bluuebunny/crossref_metadata_2025 huggingface dataset:
El drama confesional de Andrea Dunbar. Una lectura crítica
Authors: Vieites Manuel F.
Published: December 2024

Este artículo explora la forma en que Andrea Dunbar construye su obra dramática. Para ello además de situarla en su contexto sociocultural y artístico, se muestra el modo en que escoge su materia dramática, su naturaleza y los estilos aplicados en su tratamiento. De igual modo se analizan sus tres obras conocidas en el contexto del drama británico de los ochenta, considerando aspectos singulares y substantivos. Para ello se parte de una revisión de literatura pertinente y del análisis e interpretación de sus textos y otros materiales. Como conclusión se destaca el carácter pionero de esa obra en la emergencia de tendencias en la creación dramática actual, la forma en que la escritura se convierte en estrategia privilegiada para (re)construir la experiencia y en la (re)construcción del yo y la identidad, y la denuncia indirecta de la opresión de género y de clase en un entorno especialmente marginal y deprimido.
Análisis sobre el conocimiento de la diversidad sexo-genérica del alumnado universitario: un estudio exploratorio
Authors: Colmenero Ruiz Mª Jesús , Jurado de los Santos Pedro , Navío Gámez Antonio , Valle Florez Rosa Eva
Published: December 2024

La formación del profesorado en diversidad sexo-genérica es esencial para lograr una educación inclusiva. Este estudio se centra en la percepción y las prácticas educativas de estudiantes de educación superior en relación con la diversidad sexo-genérica. Participaron 269 estudiantes de diversas universidades y titulaciones de educación, evaluándose su conocimiento mediante una escala de estimación tipo Likert con 20 ítems, agrupados en tres factores: identidad de género, orientación sexual y discriminación. Los resultados indican un conocimiento medio sobre diversidad sexo-genérica, destacando los conceptos relacionados con el colectivo LGBTIQ+, y observándose dificultades en términos como "Demisexual", "Androcentrismo" y "Teoría Queer". Se han encontrado diferencias estadísticamente significativas por género, edad, titulación e ideología. En última instancia, se subraya la importancia de comprender la diversidad sexo-genérica para construir una escuela inclusiva y ética así como la necesidad de proporcionar una formación al profesorado para mejorar su capacitación profesional.
Formación Ciudadana Digital en estudiantes de una universidad pública peruana: diagnóstico y evaluación
Authors: Turpo-Gebera Osbaldo , Rosales Márquez Cinthia , Ramírez-García Antonia , Chirinos-Tovar Karina , Aguaded Gómez Ignacio , Diaz Zavala Rocio
Published: December 2024

La Formación Ciudadana Digital (FCD) es esencial en la Sociedad de la Información y del Conocimiento, impulsada por las Tecnologías de la Información y la Comunicación. Esta formación destaca por preparar ciudadanos globales éticos y responsables, capaces de enfrentar los desafíos y aprovechar las oportunidades de la era digital. Este estudio cuantitativo y descriptivo-explicativo evaluó el nivel de FCD en 906 estudiantes de una universidad pública peruana, considerando diversos factores socioformativos mediante un cuestionario validado por expertos y un enfoque psicométrico instrumental para mediciones objetivas. Se encontraron diferencias significativas en los niveles de FCD entre grupos demográficos y sociales; los individuos de mayor edad y los que vivían independientes mostraron puntajes más altos. El uso académico de Internet se correlacionó con niveles superiores de FCD, mientras que el número de computadoras no tuvo una influencia significativa. Los estudiantes de Ciencias Biomédicas mostraron niveles más altos de FCD. Estos hallazgos resaltan la importancia de debatir los impactos éticos y sociales de la tecnología digital para fortalecer la preparación de los estudiantes en FCD.
Surgical treatment of patients with ulcerative gastroduodenal bleeding: clinical cases
Authors: Verbitsky Vladimir G. , Parfenov Anton O. , Demko Andrey E. , Yastrebov Ivan P. , Kosachev Alexey V. , Yurkevich Egor V.
Published: December 2024

The article presents two clinical cases of treatment of treating patients with ulcerative gastroduodenal bleeding from large chronic ulcers. In one case, the source of bleeding was a giant callous chronic gastric ulcer. The patient urgently underwent subtotal gastric resection with an inter-intestinal anastomosis according to the Roux procedure (18 hours after admission to the hospital), taking into account the high risk of recurrence of bleeding. In the second case, a patient with bleeding from a large chronic duodenal ulcer was operated on urgently (24 hours after admission to the hospital) in the following volumes: laparotomy, stitching of a duodenal ulcer, pyloroplasty according to Finney, subdiaphragmatic stem vagotomy. The purpose of the following clinical observation data is to demonstrate therapeutic tactics in relation to a group of patients with ulcerative gastroduodenal bleeding from large (more than 2.0 cm) chronic ulcers, high comorbidity and high risk of recurrence of bleeding.
Subclinical hypothyroidism — an unexpected ally in the fight against sarcopenia
Authors: Popova Ksenia S. , Kinder Daria S. , Turusheva Anna V.
Published: December 2024

