bluuebunny/crossref_metadata_2025 huggingface dataset:
Features of postoperative pain relief in patients with a low level of consciousness: a prospective randomised study
Authors: Al-Haddad Hamed A.A. , Petrova Marina V. , Kolesov Dmitriy L.
Published: January 2023

AIM: To determine the possibility of using analgonociception monitoring (analgesia nociception index, ANI) to assess the need for postoperative analgesia in patients with prolonged impairment of consciousness.
MATERIAL AND METHODS: This pilot prospective randomized study enrolled 34 consecutive patients with chronic impairment of consciousness (vegetative state/minimal state of consciousness) who underwent neurosurgical interventions. Randomization was made by the envelope method for the grouping of the patients: study group (SG, n=17), received anesthesia with intravenous paracetamol 1000 mg according to ANI in the postoperative period; control group (CG, n=17), without additional anesthesia in the postoperative period. Patients with arrhythmias were excluded. The groups are comparable in terms of the main clinical parameters (all parameters p 0.05). The ANI (MetroDoloris device, France) was recorded at 1, 4, 8, 12, and 24 h after surgery. The valuation was based on the revised scale for assessing pain in a coma, i.e., Nociception Coma ScaleRevised (NCS-R) [7], after 4, 12, and 24 h.
RESULTS: An intragroup comparison of the changes in ANI during postoperative day 1 showed an adequate level of pain relief (60.1 [55.362.5]), whereas in the group without postoperative analgesia with paracetamol, by 4 h after the operation, ANI dropped to the lower limit (46.3 [40.251.9]). In an intergroup comparison in the first 8 h after surgery, ANI was significantly higher than in the group without anesthesia (p=0.04) and had values of 55, which indicates the absence of pronounced vegetative reactions indicating the presence of pain. From 12 oclock, the values are leveled out, not going beyond the limits of indicators of inadequate anesthesia (p=0.69). When assessing nociception on the NCR-R scale during the postoperative day in both groups, a tendency to the appearance of weak autonomic responses was observed (6 [5; 8] in SG and 6 [5; 7] in CS, respectively), which did not differ significantly. The presence of pain 4 h after surgery was confirmed by increased levels of cortisol and salivary alpha-amylase in patients without postoperative analgesia (p=0.03).
CONCLUSION: No generally recognized and available evidence-based instrumental methods are available for the assessment of pain intensity in patients with chronic impairment of consciousness. There is no single position of the professional community on the need for postoperative analgesia in such patients. Further studies to evaluate the effectiveness of using the ANI Metro Doloris monitoring system with a significant number of observations will lead to the determination of adequate perioperative analgesia regimens in patients with various forms of prolonged impairment of consciousness.
Comparison of methods of analgesia in patients after pancreatic surgery: a cohort retrospective study
Authors: Ezugbaia Beka S. , Fedorov Sergey A. , Avetisian Vaagn A. , Nikitenko Ekaterina Y. , Sizov Vadim A. , Kamnev Sergey A. , Koriachkin Viktor A.
Published: January 2023

