bluuebunny/crossref_metadata_2025 huggingface dataset:
Thermoformed products from high-density polyethylene and Softwood kraft pulp
Authors: Desnoes Eric , Deshaies Pascale , Bideau Benoit , Rubiano Jorge
Published: May 2024

Plastic recycling, waste minimization such as process outfall valorization promotes a circular economy. Herein, food trays have been produced in the moulded pulp thermoforming process. To this end, high-density polyethylene (HDPE) outfall has been dispersed in water via Poly vinyl alcohol (PVA) addition in a Northern Bleached Softwood Kraft Pulp (NBSKP) slurry. Samples physical and mechanical properties have been evaluated. With an increasing HDPE content, parts air permeability was drastically reduced to a minimum of 2.4 ± 0.8 mL min−1. In addition, water and grease hold out properties have been increased with minimum water Cobb1800 value of 10.9 ± 5.4 gm−2 and oil Cobb1800 value of 13.18 ± 6.5 gm−2. Samples with high HDPE content demonstrated hydrophobic surface with water contact angle value above 90°. HDPE melting and binding to wood pulp fibers was monitored by SEM images. Regarding the mechanical properties, HDPE induced plastic deformation with a reduced Young modulus by 17 %. Moreover, the addition of HDPE increased wet strength by 81 %. However, the produced food tray composites with high HDPE content demonstrated low repulpability index.
Multilingualism as right and choice: A case study of Slovene speakers in Northeast Italy
Authors: Grgič Matejka
Published: May 2024

This article is based on a case study of Slovene speakers in north-western Italy and their attitudes towards language use and policy. Although the legal protection and support for the development of minority, regional, and non-dominant languages in Europe have made a remarkable progress, minority language communities still face many serious challenges. On the one hand, the level of their respective legal protection is often not efficient enough. On the other hand, legal protection provides only formal conditions for language maintenance, which has nothing to do with motivation, proficiency, or improvement. Today, most minority speakers in Europe are allowed and encouraged to use their home language in the public; but the question is whether they are motivated to do so. By studying the speakers of Slovene in Italy, my aim is to point at importance of colloquial local and non-local (koiné) varieties in maintaining minority language and bilingualism.
Language in post-Yugoslav Montenegro: An unstable complex of contested values
Authors: Henzelmann Martin
Published: May 2024

This study highlights the language issue in Montenegro and demonstrates why language in the country represents an unstable and negotiable complex of values. First, it introduces some theoretical aspects that explain how a value can be attributed to a language. Second, it traces the circumstances under which Montenegro developed into an independent state after 1991, as well as the impact this had on the issue of language in the country. Third, the causes of fluid language identities are explained before focusing on an evaluation of the academic debate on the language issue. This debate has generated two antagonistic currents, and their respective value-driven principles are exemplified. The study concludes with an analysis of why the conflation of social opinion and scholarly viewpoints has resulted in Montenegro being the only country in the former Yugoslavia today where no causal relation between glottonym and ethnonym can be discerned.
Contemporary Croatian future II: a tense or a mood?
Authors: Benić Mislav
Published: May 2024

This paper seeks to determine the place of contemporary standard Croatian future II in the verbal system and to define its meaning more accurately. What applies to Standard Croatian is assumed to apply to the majority of Štokavian and Čakavian dialects as well. While the primary focus of this work is modern future II, some of its older meanings are mentioned briefly in Section 4. Modern Croatian future II is peculiar in several ways, due in part to its unclear place in the verbal system: some linguists treat it as a tense (i. e. as an indicative tense), others as a mood (i. e. as a non-indicative tense). This paper attempts to resolve that disagreement by comparing future II with future I in similar contexts. The difference between the two future forms is difficult to interpret as a difference between categories but, in any case, it is modal rather than temporal. In that sense, future II functions as an ‘oblique’ mood in relation to future I, which belongs to the indicative. Whereas future I refers to a future process anchored in the present, future II refers to one that is not. The anchoredness of a future process in the present is understood chiefly as a relatively concrete concept: one that increases the conviction that a process will be realised. The non-indicativity of future II is also corroborated by the situation in languages that use the subjunctive to express the future II meanings. Future II as an oblique mood, whether formed using the l-participle or the infinitive, is a logical consequence of its development from earlier indicative forms.
Egda žena otročęmь xoditъ. On the 5th prescription in the Old Church Slavic Folia medicinalia
Authors: Wandl Florian , Szeptyński Rafał
Published: May 2024

The interpretation of prescription No 5 of the Old Church Slavic Folia medicinalia crucially depends on the reading of the two phrasemes otročęmь xoditъ and ne puštaetъ sę kry. In this paper, we present hitherto unnoticed evidence from East and West Slavic that confirms the earlier reading of otročęmь xoditъ as ‘is pregnant’. As for the second phraseme, we explore both a middle (‘blood does not release’) and a passive reading (‘blood is not let’). Invoking philological evidence from ancient and medieval sources, we conclude that both readings allow for plausible interpretations. We suggest that regardless of whether the middle or the passive reading is preferred, the purpose of prescription No 5 can be identified with providing cleansing of the female body during pregnancy. Finally, we discuss the ingredients occurring in the prescription. We conclude that existing identifications of the phytonym *osъtъ are problematic and suggest that the characteristics of the plant described in the prescriptions as well as the adjective attribute velikъi could provide clues for identifying it in future research.
justicia del Santo Oficio en Nueva España. De curanderas a hechiceras supersticiosas
Authors: Hernández Guzmán Cynthia Gabriela , Granados Macías Claudio Antonio
Published: May 2024

