bluuebunny/crossref_metadata_2025 huggingface dataset:
Do the clinical practice guidelines for pediatric dentistry meet the quality standards? A meta-research and quality appraisal protocol using AGREE II and AGREE REX tools.
Authors: Elagami Rokaia , Lopez Gallegos Claudia Jacqueline , Tedesco Tamara , Gimenez Thais , Braga Mariana Minatel , Mendes Fausto Medeiros , Raggio Daniela Prócida
Published: August 2021

Clinical Practice Guidelines (CPGs) are recommendations for the health care providers and a method to close the know-do gap, transferring the knowledge from the academic research to the clinician. The proposal of this systematic review is to assess the quality of published guidelines regarding Pediatric Dentistry topics using AGREE II instrument and AGREE REX tool. This study is registered on Open Science Framework (OSF). Two examiners will independently search for literature based on the PICO question and will perform a screening of the literature according to inclusion and exclusion criteria, as well as data collection and extraction. The search will be performed in different electronic databases including Medline (PubMed), Embase, Scopus, LIVIVO, Caribbean Health Sciences Literature (Lilacs), Scientific societies, and International association websites (American Academy of Pediatric Dentistry - AAPD, European Academy of Pediatric Dentistry - EAPD, Guidelines International Network (GIN), National Institute for Health and Care Excellence – NICE, TRIP - Turning Research Into Practice database and Scottish Dental Clinical Effectiveness Programme - SDCEP), and grey literature (ProQuest) to identify any topic regarding Pediatric Dentistry guidelines. The search strategy for this systematic review will be defined through the PICO question: “Do the clinical practice guidelines and recommendations on pediatric dentistry meet the quality standards based on the AGREE II instrument and AGREE REX tool?”. We will include evidence-based and consensus-based guidelines that address any topic related to Pediatric Dentistry, and that report on the evidence level supporting each recommendation. We will exclude any outdated documents (when they have the updated version), topics irrelevant to Pediatric Dentistry, and duplicate publications. Inter-rater reliability (Intraclass correlation coefficient) will be calculated to ensure the level of agreement among researchers. For the assessment of eligible guidelines and recommendations, the AGREE II instrument and AGREE REX tool will be used in the complete form. Lastly, descriptive statistics and linear regression models will be conducted.
KOMPETENSI KEPEMIMPINAN KRISTEN Analisis ciri khas dan peran serta kompetensi pemimpin
Authors: Giban Yoel
Published: August 2021

Kepemimpinan, sebagai sebuah konsep, diartikan sebagai proses mempengaruhi dari pihak seseorang terhadap pihak lainnya, guna mencapai suatu tujuan. Bagaimana pemimpin memperagakan perilaku kepemimpinan, dalam kontek ini, disebut tipe atau gaya kepemimpinan ” maka kompetensi seorang pemimpin dianggap sebagai suatu kekhususan dalam melaksanakan tugasnya sebagai pemimpin dalam suatu organisasi formal ataupun nonformal.
A voice without a mouth no more: The neurobiology of language and consciousness
Authors: Skipper Jeremy I
Published: August 2021

Most research on the neurobiology of language ignores consciousness and vice versa. Here, language and inner speech are proposed to cause and sustain self-awareness and meta-self-awareness, i.e., extended consciousness. Converging empirical evidence supporting this proposal is reviewed and explanatory mechanisms are described. The latter are embedded in a ‘HOLISTIC’ model of the supporting neurobiology that involves a ‘core’ set of inner speech production regions that initiate conscious ‘overhearing’ of words. These have an affective quality deriving from activation of associated sensory, motor, and emotional representations, involving a largely unconscious dynamic ‘periphery’, distributed throughout the whole brain. This is the basis for inner conversations, involving ‘default mode’ activation and prefrontal and thalamic/brainstem selection of contextually relevant responses. Entrenched patterns of connectivity in these networks form the basis of diminished wellbeing and mental health problems. Overall, this framework constitutes a more parsimonious and complete account of the ‘neural correlates’ of extended consciousness than existing models that consider language peripherally if at all and provides a viable mechanistic account of psychotherapy.
Care Perception of Postnatal Mother on Care during Labour in Tertiary Level Hospital, Nepal
Authors: Gautam Bhattarai Saraswoti Kumari , Dhakal Kamala , Pandey Apsara , Gautam Kanchan
Published: August 2021

Background: Labour and delivery experience is one of the most significant events in a woman’s life. Support in labour has an impact on the childbirth experience and childbirth outcomes. A positive childbirth experience can help in mastering the major change in life. Therefore, the objective of this study was to find out postnatal mothers' perception on care during labour.

Methods: A descriptive cross-sectional design was used to explore the perception on care during labour of postnatal mothers in postnatal ward Tribhuvan University Teaching Hospital. Total 294 postnatal mothers with normal delivery were selected by purposive sampling method after receiving ethical approval from research department of Institute of Medicine and concerned authority. Data was analyzed by using descriptive as well as inferential statistics.

