuf , Putra Randy Aristo , Jayadi Muhammad Usman , Wahyuliana Novita , Rahmani Siti Nurul Faica
Published: April 2023

Desa Kembang Kuning merupakan salah satu desa yang berada di Kecamatan Sikur, Kabupaten Lombok Timur, Provinsi Nusa Tenggara Barat.Desa ini terkenal dengan keindahan alamnya yang menyebabkan banyak wisatawan asing yang berkunjung ke Desa Kembang Kuning.Untuk mendukung hal itu, mempelajari Bahasa Inggris berperan penting sehingga memudahkan masyarakat melakukan komunikasi dengan wisatawan asing.Demikian halnya dengan anak-anak di sekitar desa yang sejak dini juga memerlukan dasar dasar bahasa inggris untuk sekedar menyapa atau bahkan sebagai penerus langkah pariwisata di masa mendatang.Namun, anak-anak di Desa Wisata Kembang Kuning masih memiliki  kemampuan yang kurang dalam bahasa inggris.Berdasarkan hal tersebut, Tim pelaksana pengabdian kepada Masyarakatberupaya untuk meningkatkan kemampuan berbahasa inggris masyarakatkhususnya anak-anak sebagai  generasi penerus untuk memajukan wisata memalui program kerja yaitu English Class. Program ini dilaksanakan delapan kali pertemuan yaitu setiap hari Kamis  dan Jum’at dalam kurung waktu empat minggu.Metode yang digunakan yaitupersiapan dan pelaksanaan.Hasil yang diperoleh dari kegiatan ini, didapatkan bahwa kemampuan anak-anak dalam Bahasa Inggris dari hari ke hari semakin meningkat seperti Greetings, vocabulary, dan introduction.Untuk meningkatkan kembali kemampuan tersebut secara makasimal maka perlu ada binaan lanjutan dari desa.
PEMBUATAN JARINGAN PIPA IRIGASI TETES DI DESA MERTAK TOMBOK KECAMATAN PRAYA KABUPATEN LOMBOK TENGAH
Authors: Pepadu Jurnal , Yasa I Wayan , Saadi Yusron , Salehudin Salehudin , Hartana Hartana , Setiawan Ery
Published: April 2023

Desa Mertak Tombok merupakan salah satu desa di Kecamatan Praya KabupatenLombok Tengah. Letak Desa Mertak cukup strategis dekat dengan pusa-pusat perdagangan (pasar Renteng), terletak di tepi jalan raya Praya-Mantang yang menghubungkan pusat-pusat kegiatan eknomi di luar kota Praya. Wilayah Desa Mertak Tombok sebagian besar merupakan area persawahan (256 Ha) dan lahan kering (66 Ha). Penduduk Desa Mertak sebagian besar adalah petani, pedagang, karyawan dan buruh. Secara geografis dan ekonomis desa ini berpotensi menjadi lebih maju. Usaha memajukan desa ini dapat dilakukan antara lain dengan mengubah lahan kering menjadi lahan pertanian yang produktif dengan cara menerapkan sistem irigasi tetes. Sistem irigasi tetes sangat cocok dikembangkan di daerah lahan kering karena sistem irigasi ini memiliki efisiensi yang sangat tinggi sehingga debit air yang diperlukan kecil sesuai dengan kebutuhan air tanaman. Metode pemberian air hemat air ini sesuai dengan karakteristik lahan kering yang jumlah ketersediaan airnya terbatas. Sistem irigasi tetes mengalirkan air dari sumber air langsung ke zona perakaran tanaman melalui jaringan pipa berporasi. Kelebihan jaringan irigasi tetes agar kehilangan air selama pengaliran seperti evaporasi dan infiltrasi dapat diminimalkan. Sistem irigasi tetes sangat mudah dibuat tidak membutuhkan tenaga dengan keahlian khusus. Hasil yang diperoleh dari kegiatan pengabdian masyarakat ini yaitu 35 orang petani lahan kering di Desa Mertak Tombok memperoleh pengetahuan baru irigasi hemat air dan mampu membuat sistem jaringan irigasi secara mandiri. Masyarakat Desa Tombok Mertak saat ini juga dapat secara langsung melihat model jaringan irigasi tetes di Kantor Desa Mertak Tombok dan dapat mengaplikasikannya pada lahan masingmasing sesuai dengan luas lahan yang dimiliki.
2 Funções
Authors: Machado Djeison , Mollossi Luí Fellippe da Silva Bellincantta , Oliveira Janine Soares de , Viégas Rafael Rossi , Machado Rosilene Beatriz
Published: April 2023

Neste material, apresentamos em versão bilíngue Português-Libras alguns dos principais conceitos matemáticos relacionados ao conteúdo de funções presentesno currículo de matemática, tanto do ensino fundamental quanto do ensino médio.