AIM: To compare the effectiveness of postoperative analgesia by methods of epidural blockade (EB) and rectus sheath block (RSB) in the early postoperative period in patients who underwent pancreatic surgery.
MATERIALS AND METHODS: A retrospective analysis of inpatient case histories of patients after pancreatic surgery at JSC Ilyinsky Hospital for the period from 2019 to 2021 (n=92) was conducted. For the study, 78 cases were selected, which were divided into two groups: the first group (n=46) received EB with a local anesthetic in the postoperative period, and the second group (n=32) underwent RSB followed by the introduction of a local anesthetic solution.
RESULTS:The level of pain on the visual analog scale was statistically significantly higher in the first group on day 1(1.07 [0.501.80] and 0.48 [0.081.13], respectively, p=0.013) and day 2 (0.82 [0.251.33] and 0.33 [0.060.75], respectively, p=0.021), and no differences were found on day 3 (p=0.060). The frequency of additional use of opioid analgesia did not differ between the study groups (day 1, p=0.233; day 2, p=0.570; and day 3, p=0.092 The use of norepinephrine infusion in the early postoperative period (p=0.842), daily and cumulative water balance (day 0, p=0.851; day 1, p=0.883; and day 2, p=0.319; day 3, p=0.718; and cumulative balance, p=0.707), and verticalization time (p=0.800) also showed no significant difference.). Orthostatic reactions during early mobilization were noted significantly more often in the EB group than in the RSB group (n=10, 21.7%; n=1, 3.2%, respectively; OR 8.333, 95% CI 1.00866.667, p=0.042). The appearance of the first stool was more common in the EB group (3 [24] days vs. 4 [35] days in the RSB group, p=0.027). No statistically significant difference was found between the groups in the development of infectious complications (p=1.000), gastrostasis (p=0.144), in-hospital mortality rate (p=0.460), ICU days (p=0.305), and lengths of stay (p=0.776).
CONCLUSION: The data obtained in the study show the comparability of the use of analgesia methods, such as EB and RSB in patients who underwent pancreatic surgery.
Preliminary outcomes of the COVID-19 pandemic: a new chronic pain profile
Authors: Shen Natalia P. , Logvinenko Vladimir V. , Tsiryatieva Svetlana B. , Osin Valentin I. , Masserov Aleksander A.
Published: January 2023

In summing up the preliminary results of the COVID-19 pandemic that has not yet ended, modern research pays much attention to the so-called post-COVID syndrome, which includes the long-term consequences of the disease. In English, symptoms are reported as long COVID, post-acute COVID, or chronic post-COVID syndrome and are described as symptoms of fatigue, respiratory disorders, memory, and sleep problems. Symptoms such as muscle pain and decreased endurance when performing habitual physical exertion are mentioned much less often. Meanwhile, among the complaints of those who have been ill, this symptom is present quite often, reducing the quality of life and tolerability of normal physical exertion. This review aimed to provide an in-depth study of a new type of the chronic myofascial pain syndrome after COVID-19, i.e., the frequency of occurrence, causes of the development, and pathophysiology of chronic pain syndrome associated with COVID-19 and manifested as fibromyalgia of various localizations. To answer the questions posed, the authors searched for information in four electronic databases. The key search terms used were COVID-19, long COVID, and signs and symptoms of pain syndrome. A review of current literature data has shown that close study and dynamic monitoring of patients who had COVID-19 can contribute to further deciphering the pathophysiological mechanisms of the development of its long-term consequences and provide answers to questions on the prevention and treatment of chronic pain syndrome in this patient cohort.
Efficacy of regional anesthesia in episcleral surgery: a randomized controlled double-blind clinical study
Authors: Oleshchenko Irina G. , Mankov Aleksandr V. , Belyaev Sergey S.
Published: January 2023

BACKGROUND: Surgical interventions for severe fundus diseases associated with diabetes mellitus, proliferative processes against the background of retinal detachment, and acute inflammatory diseases require the development of multimodal algorithms to provide sufficient analgesic and anti-inflammatory effects.
AIM: To evaluate the efficacy of combined pterygopalatine blockade (PPB) and retrobulbar blockade (RBB) in patients with episcleral retinal detachment surgery.
MATERIALS AND METHODS: The study included 100 patients who underwent episcleral surgery for retinal detachment. All patients were randomized into two groups: group 1 (retrobulbar blockade, n=50) and group 2 (pterygopalatine blockade in combination with retrobulbar blockade, n=50). The level of akinesia, volume of local anesthetic, consumption of analgesics, pain, and postoperative nausea and vomiting (PONV) were evaluated.
RESULTS: In group 2, only 12% of the patients were prescribed promedol 2% intraoperatively, which is significantly lower than that in group 1 (p=0.463). In group 2, the pain level 8 h after surgery according to the verbal sensation scale was 0.80.63. In group 1, the average pain score was 1.691.8 (p=0.558). PONV was observed in 4% of the patients in group 1. In group 2, no PONV occurred (p=0.563).
CONCLUSION: The combination of PPB and RBB allows for controlling not only pain sensitivity but also vegetative, motor, and neuroendocrine manifestations associated with pain both in the intraoperative and early postoperative periods.
Effect of the method of anesthetic aid on cellular immunity in periprosthetic infection of the hip joint: : a prospective open randomized study
Authors: Kazanin Artem A. , Zagrekov Valeriy I. , Lebedev Mikhail Y. , Nargizyan Anait Z. , Mitrofanov Vyacheslav N. , Komarov Roman N. , Presnov Dmitry V.
Published: January 2023