Results:  Among 294 women; 208(70.75%) were received care on infection prevention, 160(54.42%) received bladder care, 175(59.66%) received care on hydration maintenance, 149(50.57%) received care on injury prevention, 103(34.88%) care on comfort measures, 180(61.14%) care on information, 207(70.54%) care on emotional support, and 201(68.31%) care immediately after childbirth. There is significant relationship among different types of care during labour (such as emotional support (44.44%), infection prevention care (19.7%), care for bladder empty (14.5%), maintenance of hydration (17.1%), care for prevention of injury (31.9%), care on pain relieve and comfort measures (50.1%), informational care (64.5%), and care immediately after delivery (18.5%)) and overall perception on care during labour.  The perception level was based on mean score and was categorized as; below 3 is negative perception, 3 and above is positive perception. The finding of this study shows that 93(31.6%) postnatal mothers were perceived care negatively and 201(68.4%) perceived care positively during labour. It indicates that care during labour needs to be improved for best care perception.

Conclusions: Women expect professional, supportive and respectful care during labour. Continuous care and support during labour has meaningful benefits for women and infants. It indicates that the care during labour need to be improved for best care perception.
A study on orthodontic retention practices in Nepal
Authors: Karmacharya Anjana , Kafle Dashrath , Adhikari Ram Bhakta , Malla Nirjalla
Published: August 2021

Introduction: Retainers are used after all orthodontic treatment, to prevent or minimize relapse and recurrence. Among various retainers used, Hawley retainer and ‘invisible’ retainers are the most common. Most of the orthodontists favored permanent retention. It is obvious that the retention procedures are variable and depended largely on personal preferences, and there does not seem to be any consistent pattern in the application of retention methodologies. The  purpose of this study was to survey the retention protocols among orthodontists in Nepal.
Materials and Method: The complete lists of the names and addresses of orthodontists in Nepal was obtained from the ODOAN. The questionnaire was sent to them which consisted of multiple-choice questions and short answer, related to background information of the individual orthodontist, retention use in general, the frequency of different types of bonded or removable retainers that are used, the retention protocol, the type of retainer used in specific situation. All statistical analyses were performed using the Statistical Package for Social Sciences (SPSS), version 12.0.1 (SPSS Inc, Chicago, Illinois, USA)
Result: The survey questionnaires were completed by 90.42% of the 94 orthodontists of Nepal, 58.8% males and 41.2% females with a mean age of 36.7 years. Most of the orthodontists used a clear (vacuum) retainer (80%) in the maxilla and fixed bonded retainer in the mandible. Most of them prefer the use of retainer for a continuous 24 hours except during eating and brushing for 6 months to 1 year (56.5%) and if possible, for 1 to 2 years (28.2%).
Conclusion: Majority of Nepalese orthodontists provide vacuum formed retainer on maxillary arch and bonded retainer in mandibular arch. There is no specific consensus on other type of retainers, duration of wear and follow up visits which is affected by various other factors.
“A Century of Orthodontic Progress” – Innovations in Orthodontics
Authors: Sehrawat Sonam , Sidhu M S , Grover Seema , Prabhakar Mona
Published: August 2021

Innovation is the roadmap towards improvement .Creation, implementation and execution of new ideas, methods and technology aiming at efficiency and improvement is known as innovation. Innovation is the roadmap towards improvement. The speciality of orthodontics has obtained new dimensions due to innovations such as holistic orthodontic approach, Laser assisted orthodontics, digitization in diagnosis and treatment planning, nanotechnology, genetically driven orthodontic treatment plans with gene therapy, interactive self ligating bracket and flash free adhesive coated appliance system, robotic wire bending, 3D bioprinted scaffolds to treat osseous defects of the craniofacial complex, forensic orthodontics, mobile apps in orthodontics and dentoalveolar distraction modalities. These innovations have lead to an accurate treatment with reduced clinician efforts, enhanced treatment precision and better patient compliance. The future of orthodontic speciality with these adjunts is bright and progressive. With reduced clinician’s efforts and improved patient’s compliance these advancement are certainly a boon to our orthodontic speciality
KOMUNIKASI DALAM MENCIPTAKAN NILAI ISLAMI MELALUI PENYEBARAN INFORMASI KESEHATAN BAGI KELUARGA
Authors: Prasanti Ditha
Published: August 2021

Family, a word that is rich in meaning for individuals who have it. Because of its importance, family members will share information with other family members, especially health information. If there is a family member who is sick, then other family members will try to find health information about the method of healing the illness of their family members. The uniqueness of this study is that the authors found an effort to create Islamic values through the dissemination of health information in urban families. Through this article, the author raised the title â€œCommunication in Creating Islamic Values through the Spread of Health Information in Urban Familiesâ€. The results of the study show that if viewed from communication techniques, communication used in creating Islamic values through the dissemination of health information is persuasive communication. The internalization of existing Islamic values is the dissemination of health information that promotes treatment and a healthy lifestyle based on Al-Qurâ€™an and the teachings of Prophet Muhammad. The distribution of health information is carried out directly (face to face) and via social media namely whatsapp family group.
BAITUL MAL WA TAMWIL AS A SOCIAL ECONOMIC MOVEMENT OF RURAL MUSLIM RELIGION
Authors: Nugraha Firman , Athoillah Mohammad Anton , Janwari Yadi
Published: August 2021

