bluuebunny/crossref_metadata_2025 huggingface dataset:
RELATIONSHIP BETWEEN THE LEVEL OF PHYSICAL ACTIVITY AND CORONARY RISK OF THE ADMINISTRATIVE STAFF OF THE UNIVERSIDAD NACIONAL DE TRUJILLO, 2022
Authors: Rodríguez Salvatierra Alvaro David , Bardales Vásquez Cecilia Betzabet , León Torres Carlos Alberto , Rodríguez Plasencia Cynthia , Manno Nicola
Published: April 2023

The objective was to identify the relationship between the level of physical activity and the coronary risk of the administrative staff of the Universidad Nacional de Trujillo, 2022. Observational, relational and cross-sectional study. 111 administrative workers participated in the research to whom a survey was applied to determine their level of physical activity and height and weight were measured. In the lipidprofile assay, a fasting blood sample was taken. The IBM SPSS Statistics version 26 software was then used to calculate the mean, standard deviation, and 95% confidence intervals for the factors: BMI, total cholesterol, LDL, VLDL, and TC/HDL-cholesterol (Castelli index). Subsequently, Pearson's Chi-square analysis was performed. A sedentary lifestyle was mainly associated with twice the coronary risk (α< 0.05). The Castelli index is useful for the diagnosis of dyslipidemia and as a predictor of cardiovascular risk in patients with metabolic syndrome.
REPTILES AND MAMMALS FROM A SECTOR OF EL GALLO STREAM (VALPARAISO-CHILE): AN APPROACH TO THE HYPOTHESIS OF SMALL-SCALE GAP PARTITIONING
Authors: Chávez Villavicencio César , Tabilo Valdivieso Elier
Published: April 2023

Gaps (0.1 -10 ha) are small-scale disturbances that influence forest structure and biodiversity. High stem densities in gaps are the reason for high diversity (Denslow's gap hypothesis). Studies with flora proved or refuted this hypothesis, but the relationship with wildlife is unknown. Therefore, the hypothesis was tested using reptiles and mammals as a study model. The objective was to compare the richness and abundance between a gap and covered forest in the El Gallo stream. Data were collected by direct observation and Sherman traps (February -November 2016), in three polygons of 12 ha each. Two with cover and one the gap produced by rocky landslide. The Chao-Jaccard similarity index and a Tukey's multiple comparisons test were analyzed to determine differences between polygons. Reptile similarity was 100% among the three polygons and there were no differences in richness. The similarity of mammals between polygons 1 and 2 was 100%; 1 and 3, 83% and; 2 and 3, 97%. Polygon 3 had higher richness than polygon 2 and was similar to polygon 1. The cumulative abundance of reptiles supported Denslow's hypothesis, while richness did not. In mammals, both cumulative abundance and average species richness proved the hypothesis. Fauna respond similarly to vegetation in gap processes.
Fault diagnosis model of rolling bearing based on parameter adaptive VMD algorithm and Sparrow Search Algorithm-Based PNN
Authors: Li Junxing , Liu Zhiwei , Qiu Ming , Niu Kaicen
Published: April 2023

Fault diagnosis of rolling bearings is essential to ensure the proper functioning of the entire machinery and equipment. Variational mode decomposition (VMD) and neural networks have gained widespread attention in the field of bearing fault diagnosis due to their powerful feature extraction and feature learning capacity. However, past methods usually utilize experiential knowledge to determine the key parameters in the VMD and neural networks, such as the penalty factor, the smooth factor, and so on, so that generates a poor diagnostic result. To address this problem, an Adaptive Variational Mode Decomposition (AVMD) is proposed to obtain better features to construct the fault feature matrix and Sparrow probabilistic neural network (SPNN) is constructed for rolling bearing fault diagnosis. Firstly, the unknown parameters of VMD are estimated by using the genetic algorithm (GA), then the suitable features such as kurtosis and singular value entropy are extracted by automatically adjusting the parameters of VMD. Furthermore, a probabilistic neural network (PNN) is used for bearing fault diagnosis. Meanwhile, embedding the sparrow search algorithm (SSA) into PNN to obtain the optimal smoothing factor. Finally, the proposed method is tested and evaluated on a public bearing dataset and bearing tests. The results demonstrate that the proposed method can extract suitable features and achieve high diagnostic accuracy.
Deep Learning Based an Efficient Hybrid Model for Urban Traffic Prediction
Authors: UTKU Anıl
Published: April 2023

The traffic density problem has become one of the most important problems of urban life. The time and fuel spent due to traffic density is a significant loss for vehicle users and countries. Applications developed to reduce the time spent in traffic cannot make successful predictions about long-term traffic density. Traffic data obtained from cameras, sensors and mobile devices highlights the use of artificial intelligence technologies in order to solve the traffic management problem. In this study, a hybrid prediction model has been proposed by using CNN and RNN models for traffic density prediction. The proposed hybrid model has been tested using LR, RF, SVM, MLP, CNN, RNN and LSTM and Istanbul's traffic data for 2020. Experimental results showed that the proposed hybrid model has more successful results than the compared models. The proposed model has 0.929 R2 in the prediction of the number of vehicles passing through the junction, and 0.934 R2 in the prediction of the average speed of the vehicles passing through the junction.
ENDÜSTRİ 4.0’IN EKONOMİYE ETKİLERİ: SOSYAL AĞ ANALİZİ
Authors: YILDIRIM Batuhan , DEMİR Hasibe Berfu
Published: April 2023