BACKGROUND: Thyroid hormones are essential for maintaining metabolism involved in regulating growth and development. Skeletal muscles are their primary target organ, and thyroid hormone signaling plays a role in the development, plasticity, and regeneration of skeletal muscles. Conditions such as hypo- and hyperthyroidism negatively affect the state of this tissue. However, in our earlier studies, bigger volume of thigh muscle was found to be one of the factors associated with lower mortality in individuals with high levels of thyroid-stimulating hormone.
AIM: To evaluate the impact of function thyroid gland on the risk of decreased volume of thigh muscles in older adults.
MATERIALS AND METHODS: This study was carried out on the basis of the second examination of the Crystal study of community-dwelling individuals 65+ (n = 383). The main study parameters involved thyroid-stimulating hormone, thigh muscle volume, complete blood count test, CRP, comprehensive geriatric assessment, non-communicable chronic diseases.
RESULTS: Compared with the participants with thyroid-stimulating hormone levels between 3.3 and 10.0 mIU/L, the participants with thyroid-stimulating hormone levels 0.2 mIU/L and the participants with thyroid-stimulating hormone levels between 0.2 and 3.2 mIU/L had lower body mass index, thigh muscle volume and the high prevalence of autonomy decline (p 0.05). Even after adjusting for sex, age, malnutrition, body mass index, and autonomy decline, high thyroid-stimulating hormone levels were associated with bigger thigh muscle volume, with an odds ratio (95% confidence interval) of 3.274 (1.111–9.647).
CONCLUSIONS: The thyroid-stimulating hormone levels from 3.3 to 10.0 mIU/L increases the chances of maintaining bigger thigh muscle volume in older adults by 3.3 times.
Semaglutide: de la moda a la evidencia científica. A propósito de una Revisión Narrativa
Authors: Bueno Elvio , Jara Elias , Jara Jessica , Arce Maura , Ramírez Ana Iris , Canata Gabriela
Published: December 2024

La obesidad es una condición que afecta a una gran proporción de la población mundial y se asocia con problemas de salud graves. En los últimos años, el uso de semaglutide, inicialmente desarrollado para el tratamiento de la diabetes tipo 2, ha demostrado eficacia no solo en el control glucémico, sino también en la pérdida de peso. Este medicamento, un análogo del GLP-1, actúa reduciendo el apetito y prolongando la saciedad, además de aportar beneficios en la función cardiovascular y renal, e incluso mejorar la apnea obstructiva del sueño. La semaglutide ha sido aprobada para el tratamiento de la diabetes y la obesidad tanto en adultos como en adolescentes, y está disponible en formatos subcutáneo y oral. A pesar de sus beneficios, se han reportado efectos secundarios, como náuseas y un potencial riesgo de cáncer tiroideo y retinopatía diabética, los cuales deben ser considerados y monitoreados. El desarrollo de nuevos agonistas duales y triples, y la combinación de semaglutide con insulina semanal, representan futuros prometedores en el tratamiento de la obesidad y la diabetes, mejorando las opciones terapéuticas para estas condiciones crónicas.
Lesiones por empalamiento en la orofaringe en niños. A propósito de un caso
Authors: Núñez Samudio Sergio Iván , Mena Canata Carlos Enrique , Medina Do Carmo Andrés Wilfrido
Published: December 2024

Las lesiones orofaríngeas en niños, en particular las causadas por empalamiento en el paladar blando, son relativamente comunes y generan ansiedad en padres y cuidadores. Estas lesiones pueden ocurrir en niños de todas las edades, pero son más frecuentes en niños pequeños, especialmente los que están en edad de gatear y explorar el entorno con objetos en la boca. Este artículo presenta el caso de un niño de 4 años que sufrió una lesión en la cavidad oral tras una caída sobre una varilla de hierro. A pesar de la aparente gravedad de la herida y el sangrado persistente, el paciente fue manejado con éxito mediante tratamiento conservador y reparación quirúrgica bajo anestesia general. El proceso de cicatrización fue satisfactorio, y el paciente se recuperó sin complicaciones significativas.
Serie de casos de manifestaciones neurológicas asociadas a la infección por el virus de dengue en Guatemala
Authors: Argueta Anzueto Marvin Rodolfo , Navas Castillo Jessenia Sabrina , Baldizón Pernillo Diana Karina , Pinzón Meza Rodolfo , Samayoa Bran Ana Johanna
Published: December 2024

Introducción: Alrededor del 10% de los pacientes con dengue presentan alteraciones neurológicas durante o después de la infección. La infección por el virus del dengue se puede presentar con tres cuadros neurológicos: 1) síntomas neurológicos agudos no específicos, 2) encefalitis aguda o síntomas neurológicos focales y 3) complicaciones neurológicas post infecciosas. El presente estudio es un reporte de una serie de cinco casos de dengue neurológico confirmados por pruebas de laboratorio. El objetivo es reportar una serie de casos de manifestaciones neurológicas asociadas a la infección por el virus de dengue y sus características clínicas. Metodología: Se trata de la presentación de una serie de cinco casos de dengue neurológico confirmados por pruebas de laboratorio. Resultados: De la serie de casos, dos pacientes cursaron con debilidad de miembros inferiores, dos tuvieron alteración de conciencia y otro paciente presentó debilidad en hemicuerpo derecho asociado a disartria. Todos ellos con el diagnóstico serológico positivo, a través de anticuerpos anti-virus, del dengue. Una paciente desarrolló Síndrome neurológico mediado por inmunidad, otro paciente sufrió disfunción muscular y tres pacientes desarrollaron encefalitis.
Conclusión: Los trastornos neurológicos asociadas al DENV deben ser motivo de sospecha en todo paciente que presente síntomas neurológicos agudos no específicos, encefalitis aguda, síntomas neurológicos focales con evidencia de positividad para DENV, o que presente complicaciones neurológicas durante la fase de convalecencia por este virus.
Kinematic alignment in robotic total knee arthroplasty
Authors: Lychagin A. V. , Gritsyuk A. A. , Kalinsky E. B. , Rukin Ya. A. , Elizarov M. P. , Gritsyuk A. A. , Gavlovsky M. Ya. , Tomboidi K. Kh. , Babaeva M. L.
Published: December 2024

Introduction There are two main concepts of total knee arthroplasty: mechanical and anatomical alignment of the lower limb axis. Howell et al. (2013) proposed the concept of kinematic alignment, the main idea of which is to preserve the level of the joint line and the axis of the lower limb that patients had before the onset of osteoarthritis. Initially, kinematic alignment was proposed to be performed with individual guides based on the results of CT/MRI scans but they took a long time to manufacture, were difficult to install, broke down, and were quite expensive. Introduction of robotic orthopaedic systems into clinical practice enabled to plan and perform bone resection with high accuracy, to install the components of the implant system according to  the  necessary concept thus providing new opportunities for the application of kinematic alignment, which was the purpose of our study.

