bluuebunny/crossref_metadata_2025 huggingface dataset:
SUCCESSFUL EXPERIENCE WITH PROXIMAL HIP COMMINUTED FRACTURE
Authors:   Kotovsk City Clinical Hospital, Emelyanov Sergey A. ,   Derzhavin Tambov State University
Published: December 2024

In recent decades, fractures of the trochanteric region of the femur have become a significant problem in medical practice. This type of fracture is characterized by treatment complexity, high risk of complications, and significant consequences for patients. In fractures of the proximal femur, treatment tactics are determined individually, since it depends on many factors, for example, on the severity of the injury, on the age of the patient, on the physical status according to ASA. The research purpose is to demonstrate the successful experience in the treatment of splintered trochantero-subtrochanteric fracture of the right hip with displacement of fragments.

Materials and methods. We used data from the medical records of the trauma hospital, the results of the instrumental study and the dynamic observation of the patient. We also carried out the search in open electronic databases of the Russian scientific electronic library eLibrary. We obtained the results using the equipment of the Center for Collective Use of Scientific Equipment of Derzhavin Tambov State University. Results . We performed open fracture reposition and osseous osteosynthesis by dynamic screw system. On the eighth day after surgery, the patient was discharged in satisfactory condition. Wound without signs of inflammation. The sensitivity and blood supply in the limb are preserved, the axis and support capacity of the limb are restored. Patient is adapted to movement with additional means of support. Discussion. Analyzing the results of surgical treatment in the described clinical case, it can be concluded that elderly patients who underwent surgical treatment in the first days after a femoral fracture have a higher chance of successful recovery and a quick return to normal life. In addition, surgery helps to reduce pain and reduce the likelihood of complications, which makes this treatment method preferable. It is important to remember that early treatment and rehabilitation play a key role in a successful outcome in the case of femoral fractures, especially in the elderly.

Conclusion. This clinical example illustrates the effectiveness of a comprehensive approach to the treatment of splintered trochantero-subtrochanteric hip fracture with fragment displacement. Surgical treatment of femoral fractures in elderly patients requires a comprehensive approach, including early surgery, osteosynthesis and subsequent activation of the patient. It is necessary to take into account the individual characteristics of each case and choose the optimal treatment method, taking into account the type of fracture, the age and condition of the patient, the nature of the injury.
O primeiro período (1962-1969) da Revista de Cultura Brasileña
Authors: Santa Olalla Pablo
Published: December 2024

O presente artigo analisa o caso da Revista de Cultura Brasileña, uma publicação editada pela Embaixada do Brasil em Madri, na Espanha. A Revista foi lançada em 1962 e dirigida até 1969 pelo poeta e crítico Ángel Crespo, que alcançou essa posição graças a seus contatos e afinidades com o diplomata e poeta brasileiro João Cabral de Melo Neto. Nas páginas da publicação, desvendaram-se a literatura e a poesia brasileiras modernistas e de vanguarda, apresentando, na Espanha, fenômenos fundamentais como o concretismo e outras vertentes experimentais. Também se apresentaram outras produções culturais, em um sentido amplo: das artes plásticas ao cinema. Tudo isso sob uma linha editorial particular, que reunia as diferentes tendências em uma compreensão crítica e integradora da cultura, contribuição do próprio Crespo. É importante contextualizar a Revista no âmbito da diplomacia cultural no período da Guerra Fria, época em que os países buscavam estratégias de soft power para posicionar-se internacionalmente. Embora essa publicação fosse uma iniciativa propagandística, o conjunto de agentes que dela participaram conseguiu apropriar-se do meio, escapando da mera instrumentalização, ao usá-lo como catalisador de relações culturais transatlânticas.
Didáticas e políticas têxteis e o caso da tapeçaria francesa no Museu de Arte Moderna do Rio de Janeiro
Authors: Corrêa Patricia Leal Azevedo
Published: December 2024

Um levantamento das exposições de tecidos realizadas no Museu de Arte Moderna do Rio de Janeiro entre 1948 e 1978 mostrou sua relevância na concepção de modernidade que pautou a missão do museu. A partir de análises preliminares dessas exposições, a primeira parte do artigo estabelece as hipóteses de uma função didática e política dos tecidos enquanto objetos expositivos privilegiados pelo MAM Rio. Na segunda parte, orientada por essas hipóteses, um estudo de caso da tapeçaria francesa investiga sua presença marcante no museu, sua relação com a geopolítica da arte no segundo pós-guerra e com processos de elaboração crítica do campo artístico brasileiro, como os debates em torno da abstração, da arquitetura moderna e da “síntese das artes” em Brasília. Conclui-se que ao longo do período estudado a tapeçaria francesa frequentemente encarnou didáticas e políticas de conciliação no meio brasileiro, tanto nos embates locais com as linguagens modernas nos anos 1950, quanto nos impasses de renovação e contestação dos anos 1960.
Tecnologias sociais da memória
Authors: Souza Claudia Moraes de
Published: December 2024