Assim, no decorrer das páginas que seguem, o leitor encontrará uma discussão conceitual sobre: domínio, contradomínio, conjunto imagem, lei de formação, formas de representações de funções, função polinomial do primeiro grau, função polinomial do segundo grau, função exponencial, função logarítmica e função periódica.
Fatty Acid Profiles and Antimicrobial Activity from Tropical Fruit Seeds
Authors: Freitas Filho João Rufino , Gomes de Holanda Luís Eduardo , Sousa Ramos Clécio
Published: April 2023

Abstract. Fatty acid profiles and antimicrobial activity of ten oils from tropical fruit seeds were determined. The fatty acid composition of the oils was determined by GC-MS analysis that allowed identification of oleic, linoleic, palmitic, and stearic acids as major constituents.  Oil samples exhibited antimicrobial activity against fungus, yeast, Gram-positive and Gram-negative bacteria.  Eugenia uniflora seed oil was the most active for bacteria with Minimum Inhibitory Concentration (MIC) values ​​from 39.0 to 1250 μg mL-1. E. uniflora oil showed strong activity against bacteria Staphylococcus aureus, Enterococcus faecalis and Klebsiella pneumoniae as wells as for yeast Candida utilis with MIC of 312.5 μg mL-1. The carboxylic group of acids identified was associated with the antimicrobial activity considering that the esterified oils showed MIC greater than 2000 μg mL-1. Our study showed that the tropical fruit seeds have antimicrobial potential and their residues from the fruit juice industry can be used as a source of bioactive products.
 
Resumen. Se determinaron los perfiles de ácidos grasos y la actividad antimicrobiana de diez aceites de semillas de frutas tropicales. La composición de ácidos grasos de los aceites se determinó mediante análisis CG-EM que permitió identificar los ácidos oleico, linoleico, palmítico y esteárico como constituyentes mayoritarios. Las muestras de aceite exhibieron actividad antimicrobiana contra hongos, levadura, Gram-positivas y bacterias Gram-negativas. El aceite de semilla de Eugenia uniflora fue el más activo para bacterias con valores de Concentración Inhibitoria Mínima (CIM) de 39,0 a 1250 μg mL-1. El aceite de E. uniflora mostró una fuerte actividad contra las bacterias Staphylococcus aureus, Enterococcus faecalis y Klebsiella pneumoniae, así como contra la levadura Candida utilis con CIM de 312.5 μg mL-1. El grupo de ácidos carboxílicos identificado se asoció con la actividad antimicrobiana considerando que los aceites esterificados presentaron CIM major a 2000 μg mL-1. Nuestro estudio mostró que las semillas de frutas tropicales tienen potencial antimicrobiano y sus residuos de la industria de jugos de frutas pueden usarse como fuente de productos bioactivos.
Kewenangan Pemerintah Daerah untuk Melindungi Bidan yang Melaksanakan Program Keluarga Berencana
Authors: Novitasari Ujianingtyas Anggraeni
Published: April 2023

Bidan sebagai garda terdepan dari pelaksanaan Program Keluarga Berencana memiliki resiko-resiko hukum. Untuk itu Pemerintah Daerah mestinya memberikan perlindungan pada mereka dari segala jenis tuntutan, Penelitian ini menganalisis kewenangan pemerintah daerah dalam melindungi bidan yang melayani program keluarga berencana. Penelitian ini adalah penelitian yuridis normatif dengan pendekatan perundang-undangan pendekatan perbandingan dan pendekatan konseptual. Hasil dari penelitian ini adalah Pemerintah Daerah dapat melindungi bidan dengan membuat suatu kebijakan inovatif. Peraturan Kepala Daerah dapat berisi pelibatan pemuka agama untuk membantu mempromosikan program keluarga berencana. Pembuatan pedoman dan panduan tentang keluarga berencana harus pula dibuat untuk melindungi bidan-bidan yang patuh. Pemerintah daerah dapat juga membuat KORPRI untuk membangun Lembaga Bantuan Hukum.  Pembuatan Peraturan mengenai keluarga berencana haruslah menghormati hak asasi manusia.
GÜÇ DENGESİNDEKİ SOĞUK SAVAŞ SONRASI DEĞİŞİMİN ULUSLARARASI HUKUKTAKİ EGEMEN EŞİTLİK DİLİNE YANSIMASI
Authors: BUYURAN Abdullah Ahmet
Published: April 2023

