bluuebunny/crossref_metadata_2025 huggingface dataset:
IMPORTÂNCIA DA ÁREA DOADORA EM ENXERTOS DE TECIDO CONJUNTIVO PARA O TRATAMENTO DE RECESSÃO GENGIVAL: REVISÃO DE LITERATURA
Authors: Resende Gandra Beatriz , Dos Santos Costa Júnior Eginaldo , Teixeira Costa Fábio , Yokoyama Pimentel Fernanda , Braga Venci Gabriel , Pinho Esper Silveira Gustavo , Jully Martins Pereira Hemilly , Guerra Lage Laís , Cartaxo Godoy Laura , Fernandes Mendes Silveira Débora
Published: October 2024

A recessão gengival (RG) refere-se à exposição da superfície radicular devido ao deslocamento da margem gengival em direção ao ápice da junção cemento-esmalte, geralmente sem a presença de inflamação e afetando a superfície vestibular. Essa condição pode ser causada por diversos fatores, incluindo escovação traumática, mau posicionamento dental, doenças periodontais e outros elementos como trauma oclusal e movimentação ortodôntica.Este estudo revisou a literatura recente sobre a área doadora de enxerto conjuntivo, analisando artigos das bases de dados PubMed e Scopus, abrangendo o período de julho de 2012 a dezembro de 2023. O foco foi no enxerto de tecido conjuntivo, que se mostrou uma abordagem eficaz, com alta previsibilidade de sucesso estético e funcional em defeitos das classes I e II de Miller. A técnica de enxerto subepitelial, em particular, apresentou resultados positivos devido à excelente nutrição que a técnica proporciona ao enxerto. Além disso, o estudo observou que o uso de incisões relaxantes pode comprometer o suprimento sanguíneo, prolongando o tempo de cicatrização e afetando os resultados finais. Ao analisar os dados, concluiu-se que os enxertos de tecido conjuntivo não apenas promovem ganhos clínicos na inserção e aumento de tecido queratinizado, mas também são eficazes no recobrimento radicular em casos de recessões gengivais. Portanto, o enxerto de tecido conjuntivo se destaca como uma alternativa viável e eficaz entre as técnicas cirúrgicas para o tratamento da recessão gengival, oferecendo resultados clínicos significativos e melhorando a estética e a função periodontal dos pacientes. Essa abordagem é cada vez mais recomendada na prática clínica atual.
Assessment of the toxicity of a gasoline engine using a universal in vitro exposure system
Authors:   Tarabrin P.V.
Published: October 2024

The article examines the features of the toxicity factors of a gasoline engine in terms of restrictive measures imposed on vehicles worldwide. The essence of toxicity factors is revealed, taking into account destructive substances and the nature of their impact on the environment. The specifics of compliance of production capacities of Russian refineries with new technical requirements are given.

Keywords
toxicity, gasoline engine, environment, technical regulations, environmental safety
IDENTITY OF AN ENTERPRISE AS A DISTINCT VALUE IN A CULTURE OF HIGH TOLERANCE FOR UNCERTAINTY
Authors:   WSHIU Akademia Nauk Stosowanych, Konieczny Grzegorz , Kolisnichenko Paulina ,   WSHIU Akademia Nauk Stosowanych, Górska Magdalena ,   WSHIU Akademia Nauk Stosowanych, Górski Tomasz ,   WSHIU Akademia Nauk Stosowanych
Published: October 2024

The identity of an enterprise, once overlooked by theorists, has gained significant attention across multiple disciplines, including management, sociology, and economics. In today’s dynamic business landscape, especially within cultures of high tolerance for uncertainty, corporate identity has emerged as a crucial element for success. Such cultures, characterized by flexibility, openness to change, and risk acceptance, require companies to establish a strong identity to navigate uncertainty and maintain coherence. Corporate identity integrates values, goals, culture, and operational methods, ensuring the company remains distinct and trustworthy amid constant change. This research aims to explore the theoretical and practical aspects of corporate identity as a distinct value in a culture with high tolerance for uncertainty, emphasizing its role in strategic decision-making and adaptability. The study is based on an interdisciplinary theoretical framework, utilizing general and specialized scientific research methods. These methods, including system analysis, theoretical generalization, and qualitative approaches, were employed to highlight challenges related to corporate identity and offer solutions. The research also incorporates perspectives from psychology, sociology, and management to analyze how identity functions in uncertain environments. The study highlights several factors contributing to the importance of corporate identity: cultural diversity, mission and values, image and reputation, organizational culture, management style, innovation capacity, and communication processes. It was found that companies with a well-defined identity are better equipped to manage risks, adapt to market changes, and build long-term relationships with stakeholders. A strong corporate identity enhances employee motivation, stakeholder trust, and the ability to innovate, thereby fostering a competitive edge in uncertain environments. The findings underscore the significance of corporate identity as a strategic asset in managing uncertainty. In today’s globalized, rapidly changing market, businesses must prioritize the development and maintenance of a clear, cohesive identity to ensure resilience and sustainability. Future research should focus on further exploring the role of corporate identity in different cultural contexts and its impact on long-term competitiveness and innovation.
Land suitability evaluation in the Northern Limestone Mountains of Tuban Regency, East Java for torch ginger (Etlingera elatior Smith) cultivation
Authors: Laela Fadhilatul , Ammurabi Syah Deva
Published: October 2024