Günümüzde Endüstri 4.0, endüstri ve akademi çevrelerinde araştırılan popüler konular arasında yerini almaktadır. Endüstri 4.0, üretim ve hizmet sistemlerinin tüm aşamalarının dönüşümü ile ilgili fırsatların değerlendirilmesine yönelik stratejilerde oldukça önemli bir rol oynamaktadır. Endüstri 4.0 uygulamalarını gerçekleştirebilen ülkelerin küresel ekonomi alanında oldukça önemli rekabet avantajları elde edeceği öngörülmektedir. Çalışma kapsamında gerçekleştirilen sosyal ağ analizi için Google Scholar veri tabanı seçilmiştir. Endüstri 4.0 ile ilgili literatürde yer alan çalışmalardan yola çıkılarak yayınların ana fikirleri temel alınmıştır. İnceleme sağlanan çalışmaların öncelikle ekonomi tabanlı olması ana koşul olarak belirlenmiştir ve bu makalelerin anahtar kelimeleri sosyal ağ analizi ile incelenmiştir. Analiz sonucunda ise Endüstri 4.0 ile ilişkili olan temel ve ekonomik kavramlar değerlendirilmiştir.
2015-2020 YILLARI ARASINDA BİST 30 FİRMALARININ BORÇ STOKLARININ İNCELENMESİ, DÖVİZ CİNSİ DEĞİŞİMLERİNİN MALİ TABLOLARA ETKİSİ
Authors: ÇALIŞ Y. Ercan , HAYBARLIK Muhammet
Published: April 2023

İşletmeler; 2002-2014 yılları arasında görece olarak kurlarda dalgalanmanın az olması, TL’deki değer kaybının sınırlı olması sebebiyle finansman maliyetini düşürme amacıyla dövizli kredi kullanımlarını artmışlardır. Bu süreçte düşük faizli dövizli krediler işletmelerin yeni yatırım iştahlarını da artırmıştır. 2001 yılında özel sektörün 42,1 milyar dolar olan dış borcu 2017 yılında cumhuriyet tarihinin en yüksek değeri olan 315,7 milyar dolara kadar yükselmiştir. 2017 yılı sonrasında ise azalış trendine girerek 2020 yılı sonunda 255,6 milyar dolara gerilemiştir. Gerilemedeki etkinin hükümetin TL fon kaynaklarını özendirmesi, özellikle Kredi Garanti Fonunu devreye alması etkili olmuştur. Bu çalışmada 2014 yılı sonrasında kur baskısı altında BİST 30 firmalarının (bankacılık endeksinde işlem gören firmalar hariç) borç stoklarının döviz türleri incelenmiştir. Çalışma; BİST 30 endeksinde işlem gören 23 şirketin 2015-2020 yılları arasındaki yıl sonu mali verileri ile yapılmıştır.
Compounding pharmacy regulations: experience of the North American pharmaceutical market
Authors: Mamedov D. D. , Yurochkin D. S. , Leshkevich A. A. , Erdni-Garyaev S. E. , Golant Z. M. , Narkevich I. A.
Published: April 2023

In order to improve regulation of socially significant type of activity in the field of compounding pharmacy production, the review summarizes the technological, organizational and regulatory requirements for ensuring quality and safety of compounding drugs, as well as historical and technical analysis of the compounding pharmacy regulation in North American pharmaceutical market. The main imperatives are identified and the best practices recommended for implementation into the current state of the pharmaceutical market in the Russian Federation.
Principles of medical care standards development based on clinical guidelines
Authors: Ledovskikh Yu. A. , Tishkina S. N. , Pirova G. I. , Semakova E. V. , Omelyanovskiy V. V.
Published: April 2023

Objective: to review legislative and regulatory legal acts and other documents and consider the changing requirements for the development of medical care standards and the current standard form, to determine the key principles and methodology for the development of medical care standards based on clinical guidelines.

Material and methods. The article reviews the provisions of the Federal Law of November 21, 2011, No. 323-FZ “On fundamentals of health care in the Russian Federation”, which establishes the requirements for the development of medical care standards. A review of the procedure for the development of standards (Orders of the Ministry of Health of the Russian Federation (MH RF) of February 8, 2018, No. 53n and of February 22, 2022, No. 103n) was conducted. The form of the medical care standard was considered based on the example of the medical care standards approved in 2021–2022. A review of methodological materials regulating the development of medical care standards based on clinical guidelines was performed.

Results. The procedure for developing medical care standards was first regulated in 2018. The participants of the process (MH RF departments, MH RF chief external specialists, Center for Expertise and Quality Control of Medical Care), their functions, and the stages and terms of development are regulated. The methodology for the development of medical care standards based on clinical guidelines involves the formation of standardized modules of medical care and a mathematical model.