Dilin gücünü kullanan uluslararası hukuk, devlet etkileşimi için bir “lingua gentium” olmuş ve yüzyıllar boyunca da değişen bir dile sahip olmuştur. Uluslararası hukukun dilindeki değişim, uluslararası sistemin güç yapısına bağlı bulunmaktadır. Dünya düzeninin bipolar sisteminin ortadan kalkmasıyla birlikte birbiriyle rekabet eden iki model ortaya çıkmıştır. Bunlardan biri tek kutuplu ve Birleşik Devletlerden proje edilen yapı; diğeri ise çoğulcu Birleşmiş Milletlere dayalı dünya düzeni sistemidir. Bu iki yapı egemenliği kademelendirici söylemini muhatap kitlesine hem tek kutuplu ve Birleşik Devletler’den proje edilen yapının emperyal lisanıyla, hem de görünürde çoğulcu Birleşmiş Milletlere dayalı yapı altında egemenlik lisanı ile yöneltmiştir. Bu yüzden “yoz devlet” etiketi ile ortaya çıkan ve 19’uncu yüzyıl uluslararası toplumunu karakterize eden dışlama mantığı ve söyleminin yanı sıra, “başarısız devlet” söylemi ile bu mantık egemenlik söyleminin içerisine entegre edilmiş ve gelişen süreç içerisinde koruma sorumluluğu ile birlikte egemenlik kavramını yeniden inşa etmeye yönelmiştir. Bu makalede, Soğuk Savaş sonrasında güç dengesinde oluşan bozulma ile birlikte; uluslararası hukuk söyleminin dayandığı inşanın temel unsuru olan devletlerin egemen eşitliğine yönelik söylem değişimi incelenmiştir.
Wie Kinderkrippen dem Kind und uns allen schaden und wie Väter das verhindern können
Authors: Sulz Serge K. D.
Published: April 2023

Die Kinderkrippe ist der extremste Auswuchs zivilisatorischer Fehlentwicklungen. Entgegen allem Wissen über kindgemäße Betreuung wird das Kind in genau das Prokrustesbett gezwungen, das ihm unsere Arbeitswelt zur Verfügung stellt. So wie Kinder im ersten Lebensjahr statt des Kinderwagens den Körperkontakt zur Mutter brauchen und im zweiten Jahr so wenig wie möglich Einschränkung ihres Bewegungstriebs, so brauchen sie auch das uneingeschränkte Aufwachsen in ihrer Familie während der ersten drei Lebensjahre. Weil wir als Erwachsene nicht in der Lage sind, den Wert der Familie aufrecht zu erhalten, nehmen wir unseren Kindern genau den Lebensraum weg, der ihnen eigentlich gehört und gehören muss. Das Problem lässt sich kurzfristig dadurch lösen, dass der Vater mindestens so viel in der Kinderbetreuung und im Haushalt macht wie die Mutter. Langfristig müssen wir von dem Konstrukt der Kleinstfamilie (Vater – Mutter – Kind) wegkommen, sie ist nicht mehr als eine verkümmerte Familie.
Neue Väter in der heutigen Gesellschaft
Authors: Butzmann Erika
Published: April 2023

Väter sind heute im Fokus der gesellschaftlichen Betrachtung des Familienlebens. Mit dem Buch Neue Väter brauchen neue Mütter hat Margrit Stamm 2018 die Herausforderungen, denen sich Väter heute gegenübersehen, in einen gesamtgesellschaftlichen Zusammenhang gebracht. Mit diesem Artikel werden zu Beginn einige Kernpunkte daraus dargestellt, um dann herauszuarbeiten, dass die von Stamm beschriebenen Probleme der neuen Väter und Mütter einen geschlechtsspezifischen Hintergrund haben, der nicht vernachlässigt werden sollte. Die Ursachen von Spannungen und Konflikten werden unter diesem Aspekt analysiert und Lösungswege aufgezeigt.
Emotion Tracking
Authors: Sulz Serge K. D. , Schreiner Maria
Published: April 2023