Torch ginger (Etlingera elatior) is a herbaceous plant from Southeast Asia, traditionally used as herbal medicine by local people due to its antibacterial, antiviral, anti-inflammatory, anti-allergic, antioxidant, and anti-cancer properties. Despite its various benefits, this plant has struggled to enter the market because it has not been cultivated on a large scale. Therefore, the opportunity for commercial cultivation of this plant remains wide open. Tuban Regency is a potential agricultural district in Java, strategically positioned on the main road between Central Java Province and East Java Province. Unfortunately, little research has been conducted on land suitability evaluation in Tuban Regency’s agricultural areas. This research aimed to evaluate land suitability for torch ginger cultivation in Tuban Regency. Based on the studies conducted, agricultural land in Tuban Regency is quite fertile, but adequate irrigation is necessary to help the plants survive during the dry season. Torch ginger naturally grows in densely vegetated areas with sufficient water availability. Therefore, cultivating torch ginger in Tuban requires several special treatments, such as maintaining water availability, providing shade and mulch to regulate temperature and humidity, applying phosphorus and organic fertilizers to address phosphorus fixation in limestone soil, and using growth regulators like paclobutrazol to overcome flowering inhibition. From the various literature that has been studied, it was found that the land in the Northern Limestone Mountains of Tuban Regency, is quite fertile and suitable for agricultural land.
Diversity of ecological functions of the insect families found in Citalahab Area of Mount Halimun Salak National Park (TNGHS)
Authors: Ruslan Hasni , Rahmah Alifia , Nurindri Y Emilia , Faruq H Johan , Nazak H Abdimas
Published: October 2024

The Citalahab area of ​​Mount Halimun Salak National Park (TNGHS) contains a diversity of insects with different ecological roles. In each type of habitat there was a composition of insect ecological roles. The study aimed to determine the diversity of ecological roles of insects in forest and plantation vegetation types in the Citalahab Area of ​​the Mount Halimun Salak National Park (TNGHS). This research uses the Simple Random Sampling method using pitfall traps in randomly determined plots measuring 20 x 20 meters (5 pit fall traps) in forests and plantations, with a total of 2 plots. There were 8 orders, 36 families with ecological roles such as: disease vectors, saprophages, pollinators, pests, predators, parasitoids, fungus eaters and decomposers. Insect families that act as parasitoids and disease vectors were only found in forest vegetation types. The richness of resources found in a habitat influences the diversity of the ecological roles of the insects found in it.
Händel jako Apollo. Gloryfikacje kompozytora w literaturze i sztuce XVIII wieku
Authors: Sołtysik Michał S.
Published: October 2024

G.F. Händel to jeden z nielicznych kompozytorów w historii muzyki baroku, który jeszcze za życia mógł cieszyć się sławą twórcy „ubóstwianego”. Do nieporuszanych dotychczas wątków badań nad Händlem należą porównania jego osoby do mitycznego Apolla. Odniesienia do tego antycznego bóstwa stanowiły ważny nurt estetyki nowożytnej i traktowano je jako szczególnie przydatne w procesie honorowania artystów. Celem artykułu jest przegląd i interpretacja przykładów z dzieł sztuki i literatury XVIII w., w których Händla zestawiono bezpośrednio z Apollem, a także tych, w których wykorzystano symbolikę apollińską lub atrybuty związane z bogiem muzyki.
Z badań nad biografią S.S. Szarzyńskiego
Authors: Stepan Kamil
Published: October 2024

Artykuł przedstawia pierwsze rezultaty badań dotyczących osoby Szymona Sylwestra Szarzyńskiego (zmarłego pomiędzy 1720 i 1727 r.) – doktora teologii, sekretarza, a później przeora benedyktyńskiego opactwa św. Wojciecha w Płocku pod koniec XVII w. i jego możliwej tożsamości ze Stanisławem Sylwestrem Szarzyńskim – działającym w tym samym czasie kompozytorem, o którym brak dotąd jakichkolwiek informacji biograficznych.
Justification of the design and technological scheme of a new type of machine for applying mineral fertilizers
Authors:   INSTITUTE of MECHANICS and AUTOMATICS of AGROINDUSTRIAL PRODUCTION of the NATIONAL ACADEMY of AGRARIAN SCIENCES of UKRAINE, Adamchuk V. , Vitruh P. ,   INSTITUTE of MECHANICS and AUTOMATICS of AGROINDUSTRIAL PRODUCTION of the NATIONAL ACADEMY of AGRARIAN SCIENCES of UKRAINE, Adamchuk О. ,   INSTITUTE of MECHANICS and AUTOMATICS of AGROINDUSTRIAL PRODUCTION of the NATIONAL ACADEMY of AGRARIAN SCIENCES of UKRAINE
Published: October 2024

Annotation Purpose. Rationale for the structural and technological scheme of the transport-technological machine for the application of solid mineral fertilizers, which will ensure the improvement of the quality of the application of mineral fertilizers by stabilizing the dose of their application as the body of the machine is emptied and its annual load increases. Methods. Analysis of known designs of machines for applying solid mineral fertilizers, theoretical based on the laws of mechanics and experimental using standard methods. Results. The structural and technological scheme of a new type of machine for applying mineral fertilizers and dependencies for determining the main parameters and modes of operation of its working bodies are substantiated. Its experimental sample was created, the results of which in the process of laboratory and field studies confirmed the independence of the dose of mineral fertilizers from the filling (emptying) of the car body with mineral fertilizers. In addition, the possibility of using the machine in the operations of transporting loose technological materials and transshipping them to other technical means and stationary capacities, as well as unloading to the site, was confirmed, which ensured an increase in its annual loading by more than 4 times. Conclusions. The creation of body-type machines for applying solid mineral fertilizers according to the principle of transport-technological machines, which include a body equipped with a feeder, a screw conveyor, a hopper with a dispenser and sorting working bodies, ensures: - exclusion of the influence of the degree of filling (emptying) of the body machines with mineral fertilizers for the dose of their introduction; - expansion of the scope of application of the machine thanks to its additional use in transportation operations of loose technological materials and their transshipment into other technical means and stationary capacities, as well as unloading at the site, which in general leads to an increase in its annual loading more than 4 times.
Does Long-Term Oxygen Therapy Reduce Exacerbations in Chronic Obstructive Pulmonary Disease? A Meta-Analysis
Authors: Rizki Fitri Amelia , Yessy Susanty Sabri  , Afriani Afriani
Published: October 2024