O artigo tem como tema central a construção da memória social e reflexões sobre a resistência política de operários, sindicalistas e seus familiares, vitimados pela ditadura empresarial militar brasileira. O contexto é o das resistências políticas e ações sindicais relativas ao arrocho salarial promovido pelo governo militar desde o Golpe de 1964 e a Greve de trabalhadores da Companhia Brasileira de Material Ferroviário (COBRASMA) realizada em 1968, na cidade de Osasco. Nossos objetivos buscaram gerar conhecimento público e acesso às informações relativas à presença da referida empresa em episódios que envolvem o controle e a repressão à organização sindical, a criminalização da Greve Operária de 1968 e a desproporcional repressão aos trabalhadores. Buscamos explicitar fatos da colaboração entre a empresa e aparelhos da repressão, como o DOPS/SP, denunciando as práticas de vigilância e perseguição política de operários grevistas e sindicalistas no mercado de trabalho e no cotidiano da empresa. A História Oral acionada como método de investigação foi utilizada como forma de estabelecer a memória social acerca dos acontecimentos que envolvem a violação de direitos do trabalho e direitos humanos. Combinando a História Oral (HO) e Tecnologias Sociais da Memória (TSM) produzimos um conjunto de entrevistas gravadas em audiovisual que se materializam em um “banco de histórias” disponibilizados no site  Memórias Resistentes.
Lead (Pb) Exposure on Hemoglobin Levels and Decreasing Lung Function of Fuel Station Workers Banjarmasin
Authors: Taufiqurrahman Muhamad , Ansori Isa , Noor Meitria Syahadatina , Haryati Haryati , Assagaf Ali , Isa Mohamad
Published: December 2024

Introdution:Exposure to airborne pollutants such as lead (Pb) can cause health problems. Fuel stations are one of the places with a high risk of Pb exposure sourced from fuel or motor vehicle exhaust emissions. This research aims to know the effect of Pb exposure on hemoglobin levels and lung function in fuel station workers. Methods: This study was observational, analytical, and cross-sectional on 40 fuel station workers in South Banjarmasin District. Urinary Pb measurement was carried out by spectrophotometry, then the relationship to peripheral blood hemoglobin (Hb) levels and lung function was analyzed based on FEV1 (%), FVC (%), and FEV1/FVC ratio with a simple linear regression test. The data met the classical assumptions of normality, heteroscedasticity, and with no autocorrelation. If abnormal distribution was found, data transformation was carried out. Results: Study obtained urinary Pb levels below the normal threshold of 0.0356±0.0074 ppm. Respectively, urinary Pb levels did not have a significant effect on Hb levels (mean±SD:14.39±1.41, adjusted R2:6.2%, p=0.067), FEV1 (94.15±6.93, 5.8%, p=0.074) and FVC (89.68±6.24, 0.5%, p=0.380). However, urinary Pb significantly correlated with decreasing the FEV1/FVC ratio (90.87±3.36, 10%, p=0.026) with the equation y=96.550159.454x even without any obstruction value. Conclusion: This study showed that urinary Pb levels were normal. An increase in urinary Pb levels has a significant effect on decreasing the FEV1/FVC ratio. Prevention to reduce the health impacts of Pb needs to be taken. More research on at-risk populations with longer years of service needs to be done
BARRIER OF REFERRAL–BACK IN SECONDARY HEALTH FACILITIES: PROVIDER AND PATIENT PERSPECTIVES
Authors: Larasati Putu Cindy Elisya Intan , Ulandari Luh Putu Sinthya
Published: December 2024

Background: The referral-back program (RBP) is a program for chronic outpatient patients at hospitals to return to access services at first-level health facilities (Primary Healthcare Centers/ PHC) once their condition has been declared stable by the doctor. However, data indicate that many hospitals and clinics in Denpasar City have not met the RBP target.
Aims: This study aimed to explore the implementation of RBP and the challenges faced by providers and patients.
Methods: Conducted in March 2023, this study used a qualitative approach with in-depth interviews. The sample was determined purposively, consisting of 13 informants. The data were analyzed using the thematic method.
Results: From the provider's perspective, issues included low commitment of medical staff, lack of coordination between the hospital and PHC, limited supply of RBP drugs at the PHC, absence of Standard Operating Procedures (SOPs), and ignorance of notifications regarding potential RBP patients. Moreover, from the patient's perspective, challenges included low patient knowledge about RBP, proximity of the patient's house to the hospital so that patients tend to visit the hospital, difficulty in obtaining RBP drugs at PHC, and ineffective procedures.
Conclusion: To overcome these obstacles, coordination, and improvement of RBP are needed through the preparation of SOPs and determination of RBP patient criteria.
Keywords: barrier, implementation, referral-back program
IMPLEMENTATION OF PRIMARY HEALTH CARE SYSTEM IN COUNTRIES
Authors: Lukito Memo , Gani Ascobat
Published: December 2024