Conclusion. Currently, the process of developing medical care standards based on clinical guidelines is regulated and the methodology is defined. However, there are still issues that require additional regulation, such as the standard form, the methodology of medical and economic evaluation.
La estética del grito en Anteo de José Manuel Caballero Bonald
Authors: Del Vecchio Gilles
Published: April 2023

Resumen

Anteo es un homenaje de José Manuel Caballero Bonald al cante flamenco. Se intuye en el texto el trasfondo social que sirvió de cuna al arte flamenco, así como sus principales fuentes de inspiración. La perpetua tragedia humana vinculada con el arte implica la noción de atemporalidad. La generalización del dolor y su carácter atemporal favorecen la mitificación del cante y la ritualización del espectáculo que ofrece la voz. El propósito es evacuar la pena acumulada a sabiendas de que nunca desaparecerá del todo. La reflexión sobre el idioma deriva hacia la verbalización de conceptos musicales -ritmo, armonía, quebrados, tiempos y silencios- puestos al servicio del cantaor para que lleve a su público a la cumbre de la emoción mediante las diferentes manifestaciones de un grito que acaba alcanzando vigor estético.
Long-term results of dearterialization and mucopexy for stage II–III hemorrhoids
Authors: Popovtsev Maxim A. , Shlyk Darya D. , Alekberzade Aftandil V. , Tsarkov Petr V.
Published: April 2023

BACKGROUND:Nowadays, minimally invasive procedures are mainly performed in the treatment of hemorrhoidal diseases. However, the feasibility of using ultrasound navigation for hemorrhoidal artery ligation-rectoanal repair (HAL-RAR) is still discussed because digital palpation of hemorrhoidal arteries for ligation is safe and easy to perform.
AIM:To evaluate the long-term results of HAL with mucopexy by digital examination in comparison with traditional HAL-RAR in the surgical treatment stage II–III hemorrhoidal disease.
MATERIALS AND METHODS:The controlled randomized trial included 150 patients with stage II–III hemorrhoidal disease. The study group (n=75) included patients who underwent surgery using digital palpation with mucopexy, and in the control group (n=75), the HAL-RAR was used. The primary endpoint was a recurrence of the main symptoms. Secondary endpoints included patient satisfaction and discomfort, pain intensity, prolapse of hemorrhoidal piles, and rectal bleeding.
RESULTS:The groups did not differ in sex, age, body mass index, and stage, and symptoms of hemorrhoidal disease. During the 12-month follow-up, no difference in the prolapse of hemorrhoidal piles (p=0.49), patient satisfaction (p=0.95), and discomfort (p=0.67) was found. Periodic bleeding occurred in 5.3% and 17.3% of the patients in the study and control groups, respectively (p=0.037). After 2 months of follow-up, pain recurred in 8 (10.6%) patients in the study group and 22 (29.3%) in the control group (p=0.037). At 18 months follow-up, no difference in patient satisfaction (p=0.95) and discomfort (p=0.89) was noted; however, the rate of hemorrhoidal prolapse was significantly higher in the study group (16.3%) than in the control group (13.5%) (p=0.045), and bleeding was reported in 10.2% and 15.4% of the patients in these groups, respectively (p=0.86). Open hemorrhoidectomy for relapse of hemorrhoidal prolapse was performed in 2 (2.6%) patients in the study group and 4 (5.3%) patients in the control group (p=0.68).
CONCLUSION:Ligation of hemorrhoidal arteries in combination with mucopexy without ultrasound guidance is a safe, easy, and reproducible technique, with comparable effectiveness, and long-term results to HAL-RAR. This procedure can be recommended for the surgical treatment of stage II–III hemorrhoids.
Mitos y creencias sobre la insulinoterapia en pacientes con diabetes mellitus y sus familiares de un hospital del norte del Perú, 2020
Authors: Vera Ubillús Jhoana Lorena , Loayza Enríquez Blanca Katiuska , Guarníz Lozano Rosa Elizabeth , León Jiménez Franco Ernesto
Published: April 2023

Objetivo. Analizar y explorar los mitos y creencias sobre la insulinoterapia en pacientes con diabetes mellitus y sus familiares cuidadores de un hospital general del norte peruano en el 2020. Materiales y métodos. Se realizo un estudio con enfoque cualitativo, paradigma interpretativo y tipo de análisis temático. Se obtuvieron datos sociodemográficos y clínicos de las historias clínicas y se entrevistaron pacientes con diabetes,con uso de algún tipo de insulina por lo menos tres meses antes del estudio, y a sus familiares cuidadores. Los pacientes participaron de un grupo focal y de entrevistas a profundidad; los familiares participaron solo en entrevistas a profundidad. Resultados. Participaron 12 pacientes con diabetes (11 con diabetesmellitus tipo 2); seis en el grupo focal y seis en las entrevistas a profundidad y siete familiares. Luego del análisis se obtuvieron cuatro categorías: 1) creencias relacionadas al inicio de tratamiento con insulina: tratamiento de elección después del fracaso con otros fármacos, cura la diabetes, regula el azúcar, temor a los inyectables; 2) creencias relacionadas al mantenimiento del tratamiento: descompensación por no usar insulina, la insulina es necesaria para vivir; 3) creencias relacionadas a terapias alternativas y costo: uso de terapias alternativas, costo elevado de la insulina; y 4) mitos relacionados al uso de insulina: genera dependencia, dependencia para la administración de insulina, efectos negativos de la insulina. Conclusiones. Las creencias y mitos de los pacientes, en tratamiento con insulina, emergen desde el inicio del tratamiento y se mantienen con la evolución de este, siendo en muchas ocasiones reforzados por la cosmovisión de losfamiliares.
Rinitis alérgica asociada al grado de compromiso pulmonar por COVID-19 en pacientes de un hospital general peruano
Authors: García-Gallo Bianca , Gonzales-Caldas Giancarlo , Urrunaga-Pastor Diego , Herrera-Añazco Percy
Published: April 2023