Background: Chronic obstructive pulmonary disease (COPD) exacerbations contribute significantly to morbidity, mortality, and healthcare costs. While long-term oxygen therapy (LTOT) is a standard treatment for severe resting hypoxemia in COPD, its impact on exacerbations remains unclear. This meta-analysis aimed to evaluate the effect of LTOT on the frequency and severity of COPD exacerbations.
Methods: A systematic search of PubMed, Embase, and Cochrane Library was conducted (January 2018 to December 2023) for randomized controlled trials (RCTs) comparing LTOT to no LTOT in COPD patients. The primary outcome was the rate of moderate to severe COPD exacerbations. Secondary outcomes included hospitalization due to exacerbations and all-cause mortality. The risk of bias was assessed using the Cochrane Risk of Bias tool. A random-effects model was used to pool data, and heterogeneity was assessed using the I² statistic.
Results: Nine RCTs with 2,949 participants were included. LTOT was associated with a statistically significant reduction in the rate of moderate to severe exacerbations (Rate Ratio [RR] 0.72; 95% Confidence Interval [CI] 0.67 to 0.78; p < 0.000001), representing an estimated 28% reduction. LTOT also significantly reduced hospitalization for exacerbations (RR 0.69; 95% CI 0.61 to 0.79; p < 0.000001) and all-cause mortality (RR 0.71; 95% CI 0.57 to 0.89; p = 0.003).
Conclusion: LTOT significantly reduces the frequency of moderate to severe COPD exacerbations, related hospitalizations, and all-cause mortality. These findings support LTOT use in eligible COPD patients to improve clinical outcomes.
THE HISTORY OF THE ORIGIN AND DEVELOPMENT OF COMICS IN THE USA
Authors:   Samara State Technical University, Levin Ya. A.
Published: October 2024

The article provides a historical overview of such a literary and artistic phenomenon as a comic book in the United States of America. The most popular definition of a comic book in special literature to date has been characterized. The history of the appearance of the comic book and its individual artistic features are examined in detail. Conclusions have been drawn about the origin of comics in Europe and their gradual spread to the United States. The most significant works of European authors (R. Töpfer, W. Busch) and the first American authors (R. Outcolt, W. Mackay and G. Herriman) are considered. It is shown how, after the first stages of development, a specific, purely American comic book genre began to form - superhero comics (superheroics) and its influence on the entire further history of these works in America. The periodization of the history of the comic book by "centuries," characteristic features of comics of each century, the most iconic or typical works of each of these periods, is considered. In addition, the works of the most iconic and important authors and artists of the superhero comic book genre are considered and the development of other comic book genres, as well as the influence of the state and the specific historical situation on the subject of works, are characterized. The article is based on scientific and popular science literature on the topic of research.
The Relationship Between Torque, Angle, and Javelin Release Velocity for Beginners
Authors: Hussein Ahlam
Published: October 2024

This study aimed to determine the torque values of the body at the moment of the final throwing position, as well as the velocity and angle of release, and to identify the relationship between these three variables.
The sample consisted of third-year students from the Department of Physical Education and Sports Sciences at the College of Basic Education, University of Mustansiriyah. The mean and standard deviation of the sample's age were (22.6) years (±0.68), weight (70.7) kg (±1.80), and height (173.2) cm (±0.95). The most important procedures for determining the measurements and the specific test of the research included measuring the height and weight of the sample and conducting the tests under study. The most important results showed a correlation coefficient between torque and javelin release velocity for students studying track and field in the javelin throw event. The most important conclusions are that there is a relationship between torque, release angle, and release velocity of the javelin, and the significance level is (0.005).
Asymmetric Multilevel DC Link inverter for Reducing THD using a Meta-Heuristic Algorithm
Authors: Kumar N V Vinay , Manohar T Gowri
Published: October 2024

Multilevel inverters are essential for increasing power quality, boosting efficiency, and lowering harmonic distortion in the field of power electronics. This research presents a new method using the Pelican optimization algorithm (POA) to create pulse patterns in multilevel inverters. The work focuses on deploying a 125-level asymmetric multi-level inverter that is powered by solar panels through a Dc-Dc converter in order to address power quality difficulties. In order to get better performance in multilevel inverter systems, the Pelican optimization algorithm is used to create pulse patterns that are modeled after the hunting strategies of pelicans. The Distributed Static Synchronous Compensator, is a leading device that uses power electronic components to control power flow and improve power quality in power grids. It is one of the many specialized power devices available. The primary objective is to enhance reactive power to ensure the stability of voltage within the power system and the aim of this research is to maintain voltage stability. Using the pelican optimization algorithm, the method entails creating and deploying a DSTATCOM based on a 125-level asymmetric multi-level inverter.
How do Macroeconomic Conditions Affect GDP? (BRICS Case Study)
Authors: Wahyudi Heru
Published: October 2024