Die meisten Psychotherapien sind zumindest in der Gesprächsführung viel zu kopflastig und rational. Die optimale Mischung aus metakognitiver Reflexion und emotivem Dialog herzustellen, ist wohl eine Kunst. Wir wollen zeigen, dass es um professionelles Therapeutenverhalten geht, das geschult werden kann. Allerdings ist Emotion Tracking nicht so leicht erlernbar wie die meisten psychotherapeutischen Interventionen. Zu diesem Zweck haben wir Albert Pessos Microtracking (Pesso, 2008, a, b, siehe Bachg & Sulz, 2022) so adaptiert, dass es immer wieder in kognitiv-behavioralen und psychodynamischen Therapien eingesetzt werden kann. Bei der Mentalisierungsfördernden Verhaltenstherapie (MVT) ist Emotion Tracking eines von sieben Therapiemodulen. So wie vor Jahrzehnten die klientenzentrierte Gesprächsführung von Carl Rogers zunehmend Eingang in die psychotherapeutischen Basiskompetenzen gefunden hat, sollte unseres Erachtens Emotion Tracking neben den verfahrensspezifischen Interventionen zu einer Grundkompetenz jeglicher Psychotherapie werden.
PERCEPTION OF THE NECESSITY OF DIGITAL INNOVATIONS APPLICATION AS AN ELEMENT OF HEALTH PROTECTION AND SUSTAINABLE HOSPITALITY SECTOR FUTURE
Authors:   University of Prešov, Faculty of Management and Business, Department of Tourism and Hotel Management, Prešov, Slovakia, MATUŠÍKOVÁ Daniela , DZUROV VARGOVÁ Tünde ,   University of Prešov, Faculty of Management and Business, Department of Tourism and Hotel Management, Prešov, Slovakia, LUKÁČ Michal ,   University of Cyril and Methodius, Insitute of Management, Trnava, Slovakia, SCHOLTZ Emma ,   University of Prešov, Faculty of Management and Business, Department of Management, Prešov, Slovakia
Published: April 2023

Hospitality, which suffered a huge blow during the Covid-19 period and had to adapt its operation to pandemic measures, heads for its recovery. Innovation is one of the ways to get out of an unfavourable situation having in mind that health risks can represent a significant factor affecting participation in tourism. The paper specifies the perception of the necessity of digital innovations application as health protection factor and sustainable mean of hospitality sector development. It shows how of tourism participant in domestic condition of Slovak republic perceive the need of their application to hospitality services. Through the questionnaire method it examined opinion of domestic visitors in hospitality and its direction towards the digitization of services in this sphere, and subsequently tested by Mann-Whitney and Kruskall-Wallis tests. The results show that Slovak tourists treat digital innovation in hospitality services as the ones, that are a necessary part of tourism services portfolio. Their specifics can also be defined in terms of health protection. They can act as an element of health protection by eliminating contact among individual tourism participants. At the same time, they also perceive them as a means that tends to keep the hospitality industry alive even in the post-pandemic period.
‘Braun’: the first russian cotton cultivar with naturally colored fiber
Authors: Tuz R. K. , Asfandiiarova M. Sh. , Podolnaya L. P.
Published: April 2023

Background. Most commercial cotton cultivars have white fiber. Massive energy and water consumption during the production of fabrics from such fiber generates significant problems, so in recent decades more and more cotton cultivars with naturally colored fiber have appeared in the world. In addition to saving natural resources, such fiber has another advantage: it is lowallergenic. Such fiber is much more expensive on the world market.Materials and methods. The research material was cotton line 7C with light brown fiber, produced by individual selection from the hybrid combination Genetic 34 (Turkmenistan, late-maturity, brown fiber) × C2 8101-73 (k-8112, Albania, early-maturity, white fiber). This line was registered in the State Register for Selection Achievements as the cultivar ‘Braun’ in 2019. The authors of the cultivar were M. Sh. Asfandiyarova, L. P. Podolnaya, A. G. Dubovskaya, and R. K. Tuz. The selection achievement was patented (patent No. 10638). The research was conducted at the Caspian Research Institute of Arid Agriculture (now the Caspian Agrarian Federal Research Center of the RAS). 7C was compared to the white-fiber reference ‘AS-5’ for morphological and agronomic traits in 2013–2018 according to VIR’s guidelines.Results and conclusion. ANOVA analysis showed that cv. ‘Braun’ differed significantly from cv. ‘AS-5’ only in fiber length. However, the 5th type to which the fiber cv. ‘Braun’ belongs is used for the production of fabrics on a large scale. The cultivar’s yield of 2.5–3.0 t/ha is comparable to the reference. Variability of the values of the studied traits in cv. ‘Braun’ over the years was less than in the reference cultivar, attesting to its good adaptation to the Northern Caspian environments. The fiber’s natural color would make the products from such fiber notably more attractive. The estimated cost efficiency of its cultivation showed high profitability – up to 132%.
Implantación de un programa de tratamiento integral de la pared abdominal: hernia incisional y abdominoplastia Resultados preliminares
Authors: Moreno-Egea Alfredo , Soria-Aledo Víctor , Morales-Cuenca Germán
Published: April 2023