Purpose To study the possibilities of a robotic surgical system in performing restricted kinematic alignment in total knee arthroplasty (TKA).

Materials and methods A prospective single-center study was conducted in 47 patients (12 men and 35 women) with knee osteoarthritis in Kellgren – Lawrence grades 3–4, an average age of (65.87 ± 7.4) years, an average BMI of (31.3 ± 4.7) kd/m2 , median HKA angle of 175°, median LDFA of 87°, median MPTA of 87°. The patients underwent robotic total knee arthroplasty (RoTKA) with the method of restricted kinematic alignment.

Results On the control whole-leg radiographs, the average HKA angle after surgery was (176 ± 1.5)°. In 42.6 % of cases, the deviation from the plan was within ± 1°, the deviation ± 2° in 44.7 % of cases, and in the remaining 12.7 % of cases the deviation was negative.

Discussion In the literature, we did not find the results of radiographic evaluation of the HKA angle in the coronal view before and after robotic total knee arthroplasty and their comparison with the results of preoperative planning using the kinematic alignment method of the limb axis. The results we obtained show high accuracy of the implementation of the preoperative plan.

Conclusion A personalized approach to TKA with application of an autonomous robotic system effectively provides kinematic alignment of the axis of the lower limb with an accuracy of up to 2° in 87.3 % of patients.
The optimal method of lateral lengthening osteotomy of the calcaneus: CT study in the Russian population
Authors: Gudi S. M. , Semenova D. A. , Vasiliev K. O. , Skuratova L. K. , Luchshev M. D. , Pakhomov I. A.
Published: December 2024

Introduction In the current professional literature, lengthening of the lateral column is considered to be one of the most effective and pathogenetically sound joint salvage methods for correction of plano-valgus deformity of the foot. The most widely used osteotomies in clinical practice are those of Evans and Hintermann. However, the articular facets of the subtalar joint are at risk of damage due to the variety of their number, shapes and location in different nationalities.

The purpose of the work was to reveal the anatomical variants of the structure of the articular facets of the subtalar joint in the Russian population in order to determine the optimal method of lateral lengthening osteotomy of the calcaneus, based on personal characteristics.

Material and methods The results of multispiral computed tomography (MSCT) of the feet of 250 patients were analyzed on the basis of the Tsivyan Novosibirsk Research Institute of Traumatology and Orthopedics. After applying the exclusion criteria, the final sample consisted of 150 patients. 3D modeling of  their calcaneal bones with visualization of articular facets of the subtalar joint was performed on a workstation using the  syngo.via–Siemens Viewer program. Patients were systematized according to the classification of  P. Bunning and C.  Barnett (1965). On 3D models of calcaneal bones, the distance between the anterior and middle, as well as between the middle and posterior articular facets was measured.

Results The anterior and middle articular facets of the subtalar joint were separated (type A) in 40.7 % (61 feet), the remaining 59.3 % (89 feet) had fused anterior and middle facets (type B). Fully fused anterior, middle and posterior facets (type C) were not found. The average distance between the anterior and middle articular facets was 4.2 ± 0.08 mm, and the average distance between the middle and posterior facets was 5.3 ± 0.0027 mm.

Discussion Articular facets of type B prevailed in the Russian population. Evans osteotomy will damage them 100 % of the cases. Hintermann osteotomy decreases the chance of their damage. However, the distance between the facets is very small, visualization during osteotomy is difficult, what can lead to damage to  the  subtalar joint. Thus, the development of a new method for determining and controlling the level of calcaneal osteotomy that would exclude joint damage is an urgent problem for further research.

Conclusion Hintermann’s lateral lengthening osteotomy of the calcaneus may be successfully applied in  the  Russian population with the least complications in the postoperative period and less damage to the articular facets of the subtalar joint.
Injusticia sin fin: La brecha pensional de género e ideas para cerrarla
Authors: Rodríguez Morales Andrés
Published: December 2024

This text presents a review of the book Injustice Without End: The Gender Pension Gap and Ideas to Close it, edited by Laura Porras-Santanilla and Natalia Ramírez-Bustamante. Throughout the text, I argue that the book contributes to documenting a key phenomenon that has been understudied in Colombia: the double gender pension gap. To this end, I discuss the prior research agenda that led to the book’s publication, its main findings and the research directions it opens. I also relate the findings to one of its main causes: the unfair distribution of care responsibilities.
ROBİN HAHNEL'İN BAKIŞ AÇISINDAN FAYDA MALİYET ANALİZİ
Authors: Bilgin Ebru
Published: December 2024