One of the international institutions in the spotlight is BRICS. Because the countries incorporated in it (Brazil, Russia, India, China, and South Africa) have a fairly high income. Thus, the purpose of this study is to see what factors contribute to economic growth in BRICS countries. The method in this study is Fully Modified Ordinary Least Square (FMOLS). By using a variable of investment, labor force, and electrical energy consumption. Based on the results of the study, there is a positive influence on BRICS revenue.
CFD Analysis to Optimize Air Quality in Aeroponic Tower Garden
Authors: Jassim Esam , Jasem Bashar , Djavanroodi Faramarz
Published: October 2024

Aeroponic tower gardens represent an innovative approach to urban agriculture, utilizing vertical structures to cultivate plants without soil. Research highlights the efficiency of this method in optimizing resource usage, such as water and space, compared to traditional farming. Studies emphasize increased crop yields, faster growth rates, and reduced environmental impact. Additionally, aeroponic systems enable precise nutrient delivery to plants, fostering optimal growth conditions. While the technology shows promise, further investigations are needed to address potential challenges and optimize its application in diverse agricultural settings. The study presents the simulation of air temperature and humidity distribution in a closed chamber of the vertical farm for optimization purposes. The environmental conditions inside the chamber are optimized for plant growth, to maintain the temperature at a range of 18-24 °C temperature and the relative humidity at a range of 75-85 %. The paper also discusses the challenges, limitations, and future recommendations for improving the system. Simulation of the system, on the other hand, is crucial not only for prototype fabrication but also for the optimization of sensor locations. The simulation of the tower garden system was performed using ANSYS-FLUENT to portray how the airflow inside the tower garden's enclosed environment was distributed. The system parameters such as humidity and temperature were set to meet the plants' growth requirements, and the system was treated as the steady state with an adiabatic boundary. Based on the simulation results, the best design recommended is to use two humidity and temperature sensors, one at the top and the other at the core of the prototype. Hence, a complete mapping of temperature and humidity distribution that is critical for plant growth would be occurred.
Legal Perspective on Consumer Personal Data Protection in Fintech Services
Authors: Halizah Siti Nur , Mardikaningsih Rahayu
Published: October 2024

The development of science and technology has significantly affected the financial transaction system in Indonesia, especially with the emergence of the Fintech business model. The rapid growth of Fintech indicates the need for smart management in order to provide optimal benefits to society. However, the potential misuse of consumers' personal data poses a risk that needs to be considered. This research uses a normative juridical and analytical descriptive approach to understand the legal dynamics in the Fintech industry and legal measures aimed at Safeguarding user data security in Indonesia, in accordance with the provisions of Financial Services Authority Regulation Number 13/Pojk.02/2018. The results show that Fintech business organizers and users have a relationship that is regulated through an electronic agreement. The legal safeguarding of personal data for Fintech user is governed by Financial Services Authority Regulation Number 1/Pojk.07/2013 and other pertinent regulations, addressing aspects such as confidentiality, data security, and the governance and risk management of information technology.
Understanding Learning Technology In the Industrial Revolution Era 5.0
Authors: Arnadi
Published: October 2024

The concept of learning technology in the Industrial Revolution 4.0 and 5.0 eras has undergone significant changes, including personalization. This concept views that learning technology in the Industrial Revolution 5.0 era prioritizes personalization, namely providing a learning experience that is in accordance with the needs and abilities of individual students. There are several new concepts in learning technology, including: (1) Artificial Intelligence (AI). AI is used to improve the efficiency and effectiveness of the teaching and learning process, such as data analysis, performance evaluation, and development of learning materials; (2) Internet of Things (IoT) which allows the use of sophisticated devices and sensors to collect data and monitor student performance, so that it can be used as evaluation and development material; (3) Virtual and Augmented Reality (VR/AR). VR/AR technology is used to create a more interactive and immersive learning experience, so that students can be more motivated and involved; (4) Big Data, namely big data technology used to collect and analyze data from various sources, so that it can be used as evaluation and development material for the teaching and learning process; (5) Cloud Computing which allows wider accessibility of learning materials and learning platforms, so that students can learn anytime and anywhere; (6) Gamification is used to create a more engaging and interactive learning experience, so that students can be more motivated and involved; (7) Microlearning allows students to learn in a short time, but remains effective and efficient; (8) Mobile Learning which allows students to learn using mobile devices, so they can learn anywhere and anytime; and (9) Open Educational Resources (OER). OER allows students to access learning materials that are widely available and free. Unlike in previous industrial revolution eras, the Industrial Revolution 5.0 era makes learning technology adaptable to current business and industry needs, such as: (1) Skills Development, namely learning technology must be able to improve students' abilities in various fields, such as technology, data analysis, and communication; (2) Learning technology must be able to improve students' abilities in various industrial fields, such as robotics, artificial intelligence, and IoT; and (3) Digital Literacy, namely learning technology must be able to improve students' abilities in using digital technology effectively and efficiently.Overall, learning technology in the Industrial Revolution 5.0 era must be able to adapt to these changes and provide a more effective, efficient, and focused learning experience.
“Örnek Vakalarla” Yara Yönetimi
Authors: Taylan Seçil , Erden Sevilay , Kaya Pınar , Yurtseven Şeyma , Güngör Serap , Tosun Betül , Karabağ Aydın Arzu , Cici Aybike Merve , Deniz Doğan Sevgi , Gezer Derya , Barış Eren Nadiye , Baksi Altun , Salman Saraç Filiz , Gökçe Esma , Doğan Aysel , Bayraktar Duygu , Kurt Ece , Özdemir Handan , Aydınlı Ayşe
Published: October 2024