Introducción. Las vías clínicas son planes asistenciales sistematizados para determinados procesos hospitalarios, que constituyen una herramienta que coordina a múltiples profesionales implicados en un objetivo común. La abdominoplastia es una de las operaciones que con mayor frecuencia practican el cirujano plástico y el cirujano general, pero no existe ningún consenso sobre cómo debe hacerse cuando existe una hernia incisional o quirúrgica asociada. En el presente trabajo se presenta el proceso de elaboración de la vía clínica del proceso “hernia incisional y abdominoplastia”. Metodología. La elaboración de la vía clínica se ha llevado a cabo mediante reuniones semanales durante tres meses. El grupo implicado ha estado formado por cirujanos, anestesiólogos, enfermeros y coordinadores de calidad de cirugía y enfermería. Se hizo un análisis de una serie previa y, además, una revisión bibliográfica con gradación de la evidencia científica, tanto del proceso “hernia incisional”, como de otras vías clínicas publicadas. Con ello, se elaboraron los documentos principales de la vía clínica, los cuales se discutieron con los miembros del servicio de cirugía y las unidades de enfermería. Resultados. Se presentan todos los documentos y protocolos de asistencia previos y posteriores a la hospitalización de los pacientes con eventración. Conclusión. La eventración puede ser sistematizada en una vía clínica que pretende estandarizar los cuidados y mejorar los resultados futuros.
Adenomiomatosis de la vía biliar, incidencia de 10 años y revisión de la bibliografía actual
Authors: Pérez-Alonso Alejandro J. , Argote-Camacho Ángela X. , Rubio-López José , Rivas Carlos Del Olmo , Petrone Patrizio
Published: April 2023

Introducción. La adenomiomatosis es una entidad anatomo-clínica de difícil diagnóstico. Se puede clasificar en generalizada, segmentaria y localizada. Suele presentarse con síntomas de colelitiasis, aunque puede variar desde ser completamente asintomática hasta sugerir una lesión maligna. El objetivo de este estudio fue revisar la afectación adenomiomatosa de la vesícula biliar y los conductos biliares intrahepáticos y extrahepáticos, así como su diagnóstico y tratamiento. Materiales y métodos. Se llevó a cabo un estudio retrospectivo de 10 años de duración en los servicios de Cirugía Digestiva y Anatomía Patológica del Hospital Universitario San Cecilio en Granada, España. Se incluyeron todos los pacientes que presentaban afectación adenomiomatosa de la vesícula biliar y del sistema biliar intrahepático y extrahepático. Resultados, Entre los años 2000 y 2010, se identificaron 24 pacientes, 19 mujeres y 5 hombres, con adenomiomatosis de un total de 5.141 piezas quirúrgicas. Las manifestaciones clínicas fueron de colelitiasis en 20 (83,3 %) pacientes, de colecistitis en 2 (8,35 %) y de obstrucción (ictericia) en 2 (8,35 %), y correspondieron con los hallazgos histopatológicos: se encontraron 20 lesiones localizadas en el fondo de la vesícula, dos en el conducto cístico y dos en el colédoco distal. En la mayoría de los casos se practicó colecistectomía laparoscópica simple; los últimos dos se sometieron a duodenopancreatectomía cefálica u operación de Whipple, por sospecharse afectación maligna. Conclusión. Esta enfermedad puede presentarse con ausencia completa de síntomas, o con manifestaciones de colelitiasis, colecistitis o de síndrome colestásico. En los casos en que se sospeche una afectación maligna, lo adecuado es hacer un examen histopatológico intraoperatorio, antes de practicar cirugías complejas.
Colecistectomía laparoscópica con manejo ambulatorio ultracorto
Authors: Acuña Javier , Bonfante Jaime , Galeano Nohemí , Carrasquilla Rubén , Manjarrez Aldemar , Alcalá Ramiro
Published: April 2023