El Tribunal del Santo Oficio se instaura en Nueva España como un órgano vigilante y defensor de la fe católica y las buenas costumbres, a diferencia de su funcionamiento en Europa, el tribunal en América dejó fuera de su jurisdicción a los indios, los que quedaron bajo la protección de la jurisdicción eclesiástica como nuevos cristianos. En los asuntos atendidos durante el virreinato el Santo Oficio persiguió mayormente herejías, apostasías, blasfemias, hechizos y supersticiones, siendo muy frecuente las denuncias en contra de curanderas supersticiosas. Aunque deplorado por la población al final del periodo colonial, lo cierto es que el tribunal de la fe en México impuso sanciones mesuradas atendiendo a la punibilidad aplicada en la jurisdicción criminal.
How Could We Prevent the Threatening of Falls to the Elderly?
Authors: Sonobe Haruhiko
Published: May 2024

Falls among the elderly population can have serious and potentially life-threatening consequences. To prevent such incidents, a multi-faceted approach must be implemented within the healthcare system. Firstly, healthcare providers should conduct routine screenings for fall risk factors, such as muscle weakness and balance issues, during regular check-ups. Additionally, implementing regular exercise programs that focus on improving strength and balance can help reduce the likelihood of falls. Assessing and modifying the home environment to remove potential hazards, such as uneven flooring or inadequate lighting, is also crucial in preventing falls. Furthermore, educating both the elderly individuals and their caregivers about fall prevention strategies is essential. By combining these efforts with proper medication management and regular vision checks, we can effectively decrease the threat of falls among the elderly population and improve their overall quality of life.
Non-Alcoholic Fatty Liver Disease and the Risk of Future Hepatocarcinoma
Authors: Scholten Arnd
Published: May 2024

Non-alcoholic fatty liver disease (NAFLD) is a common chronic liver condition characterized by excess fat accumulation in the liver in the absence of significant alcohol consumption. While NAFLD itself is generally considered benign, it can progress to more severe forms such as non-alcoholic steatohepatitis, which can ultimately lead to liver cirrhosis and hepatocarcinoma, a type of liver cancer. The risk of developing hepatocarcinoma in individuals with NAFLD is considerably higher than in the general population. Factors such as obesity, diabetes, insulin resistance, and inflammation contribute to the development and progression of NAFLD and its subsequent transformation into hepatocarcinoma. Regular monitoring, lifestyle modifications, and timely treatment of co-existing conditions are crucial in mitigating the risk of hepatocarcinoma among patients with NAFLD. Further research into the underlying mechanisms linking NAFLD to hepatocarcinoma is essential for developing effective preventive strategies and treatments for this increasingly prevalent condition.
A Comprehensive Analysis of Fall Risk and Prevention
Authors: Dudás Viola
Published: May 2024

Fall prevention is a crucial component of healthcare, particularly for older adults and individuals with specific medical conditions. Understanding the significance of fall prevention and recognizing the various risk factors associated with falls are essential in developing effective strategies to mitigate this public health concern. This comprehensive review aims to explore the multidimensional aspects of fall prevention, from assessing individual fall risks to implementing interventions and evaluating the efficacy of fall prevention programs. By delving into the latest trends, innovative technologies, and collaborative approaches in fall prevention, this article seeks to provide valuable insights for healthcare professionals, caregivers, and policymakers in enhancing the safety and well-being of individuals at risk of falls.
Left-behind Children in Chinese Urban Areas
Authors: Tian Jiaqi
Published: May 2024

“Left-behind children” are a pronounced social issue in China. Colossal attention has been paid to left-behind children in Chinese rural areas. However, as its economy advanced, the issue also surfaced in urban areas. Compared with their rural counterparts, urban left-behind children face more complicated psychological challenges and social pressures, which have the potential to negatively affect their physical and mental growth as well as their future social integration. This article focuses on delineating the special characteristics of urban left-behind children and looking into the issues confronting them and the factors contributing to their predicament.
Yield and chemical composition in Arapaima gigas fillets, reuse of by-products for flour make and quality of vegetable tannin-tanned leathers
Authors: Dantas-Filho Jerônimo Vieira , Corrêa Stefane Santos , Oliveira Gislaine Gonçalves , Coradini Melina Franco , dos Reis Goes Elenice Souza , Feihrmann Andresa Carla , Gasparino Eliane , Matiucci Marcos Antônio , de Almeida Fernanda Losi Alves , da Silva Adriana Ferreira , Parisi Giuliana , Cama Jorge Luís Vidal , Schons Sandro de Vargas , García-Núñez Ricardo Ysaac , da Silva Francisco Carlos , Cavali Jucilene Braitenbach , de Souza Maria Luiza Rodrigues
Published: May 2024