The purpose of this study is to reveal how religious economic movements which are typical of urban Muslims (modernists) can be formed and grow in rural areas which are generally traditionalists. This research used an analysis descriptive method. All data and information according to the research objectives were obtained through observation and strengthened by interviews with several resources of participants, and also combined with reading documentary data. All information obtained was analyzed by a qualitative approach. Theoretical analysis of the findings of the studies is using the Max Weber theory who found religious relation with the economic behavior. The results of this study indicate that the religious economic social movement in rural areas is formed when religious symbols meet with opportunity factors, among others: first, structural supports are the strengthening of the spirit of formalization of Islamic doctrine and political support. Secondly, the structural strain resulting from the formation of new poverty as a result of ecological changes. Third, the formalization of religious substance into symbols as well as framing the movement. Fourth, the character of mutual cooperation in rural areas was the basic capital to become an organized group in the economic movement. Fifth, the movement actors present from the fragmentation of the village authority due to rural modernization. Thus, the conclusion of this study, the religion in Muslims in rural life is not a major factor that encourages the realization of the economic social movement. The traditionalist Muslims of rural life have an impetus for economic behavior when they meet the factors of opportunity.
Zbrojni kupcy z Szurpił. Na szlaku ze Skandynawii do Bułgarii Nadwołżańskiej
Authors: Jończyk Ludwika , Gołębiowska-Tobiasz Aneta
Published: August 2021

The monograph analyses the origin of artefacts (the elements of attire and equipment of an armed merchant, from the Volga Upland in Volga Bulgaria), unusual for north-eastern Poland and found during the excavations in Szurpiły in the Suwałki Region. It is an interesting journey along the trade routes of the early Middle Ages, which links culturally different and geographically distant regions of Europe.
Circulating and inducible IL-32α in chronic hepatitis C virus infection
Authors: Collister Mark , Rempel Julia , Yang Jiaqi , Kaita Kelly , Raizman Zach , Gong Yuwen , Minuk Gerald
Published: August 2021

Background: Interleukin 32 (IL-32) is a recently described pro-inflammatory cytokine implicated in chronic hepatitis C virus (HCV)-related inflammation and fibrosis. IL-32α is the most abundant IL-32 isoform. Methods: Circulating IL-32α levels were documented in patients with chronic HCV infections ( n = 31) and compared with individuals who spontaneously resolved HCV infection ( n = 14) and HCV-naive controls ( n = 20). In addition, peripheral blood mononuclear cells (PBMC) from the chronic HCV ( n = 12) and HCV-naive ( n = 9) cohorts were investigated for responses to HCV core and non-structural (NS)3 protein induced IL-32α production. Finally, correlations between IL-32α levels, hepatic fibrosis and subsequent responses to interferon-based therapy were documented in patients with chronic HCV. Results: Circulating IL-32α levels in patients with chronic HCV were similar to those of spontaneously resolved and HCV-naive controls. HCV protein induced IL-32α responses were similar in chronic HCV patients and HCV-naive controls. In patients with chronic HCV, serum IL-32α levels correlated with worsening METAVIR fibrosis (F) scores from F0 to F3 ( r = 0.596, P < 0.001) as did NS3 induced IL-32α responses ( r = 0.837, P < 0.05). However, these correlations were not sustained with the inclusion of IL-32α levels at F4 scores, suggesting events at F4 interfere with IL-32α synthesis or release. In chronic HCV patients who underwent treatment ( n = 28), baseline in vivo and in vitro induced IL-32α concentrations were not predictive of therapeutic outcomes. Conclusions: IL-32α activity is associated with worsening fibrosis scores in non-cirrhotic, chronic HCV patients.
Clinical Progression and Phenotypic Characteristics of Non-compaction Cardiomyopathy in Monozygotic Twins
Authors:   S.M. Kirov Military Medical Academy (a Federal Government-funded Military Educational Institution of Higher Education), Russian Federation Ministry of Defense, Shulenin K.S. ,   St. Petersburg, Russian Federation, Cherkashin D.V. ,   S.M. Kirov Military Medical Academy (a Federal Government-funded Military Educational Institution of Higher Education), Russian Federation Ministry of Defense; St. Petersburg, Russian Federation, Makiev R.G. ,   S.M. Kirov Military Medical Academy (a Federal Government-funded Military Educational Institution of Higher Education), Russian Federation Ministry of Defense; St. Petersburg, Russian Federation, Goryutskiy V.N. ,   Chief Army Medical Directorate at the Ministry of Defence of the Russian Federation; Moscow, Russian Federation, Kutelev G.G. ,   S.M. Kirov Military Medical Academy (a Federal Government-funded Military Educational Institution of Higher Education), Russian Federation Ministry of Defense; St. Petersburg, Russian Federation
Published: August 2021