Background: Primary Health Care (PHC) systems are essential for delivering comprehensive and accessible health services globally, focusing on individuals’ and communities’ fundamental health and well-being.
Aims: To assess PHC systems to ensure universal access, regardless of socio-economic status or location, by providing comprehensive services such as illness prevention, treatment, rehabilitation, support, and health promotion.
Methods: This study utilised the PICO framework, with methods and results of this systematic review based on PRISMA guidelines. Articles were identified through an initial generic search in PubMed, ScienceDirect, and Scopus databases.
Results: After the assessment, a total of 18 articles were selected. The following priorities for PHC policy implementation emerged: enhancing collaboration between public and private sectors, improving information sharing through technology and health literacy, establishing quality evaluation systems, and promoting community-based training programs. Identified challenges include workforce shortages, particularly in rural areas, and inadequate coordination between primary and secondary care. Addressing these challenges and focusing on these priorities can lead to better health outcomes and more effective PHC systems.
Conclusion: The Alma-Ata Declaration of 1978 was a transformative milestone in global health. It advocated for "Health for All" through Primary Health Care (PHC). Despite initial challenges, the principles of Alma-Ata have significantly influenced PHC systems worldwide.
Keywords: Country-specific health primary care, health care systems, primary healthcare
reflexive model of social behavior under informational influence
Authors: Horbachov Dmytro , Tereshchenko Ivan
Published: December 2024

This paper proposes a mathematical model of the reflexive interaction of some society groups that can act as passive or active agents of influence. The behavior of a set of active agents aimed at imposing a certain behavior on other groups of society that differ in their response to information influence is studied. It was taken into account that passive agents turn into active ones under the influence. In analyzing the information influence of active agents on passive ones, the internal currency was chosen as the main factor. As a result of the numerical experiment is the changes in the model over time are graphically shown, in particular, discrete and general influence views and efficiency of a given information influence are obtained.
Modern methods for protecting and storing data in computer systems to ensure their fault tolerance
Authors: Yanko Alina
Published: December 2024

The study's relevance stems from the fact that, in today’s world, where digital technologies permeate all areas of life and cyber threats continuously adapt, traditional methods of identifying critical vulnerabilities that rely on internal data often lag behind the evolution of these threats, leaving computer systems critically vulnerable. Ensuring the fault tolerance of computer systems is essential for stability and protection against such threats.
The research methodology includes analyzing modern approaches to ensuring fault tolerance in relation to both hardware and software, utilizing cybersecurity models, redundancy, and data integrity at both the routing and system levels. Reliability was evaluated through theoretical analysis and application of existing technologies, as well as analysis of available system failure statistics based on open data sources.
The main goal of the research was to develop recommendations and practical solutions to enhance the fault tolerance of computer systems through the integration of software and hardware protection methods based on an analysis of existing solutions. The task was to ensure system resilience to hardware-software failures before, during, and after their occurrence, thereby minimizing downtime of the hardware-software complex and data loss.
The research demonstrated that a comprehensive approach provides the best protection, with the ability to identify issues before they arise. This includes component redundancy of both software and hardware types and the implementation of diagnostic and predictive failure systems. Systems equipped with modern anomaly detection methods can respond much faster to potential threats and minimize losses, while hardware systems with active monitoring and automatic switchover to backup components ensure continuity of processes in the event of critical technical failure.
Future technologies, such as using artificial intelligence to analyze system state and predict potential failures, will significantly increase the efficiency and protection of hardware-software systems. However, they currently face compatibility challenges when combined with both legacy and new equipment, limiting their widespread adoption. The results of the research show that systems utilizing a hybrid monitoring approach, combining software and hardware protection, better adapt to changing operating conditions and demonstrate higher fault tolerance.
International Political Processes in North Africa
Authors: Volodina M.
Published: December 2024

Relationships between the states of Maghrib (the Arab North Africa) have always been extremely complicated. Border conflicts in addition to geopolitical rivalry have from time to time created dangerous situations, although actual wars never happened. The article is focused on the analysis of the external policy of the Qaddafi regime in Libya and on the Western Sahara conflict.
A NOVEL OPTIMIZATION APPROACH FOR ENHANCING EFFICIENCY IN AIRCRAFT MAINTENANCE PLANNING AND SCHEDULING
Authors: ICHOU Sally , VERESS Árpád
Published: December 2024

The operational side of aircraft maintenance plays a key role in ensuring smooth workflow and the practiced processes' reliability in aircraft maintenance repair and overhaul (MRO). Correct MRO planning effectively reduces downtime and enhances the overall accuracy and dependability of procedures. An optimal schedule of maintenance resources and capacity, which entails using the least amount of ground time and schedule modifications, can be used to ensure that all activities are completed productively and consistently before their deadlines. This paper delves into the creation of an optimization approach that considers the dynamic environment of aircraft maintenance. The approach deals with a constraint programming (CP) model for heavy maintenance resources and capacity scheduling, in which variables such as scheduled maintenance tasks, ground time, workload distribution, and maintenance due dates are bounded by resources and technicians’ availability. The proposed CP model showed a strong ability to satisfy different constraints and conditions that were introduced in the artificial industrial environment within a short solving time of 3.12 seconds. Thus, it showed promising results in the case of further developments.
SIMULATING VEHICLE-TO-VEHICLE COMMUNICATION AT ROUNDABOUTS
Authors: MACIOSZEK Elżbieta , TUMMINELLO Maria Luisa
Published: December 2024