Objetivos. Evaluar la asociación entre rinitis alérgica y el grado de compromiso pulmonar en pacientes con COVID-19 y evaluar las frecuencias de las variables principales. Materiales y métodos. Se realizó un estudio de tipo observacional, transversal y analítico mediante la revisión de historias clínicas de pacientes atendidos en el Hospital Nacional Cayetano Heredia entre el año 2020 y 2021 con diagnóstico de COVID-19. Se determinó el antecedente de rinitis alérgica, y el compromiso pulmonar se evaluó mediante una tomografía sin contraste usando el puntaje tomográfico (PT), además de, variables sociodemográficasy clínicas. Se estimaron razones de prevalencias tanto crudas (RP) como ajustadas (RPa) con sus respectivos intervalos de confianza (IC) al 95% y se empleó un modelo lineal generalizado de la familia Poisson con función de enlace logarítmica y varianzas robustas. Resultados. Se evaluaron 434 pacientes predominantemente varones, mayores de 60 años y sin antecedentes médicos relevantes.El 56,2% tenía el antecedente de rinitis alérgica y el 43,1% tuvo un compromiso pulmonar moderado a severo. En el modelo de regresión ajustado, se encontró que el antecedente de rinitis alérgica disminuyó la gravedad de COVID-19 evaluada a través del compromiso pulmonar según el PT (RPa: 0,70; IC 95%: 0,56-0,88; p=0,002). Conclusiones. El antecedente de rinitis alérgica representó una disminución en la gravedad de COVID-19 según el PT score del 30,0% en pacientes hospitalizados.
Interdisciplinary communicative competence: From conceptualising to operationalising
Authors: Martynova T. A. , Gilenko E. V. , Kitaeva E. M. , Bondar V. A. , Orlova E. V. , Drozdova N. P. , Cherenkov V. I.
Published: April 2023

Introduction. Communication complexities which often occur in interdisciplinary work gave rise to the studies on teaching interdisciplinary communication. A growing need to provide pedagogical solutions to facilitate teaching interdisciplinary communication stimulated the research into language as a social practice to better understand communication process for interdisciplinary purposes.Aim. This exploratory study investigates the concept of interdisciplinary communicative competence and proposes a framework of interdisciplinary communicative competence with the focus on three underlying components: knowledge, skills, and personal attributes of interdisciplinary team members.Methodology and research methods. Qualitative and quantitative methods were used. The data obtained from 24 in-depth semi-structured interviews with five groups of higher education stakeholders (employers, academic directors of the programmes, professors, students, and alumni) revealed the existing interdisciplinary practices in the university and cross-functional practices in the companies. The proposed framework was empirically tested using an online survey with 139 responses from professors, students, and employers. The data processing techniques included the use of Kendall’s concordance coefficient, Cronbach’s alpha, and the principal component analysis.Results. The study presents the authors’ conceptualisation of interdisciplinary communicative competence and its framework as the result of the literature analysis and the empirical research. The findings provided evidence on the importance of language skills for effective interdisciplinary communication as perceived by 5 groups of respondents. The choice of language skills as a basic component of interdisciplinary communicative competence is justified.Scientific novelty. The study contributes to the conceptualisation of a framework of interdisciplinary communicative competence. The elements of the framework are identified and their relevance is empirically tested.Practical significance. The results of the empirical part of the study can be applied in the design of interdisciplinary learning process in higher education, for example, in the design of interdisciplinary courses, and teaching materials.
Investigating perfectionism and subject wellbeing among college students: Stress coping strategies as a mediator
Authors: Pham K. V. , Duong N. T. , Pham Thi T. D.
Published: April 2023

Introduction. Previous studies pointed out that there is an important relationship between personality factors and an individual’s well-being.Aim. This study aims to investigate the relationships between adaptive/maladaptive perfection and subject well-being among college students. Besides, positive/avoidance stress coping strategies are used as a mediator in the relationship between adaptive/maladaptive perfectionism and subject well-being.Methodology and research methods. This study used a quantitative research method to investigate a population of college students. Questionnaires were also delivered to 350 students in colleges in Ho Chi Minh City, Vietnam. The authors used Structural Equation Modelling (SEM) via AMOS to test all the hypotheses.Results. The findings show that (1) adaptive perfectionism can positively predict subjective wellbeing through positive coping strategies and negatively predict subject well-being through avoidance coping strategies; (2) maladaptive perfectionism can negatively predict subjective well-being through positive coping strategies and positively through avoidance coping strategies; (3) adaptive/maladaptive perfectionism can directly predict subject well-being. Scientific novelty. This study gains more insights into the role of stress coping strategies as a mediator in the relationship between adaptive/maladaptive perfectionism and subject well-being among college students.Practical significance. The findings in this study suggest that teachers, mentors, and counsellors should give appropriate counselling to college students to help them obtain good learning development and physical and mental adaptation.
Psychological and digital factors of student attitudes towards multitasking
Authors: Rasskazova E. I. , Soldatova G. U.
Published: April 2023