Objective of the Paper: To demonstrate the clinical features and phenotypic characteristics of non-compaction cardiomyopathy (NCCM) in monozygotic twins. Key Points. We describe a clinical case of two patients who are monozygotic twins, as well as clinical progression and results of clinical and instrumental tests. Both patients had signs of arrhythmia syndrome and less pronounced cardiac failure syndrome. Thromboembolic syndrome, a part of the traditional NCCM triad, was not observed. Conclusion. Marked genetic and phenotypic NCCM heterogeny, as well as issues associated with clinical symptoms and prognosis make genetic tests extremely essential, especially in family disease. Keywords: non-compaction cardiomyopathy, sudden cardiac death, monozygotic twins, cardiac failure, atrial fibrillation.
New Aspects of Non-alcoholic Fatty Liver Disease
Authors:   Scientific and Research Institute of Medical Problems of the North of the Federal Research Centre “Krasnoyarsk Scientific Centre of the Siberian Branch of the Russian Academy of Science”, Tsukanov V.V. ,   Krasnoyarsk, Russian Federation, Vasyutin A.V. ,   Scientific and Research Institute of Medical Problems of the North of the Federal Research Centre “Krasnoyarsk Scientific Centre of the Siberian Branch of the Russian Academy of Science”; Krasnoyarsk, Russian Federation, Tonkikh Yu.L. ,   Scientific and Research Institute of Medical Problems of the North of the Federal Research Centre “Krasnoyarsk Scientific Centre of the Siberian Branch of the Russian Academy of Science”; Krasnoyarsk, Russian Federation
Published: August 2021

Objective of the Review: To analyse available information on various aspects of non-alcoholic fatty liver disease (NAFLD). Key Points. A group of international experts proposed to replace the terms “NAFLD” with “metabolism-associated fatty liver disease” (MAFLD) which, in the opinion of experts, more adequately reflects the nature of the disease. The proposal is related to the fact that the disease is associated with multi system disorders and is a heterogeneous pathology with various causes, signs and progress. The experts suggested that the criteria for MAFLD diagnosis are hepatic steatosis with histological, visual or laboratory confirmation and one of the three signs: overweight/ obesity, type 2 diabetes mellitus, or verified metabolic dysregulation. Conclusion. Replacement of NAFLD with MAFLD proposed by the experts is highly likely to be officially approved soon. Keywords: non-alcoholic fatty liver disease, metabolism-associated fatty liver disease, diagnosis, management, hepatic fibrosis.
Virtual Studies - Academic Revolution of COVID-19: A Case Study of Department of Anthropology, University of Arid Agriculture, Rawalpindi
Authors: Chaudhry Abid Ghafoor , Ahmed Aftab , Zeeshan Mahwish
Published: August 2021

The pandemic of Covid-19 has indeed affected the overall modern lifestyle globally. The lockdown leads to the closure of educational institutes around the world. The situation is not different in twin cities (Rawalpindi and Islamabad). The present research was designed to collect the opinions and perceptions of students regarding virtual learning. Department of Anthropology offers Facebook online classes for its students combined with the University's central learning management system (LMS) to provide an online platform for sharing course material(s). 64 students of Anthropology participated in this study voluntarily. Google form was designed and shared with the students through Google link for the collection of data on certain indicators such as class, location of the respondent, internet access and related technological issues, comprehension of LMS, etc. The shift towards virtual studies has revolutionized and also created certain operational challenges.
Acoustic behavior prediction of monodisperse foams using polynomial surrogates
Authors: Trinh Van-Hai
Published: August 2021

Acoustic properties of foams, such as macroscopic transports and sound absorption, are significantly influenced by their local morphology. The present paper develops a polynomial chaos expansion (PCE)-based surrogate model for characterizing the microstructure-properties relationships of acoustic monodisperse foams. First, the acoustic properties of the considered structures are estimated numerically by homogenization techniques using an idealized periodic unit cell and the Johnson-Champoux-Allard-Pride-Lafarge (JCAPL) model. The reference maps of transport parameters are then used to construct the PCE–based surrogates in the design space involving a set of foamy microstructural parameters such as membrane content, cell size, and porosity. Finally, after a validation phase and assessing convergence characteristics, the generated surrogates are employed to design some foam-based absorbers to illustrate the accuracy and computational efficiency of the proposed method.
Change in legislation in consumer society
Authors: Likhter Pavel L.
Published: August 2021

The article is devoted to the transformation of law-making and law-enforcement practice in the conditions of consumer society. The perception of a thing as an indicator of status, unjustified overestimation of the value of intellectual rights, property stratification, changes in the trade and financial spheres pose a threat to social, consumer and environmental security. The purpose of the article is to study the actual problems of legal regulation of such new manifestations of the era of consumerism as affluence, astroturfing, planned obsolescence, brand cult, etc. The analysis of the current situation makes it possible to state the need for wider application of public law methods of human rights protection. The author offers a study of the holistic concept of legal regulation in order to achieve an balance of private, public and public interests.
Z. Freud: culture, power, law
Authors: Zhukov Vyacheslav N.
Published: August 2021

The article discusses the socio-political views of Z. Freud's view of the connection of the human psyche (especially his subconscious) with social institutions and norms. His concept of culture, the hypothesis of the primitive horde and the system of taboos among primitive peoples are reconstructed and analyzed. The role of psychoanalysis in the cognition of political and legal institutions and norms is shown. The role of drives and the mechanism of sublimation in the formation of law and power institutions is revealed. Freud's views on the possibilities of culture in the confrontation with the destructive manifestations of human nature are analyzed.
Beyond the one-child policy: a response to Conly
Authors: Roche Julian
Published: August 2021