Smart roads integrate advanced technology to enhance safety, effectiveness, and eco-friendliness, revolutionizing transportation systems. Within this framework, connectivity and automation work together to improve road mobility and energy efficiency. However, there are still uncertainties regarding their effect on road safety and traffic operations, as well as assessment methods, especially for intersections and roundabouts. Navigating roundabouts involves complex decision-making influenced by cooperative and competitive interactions between human-driven vehicles and connected and autonomous driving vehicles (CADVs), affecting gap-acceptance patterns. This research employs Aimsun Next software to simulate the rising market penetration percentages of CADVs by examining assumption-based behavior on single-lane roundabouts. It integrates CADV-based capacity modification factors from the Highway Capacity Manual 2022 and compares adapted capacity curves for CADVs, with simulated capacities for model calibration. Critical model parameters affecting CADVs; ability to enhance roundabout safety and throughput are identified, with a focus on the transition towards cooperative driving in the context of smart roads.
INFLUENCE OF LOAD ON THE BRAKING PROPERTIES OF A SEMI TRAILER TRUCK
Authors: KADIKYANOV Georgi , LYUBENOV Daniel , IVANOV Rosen , NIKOLAEV Petar , STANEVA Gergana , MINKOVSKA Iliyana
Published: December 2024

This paper presents the results of an experimental study of the influence of the mass of the load on the variation of the longitudinal braking deceleration of a semitrailer truck. Data were also obtained on the magnitude of braking decelerations under specific conditions. When investigating road accidents in the conditions of Bulgaria, no data are available in the specialized literature on the maximum braking decelerations of semi-trailer trucks, and the same can be said of the influence of the full mass of the vehicle on the braking properties. Such data are extremely important in expert evaluation of court cases. Traffic safety is one of the main factors for preserving human health and life. Bulgaria has a relatively high number of deaths as a result of traffic accidents among countries in the European Union. Thus, the problem is very relevant for this country. One of the main factors determining traffic safety is the braking properties of vehicles and, more specifically, the braking deceleration.
Localazation of movable singularities of the Blasius equation
Authors: Varin Victor Petrovich
Published: December 2024

We study movable singularities of the Blasius equation in the complex plane. Numerical algorithms of their localization are given that allow to find singularities with high accuracy. All these singularities are equivalent and may be represented by one of them. We obtain an asymptotic expansion in the neighborhood of the singularity in explicit form and compute its coefficients. This power-logarithmic expansion is shown to be convergent and giving a local parametrization of the Riemann surface of the Blasius function.
Avaliação em Educação Física Escolar no ensino fundamental: o que dizem as produções acadêmicas?
Authors: Gesser Verônica , Maia Frederico de Oliveira
Published: December 2024

Este estudo, de caráter qualitativo, caracteriza de que forma são realizadas as práticas avaliativas nas aulas de Educação Física nos anos finais do ensino fundamental. Optou-se como orientação metodológica a revisão sistemática da literatura, no arco temporal de 2019 a 2023 com buscas sendo feitas em bases de dados da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior e da Biblioteca Digital Brasileira de Teses e Dissertações. Foram encontrados onze estudos que após analisados apontam para a necessidade de considerar a especificidade da Educação Física ao avaliar e que muitos docentes ainda encontram dificuldades para avaliar nesse componente curricular. Diante disso, é crucial investir na formação continuada docente, proporcionar melhores condições de trabalho, oferta de materiais pedagógicos adequados e suficientes e remuneração adequada para a carreira. Em suma, é preciso que as práticas avaliativas sejam construídas dentro de uma concepção mais cultural e humanista, visando promover uma educação mais inclusiva, crítica e reflexiva.
PROTECCIÓN DEL LITORAL HONDUREÑO, CAMBIO CLIMÁTICO Y SALUD DEL ARRECIFE MESOAMERICANO
Authors: Trau Rodas Cornelia María
Published: December 2024

The Honduran coastline, with its rich marine biodiversity and position as part of the Mesoamerican Reef, faces serious threats from climate change, pollution, and unsustainable economic activities. This paper examines Honduras’ protected areas, wetlands, and coastal-marine ecosystems, highlighting their environmental importance and critical conservation challenges. It addresses the impacts of illegal fishing, coral bleaching, and poor solid waste management, proposing integrated policies and strategies to mitigate these issues. Community participation, along with effective environmental governance, is essential to protect these vulnerable ecosystems and ensure their long-term sustainability.
MARINE RESTORATION AND BLUE ECONOMY IN THE EUROPEAN UNION AFTER THE APPROVAL OF THE NATURE RESTORATION REGULATION
Authors: Olmos Carbonell Elena
Published: December 2024