Objective: The aimed of this study was to evaluate the yield and chemical composition of paiche (Arapaima gigas) fillets and use of head and spine for elaboration of flour and quality of the skins tanned with vegetable tannin. Main Body: Therefore, different flours were developed and evaluated in terms of chemical composition, minerals, fatty acid and amino acid profile, pH, Aw, colorimetry, granulometry and microbiology. Paiche evaluated had 12.61 kg and 120.5 cm in total length, with a skinless fillet yield 44.56%, totaling 55.44% of filleting by-products. Among these, there was possibility of using the spine 16.17%, head 16.49% and skin 16.81%. The fillets had 71.41% moisture, 20.34% protein, 5.58% lipids and 1.05% minerals. Natural flour was obtained from spines and heads, with an average yield 15.48%, and the spine flour had better nutritional value, containing 54.42% of protein and 7.24% of lipids, in addition to lower Aw 0.27, despite head flours having higher levels of calcium and phosphorus. Spine flour showed a more reddish color and smaller granulometry, where the Mean Geometric Diameter (MGD) was 0.24%, making its inclusion in food products easier. Leathers have higher tensile strength 13.85 N mm-2 and elasticity 86% in transverse direction. The skins within the by-products generated can tanned with vegetable tannin, shown high quality resistance and being able to used for making clothes, bags and shoes, adding a substantially high economic value to products.
Fuzzing of Polymorphic Systems within Microsevice Structures
Authors: Yurev Artemiy Sergeevich
Published: May 2024

Today fuzzing (fuzzing-testing) is the main technique for testing software, systems and code functions. Fuzzing allows identify vulnerabilities or software failures. However, this practice may require the large resources involvement and network performance in large organizations where the number of systems may be large. Developers and information security specialists are simultaneously required to comply with time-to-market deadlines, requirements of various regulators and recommendations of standards. In current paper is proposed new fuzzing method, which is designed to solve the problem above. In current aproach is proposed use fuzzing testing for whole computing network at ones in large organizations if them operate with microservices. Polymorphic systems in this paper are understood like systems that consist of various API (Application Programming Interface) functions that operate with various types of data, not within single software, but inside subsystems with a set of several microservices. In this case, a lot of various network protocols, data types and formats can be used. With such a variety of features, there is a problem of detecting errors or vulnerabilities inside systems, beacause debugging or trace interfaces are not always developed in the microservice softwares. So, in this paper it is proposed to use also the method of collecting and analyzing statistics of time intervals of processing mutated data by microservices. For fuzzing tests, it is proposed to use mutated lists of exploit payloads. Time analyzing between client-server requests and the responses helps to identify patterns that showed the presence of potentially dangerous vulnerabilities. This paper discribes fuzzing of API functions only in the HTTP protocol (Hypertext Transfer Protocol). Current approach does not have a negative impact on the effectiveness of development or deadlines. Methods and solution described in the paper are recommended to be used in large organizations as an additional or basic information security solution in order to prevent critical infrastructure failures and financial losses.
Research Trends and Recommendations for Future Microservices Research
Authors: Stojanov Zeljko , Hristoski Ilija , Stojanov Jelena , Stojkov Aleksandra
Published: May 2024

Microservices are the most promising direction for developing heterogeneous distributed software systems capable of adapting to dynamic changes in business and technology. In addition to the development of new software systems, the migration from legacy monolithic systems to microservice architectures is also a prominent aspect of microservices use. These trends resulted in an increasing number of primary and secondary studies on microservices, stressing the need for systematization of research at a higher level. The objective of this study is to comprehensively analyze secondary studies in the field of microservices with objectives to inquire about publishing trends, research trends, domains of implementation, and future research directions. The study follows the guidelines for conducting a systematic literature review, which resulted in the findings derived from 44 secondary studies. The study findings are structured to address the proposed research objectives. Recommendations for further literature reviews relate to the improvement of quality assessment of selected studies to increase the validity of findings, a more detailed review of human and organizational factors through the microservices life cycle, the use of social science qualitative methods for more detailed analysis of selected studies, and inclusion of gray literature that will bring the real opinions and experiences of experts from industry.
Therapeutic effects of oral benzoic acid application during acute murine campylobacteriosis
Authors: Du Ke , Mousavi Soraya , Foote Minnja S. , Bereswill Stefan , Heimesaat Markus M.
Published: May 2024

Serious risks to human health are posed by acute campylobacteriosis, an enteritis syndrome caused by oral infection with the food-borne bacterial enteropathogen Campylobacter jejuni. Since the risk for developing post-infectious autoimmune complications is intertwined with the severity of enteritis, the search of disease-mitigating compounds is highly demanded. Given that benzoic acid is an organic acid with well-studied health-promoting including anti-inflammatory effects we tested in our present study whether the compound might be a therapeutic option to alleviate acute murine campylobacteriosis. Therefore, microbiota-depleted IL-10−/− mice were perorally infected with C. jejuni and received benzoic acid through the drinking water from day 2 until day 6 post-infection. The results revealed that benzoic acid treatment did not affect C. jejuni colonization in the gastrointestinal tract, but alleviated clinical signs of acute campylobacteriosis, particularly diarrheal and wasting symptoms. In addition, benzoic acid mitigated apoptotic cell responses in the colonic epithelia and led to reduced pro-inflammatory immune reactions in intestinal, extra-intestinal, and systemic compartments tested on day 6 post-infection. Hence, our preclinical placebo-controlled intervention trial revealed that benzoic acid constitutes a promising therapeutic option for treating acute campylobacteriosis in an antibiotic-independent fashion and in consequence, also for reducing the risk of post-infectious autoimmune diseases.
Prediction of Indonesian Inflation Rate Using Regression Model Based on Genetic Algorithms
Authors: Dharma Faisal , Shabrina Shabrina , Noviana Astrid , Tahir Muhammad , Hendrastuty Nirwana , Wahyono Wahyono
Published: May 2024

