bluuebunny/crossref_metadata_2025 huggingface dataset:
Déploiement du vaccin : Impact socio-économique sur l’obtention de l’immunité contre la COVID-19
Authors: Donohue Morgan
Published: August 2021

La pandémie de COVID-19 est sans aucun doute la plus grande crise sanitaire des temps modernes. Avec presque 933,785 infections et 22,676 morts au Canada [1], il est de la plus haute importance de distribuer rapidement des vaccins approuvés aux populations les plus touchées. Tragiquement, ces populations sont principalement des Canadiens racialisés et à faible revenu. Cependant, Ottawa n'a actuellement aucun plan pour aider ces personnes à surmonter les obstacles à l'accès aux soins de santé, y compris l'accès au vaccin COVID-19. Des subventions pour le transport, la perte de salaire, ainsi que plus d'information sur le vaccin (engagement du publique) sont nécessaires pour la vaccination des familles à faible revenu au Canada.

Pendant cette pandémie, les gens le plus touchées par le virus au Canada sont des familles a fiable revenu et des personnes racialisées. Par exemple en Ontario entre Janvier 2020 et Juin 2020, les quartiers connaissant des niveaux élevés de pauvreté affichent deux fois plus de taux d'infection au COVID-19 que les communautés à revenu élevé. De plus, les personnes infectées provenant de quartiers à faible revenu ont connu plus de complications graves à la suite de l'infection [2]. Les raisons sous-jacentes potentielles à cela pourraient être dues à une exposition accrue au virus, ainsi qu'à un risque plus élevé de conditions préexistantes dans ces populations [3]. Malheureusement, ces divisions entre les classes qui se traduisent par de moins bons résultats de santé dans les communautés à faible revenu existaient bien avant la pandémie de COVID-19. Les barrières financières qui entraînent une mauvaise qualité des aliments, des environnements de logement insalubres et une augmentation des niveaux de stress global contribuent actuellement aux comorbidités signalées de pauvreté (hypertension, diabète, maladies cardiovasculaires, et maladies respiratoires chroniques) [3]. Ces conditions mentionnées ci-dessus placent cependant les personnes ayant une faible statistique socio-économique à un risque élevé de complications graves du COVID-19.
Evaluation of outcome of pregnancy in placenta accreta spectrum
Authors: Veludandi Uma , Suman B. Aruna , Nagamani S. , Hothur Medha
Published: August 2021

Background: Aim of the study was to evaluate the outcome of pregnancy in placenta accrete spectrum in third trimester pregnancy at tertiary care centreMethods: This hospital based retrospective study was carried out from 2017 to 2019.  The case records of all women identified as placenta accrete spectrum from the hospital registers were retrieved. A total of 166 patients with the diagnosis of placenta accrete spectrum were included in the study.Results: The incidence of morbidly adherent placenta is 5 per 10,000 deliveries with mean age being 32.4±4.2 (23-39) years. and showed its relation with risk factors such as previous caesarean section (CS), placenta praevia and multiparity. The mean duration of MICU stay in placenta previa was 6.7±1.9 days (range 2-12 days). With complications in 18 cases of which urinary bladder injury (3%), infection (9%), PPH and coagulopathy (4.2%). The placenta was removed successfully in 141 while 25 cases had caesarean hysterectomy (2.4%). In total 166 cases 26 (16.8%) cases are intrauterine device (IUD) and still births. 5 (3%) cases are very low birth weight, 24 cases (14.5%) are low birth weight babies, 76 (45.8%) cases had neonatal intensive care unit (NICU) admissions followed by 10 (6%) cases with <5 APGAR score.Conclusions: Placenta accreta spectrum can be identified antenatally with a high index of suspicion in the presence of known risk factors and proper radiological studies, allowing for planned attempts to avoid life-threatening haemorrhage and caesarean hysterectomy.
A prospective, single-arm, open-label study to determine the safety and effectiveness of a fixed-dose combination of camylofin and mefenamic acid in Indian women with primary dysmenorrhea
Authors: Pandey Pragya , Asava Ayushi , Nagaraj K. Hemalatha , Rath Sudhanshu Kumar , Kodati Vijaya Lakshmi
Published: August 2021

Background: Treatment of dysmenorrhea is aimed at providing symptomatic relief from associated pain. A prospective, single-arm, open-label, multicenter study was conducted at 5 sites across India to assess the safety, effectiveness and tolerability of a fixed-dose combination (FDC) of camylofin 50 mg and mefenamic acid 250 mg in women with primary dysmenorrhea.Methods: Women were prescribed a 3/5-day course of the FDC orally thrice daily. The primary endpoint was to assess the safety of the FDC as analyzed by incidence of adverse events (AEs), and the main secondary endpoint was to evaluate effectiveness by change in mean intensity of pain as assessed by visual analog scale (VAS) scoring from baseline to day 3/5.Results: Out of 274 enrolled women, pain associated with menses was reported by 271 (98.9%) women at baseline. In all, 28 (10.2%) women reported treatment-emergent AEs. The most common AEs were back pain, headache, vomiting, and upper abdominal pain, which were of mild intensity and resolved at the end of treatment (EoT). None of the women discontinued the study due to AEs. No serious AEs or deaths were reported in the study. The mean (standard deviation [SD]) pain intensity on VAS scale was 72.6 (16.28) at baseline and 3.3 (7.11) at EoT. A statistically significant reduction of 69.9 (18.60) from baseline in mean pain intensity was observed after treatment (p<0.0001).Conclusions: An FDC of camyolfin and mefenamic acid had a good safety and tolerability profile and could effectively relieve pain in Indian women with primary dysmenorrhea.
Clinical profile and outcome of COVID positive obstetric patients in a tertiary care hospital: a retrospective study
Authors: Mufti Asma Hassan , Mukhtar Samar , Mufti Mehmood-Ul-Hassan , Wani Nasir Jeelani
Published: August 2021