The problems with Conly’s proposed ‘one-child’ policy are a good example of where the attempt to limit paternalism becomes self-defeating, and actually ends up potentially aiding the case against controlling population rather than promoting it, as well as negatively influencing the debate about paternalism more generally. There are many better potential ways of developing public policy towards population control than a ‘one-child’ policy that synchronise with richer ways to understand individual interests.
impact of reproductive health services on armed conflict in Afghanistan
Authors: Britten Stewart , Paikan Wahida
Published: August 2021

Reduction of child mortality while coverage of family planning services remains low may render Afghanistan a testing ground for the theory of demographic transition. Meanwhile there is a vicious circle: young men lacking employment join the Taliban and so increase national insecurity, discouraging industry and reducing employment opportunities. For progress towards peace to be made and sustained, family planning, education and employment need to be major parts of the peace effort, and UN reports need to emphasise more which way the scales tip.
Challenges and possible solutions problems of labor migration of the rural population
Authors: Sabluk Hanna
Published: August 2021

The purpose of the articles is to analyze the state of affairs and identify ways that indicate a solution to the problem of labor migration of the rural population. Research methods. The theoretical basis of the study was the assessment of the state and trends of labor migration as a major and important factor in the lives of rural people. Economic and statistical methods are used, which are components of the direction of a number of social problems in the organization of labor migration. Using logical and comparative methods, the ways of solving the migration problem at the current standard of living of the rural population are outlined. Research results. It was found that migration as a phenomenon of social development is a kind of expression of the needs and experience of the Ukrainian people, which takes place in the field of labor and employment of the rural population. The needs of finding new directions of society development while providing conditions for raising the living standards of rural people are substantiated. The main factors influencing the state of labor migration, which today are extremely necessary for a normal life, and even more so for starting your own business. The main criteria for solving the issue of stabilization of migration sources, while overcoming the problems in the economy of rural development. Scientific novelty. It is proposed to identify ways to solve the problem of labor migration as a key element, increasing the importance of education, science and acquiring innovative skills to ensure sustainable economic growth of the rural population in the modern labor market. Practical significance. The main parameters of creating employment conditions for rural people, in particular young people, on the basis of appropriate programs to combat labor migration are proved. Approaches to determining the self-assessment of the living standard of a rural person and his vision for the future are optimized. Refs.: 22.
Inflammatory Chemokines Expression Variations and Their Receptors in APP/PS1 Mice
Authors: Jorda Adrián , Aldasoro Martin , Aldasoro Constanza , Valles Soraya L.
Published: August 2021

Background: In Alzheimer’s disease (AD), an increase in inflammation is distinctive. Amyloid precursor protein plus presenilin-1 (APP/PS1 mice) is a model for this illness. Chemokines secreted by central nervous system (CNS) cells could play multiple important roles in AD. Data looking for the chemokines involved in inflammatory mechanisms are lacking. To understand the changes that occur in the inflammation process in AD, it is necessary to improve strategies to act on specific inflammatory targets. Objective: Chemokines and their receptors involved in phagocytosis, demyelination, chemotaxis, and coagulation were the objective of our study. Methods: Female APPswe/PS1 double-transgenic mice (B6C3-Tg) were used and cortex brain from 20–22-month-old mice obtained and used to quantify chemokines and chemokine receptors expression using RT-PCR technique. Results: Significant inflammatory changes were detected in APP/PS1 compared to wild type mice. CCR1, CCR3, CCR4, and CCR9 were elevated, and CCR2 were decreased compared with wild type mice. Their ligands CCL7, CCL11, CCL17, CCL22, CCL25, and CXCL4 showed an increase expression; however, changes were not observed in CCL2 in APP/PS1 compared to wild type mice. Conclusion: This change in expression could explain the differences between AD patients and elderly people without this illness. This would provide a new strategy for the treatment of AD, with the possibility to act in specific inflammatory targets.
STUDY OF VARIOUS BASELINE FACTORS AND PRE-OPERATIVE FACTORS AFFECTING SURGICAL SITE INFECTION IN CAESAREAN SECTION
Authors: Shroff Khushali , Desai Dhwani , Verma Ragini , Patel Ekta
Published: August 2021

Introduction: Caesarean section is one of the most commonly performed surgical procedure in hospitals. But it carries 5-20 fold increase risk of infection compared to vaginal delivery. Analysis of various baseline, intrinsic and extrinsic risk factors predisposing to surgical site infection is necessary to detect common links. obtained information is important to plan a strategy to reduce post caesarean wound infections and its complications.

Material and Method: This is a prospective observational study enrolling 1500 sequentiall consenting subjects who had undergone caesarean section, on surgical site infection following caesarean section.

Results: The cesarean section rate was found to be 41.2%.Subjects over 35 years of age had highest SSI rates of 16.7% and difference in SSI in subjects more than 35years was statistically significant (p value = 0.04)

 (88.6%) of the total enrolled subjects undergoing LSCS were antenatally registered amongst which 3.3% developed SSI compared to 11.4% of the total subjects were antenatally unregistered amongst which 5.8% developed SSI (p value=0.04)

 1% of the total enrolled subjects undergoing LSCS had a history of gestational diabetes mellitus amongst which 33.3% had SSI , while 99% of the subjects did not have history of gestational diabetes amongst whom SSI incidence was 3.3% (p value <0.01) which is significant.