Bu çalışmanın amacı, fayda maliyet analizi yaklaşımını Robin Hahnel’in bakış açısından irdelemektir. İlgili kapsamda öncelikle fayda maliyet analizi yaklaşımının tarihçesi ve gelişimi araştırılmakta; daha sonra analize getirilen eleştiriler aktarılmaktadır. Son tahlilde, Hahnel’in analize getirdiği yenilikçi bakış açısı paylaşılmaktadır. Çalışma, fayda maliyet analizinin sadece ekonomik değil, aynı zamanda ekolojik ve sosyal boyutları da içerecek şekilde genişletilmesi gerektiğini vurgulamaktadır. Hahnel’in eleştirileri, fayda maliyet analizinin doğal çevrenin nicel değerlendirilmesine odaklanarak, çevrenin korunmasını sadece ekonomik bir çerçevede ele almanın yetersiz kaldığını göstermektedir. Sonuç olarak, fayda maliyet analizinin, çevre politikalarının daha etkin uygulanabilmesi için ekonomik, ekolojik ve sosyal değerleri entegre edecek şekilde genişletilmesinin zorunlu olduğu sonucuna varılmaktadır. Bu yaklaşım, çevresel ve sosyal boyutların yeterince dikkate alınmamasına yol açan mevcut uygulamaların üstesinden gelmeyi amaçlamaktadır.
SAYIŞTAY RAPORLARI BAĞLAMINDA DEVLET ÜNİVERSİTELERİNDE STRATEJİK PLANLAMAYA İLİŞKİN SORUNLARIN ANALİZİ
Authors: Engin Rıdvan
Published: December 2024

Yükseköğretim kurumlarında stratejik planlama, tüm dünyada yaşanan toplumsal, siyasi, ekonomik ve kültürel gelişmelerin beraberinde getirdiği yeni şartlara uyum sağlanması ve buna bağlı olarak yükseköğretim hizmetlerinden yararlanan paydaşların ihtiyaç ve beklentilerinin karşılanmasında önemli bir rol üstlenmektedir. Bu nedenle stratejik planlamanın üstlendiği tüm bu işlevleri yerine getirebilmesi için uygulamada karşılaşılan sorunların belirlenmesi ve bunlara yönelik iyileştirmelerin yapılması gerekmektedir. Bu çalışmada Türkiye’de devlet üniversitelerinin stratejik planlama sürecinde karşılaştıkları sorunlar araştırılmıştır. Bu bağlamda 2013-2019 yılları arasında Sayıştay tarafından yayımlanan denetim raporları incelenmiştir. Çalışmada içerik analizi yöntemi kullanılmıştır. Analiz sonucu çoğu üniversitenin stratejik planlarını hazırlayarak kamuoyuna paylaştıkları dolayısıyla mevcudiyet kriterini sağladıkları belirlenmiştir. Buna karşın stratejik planların şekil ve içerik yönünden mevzuata uygun olarak hazırlanması konusunda önemli eksiklikler mevcuttur. Maliyetlendirme ve kaynak tablosunun hazırlanmaması, paydaş görüşlerine yer verilmemesi ve çok sayıda amaç, hedef ve performans göstergesinin belirlenmesi tespit edilen başlıca sorunlar arasında yer almaktadır. Bu doğrultuda T.C. Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığınca kamu idarelerine stratejik planlama sürecinde yol göstermek amacıyla hazırlanan kılavuz ve rehberlerin daha fazla dikkate alınması gerekmektedir. Bununla birlikte stratejik planlama ekibinde yer alan üyelere hizmet içi eğitim verilmeli ve üniversite bünyesinde stratejik planlama alanında uzman akademik personelin bilgi ve birikiminde mutlaka yararlanılmalıdır.
Educação antirracista para o patrimônio
Authors: Paim Elison Antonio , Lima Valdemar de Assis
Published: December 2024

A luta contra o racismo inclui medidas importantes como a construção dialógica de políticas efetivamente antirracistas de educação para as diferenças, no combate a estereótipos e estigmatizações que criem oportunidades para pessoas que, em função da sua origem racial, historicamente, são atacadas pela colonialidade. É essencial reconhecer que o combate ao racismo implica na busca por uma coexistência justa e inclusiva que respeite e valorize as diferenças. Para uma sociedade igualitária, se requer uma mudança estrutural para superar o racismo em todas as suas formas. O presente artigo se corporifica no debate sobre a qualificação das relações étnico-raciais a partir de uma modalidade de projeto educativo-cultural sociorreferenciado como estratégia de aquilombamento que promova reflexão crítica sobre patrimônio, memória e educação, na perspectiva antirracista. A metodologia utilizada é qualitativa, baseada em revisão bibliográfica e pesquisa ação na ensejando a análise de políticas públicas de salvaguarda e a relação estabelecida entre sujeitos de cultura e o patrimônio cultural no contexto educacional para o uso político desse patrimônio em perspectiva holística.
Comunicação museal na cibercultura
Authors: Nolasco Leitão de Moraes Julia , Sant’Anna Santos Luiza
Published: December 2024

Diante das potencialidades comunicacionais da cibercultura, fazer uso das tecnologias digitais em rede nos museus torna-se um desafio, na medida em que a participação e interatividade não são automáticas a partir do momento que o museu se presentifica digitalmente. Este artigo busca investigar a participação dos públicos nas dinâmicas museais no ambiente digital, sob a ótica da Tecnologia Social (TS). Para tanto, realizamos o levantamento de referenciais teóricos e apontamento de exemplos de instituições brasileiras por meio do Instagram. Primeiramente são apresentadas as características e a contextualização da TS, articulando-a com a inclusão social e as políticas públicas desenvolvidas no cenário brasileiro para atingir a inclusão digital. Em seguida, partimos para a perspectiva comunicacional museológica na cibercultura, analisando o museu como meio e espaço de mediações, apresentando o caráter sociotécnico contemporâneo e articulando as diferentes possibilidades da linguagem cibercultural nos museus com a TS. Para que os museus façam uso das redes sociais online de forma a promover a participação e a interatividade com seus usuários, é necessário que a instituição abdique de seu posto de único emissor, dispondo-se a produzir significações e narrativas com os públicos.
Museus e inclusão social a partir das tecnologias digitais
Authors: Carrasco Lais , Vidotti Silvana
Published: December 2024