Background: To study clinical profile, maternal and fetal outcome in COVID positive pregnancies.Methods: A retrospective observational study was done at Lalla ded hospital, Kashmir, a tertiary care centre. 70 COVID positive pregnant women who were admitted from May 2020 to January 2021 were included in the study.Results: The incidence of COVID positive patients in our study was 11.47%. 60% of patients in our study belonged to 26-30 years age group. 50% patients were primigravida, 20% were second gravid. Among the study population, 31 (44.3%) patients were term while 22 (31.4%) were preterm. Most patients were asymptomatic (61.4%). Among symptomatic patients, maximum had fever (17.1%) followed by cough (10%) and shortness of breath (4.3%). Associated comorbidity was seen in 33 patients (47.1%). Hypertensive disorders of pregnancy were seen in majority i.e. 15.7%, followed by anaemia (11.4%), GDM (8.5%) and hypothyroidism (7.1%). Out of total study population of 70, emergency cesarean delivery (LSCS) was done in 29 patients (41.5%). 21 patients delivered vaginally (30%). Two post-LSCS patients were shifted to designated COVID Intensive care unit (ICU). One patient from the study group died. There were total of 50 deliveries, 10 babies had Neonatal ICU admission (20%), Low birth weight in 9 (18%). Low APGAR score was in 6 (12%). There were 2 stillbirths in the study population.Conclusions: COVID presents as milder disease in pregnancy, but it may be severe in those with associated comorbidities. More studies on susceptibility of pregnant women to infection by COVID-19 are required.
A retrospective analysis on placenta previa in a tertiary care center of Jharkhand
Authors: Sharma Tanu
Published: August 2021

Background: When the placenta is implanted partially or completely in the lower uterine segment, it is called placenta previa. Previa is a Latin word means going before. About one-third of APH belongs to placenta previa and now a day’s incidence is increasing in primigravida patients. The objective of this study was to analyze the incidence, risk factors, maternal morbidity, mortality and perinatal outcome in women with placenta previa in a tertiary care center of Jharkhand.Methods: Total 193 cases of placenta previa were studied between September 2018 to August 2019 in the department of obstetrics and gynecology, RIMS, Ranchi with respect to their age, parity, gestational age, clinical presentation, previous history of curettage/hysterotomy/caesarean, ICU admission, need for NICU admission, maternal morbidity and mortality and perinatal outcome.Results: In this study, 1.94% of the deliveries were complicated with placenta previa. 31.6% were above 30 years, 87% were multigravida, 122, i.e.; 62.7% were having history of curettage or previous caesarean or hysterotomy. 49.7% had prior caesarean deliveries, 21.5% had prior abortion with history of D and C. 49.2% had true placenta previa. 68.4% had preterm delivery. 11.9% patients presented in shock and maximum i.e.; 184 (95.3%) out of 193 presented with painless bleeding per vaginum and 9 cases with no complaints. Malpresentation seen in 16.6% cases and 8.3% had adherent placenta previa. There were 45.6% ICU admission and 54.9% NICU admission, 2.5% maternal mortality and 32.6% perinatal mortality.Conclusions: Advanced maternal age, multiparty, scarred uterus as in prior CS or D and C are independent risk factors for placenta previa. Also, it remains a risk factor for adverse maternal and perinatal outcome. The detection of placenta previa and associated adherent placenta should encourage a careful evaluation, timely diagnosis and delivery to reduce associated maternal and perinatal complications.
Comparative study of nondescent vaginal hysterectomy and abdominal hysterectomy at tertiary care centre, Maharashtra
Authors: Mujumdar Sharayu Prashant , Purohit Priyanka Kunal , Navale Shwetambari S. , Upadhyay Chintan M.
Published: August 2021

Background: Vaginal route of hysterectomy has distinct health and economic benefits in terms of less morbidity, better postoperative quality of life outcomes, reduced hospital stay and better patient satisfaction. Objectives of current study were to evaluate the appropriate route of hysterectomy (abdominal or vaginal) in terms of intra and post-operative complication, morbidity and blood loss. Methods: This prospective study was done among 100 cases of hysterectomy of which 50 patients underwent NDVH and 50 underwent abdominal hysterectomy. This study included all emergency and booked patients having Size of uterus less than 12 weeks size, adequate uterine mobility, adequate access, adenomyosis, dysfunctional uterine bleeding, chronic PID & fibroid uterus.Results: Study found statistically significantly higher number of the participants with parity 3 & 4 in both the study groups. Bulky uterus followed by 12 and 10 weeks uterus in statistically significantly higher number of the participants of both the study groups. Duration of surgery statistically significantly less in NDVH group compare to TAH group. Fibroid was the main indication of hysterectomy in both the groups. Hemorrhage was the main intra-operative complication in both the groups. Fever & respiratory tract infection was the main post-operative complications in both the groups.Conclusions: Benefits of NDVH over TAH are Cosmetic advantage as less invasive, No discomfort of abdominal incision, shorter operative time, lesser blood loss, lesser intraoperative and postoperative complications, postoperative comfort is more, lesser requirement of postoperative analgesia, early ambulation and shorter hospital stay.
Comparative study between Johnson’s formula and Dare’s formula of fetal weight estimation at term
Authors: C. Anitha , Kanagal Deepa V.
Published: August 2021