Yaranın Tanımı ve Sınıflandırılması
Seçil TAYLAN
Yara İyileşmesi ve Tipleri
Sevilay ERDEN
Pınar KAYA
Yara İyileşmesini Etkileyen Faktörler
Şeyma YURTSEVEN
Sevban ARSLAN
Yaraların Değerlendirilmesi
İpek KÖSE TOSUNÖZ
Nöropatik Yaralar ve Bakım Yönetimi
Serap GÜNGÖR
Betül TOSUN
Basınç Yaralanmaları ve Bakım Yönetimi
Arzu KARABAĞ AYDIN
Aybike Merve CİCİ
Yanık Yaraları ve Bakım Yönetimi
Sevgi DENİZ DOĞAN
Cerrahi Yaralar ve Bakım Yönetimi
Derya GEZER
Nadiye BARIŞ EREN
Venöz Ülserler ve Bakım Yönetimi
Altun BAKSİ
Filiz SALMAN SARAÇ
Arteriyel Yaralar ve Bakım Yönetimi
Esma GÖKÇE
Aysel DOĞAN
Güncel Yara Bakım Ürünleri
Duygu BAYRAKTAR
Ece KURT
Yara Bakımında Geleneksel ve Tamamlayıcı Tedaviler
Handan ÖZDEMİR
Ayşe AYDINLI
Kimliksizlik ve Milli Kimlik Kaybı
Authors: Özen Yener
Published: October 2024

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Особенности ведения беременности с тромбофилией: клинический случай
Authors: Турсынбаева Ш.А. , Медведь В.И. , Тян И.И. , Баймурзаева Л.Г.
Published: October 2024

Актуальность: Тромбофилия представляет собой приобретенные и/или генетические состояния, которые предрасполагают людей к тромбоэмболии. Тромбофилические расстройства усиливают акушерские осложнения, такие как потеря беременности на ранних сроках, задержка роста плода, отслойка плаценты и преэклампсия. Привычное невынашивание беременности (ПНБ) является одним из самых сложных и требовательных направлений медицины из-за огромной эмоциональной нагрузки, возлагаемой на семьи с ПНБ. Ведение беременности у женщин с ПНБ, ассоциированным с тромбофилией, требует особого внимания.
Цель исследования – демонстрация взаимосвязи полиморфизма генов тромбофилии и акушерских осложнений на примере клинического случая беременности у пациентки с тромбофилией.
Материалы и методы: В статье описан клинический случай беременности в сроке 12 недель у беременной с тромбофилией и отягощенным акушерско-гинекологическим анамнезом.
Результаты: В представленном клиническом случае генетическое тестирование на предрасположенность к тромбофилии показало 5 полиморфизмов, свидетельствующих о среднем наследственном риске по тромбофилии. Назначение адекватной дозы ацетилсалициловой кислоты и низкомолекулярных гепаринов привело к доношенному вынашиванию беременности.
Заключение: Множественные тромбофилические факторы несут в себе значительный дополнительный риск неблагоприятных исходов для матери и плода. Ранняя диагностика тромбофилии, генетическое консультирование и гинекологический мониторинг могут быть очень полезными для предотвращения осложнений беременности у женщин с ПНБ, предлагая адекватное терапевтическое лечение и профилактику.
Благоприятный исход хирургического лечения цистаденомы яичника у девочки-подростка: клинический случай
Authors: Султанова Ж.У. , Бегниязова Ж.С. , Садуакасова Ш.М. , Махмутова Э.А. , Юлдашева А.И. , Бинали А.Б.
Published: October 2024

Актуальность: Доброкачественные опухоли яичников являются одной из важных из актуальных проблем в современной гинекологии, так как они возникают в любом возрасте, приводят к снижению репродуктивного потенциала женщины, при этом риск малигнизации остается высоким. В течение жизни 10% женщин подвергаются хирургическому лечению опухоли яичников. Некоторые из них являются редкими и представляют сложность для диагностики из-за длительного бессимптомного течения.
Цель исследования – своевременное выявление яичниковых образований малого таза и выработка маршрутизации, а также тактики ведения пациенток.
Материалы и методы: В статье представлено клиническое наблюдение гигантской цистоаденомы яичника у девочки-подростка 16 лет.
Результаты: В представленном клиническом случае пациентке была выполнена лапаротомия, цистэктомия и частичная резекция яичника слева, и в ходе наблюдения не было выявлено существенных проблем, а также признаков рецидива или метастазирования.
Заключение: Данное клиническое наблюдение подтверждает необходимость проведения профилактического гинекологического исследования с целью раннего выявления новообразований яичников среди девочек подростков. Важно помнить, что клиническая картина доброкачественных образований яичников имеет бессимптомный характер. В связи с этим, необходимо применять все имеющиеся современные методы диагностики и выработать маршрутизацию и тактику ведения девочек-подростков. При проведении экстренного или планового хирургического лечения необходимо придерживаться органосохраняющей тактики.
Роль микронутриентов в прегравидарной подготовке женщин: обзор литературы
Authors: Карибаева Ш.К. , Маннапова М.А.
Published: October 2024