A inclusão social em museus refere-se aos esforços ativos feitos pelos museus para garantir que seus espaços, exposições, programas e recursos sejam acessíveis, acolhedores e relevantes para uma ampla gama de indivíduos e comunidades. Nessa perspectiva, as tecnologias digitais desempenham um papel crucial na promoção da inclusão social e da diversidade nos museus. Elas oferecem oportunidades para que os museus alcancem um público mais amplo, quebrem barreiras e criem experiências mais inclusivas. Diante do exposto, questiona-se qual é o papel das tecnologias digitais na promoção da inclusão social nos museus. Sendo assim, este artigo objetiva apresentar uma discussão sobre o papel das tecnologias digitais em ações de inclusão social em museus. Quanto aos procedimentos metodológicos, esta pesquisa é classificada como qualitativa e exploratória. Neste contexto, foi efetuado um levantamento bibliográfico e revisão de literatura de estudos sobre a temática de inclusão social em museus a partir de tecnologias digitais de modo a responder ao questionamento inicial e objetivo desta pesquisa. Conclui-se que, a partir de tecnologias digitais, os museus podem contribuir para a inclusão social criando espaços inclusivos, representando diversas vozes, engajando-se com as comunidades, promovendo educação e aprendizado, adotando abordagens colaborativas, ampliando e ressignificando narrativas, e defendendo a mudança e coesão social. Consequentemente, ao promover a acessibilidade, a representação e o envolvimento da comunidade, a partir de tecnologias digitais, os museus podem se tornar instituições inclusivas que promovem o diálogo, a compreensão e um sentimento de pertencimento para todos os visitantes e comunidades.
Os caminhos de um historiador, do manuscrito ao digital.
Authors: Brasil Nepomuceno Eric , Maia da Silva Rita de Cassia
Published: December 2024

Esta entrevista traz um panorama sobre as possibilidades de contribuição das metodologias advindas do campo das humanidades digitais para a pesquisa em acervos. A interlocução entre a história e a museologia se dá na lida com a memória coletiva. Assim, considerei interessante estabelecer está interlocução com o Professor Eric Brasil, destacando, principalmente, sua trajetória como pesquisador para demonstrar a abertura de possibilidades que a familiarização com os ferramentais digitais de investigação traz para o avanço da produção científica em nossa área. Do mesmo modo, o recorte geracional da sua trajetória, desde a sua formação inicial aos desdobramentos interdisciplinares da sua pesquisa, está diretamente vinculado à implantação das políticas públicas de ações afirmativas e incentivos à produção científica de qualidade para as universidades, tornando-as mais inclusivas e acessíveis nos seus serviços e na sua produção para as várias camadas populacionais da sociedade brasileira.
Diagnostic value of umbilical cord blood culture compared to sepsis screening in high-risk neonates
Authors: Gudagunti Monica M , Desai Raghavendra H
Published: December 2024

Neonatal septicaemia significantly contributes to neonatal morbidity and mortality, particularly in developing countries. While peripheral venous blood culture and sepsis screening are gold standards for diagnosing early-onset sepsis (EOS), their sensitivity is limited due to small sample volumes, intrapartum antibiotic use, and prior antibiotic administration. Umbilical cord sampling offers advantages such as being painless, requiring less skill, and allowing early, sufficient sampling for faster evaluation and treatment initiation. This study compares umbilical cord blood culture (UCBC) with sepsis screening in EOS among high-risk neonates.

To compare the diagnostic performance of UCBC and sepsis screening in neonates at high risk for EOS.

A prospective analytical study was conducted from June 2022 to February 2024 on 62 high-risk newborns in KIMS, Hubballi. UCBC samples were collected immediately after delivery, inoculated into BACT/ALERT bottles, and sent for bacterial culture. Upon NICU admission, sepsis screening was performed. Data was analysed using descriptive and inferential statistics, comparing sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of both methods.

In this study among 62 neonates, UCBC showed a sensitivity of 57.89%, specificity of 97.67%, positive predictive value of 91.67%, and negative predictive value of 84.00%. The ROC curve (AUC 0.78) indicated moderate diagnostic accuracy compared to sepsis screening.

UCBC is an easy to perform and early diagnostic tool in EOS with a high PPV (91.67%). But due to lower sensitivity (57.89%), it should be complemented with additional methods to optimise diagnosis in neonates at risk.
Combined in–office and at-home bleaching of vital teeth in an adolescent patient- A case report
Authors: Dutta Sharbari , Palla Gayatri , Dutta Brahmananda , Mohapatra Abinash
Published: December 2024

Fluorosis is one of the prevalent causes of discoloration of teeth. Teeth discolouration is a common aesthetic issue which can be caused by various factors, categorized into either extrinsic or intrinsic. Numerous recent advancements are available to manage teeth discoloration effectively. This case report demonstrates a remarkable aesthetic improvement of fluorosed teeth achieved through in-office bleaching, highlighting the procedure’s efficacy in restoring a brighter smile.

A twelve-year-old patient with mild to moderate dental fluorosis underwent a conservative treatment to address fluorosis, prioritizing cost-effectiveness and minimal invasiveness. After 3 visits for vital in-office bleaching and at home bleaching showed considerable diminishing of intensity of the discolouration. The combined in-office and home bleaching approach successfully improved the teeth's appearance, meeting both the patient's and parents' aesthetic and practical goals. Studies generally favour in-office bleaching over home methods for longevity and efficacy, though sensitivity levels vary by concentration and desensitizers. For optimal results, professionals are advised to follow manufacturer protocols, maintain the concentration of the bleaching agent, and application time, and combine in-office and at-home treatments for safe, and lasting whitening.