Inflation occurs where there is an increase in the price of goods or services in general and continuously in a country. Uncontrolled inflation will have an impact on the decline of the Indonesian economy. Therefore, the prediction of future inflation levels is necessary for the government to develop economic policies in the future. Prediction of inflation levels can be done by studying historical past Consumer Price Index (CPI) data. Regression methods are often used to solve prediction problems. The problem of finding the optimal prediction model can be seen as an optimization problem. Genetic algorithms are often used to deal with optimization problems. Thus, this work proposed to use a genetic algorithm-based regression model for predicting inflation levels. The model was trained and evaluated using real CPI data which obtained from the Indonesian Central Bank. Based on the experiment, it is proved that the proposed model is effective in predicting the inflation level as it gains MSE of 0.1099.
Economic Impact of Sacred Rituals: The Cyclical Relationship in the Towani Tolotang Community
Authors: Tarumingi Denny Adri , Lopulalan Dortje L. Y. , Zulkifli Zulkifli , Kadir Syahruddin
Published: May 2024

This study investigates how the Towani Tolotang people express their religious and social values through traditional and special rituals related to their economy. This qualitative research utilises a phenomenological approach through observations, interviews, and literature studies. The findings reveal that the rituals performed by the Towani Tolotang community, such as Molalaleng, Mappaenre Inanre, Sipulung, and Mattampung, aim to obtain protection, happiness, and economic strength. These rituals involve offerings to Dēwata SeuwaE and are crucial in maintaining unity, harmony, and economic stability within the community. Through these rituals, which involve the use of new clothes and other economic activities, a significant contribution to the local economy is evident. The cultural identity displayed by the Towani Tolotang community encompasses positive values such as mutual respect, simplicity, and self-worth, which strengthen the nation's character and promote social harmony. This study contributes to understanding the socio-economic impact of traditional rituals and highlights the role of cultural practices in promoting economic resilience and social cohesion.
Inteligencia Artificial (de)generativa: Sobre la imposibilidad de que un sistema de IA tenga una experiencia moral
Authors: Serafim Mauricio-C. , Bertoncini Ana-L.-C. , Ames Maria-Clara , Pansera Deividi
Published: May 2024

La Inteligencia Artificial (IA) plantea problemas éticos. Este artículo aborda la Ética de la IA, centrándose en la agencia moral artificial (AMA), con el propósito de investigar si la IA puede tener una experiencia moral. Argumentamos que la IA carece de la capacidad intrínseca que proporciona la libertad para la agencia moral. Empleando enfoques cibernéticos y la teoría de sistemas, llegamos a la conclusión de que la IA emula los "principios de juicio" adhiriéndose a normas extrínsecas, lo que pone de relieve la necesidad de reflexionar sobre el AMA y sus repercusiones sociales.
Vladimir LOSSKY, Teología dogmática, Madrid: Cristiandad («Pensamiento y teología»), 2022, 182 pp., 14 x 22, ISBN 978-84-7057-674-4.
Authors: Blanco Pablo
Published: May 2024

Book Review
Karol WOJTYLA, Jeremías. Drama nacional en tres partes, texto bilingüe, edición y estudio preliminar de Carmen Álvarez Alonso, Madrid: Didaskalos, 2023, 281 pp., 15 x 21, ISBN 978-84-19431-16-5.
Authors: Chica-Arellano Fernando
Published: May 2024

Book Review
Jerónimo de Mendieta, escritura minoritaria y retrospección sobre el escándalo de la cristiandad en el Caribe
Authors: Díaz-Balsera Viviana
Published: May 2024

Este artículo trata sobre el primer libro de la Historia eclesiástica indiana del fraile español Jerónimo de Mendieta, desde la perspectiva teórica del discurso minoritario colonial. Terminada en 1596, y aunque bien conocida como documento histórico sobre la empresa franciscana en México, Mendieta dedica el primer libro del texto a las primeras cinco décadas de colonización en la isla de Haití, llamada La Española por los invasores. Desde la ambivalencia angustiosa de su discursividad minoritaria, su visión retrospectiva de fin de siglo, y con cierta aspiración de performatividad expiatoria, en este primer libro Mendieta reafirma y reinterpreta el escándalo infamante del cristianismo desatado por el colonialismo español en el Caribe. Así, el artículo expone la importancia del poco estudiado primer libro de la Historia eclesiástica indiana como una aportación elocuente y significativa que debe ser considerada parte integral del archivo colonial caribeño.
Factors Influencing Social Participation of Older People in Russia: Study of Practices of Delayed Ageing
Authors: Grigoryeva Irina A. , Parfenova Oksana A. , Vidiasova Lyudmila A.
Published: May 2024