Background: Prediction of fetal weight is one of the methods towards effective management of pregnancy and delivery. To assess and compare the accuracy of clinical and sonographic fetal weight estimation in predicting birth weight at term pregnancy, patients who were in latent or in active phase of labour. In the present study, an effort is made to compare two different clinical methods and USG and relate to the actual weight of the baby at birth.Methods: It is a prospective observational study of one hundred pregnant women satisfying the criteria, consenting for the study was recruited. Both USG and clinical methods will be done and compared with estimated the fetal weight. Weight of the baby at birth will be measured.Results: All the three methods had significant relationship with the baby weight. Percentage error was least with USG and the standard deviation of error was lower with Dare’s formula. The standard deviation was minimal for Dare`s formula EFW followed closely by USG.Conclusions: It can be concluded that Dare’s formula of clinical methods can be a potential option to be promoted in predicting the fetal weight in the absence of USG facilities. Training in this method is very important and can be an integral part in managing pregnancy during delivery in primary care setting.
Self-administered medical abortion pills: evaluation of the clinical outcome and complications among women presenting with unsupervised pill intake to a tertiary care hospital: a cross-sectional study
Authors: Singh Shreya , Rangappa Sheela Shivamonga
Published: August 2021

Background: In India, it is becoming a public health problem due to easy over-the-counter abortion pill availability despite the legal ban, widespread misuse by non-allopath doctors, dais and quacks, and ignorance on part of women. The pills are being dispensed blindly without proper medical evaluation and even without ruling out the contraindications. In India, abortion facility is available legally under the MTP act, 1971.Methods: Its cross-section study including 81 patients presenting to outpatients and emergency department of obstetrics and Gynecology, in RL Jalapa Hospital and Research Centre affiliated to Sri Deva Raj Urs Academy of Higher Education and Research, Kolar between December 2020 and February 2021, a study conducted among women with a history of unsupervised pills abortion pill intake.Results: In the study 35% were in the age group 19 to 20 years, 45% were in the age group 21 to 25 years and 20% were in the age group 26 to 30 years. 55% were from joint family and 45% were from nuclear family, 76.2% were multigravida and 23.8% were primigravida.Conclusions: This study shows strict legislation and restriction required the sale of abortion pills for public use. The drug should be available only via health care facilities under the super version during an abortion. Creating awareness regarding contraception and effective method to fulfil the unmet need for contraception will be useful avoid the harmful practice of self-administered abortion pills and reducing maternal mortality.
Cervical Pap smear study and its utility in cancer screening in patients attending out-patient department in a tertiary care hospital
Authors: Garg Paridhi , Mishra Shweta , Divedi Pragati
Published: August 2021

Background: Cervical cancer is one of the major causes of mortality among women worldwide. By simple pap screening test cervical cancer and its precursor lesions can be detected and treated early. The aim of the study was to determine and analyze Pap smear reports from women presenting with various gynaecological indications in a tertiary care hospital.Methods: This retrospective study was conducted in the department of obstetrics and gynaecology at Rama Medical College Hospital and Research Centre, Hapur over a period of 6 months. Patients with various complaints between ages 21 to 70 years were screened during August 2020 to January 2021 by taking Pap smear using Ayres spatula. Total 330 patients were studied.  Slides were reported according to the 2014 Bethesda system.Results: Maximum number of cases were in the age group 31-40 years constituting 32.72% of the total cases followed by age group 41-50 years. Vaginal discharge was the commonest chief complaint seen in 32.12% cases followed by menorrhagia. Maximum number of cases reported as non-specific inflammatory smears (64.54%). Among epithelial cell abnormalities incidence of LSIL was 2.42% followed by ASCUS (1.82%).Conclusions: Pap smear testing is an economical, non-invasive and simple OPD procedure to detect potentially precancerous and cancerous lesions of cervix. It should be established as a routine screening procedure to reduce the treatment burden, morbidity and mortality.
Validation the sensitivity and specificity of diabetes in pregnancy study group of India recommended 75 g oral glucose challenge test by comparing with carpenter and couston 100 g oral glucose tolerence test
Authors: Gowda Shashikala H. , Swathi Tarigopula , B. Rakshitha
Published: August 2021