Introduction. Despite the evidence from the cognitive approach that performance decreases under multitasking conditions, multitasking is increasingly seen as an important skill to develop, especially among young people.Aim. The present research aims to reveal personal (personal traits, satisfaction of basic needs) and digital (user activity, combined activity, attitude to technology, digital competence) factors of subjective assessment of multitasking in students and their attitude to multitasking.Methodology and research methods. In the course of the research, 260 students of Moscow universities answered questions about their multitasking and their attitude to it, and then filled out the scales for assessing subjective well-being, attitudes towards learning, personal traits, basic psychological needs, user and combined activity, attitudes to technology, digital competence and the desire for digitalisation of education. The data were processed using descriptive statistics, Pearson’s correlation analysis, group comparison methods (Pearson’s Chi-square, Student’s t-test).Results. According to the estimates of the students, they spend almost half of their daytime combining different activities. Most of students consider multitasking as a useful skill and would like to improve it. Higher multitasking scores are associated with greater conscientiousness, openness to experience, competence, positive emotions, as well as technophilia, digital skills. The desire to improve own multitasking is higher among students with a higher level of combined activity, technophilia, technorationality, as well as among students, who higher estimate the opportunities of digitalisation in education. Two out of three students consider multitasking as a useful ability; every second student thinks that multitasking can be developed by training. Multitasking and the desire to improve it are related to the attitude towards multitasking as a trained and developed skill, while the idea of its usefulness or uniqueness is practically not related to psychological and digital factors. Further research may be aimed at revealing relationships between subjective multitasking with activity diary data and experimentally organised multitasking.Scientific novelty. The attitude to multitasking format among young people was investigated from the perspective of a comprehensive approach, which combines personal characteristics and peculiarities of online activity.Practical significance. The peculiarities of students’ attitudes towards multitasking as a personal choice of doing several things simultaneously, reflecting among other things a positive attitude towards multitasking and a desire to develop it, can become a significant component to develop educational programmes, as well as important knowledge to provide interaction between teachers and students under the conditions of digitalisation in education.
Formation and development of teams for strategic university transformation projects: Methodological approaches
Authors: Apenko S. N. , Efimova G. Z. , Semenov M. Yu.
Published: April 2023

Introduction. Today, in the conditions of constant and growing uncertainty, there is the need to develop new, up-to-date methodologies for the development of university management teams, the transformation of their activities in a new environment.Aim. The present research aims to analyse methodological approaches to the formation and development of teams working on the strategic university transformation projects that meet the needs of practice and reflect the most effective ways to create and operate university project teams.Methodology and research methods. As the scientific basis of the proposed methodological approach to the effective formation and development of teams working on the strategic projects for the transformation of universities, the main theoretical provisions of the team-based approach are determined. The main research methods involved the analysis of scientific publications on the topic under study, the grouping and classification of approaches, a deep semi-formalised interview with 76 representatives of the administrative and managerial apparatus of three large Russian universities (regional classical universities from the Volga and Siberian Federal Districts of Russia), a questionnaire survey of 78 experts.Results. International experience in studying the activities of management teams of higher education institutions was summarised. The authors identified the restrictions and possibilities of using international experience in Russian universities. The scientific and practical groundwork for the formation and development of teams for the strategic university transformation projects is presented.Scientific novelty. The authors critically analysed the existing methodological approaches to the formation and development of teams for strategic university transformation projects, which reflect the most effective ways of creating and functioning university transformation project teams.Practical significance lies in justifying a set of methodological approaches to the formation and development of project teams and checking their applicability in the practice of university implementation transformation projects. The research materials can be useful to the representatives of administrative and managerial personnel, the heads of projects and programmes for the university development, and the employees participating in projects.
Effect of Hazelnut Pulp Addition on Physical and Chemical Properties of Tarhana
Authors: OĞURLU Merve Nur , TARAKÇI Zekai
Published: April 2023

In this study, hazelnut pulp was added to tarhana to increase its nutritional value. For this purpose, hazelnut oil was partially extracted by cold pressing method and hazelnut pulp was added to the tarhana formulation at varying concentrations (5, 10, 15, 20, 25 and 30%). According to the research data, as the hazelnut pulp ratio increased, pH and acidity values, redness (a*) and yellowness (b*) color values of tarhana increased, while the brightness (L*) value decreased. It was determined that the addition of hazelnut pulp increased the foaming capacity and foam stability of tarhana and decreased the viscosity values. Depending on the increase in hazelnut pulp, the protein, fat and ash ratios, total phenolic substance and antioxidant activity of tarhana also increased.
Validity of vetrivel trauma score in predicting salvage of limb in gustilo anderson grade III B and grade III C open fractures
Authors: Sivagnanam Marimuthu , Ramprasath D R  , Manikandan N  , Ramakrishnan Kumaravel
Published: April 2023

There have been many classification systems developed for open fractures like Gustilo Anderson grading system, Mangled extremity severity score, Ganga hospital open injury severity score. But the gray zone still exists in many open fractures whether the limb has to be salvaged or amputated. The above-mentioned scores have poor sensitivity and specificity in evaluating open fractures. This led to the development of a novel scoring system known as Vetrivel trauma score.

This study aims to assess the validity of this novel scoring system in predicting the outcome of limbs in Gustilo Anderson Grade IIIB and Grade IIIC open fractures.

One hundred and forty-four open fracture cases were taken for this study. 82 patients sustained Grade III injuries according to the Gustilo Anderson classification. Of these, 35 patients were of Grade IIIB and above. These 35 patients were scored using Vetrivel Trauma score, Ganga hospital open injury severity score, and Mangled extremity severity score.

Vetrivel trauma score was compared with Ganga hospital open injury severity score, and Mangled extremity severity score. Analysis indicated Vetrivel trauma scoring system is more accurate than others. The area under the curve of the receiver operating characteristic curve for Vetrivel Trauma score (0.983) is found to be significantly higher than other scoring systems compared.