The article presents the results of a study of the social participation of Russian citizens aged 60 and over. The analysis is based on the concept of extended adulthood or delayed ageing, which is a continuation or development of “active ageing.” Extended adulthood is understood from a sociological perspective as the preservation of the social status and role of an independent person participating in the life of society. Our main research question is “What factors and how do they influence the social activity of older people in modern Russian society?” Our research is based on a quantitative survey, consisting of a corpus of 210 questionnaires collected in a medical institution from older people aged 60 and over, supplemented by data from their medical records. For data triangulation and thick description, we use the material from 50 in-depth semi-structured interviews. All material was collected in 2022–2023. The data are strictly anonymous. Among the various forms of social participation and involvement of older people in activities, the most important is employment, which increases income. Internet use helps to prolong social participation and not to feel old. After the age of 75, the range of activities decreases and focuses on family and relatives. The very concepts of “ageing” and “elderly” themselves have predominantly negative connotations for both respondents and informants and are associated with inactivity, illness, loss of interests and abilities, etc. This allows us to consider the concept of extended adulthood/delayed ageing as the most effective and appropriate for studying ageing and changes in ageing policies.
From Informal to Formal: Features of Volunteering in Arab Countries
Authors: Ivanov Viacheslav A. , El Eryan El Sayed
Published: May 2024

The paper examines the potential of Arab volunteers in solving social problems in their communities. Conceptually, volunteering is viewed as both part of social participation and a form of helping behavior. The research is based on the analysis of data from an online survey conducted among adult volunteers from 20 countries in the North Africa, Middle East, and Gulf regions. These countries include Algeria, Bahrain, Djibouti, Egypt, Jordan, Iraq, Kuwait, Lebanon, Libya, Mauritania, Morocco, Oman, Qatar, Saudi Arabia, Syria, Sudan, Tunisia, Yemen, and the Palestinian territories. The study identifies distinctive features of Arab volunteers engaged in diverse forms of helping behavior, including their social, demographic, and other characteristics. Remarkably, Arab volunteers showed the same level of trust at both near and far social distances, which distinguishes them from Russian volunteers. The findings suggest that there is a positive environment for the further development of formal volunteering in the Arab world. It has been found that targeted government support has significantly contributed to the development of the culture of volunteering and building its infrastructure in countries of the Arab region.
Youth Participation in Citizen Science: Problems and Opportunities of Engagement in Russian Context
Authors: Romashkina Gulnara F. , Andrianova Elena V. , Khudyakova Marina V.
Published: May 2024

We present a study of social participation in Citizen Science. The aim is to identify the problems and opportunities for attracting young people to Citizen Science using an example of genetic research projects held in 2020–2023 in Russia. The paper briefly reviews the development of the understanding and use of Citizen Science, as well as shows its application in genetic research. Empirical data were obtained in the course of qualitative and mass quantitative sociological studies. Scientific, organizational, and social contexts of wide involvement of people in scientific activity are shown. The narratives and motives of interested parties are analyzed. The study revealed limited development of Citizen Science practices in Russia, as well as the underdevelopment of the infrastructure for expanding social participation in scientific research. Moreover, professional scientists in natural sciences show contradictory attitudes and doubts about the involving volunteers in scientific research. We conclude that critical and doubtful attitudes towards Citizen Science decrease as practical experience of interaction is gained. According to data from mass sociological studies, there are significant differences in young people’s assessments of scientific activity and participation in volunteer practices, especially at school age. The necessity to draw public attention to the potential of using Citizen Science in a broad sense has been demonstrated.
Experiences in “Letting the Public in”: Tentative Conclusions on the Administration-Public Tango for Co-Responsible Local Governance
Authors: Cernicova-Buca Mariana
Published: May 2024

Governance and citizenship issues are more complex, and communities recognize the need for a new approach to mobilization, participation in creation and welfare, and a joint responsibility for the implementation of public life management principles. The paper proposes a view of Romania’s struggles to work from the bottom up by experimenting with various European models in a common framework of local administration to encourage citizen participation. After initial enthusiasm for a process led by the Council of Europe aimed at creating co-responsibility areas, administrative practices showed that local governments refused to grant the prerogative of leading public policies and distributing budgets. The model of co-responsibility aims to restore participatory democracy, ensure sustainable development, and reconfigure relations between social actors such as governments, enterprises, civil society, families, and individuals. However, progress has been slow, and as the example described in Timișoara, Romania’s largest western city, shows, it has still a long way to go before the implementation of participatory governance, for example, in the form of budget allocations, is appreciated positively by the local population. This paper is based on participatory observations, media monitoring, and the study of key actors involved in promoting co-participatory processing at the local level.
How the Enlargement Affects European Union Legislative Process
Authors: Kaveshnikov Nikolay Yu. , Domanov Aleksey O.
Published: May 2024

This article contributes to the ongoing debate regarding the systemic impact of EU enlargements on the duration of the legislative process. Two methods, interrupted time series analysis and survival analysis (the Cox model), are used to show the effects of enlargements, using empirical data comprising EU secondary law directives and regulations. A key distinction of this study from most similar research lies in its focus on distinguishing between legislative and implementing acts, which mitigates the risk of conflating the analysis due to substantial differences in their adoption processes. The methodology and research design help us disentangle the enlargement effects from those of the Treaty reforms and other institutional and structural parameters of the EU decision-making process. The findings reveal a significant acceleration of the legislative process at the moment of the 2004 enlargement, essentially confirming our prior research results. The validity of our conclusions is substantially enhanced by the improvements in modeling techniques. The article also explores potential reasons for the acceleration of the legislative process and concludes that the most likely cause is the refinement of working methods in the Council.
Integrative Model of Shared Reality and Identity-Emotion-Efficacy Factors of Pro-Environmental Action
Authors: Shadiqi Muhammad Abdan , Hasan Khaerullah Fadhli Arasy , Mustafa Nabila Regita Putri , Saubari Ahmad , Nafarin Husein , Asfajar Ayub Faizal , Putra Muhammad Iqbal Suryawan , Fajaryanti Nining , Hasan Kamarul
Published: May 2024