Background: Diabetes is one of the most common non communicable diseases globally. India is considered as the world diabetes capital. Women detected with gestational diabetes mellitus (GDM) have an increased incidence of developing diabetes; especially type 2 diabetes mellitus in the later life, and future development of obesity and diabetes in the offspring. So the aim of this study is to validate the sensitivity and specificity of diabetes in pregnancy study group of India (DIPSI) recommended 75 g oral glucose challenge test (OGCT) by comparing with carpenter and couston 100 g oral glucose tolerance test (OGTT) and to note the prevalence of gestational diabetes in antenatal population attending Kempegowda Institute of Medical Sciences (KIMS).Methods: All antenatal patients reporting to our hospital at or before 24 to 28 weeks period of gestation will be recruited for the study. Patients at random will be subjected to 75g glucose load according to DIPSI criteria and one week later to carpenter and couston 100 g OGTT. Blood glucose is estimated from venous blood using glucose oxidase and peroxidase (GOD-POD) method and patients diagnosed according to respective criteria.Results: Most of the patients were in age distribution of 20–25 years. Among 100 patients in study group 28 were diagnosed as GDM by DIPSI criteria. Among 100 patients, 12 patients were detected as GDM by carpenter and couston GTT, 19 patients had impaired glucose tolerance. The incidence of GDM in the antenatal population attending KIMS hospital between gestational ages of 24–28 weeks is 12%.Conclusions: DIPSI can be used as a diagnostic test for GDM as one step simple and easy procedure especially I low resource settings like India for improved pregnancy outcome.
Peri conceptional association of the triad of hyperhomocsteinemia, hypothyroidism and impaired carbohydrate metabolism with recurrent pregnancy loss
Authors: Gadwal Bhagyashree Mallinath , Rajan Revathi S. , Rao Kamini A.
Published: August 2021

Background: Recurrent pregnancy loss is a cause of great concern to the affected couple as well as the treating physician. We evaluated the periconceptional association of the triad of hyperhomocystienemia, hypothyroidism, and impaired carbohydrate metabolism with RPL and to identify the potential risk factors for RPL which are probably nutritional.Methods: Seven hundred ninety-six consecutive pregnancies with two or more abortions referring to our Infertility clinic were selected to be studied in a descriptive, prospective observational study in 2012-2014. All the pregnant women were subjected to routine blood tests/ examination/ imaging as per hospital protocols. All underwent TSH, FT4, GTT 75 gm (fasting and 2 h postprandial) as per routine antenatal workup. Additionally, fasting plasma homocysteine, antinuclear antibody, anti phospholipid antibody, anti- thyroid peroxidase antibody tests were performed for patients with RPL. All the patients were studied for the triad of hypothyroidism, hyperhomocysteinemia and impaired carbohydrate metabolism.Results: The incidence of RPL was found to be 5.65 %. Majority of women (51.1%) were in the age group 30-34 years. Majority of the women (55.6%) had 2 previous abortions. Majority of women (57.7%) had conceived normally. Majority of women (46.7%) had BMI<25. PCOS was reported in 28.9% women. HHcy, hypothyroidism and impaired carbohydrate metabolism was found in 78%, 73% and 73% women, respectively. The presence of two factors was reported in 60 to 65% women. 56% women reported the presence of the triad. About 7% of the patients underwent repeat abortion in second trimester of which 66.6% had the association of triad.Conclusions: Investigating these three factors in patients with RPL would help in early recognition, monitoring, and aggressive surveillance, which will help prevent obstetric complications. Simple nutritional correction may allow for better maternal and fetal programming and appropriate risk modulation.
Study of endometrium by trans-vaginal sonography and it’s correlation with histopathology in perimenopausal women with abnormal uterine bleeding
Authors: Saravade Vandana R. , Chaturvedi Shuchi
Published: August 2021

Background: Objectives of the study were to study the endometrial patterns in cases of abnormal uterine bleeding (AUB) and anatomical (structural) lesions of uterus using transvaginal sonography (TVS) and endometrial histopathology and to determine the efficacy of TVS.Methods: Cross-section study of 50 perimenopausal age group with AUB in TNMC BYL Nair hospital from Nov 2017 to Nov 2018.Results: AUB was seen 40 to 45 years multiparous women TVS endometrial thickness (ET) T 6-10 mm (46%), ET 11-15 (22%), ET>15 mm (14%), <5 mm in (18%), showed 21 (42%) patients with endometrial hyperplasia on TVS, 12 (24%) simple hyperplasia 4 (8%) complex hyperplasia on histopathology fibroid 8%, adenomyosis 2%. endometrial polyp 6%.Conclusions: Endometrial lining exceeds 10 mm dilation and curettage to be done r/o endometrial hyperplasia, to study the endometrial patterns in cases of abnormal uterine bleeding and anatomical (structural) lesions of uterus using transvaginal sonography and endometrial histopathology.
Spontaneous pregnancy in a patient with premature ovarian insufficiency after a failed attempt of ovulation induction
Authors: Yaacob Nasuha , Adzlan Fadzlin M. , Ab Rahman Siti Nabillah
Published: August 2021

Premature ovarian insufficiency (POI) is defined as intermittent or permanent gonadal insufficiency before age of 40 years. POI causes female infertility hence pregnancies are uncommon but not impossible. Ovarian failure is not permanent, unlike menopause. There could be intermittent ovulation and spontaneous pregnancy. Many protocols aimed to restore ovarian functions have been described in the recent years. This is a case of POI women who conceived spontaneously in the immediate menstrual cycle after a failed attempt at ovarian stimulation following many years on hormone replacement therapy (HRT). She had an unremarkable pregnancy and delivered a healthy baby via caesarean section.
Pheochromocytoma during pregnancy - a rare diagnose with a complex multidisciplinary approach
Authors: Silva Rita , Carvalho Catarina R. , Tavares Madalena Andrade , Pedroso Celia , Tapadinhas Paula
Published: August 2021