7.6% of the total enrolled subjects undergoing LSCS had a history of hypertension amongst which 8.8% developed SSI compared to 92.4% of the subjects without hypertension had 3.2% SSI. (p value <0.01) there is a significant association of body mass index with SSI.    (p value <0.01).

There is significant association found between preterm rupture of membrane and SSI (p value  <0.01).

Conclusion: Strategies for the prevention of post operative BMI must aim to control mother’s pre-conceptual weight, their antenatal registration, follow standard intranatal mangement guidelines, timely administration of prophylactic antibiotic if decision to perform LSCS is to be taken.

Keywords: Surgical site infection, caesarean section.
Esperança, Medo e Qualidade de vida Relacionada à Saúde na Percepção de Mulheres com Câncer de Mama
Authors: Ribeiro Leandro Aparecido dos Santos , Araújo Marlon Noronha , Mendonça Tânia Maria da Silva
Published: August 2021

Introdução: O período de diagnóstico e tratamento do câncer de mama é difícil, permeado de incertezas e associado a uma alta taxa de morbimortalidade. Objetivo: Conhecer o significado que as mulheres com câncer de mama em tratamento em um hospital universitário atribuíram à sua experiência de medo mascarado pelo sentimento de esperança, bem como investigar a percepção da qualidade de vida no enfrentamento da doença. Método: Estudo quanti-qualitativo com 78 mulheres. Para a avaliação quantitativa, avaliaram-se os escores do Medical Outcomes Study 36 – Item Short – Form Health Survey (SF-36) e da Escala de Esperança de Herth. Para a análise qualitativa, conduziram-se narrativas com dez dessas mulheres que foram analisadas por meio de métodos fenomenológicos de investigação. Resultados: Foram detectados escores reduzidos nos domínios capacidade funcional e saúde mental do SF-36 que implicam em impacto negativo na qualidade de vida e alto índice nos escores de esperança, o que é um fator positivo. Três classes centrais emergiram de 243 segmentos das narrativas por meio de declarações significativas e unidades de significado correspondentes. Conclusão: A experiência do período de diagnóstico e tratamento inclui enfrentamento, conhecimento da doença, assistência clínica (médicos, equipes), exaltação ao desespero e o paradoxo entre o medo e a esperança. Foi discutida a essência da experiência vivenciada e compartilhada pelas participantes à luz da teoria da doença, como uma ruptura da narrativa biográfica. O estudo destaca implicações para a equipe de médicos, coordenadores do Sistema Unificado de Saúde e outros profissionais da saúde.
La hipóstasis del prosumo, o la explotación del trabajo de consumo
Authors: Cava Gómez Xavi
Published: August 2021

El debate en torno a lo que algunos teóricos denominan prosumo nos proporciona una línea argumental para discutir ciertos elementos distintivos del consumo a principios del siglo XXI. Empezaré por considerar el origen del concepto y el significado que se le ha dado como una actividad que combina producción y consumo. A continuación profundizaré en tres elementos centrales del debate: la posibilidad de que el prosumo esté preparando el terreno para el desarrollo de una supuesta nueva economía, la teoría de que el consumo incorpora elementos propios de la producción, y la hipotética capacidad del prosumo para empoderar a los prosumidores. Para acabar, argumentaré que el concepto de prosumo no es más que una hipóstasis sin referente material, y que la apología de esta teoría tiende a ignorar que se trata de una forma de explotación.
La insurrección que ha llegado
Authors: Franssen Abraham
Published: August 2021

De regreso de una estadía en Chile en enero de 2020, 25 años después de haber vivido allí los inicios de la transición a la democracia, se propone este texto, en tanto reportaje como análisis de la insurrección social de los últimos meses. Focalizado en las respuestas, el perfil, las aspiraciones y los límites de la dinámica de la protesta actual, frente a una élite lista para concesiones... para mantener sus privilegios.
Proyecciones educativas en el discurso sociopolítico de Pedro Chapuis (1826-1830)
Authors: Núñez Vega Rubén
Published: August 2021

En ninguna comunidad humana la educación surge de forma fortuita, sino que allí donde exista curiosidad, existirá el proceso de enseñanza-aprendizaje (Freire, 1970). La forma en que se ha desarrollado la educación en Chile, así como en la generalidad de las sociedades occidentales, guarda ciertas particularidades. En la educación formal chilena, la escolarización y la alfabetización de la población nacional tiene una finalidad evidente: la formación del Estado nacional (Serrano, Ponce de León y Rengifo, 2012). Esto quiere decir que las autoridades políticas e intelectuales comprenden la necesidad de generar un mecanismo estable y permanente para la difusión de ciertos principios morales, respaldados por un discurso civilizatorio. Por lo tanto, la pregunta que moviliza este estudio es el siguiente: ¿Cómo se construye la educación en Chile a inicios de la República, a través del impacto discursivo del militar napoleónico francés, Pedro Chapuis?La investigación tiene por objetivo identificar los propósitos y el impacto discursivo de Pedro Chapuis sobre la educación en Chile, a través de la prensa, a inicios de la República.
JEAN-BAPTISTE NOUVION. L’ami des Colombiens, Benoît Chassériau (1780-1844) / Friend of Colombians, Benoît Chassériau (1780-1844) / Amigo de los colombianos, Benoît Chassériau (1780-1844)
Authors: Puigmal Patrick
Published: August 2021