Marine ecosystems have a unique value for the life on Earth as they provide multiple services ranging from carbon storage, oxygen generation, excess heat absorption to maintaining biodiversity and directly contributing to human wellbeing. However, these ecosystems are currently in a poor conservation condition with over one-third of mangrove ecosystems being deficient or seriously degraded, the disappearance of over half of all coastal wetlands or with the loss of 13.5% of the global hard coral in a decade. In the face of this situation, the preservation approach is no longer enough, but action is needed to recover these degraded or lost ecosystems. Until now, restoration tended to take place targeting specific interventions but without tracing connections between them. But the biodiversity crisis has evidenced the urgent need to act, and, in the last years, restoration has been integrated in the legislation, both at an international and at a European level. This resulted in the adoption of the supranational legally binding EU Nature Restoration Regulation (NRR) last summer. Nevertheless, the implementation of the NRR depends on the establishment of synergies with other programmes to be materialised. This article argues that for marine restoration, establishing connections with Blue Economy should be mainstreamed. This will be beneficial for the advancement of marine restoration, but most importantly will ultimately be key for achieving the Blue Economy targets: increased economic growth, better livelihoods and ocean health.
Configuraciones de significado sobre identidad sexual del cuerpo académico de una Universidad del Sur de Chile
Authors: Seguel-Arriagada Andrés , Jiménez-Pérez Laura
Published: December 2024

La construcción de la identidad sexual es un proceso dialógico y recursivo que los sujetos (re)construyen a lo largo de su trayectoria de vida. Se compone de la identidad de género, el rol de género, el sexo biológico y la orientación sexual. El objetivo de la investigación se centró en describir la configuración de significado de la identidad sexual desde el discurso activo del cuerpo académico de una institución de educación superior de la región del Biobío que forma educadores. El estudio se sustentó en un enfoque interpretativo-cualitativo y un método fenomenológico hermenéutico. Se utilizó una muestra de 10 participantes, a los cuales se les realizó una entrevista semiestructurada. Los sujetos configuran discursos activos centrados en el desarrollo de su autoconcepto de género. Los roles y las funciones que asumen les exigen responder a las expectativas de la comunidad. En conclusión, la identidad sexual es manifestada como un autoconcepto de género.
Análisis bibliométrico sobre producción científica de asma en Latinoamérica
Authors:   , Gomez Guerra Jorge Luis Alfredo , Chavarri Vargas Karla Antuane
Published: December 2024

Antecedentes: El asma es una patología con alta prevalencia alrededor del mundo, produciendo víctimas fatales cada año. Afecta distintos grupos etarios variando según sexo y edad. En Latinoamérica se identifican diferentes factores que pueden dificultar la adherencia al tratamiento y propiciar crisis, esto hace a la región adecuada para su evaluación. Objetivo: Realizar un análisis bibliográfico sobre el asma en Latinoamérica. Metodología: Se realizó un estudio descriptivo que evalúa la producción científica sobre asma en Latinoamérica utilizando las plataformas Scopus y SciELO para la recuperación de archivos publicados entre 2003 y 2022. Resultados: Se obtuvieron 3041 documentos en Scopus y 592 documentos en SciELO. En ambos repositorios los artículos originales (2379 y 478) y las revisiones (379 y 43) fueron los tipos de documentos más publicados. El mayor productor fue Brasil con 1538 en Scopus y 406 en SciELO y la revista con mayor número de publicaciones fue el Jornal Brasileiro de Pneumologia con 169 artículos en Scopus y 164 artículos en SciELO. Conclusión: El presente análisis bibliométrico muestra el panorama de los últimos 20 años en investigación sobre el asma en Latinoamérica, donde la producción científica ha aumentado progresivamente, siendo Brasil el país con mayor productor científica, seguido de México y Chile.
Ecosystem style of thinking in economic analysis: principle of unity of the continuous and the discrete
Authors: Karpinskaya V. A.
Published: December 2024

Objective: to substantiate the unity of the discrete and the continuous in the socio-economic ecosystems theory development.

   Methods: system economic theory; the theory of the system structure influence on the changing homogeneity of the intraecosystem space-time; the systemic-integrational theory of an enterprise; the principle of complementarity.

   Results: the article substantiates the expediency of introducing the “ecosystem style of thinking” concept into scientific circulation. It is shown that the basic principle of the ecosystem style of thinking is the principle of complementarity, expressed as the unity of the continuous and the discrete. This principle is due to the inherent characteristic of the ecosystem – a combination of continuity and discreteness of its intra-ecosystem space-time (in particular, a combination of homogeneity and diversity of relationships between ecosystem participants). In order to form methods for determining the qualitative relationship between the ecosystem homogeneity and heterogeneity, the author proposes a typology of relationships between ecosystem participants, formed on the basis of the systemic-integrational theory of an enterprise. The paper substantiates the importance of a rational correlation of the homogeneity and diversity of the ecosystem space-time for the ecosystem functioning and for identifying the imbalances in the ecosystem spatiotemporal development.