Patient was advised to avoid stain-causing foods and maintain good oral hygiene post-treatment, to prevent re-staining and maintain the teeth shade. This case also highlighted the effective management of fluorosis in children.
Compromiso laboral y estilos de liderazgo de los trabajadores de una empresa de prestación de salud
Authors: Beraún Vásquez Hilda R. , Castillo Blanco Ronald
Published: December 2024

En la actualidad existe reportes preocupantes sobre el escaso compromiso que asumen los trabajadores en una organización y los factores que pueden estar influyendo. Este estudio examinó el efecto directo de los estilos de liderazgo transformacional, transaccional y laissez faire en el compromiso laboral en los trabajadores de una empresa de prestación de salud. La muestra fue de 150 trabajadores del área asistencial de una empresa de salud, la selección fue mediante el muestreo intencional, la edad promedio de los trabajadores fue 22.1 (DE = 5.4) y el 75% fueron mujeres. Los efectos de los estilos de liderazgo en el compromiso fueron analizados con el modelamiento de ecuaciones estructurales. El liderazgo transformacional tiene un efecto positivo sobre el compromiso laboral (β = .19, p = .116). Por el contrario, los coeficientes para los estilos de liderazgo transaccional y laissez faire fueron de β = .00, p = .996, y β = -.09, y p= .303, lo que indicaría que estos estilos no tienen un efecto sobre el compromiso laboral. El estilo de liderazgo transformacional es el único que influye directamente en el compromiso laboral, los estilos transaccional y laissez faire no tienen efecto en el compromiso laboral que asumen los trabajadores.
Modernización de la Gestión Pública: Hacia la Mejora de los Servicios
Authors: de la Cruz Ccora José Luis
Published: December 2024

La modernización de la gestión pública se ha consolidado como un componente esencial en las estrategias de desarrollo, especialmente en países en vías de crecimiento como Perú, donde el fortalecimiento institucional resulta crucial para mejorar la calidad de vida de los ciudadanos. Este proceso implica la implementación de tecnologías, políticas innovadoras y prácticas de gestión que optimizan los servicios públicos, fortaleciendo la transparencia, eficiencia y satisfacción ciudadana.
Seismic shear-wave extraction from ambient seismic noise records at the Tashtagol iron using the passive interferometry method
Authors: Berezhnev Y. M. , Belovezhets N. N. , Rukavishnikov G. D.
Published: December 2024

In this paper, the passive interferometry method was applied for the first time to seismic noise data recorded at the Tashtagol iron ore deposit. The passive interferometry method is based on the analysis of cross-correlation functions of seismic noise. Continuous seismic records from one day at six seismic stations formed the data set used in this analysis. We have successfully identified shear seismic waves propagating between seismic stations on the obtained cross-correlations. The results demonstrate the potential of using ambient seismic noise tomography to study mining data.
Understanding the Drivers of eWOM Review Adoption: The Impact of Informational Determinants and Mediating Role of Perceived eWOM Review Credibility
Authors: Kaur Kulwinder , Singh Tejinderpal
Published: December 2024

Informational determinants influence users to evaluate the information based on its components. This study assessed the effect of informational determinants comprising argument strength, source credibility, prior belief confirmation, and visual information on the adoption of electronic word of mouth (eWOM) review, mediated by perceived eWOM review credibility (PeWOMRC). The empirical study was conducted by employing the quantitative survey method. Five hundred online consumers whose online purchase decisions relied on online reviews were selected using a homogenous purposive technique of sampling. The study’s findings revealed that source credibility and online visual information significantly affected the adoption of eWOM reviews. Prior belief confirmation and online visual information also considerably affected the PeWOMRC. The results also exhibited that PeWOMRC completely mediated the prior belief confirmation and eWOM review adoption relationship and mediated the online visual information and eWOM review adoption relationship partially. These findings offered practical insights for marketers intending to enhance eWOM effectiveness by leveraging credible sources and engaging visuals.
Monetary Policy and Financial Stability in India
Authors: Verma Neha , Goel Deepika
Published: December 2024

With rising geoeconomic tensions and financial fragmentation, financial instability concerns are becoming deeper and more persistent for emerging economies like India. Post the Global Financial Crisis (GFC) of 2008, the spotlight turned to the possible role of monetary policy in ensuring financial stability in addition to the mandated goals of price and output stability. This paper aims to estimate the dynamics between monetary policy and financial stability in India using a Structural Vector Auto Regressive (SVAR) model based on monthly data from January 2011 to April 2024. Financial stability is measured along three dimensions: banking, stock market, and external stability. We find significant evidence of bank credit and exchange rate channels, while the asset price channel has weaker evidence. There is evidence of high risktaking behaviour of banks in the case of expansionary monetary policy, pressing for the role of regulatory and prudential policies.
Standards and safeguards stemming from the right to respect for private life and the right to a fair trial: applicability with respect to administrative-law matters of civil service
Authors: Krupytskyi Oleksandr , Dikhtiievskyi Petro , Krylov Denys , Balamush Mariana , Leheza Yevhen
Published: December 2024