Introducción. La colecistectomía laparoscópica es la técnica de elección para el tratamiento de la enfermedad biliar benigna. El manejo ambulatorio en este tipo de procedimientos podría ofrecer ahorros económicos y una mayor disponibilidad de camas. Objetivo. El propósito del presente estudio es mostrar nuestra experiencia al practicar colecistectomías laparoscópicas con manejo ambulatorio menor de seis horas. Materiales y métodos. Se llevó a cabo un estudio de cohortes en pacientes sometidos a colecistectomía laparoscópica en la Clínica Gestión Salud de Cartagena de Indias, Colombia, entre el 1° de octubre de 2009 y el 31 de agosto de 2013. Resultados. Se practicaron 1.260 colecistectomías laparoscópicas. Se cumplieron los criterios para manejo ambulatorio en 1.207 (95,8 %) casos. El tiempo promedio de hospitalización hasta el alta hospitalaria, fue de 4,18 horas (rango: 3 a 10). De los 1.207 pacientes que cumplieron criterios para manejo ambulatorio, 23 (1,9 %) requirieron ser hospitalizados y la primera causa de hospitalización fue el diagnóstico intraoperatorio de enfermedad biliar aguda. El porcentaje de reingreso de pacientes dados de alta, fue del 0,6 %. Conclusiones. En esta serie, la colecistectomía laparoscópica se pudo practicar con manejo ambulatorio ultracorto para el tratamiento de la enfermedad biliar benigna en pacientes seleccionados, sin que esto atentara contra la seguridad del paciente ni se tradujera en altos índices de reingreso o consulta.
Incidencia de insuficiencia renal aguda posoperatoria en pacientes con aneurisma de aorta abdominal infrarrenal no roto: comparación entre abordaje abierto y endovascular
Authors: López Mario , Martínez Fabián , Camacho Jaime , Sanabria Álvaro , Domínguez Luis Carlos , Vega Valentín
Published: April 2023

Introducción. La insuficiencia renal aguda es una complicación común después del reparo de un aneurisma infrarrenal de aorta abdominal; sin embargo, su incidencia es variable según el estudio y todavía existe controversia respecto a si es más frecuente en pacientes sometidos a reparación endovascular o a cirugía abierta. Objetivo. Determinar la incidencia de insuficiencia renal aguda posoperatoria en pacientes sometidos a corrección electiva por técnica abierta frente a la endovascular, de aneurisma de aorta abdominal infrarrenal no roto, en la Fundación Cardioinfantil-Instituto de Cardiología entre 2002 y 2014. Materiales y métodos. Se hizo un estudio de cohorte retrospectiva, que incluyó 326 pacientes con aneurisma de aorta infrarrenal no roto a los que se les practicó cirugía abierta (n=273) o reparación endovascular (n=53). Resultados. No existieron diferencias estadísticamente significativas entre la incidencia de insuficiencia renal aguda en el grupo con tratamiento abierto y aquella en el grupo con terapia endovascular (11 % Vs. 3,8 %) (p=0,1). El antecedente de infarto agudo de miocardio (odds ratio (OR)=4,21; IC95% 1,65-10,74; p=0,003) y de transfusión de glóbulos rojos (OR=2,65; IC95% 1,16- 6,09; p=0,021), fueron los factores más importantes para desarrollar insuficiencia renal aguda. Conclusiones. No se evidencian diferencias estadísticas en el resultado de insuficiencia renal aguda posoperatoria según el tipo de abordaje. Sin embargo, el antecedente de infarto agudo de miocardio y la necesidad de transfusión en el posoperatorio están relacionados con la insuficiencia renal aguda.
Neumotórax catamenial
Authors: Velásquez María Elena , Velásquez Mauricio
Published: April 2023

El neumotórax catamenial es aquel que aparece en las mujeres dentro de las 72 horas después del inicio del ciclo menstrual. Es una entidad muy poco frecuente, con escasas series de casos publicadas en la literatura científica latinoamericana y mundial. Se hace una revisión de la literatura científica mundial con énfasis en el proceso diagnóstico y el manejo multidisciplinario, y se reporta un caso.
Quistes del colédoco
Authors: Sánchez Jonathan A. , Gómez Susana , Morales Cristian , Hoyos Sergio Iván
Published: April 2023

Los quistes del colédoco son una condición médica poco frecuente, la cual se caracteriza por presentar dilatación de la vía biliar intrahepática y extrahepática; se postulan en su etiología la anomalía de la unión pancreáticobiliar, lo que favorece el reflujo del jugo pancreático al árbol biliar, y la aganglionosis del árbol biliar. Tiene una amplia gama de presentación de síntomas, y entre los principales se encuentran el dolor abdominal, la ictericia y una masa abdominal palpable. Son lesiones premalignas y, por ende, el tratamiento de elección es la resección quirúrgica completa con seguimiento a largo plazo.
Evaluación de la satisfacción con el resultado clínico después de 10 años de simpatectomía videotoracoscópica bilateral para el manejo de la hiperhidrosis primaria
Authors: Osorio Camilo , Medina Rosana , Téllez Luis Jaime , Domínguez Luis Carlos , Vega Valentín , Espitia Érik , Sanabria Álvaro
Published: April 2023