Актуальность: Беременность представляет собой сложный и многогранный биологический процесс, связанный с началом формирования нового организма. Этот период включает множество физиологических, гормональных и метаболических изменений, которые способствуют поддержанию и развитию плода до рождения. Планирование беременности является ключевым этапом, требующим комплексного подхода к подготовке организма. Важную роль в этом процессе играют микронутриенты — витамины и минералы, необходимые для нормального функционирования организма и подготовки его к беременности. Важно уделять особое внимание рациону и питательным веществам, чтобы создать оптимальные условия для вынашивания.
Цели исследования – анализ данных о влиянии различных витаминов и минералов на фертильность и общее здоровье, а также их потенциальная эффективность в профилактике осложнений беременности.
Материалы и методы: Для исследования использовались международные обзоры последних 10 лет с 2015 по 2024 гг. из баз данных PubMed, MedLine и Cochrane, включая исследования по случаям и регистрационные данные, относящиеся к профилактике основных осложнений беременности.
Результаты: В статье анализируется роль микронутриентов в подготовке женщин к беременности. Рассматриваются данные о влиянии различных витаминов и минералов на фертильность и общее здоровье, а также их потенциальная эффективность в профилактике осложнений беременности.
Заключение: Результаты данного обзора могут послужить основой для разработки более точных рекомендаций, направленных на успешную подготовку к материнству.
1-жасқа дейінгі балалардағы сарғаю синдромының диагностикасын алғашқы медико-санитарлық көмек деңгейінде оңтайландыру: әдебиетке шолу
Authors: Исаева Г.А. , Сейсебаева Р.Ж. , Нургалиева Ж.Ж.
Published: October 2024

Өзектілігі: Жаңа туған нәрестелер мен жаңа туған нәрестелер өмірінің алғашқы тәуліктерінде кездесетін сарғыштық синдромын зерттеу өте маңызды. 1-жасқа дейінгі балалардағы сарғаю синдромын уақытылы диагностикалау көптеген асқынулардың алдын алады. Жаңа туған нәрестелер мен жалпы нәрестелердің алғашқы айларында сарғаю синдромы табиғи физиологиялық (толық туған нәрестелерде 2 аптаға дейін және шала туылған нәрестелерде 3 аптаға дейін) және патологиялық (туған кезден бастап алғашқы екі күннен бір айдан астам уақытқа дейін). Сарғаюды дер кезінде диагностикалап, емдеу өскелең ұрпақтың дені сау болып өсуінің кепілі.
Зерттеудің мақсаты – ерте балалық шақтағы сарғаю синдромының қауіп факторлары мен диагностикалық маңыздылығы туралы ағымдағы деректерді жинақтау.
Материалдар мен әдістері: NCBI (PubMed), Scopus, Medline, Google Scholar, CyberLeninka және eLibrary дерекқорларындағы 2014-2024 жылдар аралығындағы отандық және шетелдік басылымдарға шолу жүргізілді. Ғылыми зерттеу нәтижелерін іздеуде мындай түйінді сөздер қолданылды: «сарғаю», «неонатальді сарғаю», «гипербилирубинемия», «холестаз», «гепатит», «жаңа туған нәресте». Іздеу кілт сөздерді қолдана отырып, MESH іздеу құралы арқылы жүргізілді.
Нәтижелері: Кішкентай балалардағы сарғаю ауыр асқынулардың алдын алу үшін ерте анықтауды және тиісті емдеуді қажет етеді. Жалпы біздің ғылыми әдебиеттерден жинақтағанымыз жаңа туған нәрестелер мен ерте жастағы балалар арасындағы сарғаю синдромының қауіп факторлеріне: жүкті әйелдің жүктілік кезеңіндегі қосалқы аурулары (ЖРВИ, гестационды диабет, қаназдық), босану барысында жүргізілген эпизиотомия,сусыз кезеңнің ұзаққа созылуы,баланың ана сүтінің сары уызымен алғашқы тәуліктерде жеткілікті дәрежеде қоректенуі сияқты себептер тікелей әсер етеді. Жаңа туған нәрестелер мен  нәресте өмірінің алғашқы айларында кездесетін  сарғаюдың Ерте жастағы балалардағы сарғаюдың себеп-салдарын, диагностикасын дер кезінде емдеу әдістерін қолдану медицина мамандары соның ішінде участкілік дәрігерлер мен медбикелердің жұмысын едәуір оңтайландырады.
Қорытынды: Соңғы зерттеулер сарғаю синдромы бір жасқа дейінгі балаларда, әсіресе жаңа туған нәрестелерде жиі кездесетінін көрсетеді. Сарғаюды ерте анықтау ықтимал ұзақ мерзімді асқынулардың алдын алады. Сары ауруды диагностикалау мен емдеуді жақсарту және зардап шеккен балаларда ұзақ мерзімді асқынулардың жиілігін азайту үшін қосымша зерттеулер қажет.
Сравнительный анализ оплодотворения и формирования бластоцист в программах ЭКО со свежими и криоконсервированными донорскими ооцитами
Authors: Абуталипов Д.Б. , Махадиева Д.Б. , Байкошкарова С.Б. , Ибрагимов А.К. , Ажетова Ж.Р.
Published: October 2024