Several theoretical models explain the influence of identity factors on pro-environmental action; however, an integrative explanation of these factors is required, especially in nonactivist samples. This study aims to determine the mediating effects of social identity, group-based anger, and group efficacy on the relationship between shared reality and pro-environmental action. We use a correlational survey method on 258 and 305 students in Studies 1 and 2, respectively. The full structural equation model found that the model well fits both studies. Consistently in the two studies, shared reality positively predicts social identity, group-based anger, and group efficacy. We found that these factors mediate the relationship between shared reality and pro-environmental action. These findings conclude that ordinary people sharing the same environmental reality catalyze the formation of identity, emotion, and efficacy factors.
Cost-effectiveness analysis of increasing drug therapy coverage for patients with coronary artery disease in combination with atrial fibrillation and heart failure
Authors: Ignatieva V. I. , Kontsevaya A. V. , Lukyanov M. M. , Klyashtorny V. G. , Drapkina O. M.
Published: May 2024

Aim. To make a cost-effectiveness analysis of increasing the prescription rate of combination therapy with beta-blockers (BBs), angiotensin-converting enzyme inhibitors or angiotensin receptor blockers (ACEIs/ARBs), statins and oral anticoagulants (OACs) in patients with coronary artery disease (CAD) in combination with atrial fibrillation (AF) and heart failure (HF).

Material and methods. Based on the analysis of 6 medical registers, the proportion of patients with CAD in combination with AF and HF among all patients with CAD, and the prescription rate of BBs, ACEIs/ ARBs, OACs and statins, was assessed. Mortality and hospitalization rates were also determined in patients receiving only part of therapy or without it. In multivariate statistical models, the reduction in the risk of adverse events was calculated when all 4 drug groups were prescribed. Costs were calculated based on government procurement data and current compulsory health insurance rates. The obtained estimates were used to build a Markov model.

Results. According to the modeling results, the number of patients with CAD in combination with AF and HF in the Russian Federation is 1,16-1,27 million people. When prescribing from 0 to 3 drug groups out of 4 required, the mortality rate was 115, and the hospitalization rate was 246 per 1000 patient-years. In the group of patients receiving all 4 groups of drugs, there was significant hazard ratio for death and hospitalization was 0,434 and 0,765, respectively. When modeling the prescription of drugs from all 4 groups in 1000 patients currently receiving only 0-3 groups of drugs, there was a reduction in the expected number of deaths by 52,3% (153 lives saved) and an expected number of hospitalizations by 16,0% (99 prevented hospitalizations) over 3 years. Additional costs per 1 life saved amounted to 515,3 RUB thousand.

Conclusion. Patients with a combination of CAD, HF and AF are one of the groups with the highest risk of death and hospitalization for CVD. Modeling has shown that increasing coverage of this group of patients with appropriate therapy, including BBs, ACEIs/ARBs, statins and OACs, is a clinically and economically feasible solution.
Healthcare values in the language of law: critical reflections on the ethical and legal foundations of medical triage standards in the Russian military medical service
Authors: Zemlin A. I. , Naumov P. Yu. , Shepel R. N.
Published: May 2024

The article presents a review in the form of theoretical knowledge and critical understanding of cognitive premises, value formations and ideas about law, conceptualized in the chapter "Ethical and legal foundations of medical triage standards in the Russian military medical service" in the book "Lack of resources in an unfavorable environment: an ethical study principles of medical triage and procedures for providing medical care", published in 2023 by the Springer publishing house (Switzerland). The authors note that the reviewed chapter of the monograph is of theoretical, empirical and practical interest for researchers in healthcare organization, including in conditions of armed (military conflicts), philosophers, lawyers, as well as medical and legal students. This interest is due to the fact that the author of the chapter under review successfully managed to describe, justify and reveal the substantive characteristics of the ethical and legal foundations of medical triage in the activities of the Russian military medical service. Cognitive, legal, informational, value and prognostic aspects are the obvious advantages of the chapter under review, which will contribute to its popularization among readers.
Tecnologia para assistência de enfermagem em uma Unidade de Terapia Intensiva Materna: estudo metodológico
Authors: Sá Fabíola Nunes de , Carneiro Jéssica Lourenço , Gomes Linicarla Fabiole de Souza , Caetano Joselany Afio , Pinheiro Ana Karina Bezerra , Damasceno Ana Kelve de Castro
Published: May 2024