The purpose of this study is to determine the key substantial and procedural standards and safeguards stemming from the right to respect for private life and the right to a fair trial enshrined the Convention on the Protection of Human Rights and Fundamental Freedoms of 1950 that are applicable with respect to matters of civil service governed norms of administrative law. For this, the method of analysis and systematic research of legal rules should be used, as well as generalization and synthesis of requirements for conformity of civil service law with the afore-mentioned rights and fundamental freedoms of civil servants as they are interpreted in the case-law of the European Court of Human Rights. The article shows excerpts from precedent decisions of the European Court of Human Rights indicating scope of applicability and justification of interference with the right to respect for private life in civil service relationships, as well as peculiarities of determination of scope of subject-matter jurisdiction of domestic courts and of legal remedies control in employment-related cases involving civil servants according to the case-law of the European Court of Human Rights that concerns the right to a fair trial.
O racismo institucional no sistema judiciário brasileiro: reflexões a partir da criminologia contracolonial
Authors: França Karine Agatha , Dias Felipe da Veiga , Silveira Karolline da Silva
Published: December 2024

Este estudo busca compreender as relações entre a cultura institucional do judiciário brasileiro e o racismo estrutural, a partir de uma perspectiva criminológica contracolonial. Para isso, com o marco teórico articulado nos estudos pós-coloniais e contracoloniais, realizam-se análises críticas a respeito do colonialismo científico criminológico e seus reflexos no discurso jurídico. A pesquisa é qualitativa, com emprego do método descritivo, onde foram analisados dois casos judiciais, a partir dos quais foram travadas discussões étnicas-raciais envolvendo as violências institucionais e estruturais contra povos negros e indígenas. A conclusão, considerando a influência do colonialismo no ser, poder e saber, aponta para a urgência de que teorias criminológicas passem a considerar o processo histórico de escravismo e extermínio das populações negras e indígenas no país, sobretudo, a partir de uma epistemologia situada, de modo a confrontar os espaços institucionais que auxiliam na manutenção hegemônica de apenas um grupo no poder: homens brancos com poder aquisitivo.
Análise técnica do ressarcimento ao CNPq de valores recebidos por bolsistas
Authors: Kokke Marcelo , De Araújo Alan Pereira
Published: December 2024

O Conselho Nacional de Desenvolvimento Científico e Tecnológico - CNPq tem por missão institucional implementar o desenvolvimento científico e tecnológico nacionais por meio da promoção de incentivos à atividade acadêmica. Para cumprir essa missão, é fundamental que se assegure o respeito ao erário, com ressarcimento valores indevidamente recebidos por bolsistas do CNPq. Dessa forma impede-se que seja frustrado o interesse público na disseminação do conhecimento adquirido pelo beneficiário em projetos de pesquisa no Brasil e em outros países. O artigo analisa a sistemática de ressarcimento de valores que se configurem como apropriação indevida recebidos pelos bolsistas junto ao CNPQ. Confrontam-se interpretações relativas ao processo de constituição de créditos e perspectivas relativas à prescrição na cobrança. A partir do método dialético, o artigo propõe confrontações interpretativas a fim sustentar a não prescrição das ações que demandem a devolução de valores indevidamente recebidos por bolsistas. Em consequência, propõe-se abordagem para resguardo do modelo de incentivo e de desenvolvimento de pesquisa regido legalmente.
GRAMŞİYAN HEGEMONYANIN YENİDEN ÜRETİMİNDE BİR BURJUVA BİLİM DALI OLARAK ULUSLARARASI İLİŞKİLER DİSİPLİNİ
Authors: Avcı Yasin , Saygılı Rukiye
Published: December 2024

Antonio Gramsci, hegemonya yaklaşımı sebebiyle Uluslararası İlişkiler (Uİ) disiplini nezdinde tartışılan önemli isimlerdendir. Nitekim Uİ’de hâkim olan ve zor ile maddi güç unsurlarına dayalı hegemonya yaklaşımı yerine rıza bileşenini de temel alan bir hegemonya kurgusu ortaya koyan Gramsci’nin disiplindeki etkisi güçlü olmuştur. Öyle ki Gramsci’ye dair Uİ çalışmaları, ağırlıklı olarak Neo-Gramşiyan bir perspektifle ortaya konan Robert W. Cox’un Eleştirel Teorisi etrafında kümelenmiştir. Benzer şekilde Gramşiyan hegemonya ile disiplinin teorilerinin hegemonya yaklaşımlarını mukayeseli olarak inceleyen çalışmalar da yaygındır. Bu çalışmada ise bizatihi Uİ disiplini, Gramşiyan hegemonyanın devamı/yeniden üretimi noktasındaki işlevselliği kapsamında incelenmiştir. Bir başka anlatımla Gramsci’nin üzerinde durduğu hegemonyanın rıza unsurunun tesisi bakımından Uİ’nin araçsallığı ile disiplinin bu araçsallığının hegemonyanın görünümlerinden hangilerine denk geldiği meselesi çalışmanın temel sorunsalıdır. Dolayısıyla çalışmada, Uİ’nin hâkim burjuva sınıfın bir disiplini olduğunu gösteren emareler üzerinden disiplinin Gramşiyan hegemonyanın rıza unsurunun tesisi bakımından nasıl işlevselleştirildiğinin ortaya konması olmuştur.
Russian Pilgrimage in the system of cultural and anthropological code
Authors:   Patrice Lumumba Peoples’ Friendship University of Russia, Romanov Dmitry D.
Published: December 2024