   Scientific novelty: It was found that the main characteristic of the ecosystem style of thinking is the principle of unity of the continuous and the discrete in economic analysis. The author concludes that the ecosystem style of thinking is based on the post-non-classical style of thinking as interpreted by V. S. Stepin. The article proposes a typology of the economic analysis principles and substantiates the typology of relationships in the ecosystem based on the system integration theory of an enterprise. The author draws attention to the need for a rational balance between homogeneity and diversity in the ecosystem relationships for its functioning.

   Practical significance: the research expands the arsenal of objective methods for studying economic phenomena and processes by applying the ecosystem approach principles.
Comparative analysis of meso-level strategies: region, industry, corporation
Authors: Kobylko A. A. , Rybachuk M. A.
Published: December 2024

Objective: to identify the features of strategies of various entities at mesoeconomical level: territorial systems (regions), industries and large corporations (ecosystems) based on a comparative analysis of their structure, key elements and attributes.

   Methods: a structural approach to strategic documents at the macro-, meso- and microlevels, comparative analysis and synthesis, review of theoretical research and practice of strategy formation and implementation.

   Results: the article defines the features of strategy formation at the regional, industry and corporate levels. The author states that the key difference between regional and sectoral strategies is a long planning horizon, while corporate strategies are more often subject to adjustment. The article shows that the strategies of mesoeconomical level entities have a number ofsystemic problems related to their formation and implementation. It was found that due to the variability and turbulence of environmental conditions, the entities at meso-level are forced to constantly adjust their strategies, while corporate strategies, unlike regional and sectoral ones, are not limited by the top-level strategy. The author reveals the shortcomings of interaction and coordination (institutional vacuum) of strategies of macro-, meso- and micro-level entities in terms of coherence and coordination of actions in long-term planning.

   Scientific novelty: it consists in applying a structural approach to the analysis of strategies of meso-level entities, comparing them and identifying common features and differences in approaches to their formation and implementation.

   Practical significance: it consists in the developing applied methods for the formation and implementation of strategies and improving the effectiveness of strategic planning at the mesoeconomical level.
Directions of emerging structural changes in the use of biometric data in Russia
Authors: Seliverstova N. S.
Published: December 2024

Objective: to identify the emerging structural changes in the use of biometrics in Russia, namely the multiple growth of market participants and brands, the multiple growth of the number of biometrics samples in a single biometric system, and the multiple growth of market volume and institutional design of biometrics use in Russia.

   Methods: general scientific, abstract-logical, dialectical, phenomenological methods, observation, description.

   Results: the article describes approaches to the use of biometric data in some regions of the world, identifies the risks and potential benefits of wider use of biometric data, summarizes the main trends in the use of biometric personal data in Russia, presents a comprehensive author’s approach to the analysis of structural changes in the economy, taking as an example thedevelopment of solutions using biometric personal data for the identification of individuals.

   Scientific novelty: the author proposes to consider the formation of structural shift by identifying its four components and qualitatively assessing their level of formation (low, medium, and high); shows the formation of macro-shifts from micro-level initiatives and sequential passage of the stages of specific structural changes, complex micro-shifts, institutionalization andconsolidation of new practices. In addition, the process of implementation of structural shifts from the macro- to the micro-level is traced, which consists in the changes more widely covering economic agents compared to the stage of a structural shift formation. All this constitutes a comprehensive author’s approach to the regularities of the structural shifts developmentin the economy.

   Practical significance: clarification of interrelations between the processes of structural change will improve the programs of socio-economic development of regions, industrial policy for medium- and high-tech industries through the use of modern technological methods of identification and authentication of customers and employees with biometrics. It may also create a basis for deepening the existing knowledge in the development of biometric technologies in Russia and expanding the practice of their application.
Providing digital security of healthcare system with criminal-legal means
Authors: Shutova A. A.
Published: December 2024

Objective: to form a theoretical concept of criminal-legal protection of digital healthcare by identifying the key criminal risks; to perform a terminological analysis of the concept of “digital security of the healthcare system” and to analyze the possibility of its use in legal theory and practice.

   Methods: the article uses the universal dialectical method of cognition, as well as general scientific (analysis, synthesis, induction, deduction) and specific scientific (formal-legal) methods of research.

   Results: based on the conducted research, the key criminal risks and trends of digital healthcare were identified; legal and terminological analysis of the concept of “digital security of the healthcare system” was performed. The author has formulates the definitions of such concepts as “digital security of the healthcare system”, “ensuring digital security of the healthcare system” and “digital threat”, and reveals a set of reasons for legal regulation of digital security of the healthcare system.

   Scientific novelty: the author has developed a theoretical concept of criminal-legal protection of digital security of the healthcare system, which includes three groups of elements: key criminal risks in healthcare digitalization (risks arising in the circulation of digital information in the healthcare system; risks inherent in medical devices based on digital technologies; risks of critical information infrastructure in the Russian Federation); legal and terminological apparatus of digital securityof the healthcare system; factors that determine the need for legal regulation of digital security of the healthcare system by criminal-legal means (digitalization of healthcare; risks of hacking or unauthorized access to medical devices based on digital technologies; workload of medical workers; increased social danger of unlawful encroachments in the field of digitalhealthcare, etc.).