Hypertension is a common problem in pregnancy that can result in significant maternal and fetal morbidity and mortality. The common causes include pre-eclampsia, gestational hypertension and essential hypertension. Although pheochromocytoma is a rare of hypertension in pregnancy, it can lead to potentially life-threatening cardiovascular complications for the mother and increased fetal mortality if left undiagnosed and untreated. Early diagnosis and timely, appropriate management reduce possible maternal and fetal complications. We report a case of a 32-week pregnant woman diagnosed with hypertension secondary to pheochromocytoma. An elective caesarian section was performed at 37 weeks of gestational age and underwent a laparoscopic left adrenalectomy with success. A multidisciplinary approach is of utmost importance and essential during the management of this life-threatening condition during pregnancy.
Саse reроrt оf sроntаneоus bilаterаl ovаriаn pregnаnсy in а multiраrоus femаle
Authors: Gupta Priya , Maheshwari Sandip
Published: August 2021

Nоn-tubаl eсtорiс рregnаnсies, esрeсiаlly bilаterаl оvаriаn оnes, аre very rаre. In this саse reроrt, we рresent а саse оf sроntаneоus bilаterаl оvаriаn рregnаnсy in а 30-yeаr-оld multiраrоus lаdy whо рresented with а seven-dаy histоry оf lоwer аbdоminаl раin аssосiаted with fever. The urine рregnаnсy test wаs роsitive. The trаnsvаginаl ultrаsоund findings аlоng with the β-сhоriоniс gоnаdоtrорin level were indiсаtive оf а bilаterаl оvаriаn eсtорiс рregnаnсy, аnd the surgiсаl treаtment оf the раtient wаs deсided.  Fоllоwing the раtient's соnsent, intrаорerаtively the рresenсe оf аn оvаriаn eсtорiс рregnаnсy wаs deteсted by the gyneсоlоgist аnd bilаterаl  sаlрingо-оорhоreсtоmy  wаs  dоne.  Оn histораthоlоgy, the findings reveаled trорhоblаstiс tissue аnd сhоriоniс villi аlоng with рrоduсts оf соnсeрtiоn in bоth оvаries, соnfirming the diаgnоsis оf bilаterаl sроntаneоus eсtорiс рregnаnсy.  The раtient wаs disсhаrged frоm оur сliniс оn the fifth роst-орerаtive dаy, with instruсtiоns fоr regulаr fоllоw-uр оf the β-сhоriоniс gоnаdоtrорin level until it returns tо nоrmаl vаlues. Аn eаrly diаgnоsis leаds tо а signifiсаnt reduсtiоn in mоrbidity аnd mоrtаlity with suсh саses аnd helрs tо imрrоve their оverаll рrоgnоsis.
Desafíos para el Congreso en el Bicentenario
Authors: Corrales Angulo Andrés
Published: August 2021

En su tarea de tender puentes entre la enseñanza especializada y la gestión pública, la Escuela de Posgrado de la Universidad Continental publica Desafíos para el Congreso en el Bicentenario. Se trata de un volumen que compendia la perspectiva de diversos especialistas en la gestión pública, política, economía y la sociedad peruana. Los expertos abordan la realidad peruana y realizan propuestas al Poder Legislativo desde cuatro ejes: visión del país en el bicentenario, reactivación de la economía con desarrollo social, nuevos perfiles ciudadanos (electores, consumidores y emprendedores) y las funciones necesarias para los congresistas electos en una coyuntura crítica para el país. Max Hernández reflexiona desde el psicoanálisis sobre el rol de los congresistas y, al mismo tiempo, inaugura el volumen con una metáfora: la sociedad peruana es un paciente que requiere atención. Así, economistas como Carlos Paredes y Elena Conterno plantean medidas para la reactivación económica sin desatender los principales obstáculos por sortear: la ausencia del análisis de costo-beneficio en la toma de decisiones y la necesidad de identificar al menos cien puestos clave para la gestión estatal, entre diversas recomendaciones. Rolando Arellano y Alfredo Torres abordan los complejos procesos sociales y culturales que conforman a la ciudadanía peruana del siglo XXI: nuevos patrones de consumo, nuevos centros hegemónicos de comercio y tendencias políticas orientadas por nuevos canales de información son aspectos por contemplar para la nueva legislatura. Marisol Espinoza, Carlos Bruce y Jorge Del Castillo aportan, desde su experiencia como excongresistas, consejos para mejorar la eficiencia del cargo, así como su relación con la ciudadanía y los diversos agentes políticos. Aquí los congresistas electos encontrarán una propuesta de hoja de ruta. Quienes los eligieron podrán seguir su aporte a la gobernabilidad y la estabilidad económica.
Tensiones entre sentimientos y conciencia: entendiendo la homeostasis
Authors: Galvis Villamizar Santiago , Arango Ruda Daniela , Cárdenas López Hugo , Sandoval París Jorge , Gómez-Barrera Luis Alejandro , Parra-Chica Wilson Andrés , Aristizábal-Tobler Chantal , Villar-Concha Eduardo , García Ana Camila , Martínez-R María Carolina , Bonilla-Dueñas Anny
Published: August 2021