Актуальность: Сравнение результатов применения свежих и криоконсервированных ооцитов в циклах вспомогательных репродуктивных технологий остается актуальной темой в современной репродуктивной медицине. Однозначного ответа на абсолютное преимущество использования свежих гамет в программах донорства ооцитов не существует на данный момент.
Цель исследования – сравнение результатов оплодотворения и формирования бластоцист между свежими и криоконсервированными донорскими ооцитами в программах экстракорпорального оплодотворения.
Материалы и методы: Данное проспективное исследование было проведено нами на базе клиники «Экомед» в г. Астана с июня по август 2024 года. Программы ЭКО с применением донорских ооцитов у супружеских пар с нормозооспермией (согласно ВОЗ 2010) были включены в исследование. По завершению гормональной стимуляции яичников донора, ооцит-кумулюсные комплексы извлекали через 36 часов после введения хорионического гонадотропина человека. При наличии не менее 12 зрелых ооцитов на стадии MII, половину из них подвергали криоконсервации методом витрификации, в то время как оставшиеся ооциты возвращали в культуральную среду для дальнейшего культивирования. Оплодотворение свежих и размороженных ооцитов проводили методом интрацитоплазматической инъекции сперматозоида (ИКСИ) с последующим культивированием эмбрионов в системе Embryoscope Plus (Vitrolife, Швеция) до стадии бластоцисты.
Результаты: В исследование включены результаты по 58 программам ЭКО с донорскими ооцитами, с общим количеством гамет в 938 ооцитов, включающих 510 свежих ооцитов и 428 криоконсервированных ооцитов. Средний возраст доноров ооцитов составил 26,5 лет. Основные параметры оценки оплодотворения включали наличие двух пронуклеусов на 18-й час после оплодотворения (2PN) и частота формирования бластоцист. Статистический анализ не выявил значимых различий в уровнях оплодотворения и формирования бластоцист между свежими и криоконсервированными донорскими ооцитами.
Заключение: Данное исследование подтверждает гипотезу о том, что криоконсервация донорских ооцитов не ухудшает их способности к оплодотворению и формированию бластоцист. Полученные результаты демонстрируют, что криоконсервация не оказывает негативного влияния на развитие эмбрионов до стадии бластоцисты, что подтверждает потенциал использования криоконсервированных ооцитов в программах ЭКО с донорскими ооцитами.
Абдоминальные роды после ЭКО: обоснованность и риски
Authors: Байкошкарова С.Б. , Сейтак А.А. , Отарбаев М.К. , Бильтаева Г.Н. , Ахметова А.К. , Диброва А.Ю.
Published: October 2024

Актуальность: Беременность после экстракорпорального оплодотворения (ЭКО) часто рассматривается как повышенный риск, что может приводить к выбору кесарева сечения (КС) даже без строгих показаний. Вопрос выбора метода родоразрешения для таких женщин становится особенно важным из-за роста числа ЭКО беременностей во всем мире.
Цель исследования – изучение причин абдоминальных родов после ЭКО, и оценка обоснованности таких решений с точки зрения медицинской необходимости.
Материалы и методы: Нами проведено ретроспективное изучение карт 1592 женщин прошедших ЭКО по программе предусмотренного фондом медицинского страхования Республики Казахстана, отмечая количество случаев наступления клинической беременности, исхода беременности, а именно родоразрешенных беременных с доношенным ребенком путем операции КС в различных уровневых организациях, согласно принципов межуровневой акушерско-гинекологической, перинатальной помощи в Республике Казахстан.
Эти программы ЭКО были проведены на базе клиники «Экомед» в г. Алматы в период с 2020 года по 2022 год. Нами был проведен сбор и анализ статистических данных о частоте КС и естественных родов среди женщин, беременных по ЭКО, включая сопоставление исходов для матери и ребенка по данным клиник «Экомед».
Результаты: В период с 2020 года по 2022 год частота наступления клинических беременностей после программ ЭКО, по данным клиники «Экомед» составила 46%, что показывает высокую эффективность этих программ. Однако удельный вес КС среди этих беременностей оставался на высоком уровне и показал тенденцию к увеличению, достигнув 69% в 2022 году по данным медицинской информационной системы «DAMUMED», что значительно превышает рекомендуемый диапазон по определению ВОЗ.
Заключение: Высокий уровень КС после ЭКО по результатам данного исследования требует пересмотра подходов к родоразрешению таких беременностей и разработки национальных рекомендаций, основанных на строгих медицинских показаниях. Региональные различия в частоте КС указывают на потенциал для улучшения практик родоразрешения и снижения частоты необоснованных операций.
A UTILIZAÇÃO DE HEMOCOMPONENTES NA CLÍNICA DE CÃES E GATOS
Authors: Oliveira Larissa Silva , Freita Lorrane Silva Ribeiro , Santos Larah Silva , Piveta Lidiana Cândida , Santos Jandra Pacheco
Published: October 2024

A terapia transfusional é uma prática utilizada como tratamento de suporte para cães e gatos para corrigir déficits sistêmicos. As indicações mais frequentes para realizar a transfusão são correção de anemias, hemorragias graves e neoplasias. O objetivo deste trabalho é abordar o processamento, armazenamento e transfusão dos subprodutos do sangue total, para a utilização na terapia emergencial na clínica de pequenos. O estudo mostrou que os hemocomponentes, concentrado de hemácias, plasma fresco congelado, plasma congelado, plasma rico em plaquetas, crioprecipitado e o concentrado de plaquetas apresentam vantagens substanciais sobre a transfusão de sangue total.
ABORDAGENS TERAPÊUTICAS DA DERMATITE ATÓPICA CANINA: REVISÃO DE LITERATURA
Authors: Cavalcante Juliana , Silva Diego , Madureira Luana , Vitor Juliana , Oliveira Nayara , Ribeiro Larissa
Published: October 2024