Vetrivel trauma score is a better predictor of injury severity in Grade IIIB and Grade IIIC open fractures with the highest sensitivity and specificity in deciding amputation versus salvage. A score of 39 or more has the highest predictability for amputation.
Epidural caudal steroid injection in low backache and lumbar radiculopathy at tertiary care centre
Authors: Singh Rakesh B , Goyal Nandkishor B , Patil Amit C , Metkar Akash R
Published: April 2023

Most of the lumbosacral radiculopathies are caused by irritation of spinal nerve roots associated with lower back and leg pain. Most common causes for spinal root irritation are intervertebral disc herniation and spinal canal stenosis, other causes include spondylolisthesis, spondylosis, thickening of ligamentum flavum, scoliosis etc. Lumbar radiculopathy frequently treated by epidural corticosteroid injections. Common route for administering epidural steroid injections are interlaminar, transforaminal and caudal. But there are concerns due to rare major neurologic complications after this treatment. Therefore this literature focuses on caudal route of epidural steroid injections.

To know the benefits of caudal epidural steroid injection in lumbar radiculopathy and low backache by analyzing clinical and functional outcome.

Out of 35 patients, in 28 patients (80%) low backache and radiating pain subsided after 3 days. But 7 patients (20%) get partial relief or having persistent complaints after 3 days, administered 2epidural steroid injection after a month. After one month 32 patients (91%) do not complain of pain but 3 patients (9%) tend to have some back pain which eventually improved on two to three months of regular physiotherapy and postural correction exercises.

Caudal epidural steroid injections are safe, quick and effective. It can be performed on OPD basis, has considerably fewer side effects than surgery. Therefore injections can help to increase function while avoiding surgery and long term use of analgesics.
Accelerating the tooth movement: Merging periodontics with orthodontics
Authors: Kunnari Archana Mandatil , Ramesh Roshni , Santhoshkumar S , Ambika Suchitra , Mohamed Shahana C , Rasha Usman M
Published: April 2023

One of the main disadvantages of orthodontic treatment procedures is the long duration of treatment. Other side effects include poor oral hygiene leading to dental caries, gingival recession etc. These related intricacies preclude patients from seeking orthodontic treatment. As facial and dental aesthetics has gained importance in recent years, more adult patients are currently showing interest in undergoing orthodontic treatment. These patients tend to desire a shorter treatment time; hence the duration of orthodontic treatment is becoming a matter of major concern. For overcoming this challenge most researchers are seeking different options. Orthodontic tooth movement may be accelerated by several periodontal procedures by enhancing the bone remodelling and turn over. There are several non-surgical and surgical procedures in this regard for hastening the tooth movement. This review aims to discuss the surgical procedures that may accelerate the orthodontic tooth movement.
Management and prevention of rare complication of mandibular fracture after inferior alveolar nerve transposition in edentulous atrophied mandible in implant dentistry: An unusual case report
Authors: Gupta Gaurav , Gupta D.K. , Chandra Neeraj , Gupta Priyanka , Khairwa Abhishek
Published: April 2023

Edentulism can be a debilitating handicap. Nowadays, most dental surgeons believe that the most basic restoration for the edentulous mandible should be an implant retained overdenture with two implants placed in the anterior mandible. Treatment options for edentulous mandible range from complete denture to implant supported fixed restorations implant retained and tissue supported overdentures, implant retained and implant supported over dentures and hybrid fixed prostheses or bone anchored bridges. With proper selection and treatment planning, using dental implants to support restoration replacing missing teeth can provide long lasting functional and aesthetic restorations. However, in atrophic mandible many problems can arise. In this rare case report, we are highlighting some of the challenges involved in management of atrophic edentulous mandible in a diabetic old patient with implant retained tissue supported overdentures, (IRTOD) which later required inferior alveolar nerve (IAN) trans positioning due to severely atrophic mandible and resulted in accidental mandibular fracture. The key to prevent these types of failures is proper treatment planning. With this article we want to enlighten some useful keys for preventing these kinds of failures.
La industrialización mexicana y la estructura económica entre 1950 y 1960
Authors: Aroche-Reyes Fidel
Published: April 2023

El presente trabajo tiene como objetivo primordial analizar algunos aspectos sobre la evolución de la estructura productiva mexicana durante la década de 1950 desde una perspectiva multisectorial. El punto de partida es el marco teórico y metodológico del modelo insumo-producto, lo que permite emplear algunas herramientas desarrolladas desde allí. La década en cuestión se caracteriza por el rápido desarrollo del sector manufacturero y el incremento del bienestar de la población, merced de la expansión de actividades con mayor productividad. Lamentablemente, la industrialización no bastó para absorber el exceso de fuerza de trabajo disponible. Quizá las políticas económicas pudieron haber orientado a la economía con ese objetivo.
Creating Tourist Experiences from the Weltevreden Colonialism Trail in Jakarta Indonesia
Authors: Wahyuningputri Rode Ayu , Djati Sundring Pantja , Rahmanita Myrza , Gunawijaya Jajang
Published: April 2023

Purpose of the study: The aim is to analyze the extent to which history is packaged as an exciting walking tour to create a different travel experience from the others. Colonialism trail is a heritage trail packaged from a reticular patterned cultural route with traces of Dutch civilization as a part of urban tourism with a reputation as a historical, economic, and cultural city. Methodology: This study uses a qualitative research approach through explanatory and descriptive narrative. It used interview techniques for collecting material that is done with questions and answers verbally, unilaterally, and face to face. Principal Findings: First, the historical values and stories stored in the highest rank are the most memorable for the tour participants. Second, the Dutch building style or architectural heritage still looks magnificent. Third, the extraordinary value is the friendliness and clarity of the tour guide's information. These heritage sources can be packaged into sustainable tourism products and services like walking tours. Applications of the study: The packaging of a walking tour has handled by the Jakarta Good Guide, which is divided into several routes. Every tourist feels impressed to see the antique structures and get clear information from the tourist guide The novelty of the study: The tourist experience will be a guideline for developing the heritage route. It will be a novelty to create a heritage route to be sustainable.
Mindset Change in Tourism People for Responsible Tourism Behaviour and Partnership with Academia
Authors: Gupta Bharti
Published: April 2023