   Practical significance: the proposals and conclusions of the study can be used to improve criminal legislation and practice of its application, as well as to form a scientific basis for interdisciplinary research at the intersection of criminal law science and digital technologies.
Vehicle routing optimization for perishable goods to develop a sustainable supply chain in the Bangladeshi emerging markets: An integrated location inventory model
Authors: Lingkon Md. Limonur Rahman , Dash Adri
Published: December 2024

In emerging economies, there has been a growth in the demand for perishable goods. The perishability of items, however, presents significant difficulties for businesses trying to establish an inaugurated supply chain. In this work, we provide an integrated location-inventory-routing model for perishable goods that considers product freshness and carbon emissions. First, an analysis is conducted on the perishable items' economic cost, freshness, and carbon emission levels. Second, a model of multi-objective planning is constructed to obtain the lowest economic cost and carbon emissions as well as the maximum freshness of the product. Based on the real location-inventory-routing scenario, limitations are formed. Third, the model is solved using the YALMIP toolkit, yielding the best answer to this challenging multi-objective issue. Lastly, the case study and the sensitivity of the vehicle speed to the outcomes confirm the viability and efficacy of the suggested approach. From the standpoint of global optimization, it is shown that the integrated model presented in this study can significantly improve the efficiency of the supply chain management of perishable goods. That vehicle speed may significantly affect carbon emissions and associated costs.
Prevalence and molecular epidemiology of carbapenem resistance in Asia: A systematic review and meta-analysis
Authors: Jayathilaka Nishadi , Denagamagei Shehana , Nakkawita Dilini , Senaratne Thamarasi
Published: December 2024

Background
Carbapenems are a group of last-resort antibiotics used to treat serious life-threatening infections. The emergence of resistance to carbapenems is a major public health threat. However, comprehensive information on the prevalence and molecular epidemiology of carbapenem resistance (CR) among Asian countries is lacking. Therefore, we aimed to determine the prevalence of CR and associated molecular determinants quantitatively among Asian countries.
Methods
In this systematic review and meta-analysis, we searched published reports in electronic databases such as PubMed, ScienceDirect, the Cochrane Library and Web of Science from 1st of January 2014 to 31st of January 2024 that fulfilled these criteria; original studies conducted in Asian countries, including clinical isolates, and published in English. Data extraction and risk of bias assessment was performed by two independent reviewers. The pooled prevalence of CR with a 95% confidence interval (CI) was computed with a random effects model. Heterogeneity across studies was determined by I2. The geographical location, income level, publication year and sample size were analysed as subgroups.
Results
We identified 2518 eligible studies, of which 37 assessed the CR prevalence data of 10,433 patients. The pooled prevalence (PPr) of CR was 31.3% (95% CI; 0.22 to 0.40; I2 = 99.9%; P = 0.00). A trend of CR incidence was observed from 2004–2023, with PPr values ranging from 7.4–50.6%. Variation in the distribution of CR genes was observed, with blaNDM being the most common gene, followed by blaOXA and blaKPC. Univariate meta–regression analysis indicated that geographical location, income level, publication year and sample size did not significantly affect heterogeneity (p < 0.05).
Conclusion
The results suggest that surveillance of CR among Asian countries is essential to reduce the burden of antibiotic resistance. Mitigating the impact of CR infections will safeguard the efficacy of carbapenems for future generations and reduce further dissemination of CR genes.
Systematic review registration:
This review is registered at PROSPERO (CRD42024515806).
Insights into the Biology and Insecticide Susceptibility of the Secondary Malaria Vector Anopheles parensis in an Area with Long-term Use of Insecticide-Treated Nets in North-Western Tanzania
Authors: Mapua Salum Abdallah , Nambunga Ismail Hassan , Odero Joel Ouma , Mkandawile Gustav , Masalu John Paliga , Kahamba Najat Feruz , Hape Emmanuel Elirehema , Matowo Nancy Stephen , Tripet Frederic , Okumu Fredros Oketch
Published: December 2024