A dermatite atópica canina é considerada um importante distúrbio cutâneo alérgico na rotina clínica dermatológica, apresentando alta frequência, diagnóstico complexo e várias abordagens terapêuticas. Portanto, este trabalho tem como objetivo esclarecer os aspectos relacionados à etiologia, fisiopatogenia, sinais clínicos, formas de diagnóstico e métodos de tratamento. Para a realização do presente trabalho, foi feita uma revisão de literatura utilizando plataformas online de banco de dados, como Google Acadêmico, SciELO e PubMed, para obtenção de artigos, teses, dissertações e trabalhos a respeito do tema. Portanto, a partir deste trabalho foi possível sintetizar informações relevantes para auxiliar na conduta clínica dos veterinários, contribuindo para uma abordagem diagnóstica e terapêutica eficaz, favorecendo o aumento da saúde e bem estar animal.
Development of A Workshop on the Topic of the Bionically Inspired Lightweight Design Method for 3D Printed Components
Authors: Sazali Norazlianie , Zulkifly Muhammad Arif Aiman , Maurice Kettner , Salim Naqib , Ishak Ismayuzri , Che Ghani Saiful Anwar
Published: October 2024

Additive manufacturing methods, particularly 3D printing, are widely utilized in research and engineering for crafting lightweight yet durable materials capable of withstanding substantial forces. Leveraging insights from biomechanical structures offers a deeper understanding of reinforcement techniques and optimal design strategies to enhance strength. This paper focuses on the development of a Draisine design, historically significant in Karlsruhe, as part of the BWSplus project "Drais3D-Trinational" workshop. Through a comprehensive analysis of bionic influences on lightweight design and 3D printing parameters, this study aims to create an optimal design framework for the workshop. Utilizing Computer-Aided Design (CAD) software such as SolidWorks and Creo Parametric, along with Finite Element Analysis using ANSYS R2023 Workbench, deformation and stress analysis are conducted. Investigation into 3D printing parameters, including infill patterns, temperature, support systems, and orientation, seeks to identify optimal solutions considering factors like processing time, robustness, and filament wastage. The objective is to explore the biomechanical influence on construction methods, concept design, and parameter construction in preparation for the Drais3D-Trinational workshop in March 2023. The expected outcomes include the presentation of two main designs with varied parameters, alongside analyses such as Finite Element Analysis and optimization of 3D printing parameters, emphasizing the role of bionic structures in defining the optimal Draisine design.
Axisymmetric Cylindrical Green’s Function for the Steady-State Advection-Diffusion Operator with Uniform Velocity
Authors: Kaldass Hani , Nouralla Raghda , A. Zidan Nehad A. Zidan
Published: October 2024

The advection-diffusion equation has a wide range of applications as it governs energy and mass transport in a moving medium. Analytical solutions of the advection-diffusion equation for classes of boundary conditions amounts to finding exact expressions of the Green’s function of the advection-diffusion operator. In this work, the Green’s function of the steady-state advection-diffusion operator is obtained for an axisymmetric cylindrical problem with uniform velocity along the axis of the cylinder. The solution is exact, as axial diffusion (or conduction) is not neglected. The method of solution utilizes a formalism relating the Green’s function of the diffusion operator to that of the steady-state advection-diffusion operator with uniform velocity. The Green’s function obtained is applied to a Dirichlet boundary value problem. The distribution, (either particle concentration, or temperature), is plotted for various values of Péclet numbers. This work demonstrates how to invert the steady-state advection-diffusion operator with uniform velocity in a non-trivial geometry, namely the cylinder.
ISETECH-AI-Powered Dental Consultation Chatbot: Enhancing Public Healthcare Accessibility and Awareness
Authors: Othman Zuraini , Abd Yusof Noor Fazilla , Abdul Malek Mohd Hariz , Zhe Xi Mervyn Lim Zhe Xi , Rohaizad Aainaa Nabilah , Amin Muhammad Fikrun
Published: October 2024

The evolving landscape of healthcare has witnessed remarkable transformations owing to the integration of Artificial Intelligence (AI) and chatbot technology. This paper presents the development of an AI-powered dental consultation chatbot aimed at revolutionizing dental healthcare accessibility and awareness, particularly in the context of Malaysia. The chatbot serves as a valuable resource for dental self-diagnosis, information dissemination, and remote consultations, reducing the need for in-person visits to dental clinics, especially considering the COVID-19 pandemic. The adoption of chatbots in healthcare has gained momentum, driven by their ability to engage in natural language conversations, disseminate reliable information, and provide personalized assistance. Chatbots have emerged as essential tools in public health management, offering services ranging from disease understanding and information provision to counselling and facilitating doctor-patient communication. In the specific domain of dental healthcare, chatbots have the potential to alleviate challenges associated with iatrophobia (fear of disclosing dental problems) and the need for professional dental consultations. The objective of this work is to develop a user-friendly, AI-powered dental consultation chatbot accessible online. This chatbot allows users to engage in real-life conversations with the machine, conducting short self-diagnosis of their oral health conditions. Users can seek information about their dental issues, understand symptoms, and gain insights into their dental health before or after visiting a dentist. Furthermore, the chatbot system presented in this study holds the potential to ease the workload of dental practitioners by offering an alternative method of consultation. Modern digital dental technologies are increasingly focused on diagnosis and classification tasks, but few have explored the realm of dental consultation chatbots for public use. This project bridges this gap and extends the utility of AI-powered chatbots to the field of dental healthcare. This AI-powered dental consultation chatbot not only addresses the evolving healthcare needs of the post-pandemic era but also contributes to advancing dental healthcare accessibility and awareness among the population.