Éditions LACParís, Francia (2018)ISBN: 9782956529705, 170 págs.
Chiloé, comunidad imaginada
Authors: Barrientos Bahamonde Melchor
Published: August 2021

Cada vez que ocurre un hecho inesperado y catastrófico en Chiloé, se cuestiona la capacidad de respuesta del Estado y gana notoriedad la demanda de transformación de la provincia de Chiloé en una nueva región. Tal demanda parece responder a la idea de que Chiloé es una comunidad relativamente homogénea con intereses comunes y que la isla se beneficiaría si pudiera administrar sus propios recursos y definir sus prioridades, sin la presencia generalizada del “poder central”. En ocasiones, esta demanda surge de organizaciones de base como la Unión Comunal de Juntas de Vecinos Rurales de Ancud, mientras que en otras ocasiones es planteada por representantes políticos comunitarios como alcaldes o parlamentarios. En este artículo se cuestionará la vigencia de la demanda, es decir, en qué medida el archipiélago constituye una comunidad, y cómo la instalación del aparato administrativo del Estado puede significar una mayor autonomía en el territorio.
INTERNATIONAL TRENDS IN THE REGULATION OF PROFESSIONAL ACTIVITIES OF ACCOUNTANTS
Authors: Metelytsya Volodymyr
Published: August 2021

The regulation of the professional activities of accountants either promotes business development, the migration of financial and human capital, or complicates this process. Many firms with global interests may already be feeling the burden of complex and ever-changing regulations issued at domestic and international level. It is expected that some regions of the world are likely to face far more regulation of financial activities, including accounting. The purpose of the article is to analyze the latest changes in the regulation of the professional activity of accountants caused by the transformations of the global economic system, as well as to identify and assess the challenges that accountants around the world will face in the coming years. The tendencies in the field of regulation of professional activity of accountants in Europe, USA, Australia, Asia were revealed, and the factors (reasons) of their development were determined. In particular, in Europe, there are growing calls for more regulation in finance and “fairness” in tax especially when it comes to taxing digital corporations, whereas in the US, things are moving in the opposite direction, with less regulation to encourage growth. Across the Asian region, banking and corporate regulation is becoming more stringent and the expectations of revenue authorities around issues such as transfer pricing documentation are increasing. It has been determined that the existence of accounting standards and rules as such does not guarantee reliable and appropriate financial indicators, and therefore the role and importance of professional ethics increases. Three key areas of change and challenges for the accounting profession that will take place in the coming years were assessed. It has been proven that the goal of strengthening regulation around the world is to solve socio-economic and environmental problems. It is important for accountants to realize that such events should develop motivation not to manipulate numbers, as well as ensure the introduction of a system of fair taxation and elimination of abuses by the subjects of the digital economy. So, all over the world there is a real need to educate accountants on the changing global regulatory framework.
ІНТЕГРАТИВНИЙ ПІДХІД У ПІДГОТОВЦІ МАЙБУТНІХ ПЕДАГОГІВ ПРОФЕСІЙНОГО НАВЧАННЯ
Authors: Бахтіярова Халідахон
Published: August 2021

Актуальність застосування інтегративного підходу у підготовці педагогів професійного навчання зумовлена інтеграційними процесами сучасної української освіти, спрямованими на відкритість, формування цілісної картини світу, інтеграцію з національною історією, традиціями, українською культурою.
Мета: визначити сутність інтегрованого навчання у підготовці майбутніх педагогів професійного навчання та окреслити специфіку поєднання в освітній програмі предметів інженерного та психолого-педагогічних циклів.
Методи: теоретичні (індукція, дедукція, узагальнення) – для систематизації наукових фактів, встановленні взаємозв’язку між різними поняттями; емпіричні (дослідження, обґрунтування педагогічного досвіду) – для вивчення освітніх програм підготовки здобувачів професійної (професійно-технічної) освіти та врахування їх результатів в освітньому процесі.
Результати: визначено суперечності при складанні освітніх професійних програм, можливості забезпечення паритетного співвідношення інженерних та психолого-педагогічних дисциплін з метою формування у майбутніх викладачів професійної освіти інженерної та психолого-педагогічної бази; обґрунтовано інтегрований підхід при розробленні та реалізації освітньо-професійної програми підготовки бакалаврів зі спеціальності 015 «Професійна освіта (Транспорт)» в Національному транспортному університеті.
Висновки: визначено, що інтегроване навчання є одним із дієвих механізмів підвищення рівня професійної підготовки майбутніх інженерів-педагогів за рахунок послідовних та взаємопов’язаних дій викладача й здобувача освіти, спрямованих на формування цілісної картини світу на основі об’єднання змісту інженерних і психолого-педагогічних дисциплін; з’ясовано, що специфіка поєднання в освітній програмі предметів інженерного та психолого-педагогічних циклів у підготовці майбутніх педагогів професійного навчання полягає у встановленні міжпредметних зв’язків, наскрізності навчальної, технологічної і педагогічної практик, створенні інтегрованих освітніх курсів, розробленні нових форм організації навчання, впровадженні навчальних  проєктів.
THE ESSENCE OF THE CONCEPT OF «INNOVATION POTENTIAL» AS AN ECONOMIC CATEGORY
Authors: Shymanovskaya-Dianych Lyuidmila , Chernikova Natalia , Ishcheikin Tymur
Published: August 2021