Background
The Anopheles funestus group includes at least 11 sibling species, with Anopheles funestus Giles being the most studied and significant malaria vector. Other species, like Anopheles parensis, are understudied despite their potential role in transmission. This paper reports unusually high densities of An. parensis in north-western Tanzania, along with field observations on its biology and insecticide susceptibility.
Findings:
Mosquitoes were collected in three villages in Misungwi district, north-western Tanzania using CDC light traps and battery-powered aspirators indoors and human-baited double net traps outdoors. Female Anopheles adults were morphologically sorted and identified by PCR, and a subset tested by ELISA for vertebrate blood meal sources and Plasmodium sporozoite infections. Insecticide susceptibility was assessed using WHO protocols. Unfed females were dissected to assess parity, gonotrophic status and insemination status, while blood-fed females were monitored for oviposition to estimate egg counts. The prevalence of Anopheles parensis was generally below 24% across all sites, except in Ngaya village, where it unexpectedly constituted 84% of PCR-amplified An. funestus s.l.. This species was present in both indoor and outdoor collections, yet the females exclusively fed on non-human vertebrates, with no human blood meals detected. Parity rates were approximately 49% for resting and 46% for host-seeking females, with slightly higher percentages of both parous and inseminated females in the dry season compared to the wet season. Most parous females had oviposited once or twice, with those in the dry season ovipositing significantly more eggs. The average wing length of female An. parensis was 2.93 mm; and there was no significant impact of body size on parity, fecundity, or insemination. The An. parensis mosquitoes were fully susceptible to pyrethroids, carbamates, organophosphates, and organochlorides.
Conclusion
This study offers insights into the behaviors and insecticide susceptibility of An. parensis. Primarily feeding on non-human hosts, An. parensis is less significant in malaria transmission than more anthropophilic vectors. Unlike the pyrethroid-resistant An. funestus s.s., An. parensis remains fully susceptible to public health insecticides, despite the use of insecticidal bed nets. These findings provide a foundation for future research and may inform control strategies targeting residual malaria transmission involving An. parensis.
Pooled Estimates of stillbirth in Ethiopia: Systematic review and Meta-analysis, 2013-2024.
Authors: Ahmed Ahmed Tahir , Abdilahi Mohamed Arab , Abas Abdilahi Haji , Ali Habon Bade
Published: December 2024

Background
Stillborn babies are those that are born with no signs of life at or after 28 weeks of gestation or weighing more than 1000 grams. The tragedy that is overlooked in the global agenda and policies is neglected. It is more common in Ethiopia despite routine maternal and child interventions. Pocket studies have been conducted with different estimates across countries, but no pooled studies exist. Thus, this study aims to better understand stillbirth in Ethiopia and inform policy makers and program implementers.
Methods
A systematic review and meta-analysis was performed between 2013 and 2024 by adhering to the PRISMA guidelines and exhaustively searching for outcomes of interest in different databases, such as PubMed/Medline, Science Direct, HINARI, SCOPUS and Google Scholar. Data selection, extraction and quality assessment were performed by two authors independently. The I2 test statistic was used to test heterogeneity among studies, and a random-effects model was used for pooled stillbirth estimation. Subgroup analysis was also performed to address heterogeneity among studies. Zotero was used for cleaning and study selection, whereas all the statistical analyses were performed with Stata version 16 software.
Result
Among a total of 997 studies found in databases, 16 studies were included in the analysis. The overall pooled magnitude of stillbirth is 90 per 1000 births 95% CI (7–12) in Ethiopia. Subgroup analysis revealed discrepancies in rates across regions, study years and settings. Subgroup analysis revealed that recent studies (2020–2021) have a greater magnitude of stillbirth, with 12 per 1000 births within the 95% C range (5–19), than earlier studies (2013–2019), with 8 within the 95% CI range (6–10).
Conclusion
The pooled magnitude of stillbirth is much greater in Ethiopia Compared with the global target rate of 12, which is set for 2030. It is also higher than in African countries. The stillbirth rate is also increasing over time in the country. The review informs policy makers and program implementers concerning the burden and negligence of stillbirth in the country despite its far-reaching effect on the mental health of mothers. Policy makers and health actors should adjust and improve the quality of maternal health services, including maternal perinatal death surveillance, and respond with a special focus on stillbirth to reach the global target.
A novel prognostic score for endometrial cancer patients undergoing lymphadenectomy
Authors: Maehana Tomoka , Kawahara Naoki , Kamibayashi Junya , Matsuoka Motoki , Waki Keita , Kawaguchi Ryuji , Kimura Fuminori
Published: December 2024

Background
Recently, there have been an increasing number of reports on the association between inflammatory markers and the prognosis of malignant tumors. However, the current inflammatory indicators have limited accuracy. We aimed to develop a new scoring system for predicting endometrial cancer recurrence using inflammatory markers, tumor markers, and histological diagnoses.
Methods
Patients with primary, previously untreated, and suspected endometrial cancer who underwent surgery at the Nara Medical University Hospital between January 2007 and December 2020 were included and followed up until March 2024. Items were divided into positive and negative using scores based on cutoff values and placed into the new scoring system, the endometrial tumor-related (ETR) score.
Results
We found that positive postoperative histological examination of lymph node metastasis and myometrial invasion, high levels of carcinoembryonic antigen and D-dimer in preoperative blood tests, and a large difference in preoperative and postoperative white blood cell counts were significantly associated with recurrence. The prediction of recurrence sensitivity and specificity using the ETR score were superior to those using the International Federation of Gynecology and Obstetrics staging system, which is considered the best prognostic factor for survival.
Conclusions
The ETR score is a significant prognostic marker of recurrence in patients who have undergone lymphadenectomy, with complete surgical tumor removal.