RESUMO Objetivos: desenvolver e validar um plano de cuidado de enfermagem em Unidade de Terapia Intensiva Materna. Métodos: estudo metodológico, desenvolvido em etapas: revisão integrativa; construção do Histórico de Enfermagem; reestruturação do plano de cuidados; validação de aparência e conteúdo por juízes. Resultados: o histórico foi organizado em seções: Identificação; Necessidades Humanas Básicas; Exame Físico; e avaliação das Necessidades Humanas Básicas. O plano de cuidado foi reestruturado com 34 diagnósticos, organizados segundo as necessidades humanas básicas. Obteve-se nível satisfatório de validação de aparência do histórico e plano de cuidados (Índice de Concordância variando entre 86,3 e 100 para ambos os intrumentos), e validação de conteúdo com média dos índices de 90,8 e 92,8, respectivamente. Foram consolidados 34 diagnósticos, suas intervenções e ações de enfermagem. Conclusões: os instrumentos foram considerados relevantes e pertinentes quanto aparência e conteúdo, podendo ser recomendada sua utilização na instituição em estudo, bem como em outros serviços semelhantes.
Assessment of educational technology in lactation physiology by health students
Authors: Cherubim Daiani Oliveira , Ribeiro Polyana de Lima , Langendorf Tassiane Ferreira , Paula Cristiane Cardoso de , Padoin Stela Maris de Mello
Published: May 2024

ABSTRACT Objectives: to assess the suitability, facilitators, and barriers of using a video clip for teaching lactation physiology to health students. Methods: a cross-sectional study was conducted with online data collection at a higher education institution, using the Assistive Technology Assessment Instrument and open-ended questions. The sample consisted of 88 students. Results: the video clip was deemed suitable in all attributes. Facilitators identified included attractiveness, musicality, and ease of access. Barriers noted were the music’s speed and the necessity for prior knowledge. The video clip achieved adequate scores for interactivity (1.71), purpose (1.77), relevance (1.64), and clarity (1.77). The overall average of the attributes was 1.72. Conclusions: the video clip can serve as an effective learning strategy to enhance hybrid education, potentially contributing to the promotion and support of breastfeeding. However, some barriers underscore the importance of prior knowledge for a complete understanding of the content.
Protocolo de cuidados de enfermagem para usuários críticos com traqueostomia em ventilação mecânica
Authors: Lima Fernando Conceição de , Neves Wagner Felipe dos Santos , Dias André Lucas de Lima , Mendes Clarissa Porfírio , Simor Alzinei , Pimentel Ingrid Magali de Souza , Sonobe Helena Megumi , Santana Mary Elizabeth de
Published: May 2024

RESUMO Objetivos: desenvolver e avaliar um protocolo de cuidados de enfermagem para usuários críticos com traqueostomia em ventilação mecânica. Métodos: estudo metodológico, desenvolvido mediante duas fases, guiadas pela ferramenta gerencial 5W2H: I) caracterização do público-alvo e II) desenvolvimento da tecnologia. Resultados: participaram deste estudo 34 profissionais de enfermagem, que apresentaram demandas educacionais em relação aos cuidados com o usuário crítico com traqueostomia, com ênfase na padronização dos cuidados mediante um protocolo e realização de educação permanente. Considerações Finais: a criação e a validação de novas tecnologias voltadas para este fim potencializaram a participação dos profissionais de enfermagem e o seu empoderamento nas ações microssetoriais da instituição de saúde e nas ações macrossetoriais, por evidenciar a necessidade de políticas públicas que garantam a condução de uma linha de cuidado para usuários com traqueostomia.
Relevância da correlação entre achados tomográficos e laboratoriais na precisão diagnóstica da tuberculose pulmonar
Authors: Cunha Daniel Lopes da , Rossetti Maria Lucia , Nunes Evaldo Teixeira , Martins Eduardo Bruno Lobato , Ferreira Aila de Menezes , Ribeiro Sariane Coelho
Published: May 2024

Resumo Objetivo: Avaliar a correlação entre os achados na tomografia computadorizada multidetectores (TCMD) comparativamente aos resultados laboratoriais em pacientes com tuberculose pulmonar (TBP). Materiais e Métodos: Amostra de 57 pacientes foi avaliada. Pacientes com suspeita clínica de TBP foram divididos de acordo com a positividade do diagnóstico, e as variáveis sociodemográficas, sintomas clínicos e achados tomográficos e laboratoriais foram comparados. Resultados: Nos pacientes com TBP e baciloscopia positiva, foram verificadas frequências significativas para pequenos nódulos pulmonares com distribuição peribroncovascular (47,4% vs. 8,3%; p = 0,046) e miliar (36,8% vs. 0,0%; p = 0,026), espessamento septal (84,2% vs. 41,7%; p = 0,021) e linfonodomegalias (52,6% vs. 8,3%; p = 0,020). Em relação à cultura, os pequenos nódulos pulmonares com distribuição centrolobular (75,0% vs. 35,7%; p = 0,045) e opacidades em árvore em brotamento (91,7% vs. 42,9%; p = 0,014) apresentaram frequências significativamente superiores. Medidas de sensibilidade, especificidade, valor preditivo positivo e valor preditivo negativo para árvore em brotamento, um dos principais achados tomográficos característicos da TBP, foram, respectivamente, 71.0%, 73,1%, 75,9% e 67,9%. Conclusão: A TCMD apresentou medidas preditivas confiáveis para os principais achados tomográficos no diagnóstico de TBP, sendo uma ferramenta segura para o diagnóstico da doença em pacientes com suspeita clínica. Também se mostrou adequada para selecionar os pacientes para exames mais complexos e invasivos entre os com alta suspeita clínica de TBP e baciloscopia negativa.
Relevance of the correlation between tomography findings and laboratory test results in the accuracy of the diagnosis of pulmonary tuberculosis
Authors: Cunha Daniel Lopes da , Rossetti Maria Lucia , Nunes Evaldo Teixeira , Martins Eduardo Bruno Lobato , Ferreira Aila de Menezes , Ribeiro Sariane Coelho
Published: May 2024