The essence of the concept of «innovation potential» as an economic category highlights the essence of the concept of innovation potential and scientific approaches to its interpretation. The concept of «innovation potential» has become «a conceptual reflection of the phenomenon of innovation activity». An enterprise can develop innovation activities only if it has sufficient innovation potential. Innovative development depends on the size and structure of the innovation potential. That is, if an enterprise has the necessary resources, it can develop and implement various innovations in its economic activities. If innovation opportunities are limited, then it is necessary to increase them and choose a follower strategy, that is, to implement improving technologies. Innovation potential as a set of resources, the use of which will lead to the achievement of advantages and strategic goals, needs to be increased and developed. The views of various foreign and domestic scientists on the concept of innovative potential are systematized. Various scientific views of domestic and foreign scientists on the essence of the concept of innovative potential are studied. Interpretation of the concept of innovation potential can be carried out from different approaches, namely: structural-functional, integral, behavioral and process approaches. Each approach has its own understanding of the essence of innovation potential. Scientists have not yet given a general definition of the concept of innovation potential, so depending on the scope of application, innovation potential can be considered as a set of material and non-material resources, as a process of using innovations in economic activities, as the ability of an enterprise to adapt the internal environment to change environmental factors with the use of available resources and opportunities. The components of innovation potential are characterized in accordance with various scientific approaches. It is proposed to define the innovative potential of the enterprise as a set of integrated characteristics, existing and hidden opportunities that allow efficient use of innovative resources (raw materials, labor, information, technology) through innovative competencies and innovative organizational skills to achieve innovative development goals.
EXPENDITURES AND EXPENSES IN BUDGETARY INSTITUTIONS: ESSENCE, ACCOUNTING PROBLEMS AND WAYS TO IMPROVE
Authors: Topolenko Nadia , Lavreniuk Yulia
Published: August 2021

In the conditions of public sector entities, much more attention is paid to accounting for income, expenditures and expenses, primarily by practicing accountants. The revenues of public sector entities represent the main source of their activities, and the costs make it possible to analyze their effectiveness and rationality of the use of budget allocations, so the organization of accounting for these objects determines the effectiveness of the activities of public sector institutions.
The accounting system of public sector institutions is formed according to the modernization schemes approved at the legislative level. The public sector accounting plan and national accounting regulations (standards) in the public sector have significantly changed the established methods of accounting for the implementation of budgetary institutions. The economic classification of expenditures has also changed, the division of operations into exchange and non-exchange operations in accordance with international accounting standards for the public sector has also changed. The above has led to significant changes in the method of accounting for income, expenditures and expenses, which is due to the relevance of the study.
The article specified and proposed new definitions of economic concepts of «income», «expenditures» and «expenses» of budgetary institutions. Various approaches to their interpretation are considered, attention is focused on the key problems of adaptation of accounting for income and expenses of budget funds managers in accordance with the implementation of the Strategy for modernization of the accounting and financial reporting system in the public sector for the period up to 2025 and approximation to the generally accepted principles of international practice. Changes in the methodology of accounting and display in financial statements of income and expenses of public sector entities were studied, the theoretical and practical aspects of improving the accounting of income, expenditures and expenses by public sector entities were highlighted. Proposals for improving the accounting of income and expenses in the public sector are given and substantiated.
PARTICIPATIVE MANAGEMENT AS A TOOL TO ENSURE STRATEGIC DEVELOPMENT OF ENTERPRISES
Authors: Kyfyak Viktoriia , Herenda Olena
Published: August 2021

The main focus of this article is on the correlation between employee involvement in management decisions and the growth of both the organization and employees in all areas. The types of managerial behavior are analyzed, within which the main styles are identified, such as: authoritarian and democratic, as well as the advantages and disadvantages of each of them, their impact on the workforce and behavior. The article reflects the need to involve employees in order to improve performance and a sense of responsibility, and lists not only the positive side of this implementation, but also possible negative changes. Effective communication and involvement of staff in management decisions create a basis for ensuring the effective functioning of the enterprise. Involvement of employees, in this article, is not seen as a goal or tool, as is practiced in many organizations, but as a philosophy of management and leadership on how best in a healthy environment to realize their abilities, grow, improve and succeed in each unit and organization in general. The article discusses the main forms of participatory management: informal and short-term participation of personnel in management decisions, consultative involvement of employees, attraction of employees to ownership, involvement of employees in control and improvement of processes, involvement of personnel in decisions about company policy, participation in the organization's income, participation in profits of the organization, participation in the management of the organization. A distinctive feature of this method from many systems of remuneration for labor activity is that the latter are built on the recognition of the contribution of an employee of a given organization at the individual level. Participatory governance is based on the recognition of interests all personnel being reciprocal. This leads to the fact that there is an integration of these interests, and workers become more interested in the results of their work. Involving employees in the decision-making process not only reduces outsourcing, which saves money, time and offers the company long-term reliable assistance from employees who have knowledge of all the processes and deep needs of the corporation.