La vida es, de lejos, el más fantástico y complejo de todos los fenómenos imaginables. Estudiarla rebasa ampliamente a cualquier ciencia o disciplina y, al mismo tiempo, convoca tradiciones disciplinarias diferentes, integra lenguajes, aproxima metodologías, rompe la escisión rígida entre conceptos y metáforas, literalmente, da qué pensar. Es por ello que hemos sugerido que, quizás, el mejor vehículo para comprenderla y explicarla es, sin reduccionismos, las ciencias de la complejidad. La historia comienza en 1944, y en
algo menos de ochenta años, a la fecha, los logros y avances que se han alcanzo son sorprendentes, entre otras razones, por vertiginosos.
Mobile Applications for COVID-19: Benefits, Technologies and Future Research Opportunities
Authors: Čolaković Alem , Kosovac Amel , Goran Nermin , Muharemović Ermin , Džananović Ajdin , Medić Adisa , Dervišević Muamer
Published: August 2021

The SARS-CoV-2 (COVID-19) pandemic has emerged as one of the greatest problems of the 21st century worldwide. Efforts to fight this pandemic require a global co-operation and a multidisciplinary approach. An application of information and communication technologies (ICT) to a great degree contributes to fighting the pandemic as these technologies are one of the key services that assist patients, researchers, health institutions and other interested parties in different activities in an effort to fight the pandemic and its consequences. The present paper presents the features of certain mobile applications (apps) that are being used for different purposes such as: tracking patients, COVID-19-related warnings, keeping tracks of statistical data, organising life and business, etc. Aside from presenting the features of a certain number of applications, a review of technologies used for the development of these applications will also be presented. Furthermore, the paper addresses certain challenges that come along with the mobile technologies applications and offers suggestions for future research.
Investing in the Development of Renewable Energy Sources
Authors: Prib Kateryna
Published: August 2021

The purpose of the article is to highlight modern approaches to enhancing investment in the development of renewable energy sources.On the basis of monographic and qualimetric methods, system analysis and a dialectical approach, modern trends in investment in renewable energy in Ukraine and the world have been investigated, the most promising and optimal methods and forms of investment financing have been identified and systematized.It is emphasized that Ukraine entered the TOP-20 of the world rating of states in terms of the volume of investments in renewable energy sources, and the growth of investment flows into the Ukrainian energy sector remains relatively dynamic. However, it turned out that the issue of reviving investment activity remains relevant.The article shows that an increase in the inflow of investments is possible due to the activation of all available forms and methods of financing them. To do this, it is advisable to join international programs of grant, technical and other special assistance, use mechanisms of budgetary state and municipal assistance, develop energy service companies, create special loan products in the energy sector, issue green bonds and activate self-financing.The results of the study on enhancing investments in the development of renewable energy sources can be used to improve investment policy in the energy sector at the level of state and municipal authorities, business entities, individual and institutional investors.According to the results of the study, the article concludes that in order to ensure the development of renewable energy sources, it is necessary to mobilize investment resources from all available sources, develop various forms and methods of financing investments, and also contribute in every possible way to stabilize the working conditions of investors in the energy sector, to strengthen their motivation to invest in development. renewable energy sources.
JEL classіfіcatіon: Q42, O16
Social Entrepreneurship – Current Trend of Economic Development
Authors: Bila Iryna , Shevchenko Olena
Published: August 2021

The development of a market economy involves the socialization of its economic entities, i.e. the direction of their activities to solve social problems. The purpose of this article is to consider the theoretical and practical aspects of social entrepreneurship as a modern trend of economic development. The authors note that the main features of social entrepreneurship are: innovative activities; its dual focus, which combines non-profit goals with the ability, necessity and ability to make a profit; public nature of social enterprises and complexity in the organization and development, the presence of significant risks. Studies of the functioning of social entrepreneurship in the world have identified the following trends in its development: due to the different participation of the state in its support; lack of a single “acceptable” or effective form of social entrepreneurship and a certain generally defined area of activity; the success of social entrepreneurship in the world and its significant contribution to the economy.In Ukraine, social entrepreneurship is a new form of business. The main trends in the functioning of social entrepreneurship in Ukraine are: a fairly wide geography of distribution of their activities, although the vast majority of them operate in large cities; the most common organizational form is individual small business; the main activities are: employment of vulnerable groups and generating income for social activities, etc. However, despite the rather rapid development of social entrepreneurship in Ukraine, the problems of its functioning are: lack of financial and institutional state support; lack of motivation to create social enterprises and low level of public awareness of their significant positive potential; its significant dependence on foreign support and investment. According to the authors, these problems do not allow social entrepreneurship in Ukraine to realize its potential and become a trend of economic development.
JEL classіfіcatіon: D64, L26, L31
Situational Analysis in Benchmarking Research of Regional Development
Authors: Ignatieva Iryna , Havrylenko Tetiana , Serbenivska Alina
Published: August 2021