Abstract Objective: To evaluate the correlation between multidetector computed tomography (MDCT) findings and laboratory test results in patients with pulmonary tuberculosis (PTB). Materials and Methods: A total of 57 patients were evaluated. Patients with suspected PTB were divided into groups according to the final diagnosis (confirmed or excluded), and the groups were compared in terms of sociodemographic variables, clinical symptoms, tomography findings, and laboratory test results. Results: Among the patients with a confirmed diagnosis of PTB, small pulmonary nodules with a peribronchovascular distribution were significantly more common in the patients with a positive sputum smear microscopy result (47.4% vs. 8.3%; p = 0.046), as were a miliary pattern (36.8% vs. 0.0%; p = 0.026), septal thickening (84.2% vs. 41.7%; p = 0.021), and lymph node enlargement (52.6% vs. 8.3%; p = 0.020). Small pulmonary nodules with a centrilobular distribution were significantly more common among the culture-positive patients (75.0% vs. 35.7%; p = 0.045), as was a tree-in-bud pattern (91.7% vs. 42.9%; p = 0.014). A tree-in-bud pattern, one of the main tomography findings characteristic of PTB, had a sensitivity, specificity, positive predictive value, and negative predictive value of 71.0%, 73.1%, 75.9%, and 67.9%, respectively. Conclusion: MDCT presented reliable predictive values for the main tomography findings in the diagnosis of PTB, being a safe tool for the diagnosis of PTB in patients with clinical suspicion of the disease. It also appears to be a suitable tool for the selection of patients who are candidates for more complex, invasive examinations from among those with high clinical suspicion of PTB and a negative sputum smear microscopy result.
Evaluation of the mesenteric arterial vasculature by computed tomography angiography and its implications for colorectal cancer surgery
Authors: Castro Marcelo , Cornejo Javiera , Acuña Mauricio , Naim Laura , Dorado José Vía , Rodríguez Lía , Aguirre Sebastián , Herquiñigo David
Published: May 2024

Abstract Objective: To determine the branching patterns of the inferior mesenteric artery (IMA) and to describe the clinical applicability of computed tomography (CT) angiography in the evaluation of these vessels to facilitate the planning of colorectal cancer surgery. Materials and Methods: We included 100 patients who underwent CT angiography of the abdomen and pelvis. The branching patterns of the IMA were examined and classified as type 1 (bifurcated), including 1A (sigmoid and left colic arteries arising from a common trunk), 1B (sigmoid and superior rectal arteries arising from a common trunk) and 1C (sigmoid arteries arising from both trunks); type 2 (trifurcated); and type 3 (no left colic branch). Results: Among the 100 patients evaluated, we found the variant to be type 1A in 9%, type 1B in 47%, type 1C in 24%, type 2 in 16%, and type 3 in 4%. Conclusion: Preoperative CT angiography for evaluating the IMA branching pattern could inform decisions regarding the surgical approach to colorectal cancer.
Retrospective analysis of the efficacy and survival associated with cTACE and DEB-TACE in the palliative treatment of hepatocellular carcinoma: experience of a tertiary care hospital in southern Brazil
Authors: Fontana Priscila Cavedon , Coral Gabriela Perdomo , Horbe Alex Finger , Jotz Raquel de Freitas , Morais Beatriz Garcia de , Mattos Angelo Alves de
Published: May 2024

Abstract Objective: To compare conventional transarterial chemoembolization (cTACE) and drug-eluting bead TACE (DEB-TACE) in terms of efficacy, survival, and adverse effects in patients with hepatocellular carcinoma who are not candidates for curative therapy. Materials and Methods: This was a retrospective study of patients with hepatocellular carcinoma who underwent cTACE or DEB-TACE for palliative treatment between January 2009 and December 2021. The Kaplan-Meier method was used for survival analysis. Values of p < 0.05 were considered statistically significant. Results: We evaluated 268 patients, of whom 70 underwent DEB-TACE and 198 underwent cTACE. There was no significant difference between the groups regarding sex, age, or etiology of cirrhosis. The proportion of patients achieving a complete response on imaging examinations was higher in the cTACE group (31.8% vs. 16.1%), whereas that of patients achieving a partial response was higher in the DEB-TACE group (33.9% vs.19.7%), and the differences were significant (p = 0.014). The mortality rate was similar between the groups. The survival rate in the DEB-TACE and cTACE groups, respectively, was 87.0% and 87.9% at one year, 35.1% and 32.9% at three years, and 20.5% and 18.1% at five years (p = 0.661). There was no significant difference between the DEB-TACE and cTACE groups in terms of the frequency of adverse events (7.1% vs. 17.8%; p = 0.052). The most common complication in both groups was post-embolization syndrome. Conclusion: Although a complete response was more common among the patients who underwent cTACE, there was no difference in survival between the groups and the frequency of adverse events was similar.