Governments in developing countries prioritize enhancing facility infrastructure in tourism, but neglect environmental considerations leading to negative impacts. The phenomenon of tourism is not problematic, but the conduct of stakeholders is. Negative perceptions arise from the lack of understanding of tourism among policymakers, local communities, and tourists. The Mindset Change of the Tourism People (MCTP) towards Responsible Tourism Behaviour (RTB) is crucial for Sustainable Tourism Development (STD) as these are directly involved with tourism. Partnerships with academia are necessary to inform policy and practice in the tourism industry.
Políticas para empoderar a los docentes en nuevos escenarios
Authors: Sime Luis
Published: April 2023

La crisis generada por la pandemia ha revelado las limitaciones y retos en el campo de la educación, pero también sus potencialidades para adaptarse en un escenario altamente desafiante, las cuales necesitan considerarse para las políticas docentes en un nuevo gobierno. Las políticas para este sector son significativas en tanto se trata de uno de los más numerosos dentro del Estado y extendidos en todo el territorio nacional. En la educación básica pública trabajan casi 374 000 docentes y, en el ámbito privado de la educación, aproximadamente 163 000; es decir, el 30% del total de docentes del país, de acuerdo con el Consejo Nacional de Educación.
Los retos del sistema de salud peruano
Authors: Gianella Malca Camila
Published: April 2023

La COVID-19 ha revelado, una vez más, la necesidad de una reforma estructural en nuestro sistema de salud. Una reforma que evite contratos de corta duración y sin beneficios sociales (por terceros), así como grandes diferencias salariales entre especialidades médicas; una reforma que garantice mejores y más amplios horarios de atención y redes de servicio en los establecimientos públicos. Si se quiere fortalecer el sistema de salud, es necesario tomar medidas estructurales dirigidas a controlar la superposición de intereses privados —los de las aseguradoras, los productores de insumos y equipos médicos, las empresas de servicios de salud, los gremios y funcionarios públicos— sobre los intereses y el bienestar de los usuarios de estos servicios.
Violencia de género, argumentación racional y corrupción en la justicia
Authors: Villanueva Flores Rocío
Published: April 2023

En julio de 2018 se destapó en el país un escándalo de corrupción judicial que involucraba a abogados, empresarios, jueces, fiscales y los entonces integrantes del Consejo Nacional de la Magistratura. En uno de los primeros audios propalados, y que permitieron ese destape, se escucha la conversación de un exjuez supremo quien pregunta a su interlocutor si lo que querían era que se le bajara la pena a un acusado de violación sexual o que lo declararan inocente.
La historia oral en Bolivia : perspectiva de estudio
Authors: Jáuregui Juan H.
Published: April 2023

La historia oral como método, es en la actualidad una de las que mayor acogida ha tenido en Bolivia. Sus inicios lo podemos remontar a la década de los 70 cuando aparece un taller dentro de la carrera de Sociología de la UMSA. Si bien como método, dentro del ámbito de la historia, la historia oral no es nueva en Bolivia, porque sus métodos ya fueron aplicados con bastante anterioridad, su masificación se debe por un lado a la propuesta que puso en consideración el Taller de Historia Oral Andina (THOA), en esos primeros años dependiente de la carrera de Sociología y que ahora funciona independientemente como una ONG, y a una necesidad, al parecer muy común en la América Andina, de recuperar su historia a través de la etnohistoria, en la que los antropólogos jugaron un papel fundamental.
Después de la etnohistoria : desencuentros y encuentros entre discurso antropológicos e históricos
Authors: Thurner Mark
Published: April 2023

El término " etnohistoria" parece haber sido inventado en Estados Unidos a principios del presente siglo para denotar, en primer lugar, una táctica o método de archivo que complementa la arqueología en la investigación científica de culturas prehistóricas. Por "etnohistoria" se entendía el estudio de culturas indígenas precolonizadas sin escritura, a través de una lectura de documentos llamados etnobistóricos, es decir, escritos coloniales. En las Américas del norte como en las del. sur, en África, Asia o Oceanía, "la etnohistoria supone el hecho colonial y trata de superarlo" - como reconoció Pablo Macera. Es decir, la etnohistoria supone tanto el hecho colonial como un hecho nacional y un intento reivindicativo como condiciones de su existencia. Es desde este intento de superar el hecho colonial que se ha escrito etnohistoria y es con la misma intención que será cuestionada. Mi propósito aquí es trazar una historia reflexiva (no es una reseña exhaustiva de obras y personajes) y ambivalente del discurso etnohistórico en su trayecto hacia una pluralidad de formas post-etnohistóricas (en el sentido teórico como cronológico) de escribir historia colonial y postcolonial, tanto en los Andes como en otras partes del mundo.
A Inquisicao espanhola frente a bruxaria andina : evangelizacao e resistencia
Authors: Portugal Ana Raquel
Published: April 2023