Introducton. The article examines the social institution of pilgrimage as a phenomenon of the Russian cultural code in its evolution
and formation of the tradition of social practice. Theoretical analysis. The author uses both the methodology of cultural research and the approaches of the sociology of knowledge, philosophical-anthropological and civilizational analysis for a holistic understanding of the wandering
phenomenon. Within the framework of cultural and historical analysis, the perspective of two tradition formation periods is proposed - the time
of the kalik–transients and the subsequent period of secularism and secularization. It is argued that the differentiation of these stages acts as
an epiphenomenon of the change in anthropological paradigm and arises from the nominalistic desacralization of folk existence, which is led
by progressive reforms and orientation towards a modernizing Western European society. Empirical analysis. The author uses the approach
of classical philosophical anthropology together with the concepts of transcendence by M. Scheler and the eccentric position of H. Plesner as
a determinant of human nature. At the same time, the internalistic orientation towards the transcendent in wandering tradition indicates the
specificity of civilizational identity, within which it turns out to be possible, and which itself is opposed to utilitarian pragmatics, that forms the
phenomenon of consumer society. Conclusion. It is concluded that Russian pilgrimage is both an element of the national cultural heritage and
an instrument for understanding the more fundamental philosophical foundations of Russian civilization.
Russian civilization: Worldview and ideological
Authors:   Volgograd State University, Strizoe Alexander L.
Published: December 2024

Introduction. The article examines the theoretical aspects of the relationship between the concepts of civilization, ideology, and worldview. The ideological aspects of the civilizational analysis of society are shown. Theoretical analysis. The article argues for the methodological and
theoretical possibility of creating a new concept of civilizational development and proposes the option of mutual complementarity of the stadial
and cyclic models of the civilizational process. This seems to be the best option for understanding the nature and prospects of Russian civilization at the ideological level. It is emphasized that, with all the importance of traditions and the experience of history, the concept of civilization
should be focused on the study of the problem field of modern society, its future and development prospects. The possibility of using the concept
of “another Europe” to characterize the specifics of Russian civilization is considered. In the context of the proposed theoretical position, some
features of Russian civilizational development are examined. Conclusion. The prospect of elaborating a new concept of civilizational development
in Russia has been identified, integrating the potential of new “hybrid” ideological constructs that will correspond to it and express the social
interests of the majority of society.
Portfel wierzytelności niebankowych. Rynek, metody i determinanty wyceny
Authors: Mikutowski Mateusz
Published: December 2024

Książka przedstawia dogłębną analizę szybko rozwijającego się rynku wierzytelności niebankowych, ze szczególnym uwzględnieniem ich wyceny. Autor – korzystając z bogatego doświadczenia praktycznego związanego z realizacją projektów w zakresie wyceny portfeli wierzytelności, projektów transakcyjnych na rynku wierzytelności, restrukturyzacją przedsiębiorstw finansowych i modelowaniem finansowym – analizuje wpływ determinant biznesowych na proces wyceny portfeli wierzytelności. Zaprezentowane algorytmy i procedury umożliwiają precyzyjne szacowanie ich wartości i mogą być wykorzystane w działalności inwestycyjnej oraz obrocie rynkowym. Pozycja jest kierowana do specjalistów zajmujących się rynkiem finansowym, pracowników działów analitycznych firm windykacyjnych, a także naukowców i studentów szczególnie zainteresowani tematyką wyceny aktywów.
Tourism Climate Change Adaptation: The Case of Slovenia
Authors: Turnšek Maja , Cooper Chris , Pavlakovič Farrell Barbara , Kokot Katja , Špindler Tomi , Žnidaršič Zala , Kuk Rok , Pogačar Tjaša
Published: December 2024

This monography is a result of the national research project “V7-2128 Climate change and sustainable tourism development in Slovenia”. It prepares the groundwork for adaptation within the tourism sector in Slovenia, assesses the risks and vulnerabilities of Slovenian tourism to climate change, and identifies possible adaptation options of Slovenian tourism. The analysis uses past climate data and three scenarios of climate change until the end of the 21st century. Two databases were used to get a wider range of available data: the Copernicus Climate Change Service and Slovenian Environment Agency archive data. The analysis focuses on four main areas of Slovenian tourism: (a) water related tourism, (b) urban and cultural tourism and MICE tourism, (c) winter outdoor tourism and (d) summer outdoor tourism. The results confirm past comparative research about Slovenian tourism being less vulnerable to climate change, with the important exception of winter tourism. While some of the climate change impacts are expected to even benefit Slovenian tourism, adaptation processes are still highly recommended both with regards to direct impacts, such as the increase of temperature, and indirect impacts such as the expected increase of tourism impacts on biodiversity due to the prolonged summer season.
An Economic Analysis of Growth and Instability of Vegetable Production in Eastern India
Authors: Gupta Swapnil , Devegowda S.R. , Yarazari Shivananda P. , Chaudhary Jyoti , Kumar Ashutosh
Published: December 2024

Background: The study examined the patterns of growth and volatility in vegetable production within India. The instability observed in vegetable production has led to significant disruptions in both supply and farm earnings. This escalating volatility in agricultural production, prices and farm income has raised apprehensions. The research assesses the expansion and instability in the cultivation of specific vegetables, Brinjal (Solanum melongena), Cabbage (Brassica oleracea), Onion (Allium cepa), Okra (Abelmoschus esculentus) as well as the aggregate vegetable output from the period spanning 1994-95 to 2021-22 in India. Methods: The findings pertaining to growth (CAGR) patterns reveal a sense of inconsistency across regions, despite heightened production and increased cultivation areas dedicated to vegetables and witnessed significant increase in growth of vegetable production in India. Result: The analysis of instability highlights that the states of Odisha, Bihar and West Bengal exhibit relatively lower susceptibility to instability compared to Uttar Pradesh and Chhattisgarh, states with larger cultivation areas. The state-level analysis does not reflect the complete picture of problems in vegetable production and production problems under estimates affects to farm income. Need for addressing risks in farm income by devising area-specific crop insurance or other suitable mechanisms.