The purpose of the article is to reveal the directions of regional strategic development methodical bases’ formation on the basis of benchmarking.The article reveals the peculiarities of benchmarking methodology application in modern regional strategy. The study of regional development was conducted on the basis of a systematic approach and using situational analysis. The application of a systematic approach allows us to consider the region as a system with established goals and organized as a whole set of interacting elements. The situational approach most fully reflects the problems that arise in management activities and allows you to identify situational factors that affect the development of regions. It is proven that it is expedient to use the method of spatial benchmarking as a tool of situational analysis. The study of the methodological principles of benchmarking made it possible to formalize the stages of the benchmarking study of regional development.Studies of the strategies of different regions of Ukraine revealed the need and importance of applying a situational approach to management. This made it possible to formulate criteria for selecting a standardregion and to identify three groups of indicators of the study of specific regions, which allowed to form possible clusters using the method of hierarchical cluster analysis.As a result of research there are carried out calculations of the competitive analysis of regions of Ukraine and revealed strategic prospects concerning development of certain regions.According to the results of the study, it is concluded that the formation of regional development strategy requires detailed research, which is methodologically based on the principles of benchmarking analysis, there are opportunities to vary the list of indicators and criteria that determine the standard-region. The application of benchmarking in the management system allows you to systematically find and evaluate all the benefits of the best experience of the standard-region and create opportunities for their use in your own region.
JEL classіfіcatіon: O12, R11, R12, R19
Water Supply of the Population of Ukraine: Level, Problems and Directions of its Solutions
Authors: Miroshnychenko Viktoria
Published: August 2021

The article examines the level of water supply of the population of Ukraine in terms of administrative regions, considers the existing problems, and identifies ways to solve them. Regional differences in the annual water supply of the population of Ukraine per capita in terms of local and transit runoff, forecast resources and operational groundwater reserves, the size of their intake, including daily, and indicators of total water supply in the average water and low water (95 %) years. A comparison with the water supply indicators of other European countries is made. According to the indicated sources of water supply, groups of regions in which the state of water supply is critical have been identified. It is recognized as necessary when developing programs to improve water use, first of all to pay attention to areas that have not only lower indicators of total water supply, but also lower levels of operational reserves and projected groundwater resources, which should be used to meet drinking and sanitation. hygienic needs. The structure of fresh water use and pollution of water discharged together with wastewater are characterized. Particular attention is paid to the disclosure of the level of development, the dynamics of groundwater production, the structure of their use, the nature and causes of pollution. The ecological consequences and main problems caused by the natural shortage of water resources and significant regional differences in their provision, pollution of surface and groundwater and violations of the norms of their use are outlined. It is proposed, taking into account the unfavorable state of water supply in Ukraine as a whole and critical in some regions, to pay attention to the need for gradual introduction of economic methods of influence, through differentiation of prices for water supply of different quality, to water consumers and other economic entities. exploitation of water bodies, collection, preparation, transportation of water resources, which would stimulate the preservation and restoration of this valuable and unalternative natural product.
JEL classіfіcatіon: Q25
Desenvolvimento de protocolo para Validação e Qualificação Técnica de Visor de Hemaglutinação
Authors: Knihs Vinicius Matheus , Geraldo Alexandre , Batschauer Anna Paula De Borba , Ferraz Marshell Ferreira Almeida
Published: August 2021

Os laboratórios de análises clínicas e bancos de sangue em todo o Brasil, realizam em sua rotina exames de tipagem sanguínea, que são observadas através de reações de hemaglutinação. Equipamentos e instrumentos são utilizados na rotina laboratorial como auxílio da conclusão da tipagem sanguínea ampliando as reações imunohematológicas, porem estes equipamentos tiveram sua produção descontinuada, dessa forma, faz-se necessária a elaboração de protocolos de validação e de qualificação, para que os mesmos possam ser fabricados corretamente. Este trabalho tem como objetivo desenvolver um protocolo para a validação e um para qualificação técnica de visores de hemaglutinação. Foram pesquisados nas plataformas de busca Google Acadêmico e PubMed 1429 artigos, sendo utilizados 155 artigos para construção do protocolo publicados entre 1/01/1990 até 01/10/2018. Após a realização da leitura dos artigos foi construído um check-list para a validação, e um para a qualificação técnica, contendo itens a serem avaliados. Estes itens receberam pesos diferentes para a pontuação final (peso 1 e peso 2), de acordo com o nível de interferência para a análise do resultado, bem como média mínima que o equipamento deve atingir ao passar pela análise do mesmo. Os escores finais variam de 24 a 12 para a validação e de 22 a 11 para a qualificação. Caso esta média não seja atingida, o equipamento é desclassificado. Os protocolos de validação e qualificação técnica, redigidos na forma de check-list neste trabalho, não foram testados em visores de hemaglutinação, somente desenvolvidos com base na observação in loco dos mesmos, por isso são necessários estudos futuros com a aplicação dos protocolos. Contudo, este protocolo irá proporcionar maior segurança na emissão de resultados de tipagem sanguínea no futuro, para laboratórios que utilizam o visor de hemaglutinação.
Problems of evaluating the testimony of persons in criminal cases against accomplices
Authors:   prosecutor of the department for supervision of the implementation of anti-corruption legislation of the prosecutor’s office of Leningrad region, Boyarintsev A.A.
Published: August 2021

The article examines the problem of using the testimony of accomplices in a criminal case in proving evidence. The article reveals the specifics of approaches to resolving this issue in the practice of the courts of the Leningrad Region, as well as the Supreme Court of the Russian Federation; conclusions are drawn about possible ways to ensure effective protection of the defendant in modern criminal proceedings. The actual problems of evaluating the testimony of interested witnesses are investigated.
Some problems of the implementation of the constitutional right of citizens to appeal to state authorities and local self-government bodies
Authors:   PhD (law), deputy head of the Main department of criminalistics (Criminalistics center) of the Investigative Committee of the Russian Federation, Bagmet A.M. , Bychkova E.I. ,   PhD (law), senior lecturer of the department of state and legal disciplines of the Moscow academy of the Investigative Committee of the Russian Federation
Published: August 2021