Quando barcos espanhóis singraram as águas do Atlântico, trouxeram em seus porões o demônio, bruxas e os medos peculiares aos homens do medievo europeu. Não havia como ser diferente, suas mentes serviam de depósito a idéias há muito propagadas e oficializadas. Escritores europeus, como os dominicanos Heinrich Kramer e Jakob Sprenger, detiveram-se no meticuloso e moroso trabalho de elaborar teses, que não deixassem margem a quaisquer dúvidas sobre a existência do mal encarnado na figura do demônio e de suas fiéis seguidoras, as bruxas.
La iconografía de la muerte en Nueva España durante el gobierno de los Austrias : el triunfo de la muerte del convento agustino de Huatlatlahuca, Tlaxcala
Authors: Malvido Elsa
Published: April 2023

En Europa, la mórbida violencia de la peste en dos etapas de su historia, la Edad Media y la Edad Moderna (1348-1600), impuso la presencia de la muerte de una manera no registrada con anterioridad en occidente, debido seguramente a un cambio ecológico que difícilmente se percibió en la época. Consistió antes que nada, en la invasión de la rata ratus enferma a ese continente y al desplazamiento de otro roedor de la misma familia ya domesticado acompañado, entre otras cosas, de la agresividad de la enfermedad y el hacinamiento de los hombres en feudos y ciudades. El resultado fue una severa despoblación que generó un clima de terror a la muerte y al juicio final
La cruz y la espada : vigilancia en las márgenes del Imperio
Authors: Rozat Dupeyron Guy
Published: April 2023

En los confines de ese imperio de los Austrias sobre el cual el sol jamás se acuesta, unos cuantos hombres combaten y vigilan. Tocando las misteriosas puertas de China o del reacio Cipango, intentando evangelizar bárbaros del septentrión novohispano y de la Patagonia, o reconquistar territorios perdidos en la Europa del norte, esos vigilantes jesuitas, franciscanos, dominicos o de cualquier obediencia, no descansan ni de día ni de noche, conscientes de que la lucha que pelean es total, sin cuartel, contra el maligno y si tienen que morir, jubilosos, ofrecen sus vidas por la más grande gloria de Dios y de su majestad católica.
El marquesado del Valle en Tehuantepec, México (1522-1563)
Authors: Machuca Gallegos Laura
Published: April 2023

La provincia de Tehuantepec, situada en la parte sur del actual estado de Oaxaca, México, fue una zona estratégica desde tiempos prehispánicos pues, ahí cruzaba el camino para ir a Chiapas y a Guatemala, tenía salida hacia el «Mar del Sur», el Océano Pacífico y, además, era centro de una actividad comercial importante. Hernán Cortés se enteró de la existencia de Tehuantepec desde 1521, cuando Cosijopí, el cacique zapoteco, envió emisarios a pedirle ayuda contra sus vecinos mixtecos y algunos pueblos insubordinados
Otros motivos para la Traduzion : el Inca Garcilaso, los Diálogos de amor y la tradición cabalística
Authors: Mazzotti José Antonio
Published: April 2023

¿Por qué escogió el Inca Garcilaso a León Hebreo como objeto de su traducción? La interrogante ha rondado los estudios garcilasistas desde hace varias décadas y las respuestas han sido vastas y, en algunos casos, complejas. Superados los tiempos en que el ilustre garcilasista José Durand atribuía la traducción de los Dialoghi d’amore a un simple ejercicio preparatorio para sus obras mayores, especialmente los Comentarios reales, aparecen a la vista nuevos y más convincentes razonamientos.1
Barthes e a voz docente
Authors: Ramos do Ó Jorge Manuel Nunes , Henriques António , Alvim Yara , Vallera Tomás Azevedo de , Paz Ana , Almeida Tiago
Published: April 2023

Os textos em que Roland Barthes mais se interrogou sobre o lugar que ocupava no interior das instituições académicas abrem, no campo pedagógico, a possibilidade fantasmática de imaginarmos um tempo em que não vivemos, aquele em que professores e alunos constituiriam, em conjunto e na pluralidade das suas respetivas vozes, uma comunidade de investigadores por vir. Este artigo procura capturar e problematizar a sua reiterada convicção de que a operação fundamental do trabalho académico consiste em experimentar o que ele mesmo apelidou de método de desapossamento, tanto no domínio da investigação como no da docência. Propomo-nos, assim, atravessar sistematicamente os escritos em que Barthes postulou a hipótese de entendermos o ensino como ato eminentemente poético, submetendo a nossa pesquisa a quatro grandes categorias: 1) a Fala, 2) a Escrita, 3), a Leitura e 4) o Viver Junto.
A poética da criação científica
Authors: Leite Patrícia Kauark
Published: April 2023

Este artigo busca mostrar em primeiro lugar que Kant assume uma posição nitidamente antirrealista nos Princípios Metafísicos da Ciência da Natureza ao rejeitar o atomismo a favor do dinamismo, apelando a argumentos cujo valor epistêmico não se assenta na ideia da verdade como correspondência. Tal posição, que não implica no espelhamento entre conceito e mundo, mas na unidade sistemática e harmônica da teoria, é defendida aqui como ficcionalista. Em segundo lugar, este trabalho pretende aproximar essa posição kantiana da posição ficcionalista do Nietzsche tal como desenvolvida por Vaihinger no último capítulo do seu livro “A Filosofia do Como Se”. Em terceiro lugar, buscaremos demonstrar que tal afinidade entre Kant e Nietzsche   a partir do ficcionalismo pode ser também estabelecida a partir de duas influências comuns: a do escritor grego Luciano de Samósata e do filósofo Roger Bosvovish. O título deste trabalho procura assim refletir esse possível diálogo entre dois dos maiores representantes do ficcionalismo epistêmico.