Introducción. La hiperhidrosis primaria localizada y el rubor facial patológico son manifestaciones de hiperfunción del sistema autónomo simpático, que se presentan en casi el 3 % de la población y afectan en forma importante la vida cotidiana de muchas de estas personas. La simpatectomía videotoracoscópica es actualmente el tratamiento de elección. Materiales y métodos. Estudio descriptivo de una serie de 44 pacientes con síntomas de hiperhidrosis a quienes se les practicó simpatectomía videotoracoscópica bilateral, entre los años 2000 y 2003, para evaluar el nivel de satisfacción con los resultados clínicos. Resultados. Se pudieron localizar 18 pacientes en el 2014, con más de 10 años de evolución desde la cirugía (41 %). La satisfacción inicial, evaluada una semana después de la cirugía, fue excelente (90 %) en 42 de 44 pacientes, moderada, en uno, y solo en uno, inferior a 50 %. Diez años después de la cirugía, el promedio de satisfacción fue de 81,7 %. De 18 pacientes, 15 continuaban estando muy satisfechos o satisfechos (71- 100 %) y 2 estaban insatisfechos (50 % o menos): uno por sudoración compensatoria grave y otro por recidiva de los síntomas. Conclusiones. Se encontró que la satisfacción de los pacientes con los resultados a largo plazo no parece depender de la gravedad de la hiperhidrosis compensatoria. Parece, entonces, que la hiperhidrosis compensatoria puede ser mejor tolerada con el paso del tiempo, ya que el paciente se acostumbra a esta situación y ya no lo afecta tanto en su vida cotidiana.
Telemonitoring during Exercise Training in Cardiac Telerehabilitation: A Review
Authors: Shimbo Mai , Amiya Eisuke , Komuro Issei
Published: April 2023

Comprehensive cardiac rehabilitation (CR) is promising strategy for various cardiovascular diseases. Despite these benefits and the recommendation, adherence to outpatient CR remains low. Home-based CR with telemedicine (tele-CR) is emerging concept that is a good alternative to conventional center-based CR. With the development of e-health and e-Cardiology, real-time telemonitoring of patients’ parameters such as vital signs and supervising by healthcare professionals during exercise training via internet might make it possible for safe and effective tele-CR to be performed. Therefore, the present study reviews the literature to summarize the current situation and methodology of patient telemonitoring in tele-CR.
Age, Hypertension, and Exercise Capacity are Independently Associated with Likelihood of Multi-Vessel Disease in Patients Referred for Treadmill Exercise Testing: The Intermediate-High-Workload Treadmill Score (IHWTS)
Authors: Calle Maria C. Arciniegas , Abbasi Muhannad Aboud , Salah Husam M. , Scott Christopher G. , Bello Laura B. Garcia , Bonikowske Amanda R. , Villarraga Hector R.
Published: April 2023

Background: To identify factors that increase the specificity of the treadmill exercise test (TMET), and develop a novel scoring system which accounts for functional capacity to aid in determining the need for further testing. Methods: We retrospectively evaluated the electronic health records of 600 patients who had positive TMET results and follow-up stress echocardiography from 1-January-2004, through 31-December-2016. Correlations between clinical and aerobic variables and multivessel disease (MVD) were determined. Duke Treadmill Score (DTS) was calculated and compared with a novel scoring system titled the Intermediate-High-Workload Treadmill Score (IHWTS) that used variables associated with MVD. Results: In total, 124 of 600 patients (21%) had coronary catheterization, and 51 of these patients (41%) had MVD. Mean (SD) DTS was –2.10 (6.3) among patients with MVD vs –0.16 (5) among patients without MVD (p = 0.06). Mean (SD) functional aerobic capacity (FAC) was 76% (20%) among patients with MVD vs 90% (21%) among patients without MVD (p < 0.001). Mean (SD) metabolic equivalent (MET) was 7 (2) among patients with MVD vs 8 (2) among patients without MVD (p = 0.002). Only 6 (12%) of patients with MVD achieved 9 MET or greater on TMET. DTS less than 4 did not distinguish between patients with and without MVD (p = 0.67). Age, hypertension and FAC were independently associated with MVD (all p < 0.05). Conclusions: Our novel scoring system IHWTS utilized age, hypertension, and FAC appeared comparable to DTS to risk-stratify patients regardless of baseline symptoms. Clinical parameters such as hypertension along with exercise functional capacity should be considered when evaluating a positive TMET result in patients that achieve an intermediate-high workload >5 Metabolic Equivalents (METs).
Mitral and Tricuspid Annular Abnormalities in Hypereosinophilic Syndrome—Insights from the Three-Dimensional Speckle-Tracking Echocardiographic MAGYAR-Path Study
Authors: Nemes Attila , Kormányos Árpád , Rácz Gergely , Ambrus Nóra , Marton Imelda , Borbényi Zita
Published: April 2023