The article deals with some problems of citizens realization of the right to appeal to state authorities and local self-government bodies. The authors draw conclusions about the need to clarify the theoretical basis of citizens ‘appeals, to fix in the federal legislation a clearer classification of the types of citizens’ appeals. Also, based on judicial practice and statistical data, the authors come to the conclusion that it is necessary to establish administrative responsibility not only for violating the procedure for considering citizens’ appeals, but also for the formal approach of officials when preparing responses to appeals.
The concept of the territory of the federal territory ‘Sirius’
Authors:   PhD (law), senior lecturer of the department of civil and labor law of the North-Western institute of management of the RANEPA, Mayboroda V.A.
Published: August 2021

The article provides an analysis of the concept of the federal territory from the position of the constituents of the legal regime of the said territory, which includes both public-legal and private-legal regulation. The findings of the study suggest that a proposal should be put forward to improve the territorial composition of the federal territory and to include the territorial sea in the part necessary to achieve the goals of the creation of a federal territory.
Bioethics in crisis or the crisis of bioethics? : An Anthropology of Pandemic in the Medicalized Society
Authors: Sandu Antonio
Published: August 2021

We will discuss (…) the need for ethics in times of crisis. Many people consider ethics and bioethics and the call for principles to be bureaucratic obstacles to obtaining a rapid response from the population, for example, to achieve vaccines in record time, to immunize the population, to establish unpopular but necessary measures, such as closing borders and non-compliance with fundamental principles of the European Union, establishing public policies aimed at herd immunity or, conversely, closing most activities considered essential in the economy, to ensure social distancing and self-isolation of the population. These measures are understood as derogations from ethics or bioethics when targeting medical research on human subjects performed faster than required by standard procedure, or the implementation of innovative therapeutic practices that have not previously been studied by clinical trials to certify that there are no known side effects.
Las tensiones de la imagen de mujer en la moda Colombiana (1990-2000). Un análisis de la representación de la publicidad en la década de 1990
Authors: Dotor Robayo Angela Liliana
Published: August 2021

Este artículo hace parte de la investigación de la tesis doctoral en diseño: “El vestido y el conflicto en Colombia 1984 al 2000. El caso del jean colombiano”. Se presenta aquí una reflexión sobre la imagen de mujer representada en revistas y diarios nacionales, argumentada en la revisión y posterior análisis tanto de fotografía como de publicidad de moda de la década de 1990 en Colombia, y se analiza el discurso visual asociado a la mujer representada. Para el análisis fue necesario profundizar en la relación de la imagen con los contextos, en la contrastación con el periodo histórico anterior y profundizar en la hexis corporal de la indumentaria para entender sus continuidades y transformaciones, lo que permitió encontrar una relación directa con la esfera cultural del mundo narco, la cual no solo produjo violencia e ilegalidad en Colombia, sino también se insertó en la cultura a través de textos, objetos, modos y expresiones objetivas que produjeron imaginarios de poder que influenciaron y transformaron una parte de la sociedad colombiana hacia una sociedad narcotizada y productora de una narco-estética.
Esto no es un mapa. La percepción del espacio
Authors: Kranz Carla Isaza , Páez Vanegas Camilo
Published: August 2021

La idea del espacio atraviesa de forma cotidiana a los habitantes de un determinado entorno, modelando la identidad, personalidad y acciones de los individuos sobre ese entorno. La interpretación de ese espacio geográfico se convierte entonces en un discurso de propiedad, poder y otras interacciones socioeconómicas, que se viven día a día sin tener consciencia de ello. Este artículo surge del proyecto “Percepciones de un espacio en otro tiempo. Vichada, una cartografía de la experiencia inminente”, en el que la observación de las relaciones entre los habitantes y un territorio ajenos a los acelerados cambios actuales da pie entender la influencia de las representaciones espaciales actuales, que surgen de forma soterrada homogenizando la conducta de los individuos a cambio de supuestos servicios.
Poesía y transmisión del cine: los videoensayos de Kogonada
Authors: A. Russo Eduardo
Published: August 2021

Heredero del film-ensayo que recorre el siglo veinte desde los tiempos de las vanguardias históricas, el videoensayo contemporáneo, expandido en el marco de los nuevos medios y aplicaciones producto de la revolución digital, ha ganado un protagonismo sin precedentes en las últimas dos décadas. El impacto del videoensayo contemporáneo recorre a la par los ámbitos de la crítica, la teoría y el análisis cinematográfico, así como sienta las bases de nuevas prácticas de investigación y comunicación, tanto en el mundo de los medios como en la academia. Este artículo examina las implicaciones del videoensayo digital como forma articuladora de pensamiento y realización cinematográfica, y sus posibilidades en el plano de la crítica y la transmisión del cine, a través de la producción de algunos de sus representantes más destacados, subrayando el fenómeno de Kogonada, crítico y realizador que ha desarrollado una modalidad particular que reúne poesía y pensamiento cinematográfico.