Background: Hypereosinophilic syndrome (HES) is a peripheral eosinophilia characterized by elevated absolute eosinophil cell count (>1.500 cells/μL) and consequent tissue and end-organ damage. Our aim was to evaluate the mitral annular (MA) and/or tricuspid annular (TA) parameters of patients with HES and to determine whether there are any changes in these parameters compared to healthy individuals. Methods: 17 patients with HES were involved in our study, 2 cases were excluded due to suboptimal image quality (mean age of the evaluated patients: 61.7 ± 11.2 years, 10 males). Their data were compared with those of 24 healthy subjects (mean age: 55.2 ± 7.9 years, 12 males) in the control group. Complete echocardiographic examinations were performed including two-dimensional (2D) Doppler echocardiography and three-dimensional echocardiography (3DE) to assess the MA and the TA. Results: Comparing the echocardiographic parameters of the HES patients with those of the healthy volunteers, the following changes were seen: the interventricular septum was significantly thickened in HES patients, no other significant changes were detected between the examined patient groups. End-diastolic and end-systolic MA diameters, areas and perimeters were increased and MA fractional area change and MA fractional shortening were decreased in HES patients. From TA morphological parameters, only end-diastolic TA area and end-systolic TA perimeter were significantly increased in HES patients. Functional TA parameters showed no significant alterations in the HES group. In patients with HES, no correlations could be detected between 2D and 3D echocardiographic data with the examined laboratory findings. Conclusions: The extent of the dilation of the MA is more pronounced than that of the TA in HES. MA functional impairment is present in HES.
Influence of Gender on Transcatheter Aortic Valve Implantation: A Systematic Review and Meta-Analysis
Authors: Lang Zekun , Zhu Youqi , Jiang Gaxue , Ji Pengfei , Zhang Xiaoqi , Zhang Yurong , Sun Xince , Bai Ming
Published: April 2023

Background: To assess whether there are differences in common postoperative complications and survival between men and women after transcatheter aortic valve implantation. Methods: We searched the Cochrane Library, PubMed, Embase, and the Web of Science from January 2000 to August 2022. Gender-related articles reporting complications and mortality after transcatheter aortic valve implantation were identified. The primary outcomes were the thirty-day mortality, one-year mortality and perivalvular leakage. The secondary outcomes were conversion to open heart surgery during operation, ejection fraction after operation, reintervention and other common postoperative complications. Data were pooled using the risk ratio or standardized mean difference with 95% confidence interval. Subgroup analysis, meta-regression, sensitivity analysis, egger’s test and begg’s test were performed. The original study protocol was registered prospectively with PROSPERO (CRD42021245858). Results: There were 24 studies, a total of 92,499 patients, enrolled in our systematic review and meta-analysis, including 43,948 men and 48,551 women. Comprehensive analysis showed significant differences in gender in postoperative complications and survival after transcatheter aortic valve implantation. Men had a significantly higher risk of perivalvular leakage (risk ratio (RR) = 1.42; 95% CI: 1.15 to 1.75; p = 0.001; I2 = 68%), but lower risk in bleeding (RR = 0.69; 95% CI: 0.61 to 0.79; p < 0.00001; I2 = 82%), vascular complications (RR = 0.56; 95% CI: 0.52 to 0.61; p < 0.00001; I2 = 48%), and stroke (RR = 0.86; 95% CI: 0.80 to 0.93; p < 0.00001; I2 = 12%). The thirty-day mortality of men is slightly lower than that of women (RR = 0.87; 95% CI: 0.81 to 0.93; p = 0.0001; I2 = 47%), the difference in one-year mortality was also significant (RR = 1.20; 95% CI: 1.08 to 1.33; p = 0.0008; I2 = 59%). Univariate meta-regression analyses showed that pulmonary hypertension is the major source of heterogeneity in bleeding. Conclusions: Men after transcatheter aortic valve implantation have a lower risk of related postoperative complications, but a higher risk of paravalvular leak and no advantage in medium-term survival.