BACKGROUND: Periprosthetic infection after primary hip replacement is a serious complication. For the anesthetic support of revision operations, both general and neuroaxial anesthesia methods can be used. The question of choosing an anesthetic aid that, with adequate modulation of the operational stress response, would have a minimal immunosuppressive effect is relevant.
AIM: To examine the effect of general and combined spinalepidural anesthesia during revision operations in patients with periprosthetic hip joint infection on the parameters of cellular immunity.
MATERIALS AND METHODS: An open prospective randomized study was performed on 25 patients (11 women and 14 men). The patients underwent surgical interventions of revision prosthetics with the replacement of all components of the prosthesis. Group 1 (n=10) underwent general anesthesia (GA), and group 2 (n=15) underwent surgery under combined spinalepidural anesthesia (CSEA). The indices of cellular immunity, namely, CD4+, CD8+, CD4+/CD8+, and B-lymphocytes, were evaluated. Blood sampling was performed in the morning on the day of surgery and then on days 1, 3, 5, and 7 after surgery.
RESULTS: The CD4+ (%) level in the CSEA group was significantly higher than in the GA group on days 3 and 7 after surgery (p 0.05). Changes in the percentage of CD8+ lymphocytes, the immunoregulatory index, and the percentage of B-lymphocytes between the groups had no statistically significant differences.
CONCLUSION: The CD4+ (%) level in the CSEA group was significantly higher than that in the GA group on days 3 and 7 after surgery (p 0.05). Statistically significant differences in the dynamics of CD8+, immunoregulatory index, and B-lymphocytes were not found, which may indicate a lesser effect of the type of anesthesia on these indicators.
Comparison of Earthquake Clusters in a Stable Continental Region: A Case Study from Nordland, Northern Norway
Authors: Shiddiqi Hasbi Ash , Ottemöller Lars , Rondenay Stéphane , Custódio Susana , Halpaap Felix , Gahalaut Vineet K.
Published: January 2023

Nordland, Northern Norway, is a seismically active stable continental region. Along its coast, clusters of small earthquakes controlled by local extensional stresses are observed. In this study, we present a comparison between two adjacent seismically active areas along the Nordland coast: Jektvik and Rana, which have distinct spatiotemporal patterns. The seismicity in Jektvik, which presents a swarm-like behavior, shows outward activity progression from its center hinting at triggering between earthquake clusters. In contrast, the seismicity in Rana, where swarms are also observed, does not exhibit such pattern. Earthquakes in the Rana cluster occur within isolated spots and show repeating earthquake behavior. Singular spectrum analysis shows that seismicity in Jektvik has a dominant annual periodicity and is modulated by hydrological load, which is also observable on Global Navigation Satellite Systems stations. Although hydrological load changes also affect Rana, its seismicity does not exhibit an annual periodicity. We hypothesize that the Jektvik seismicity occurs within a fluid-rich fracture system that is affected by hydrological modulation, whereas the Rana seismicity occurs within fault irregularities, which accumulate stress and rupture repeatedly. This study presents a case where adjacent areas within an intraplate setting can have significantly different seismogenic behaviors.
Short-Term Deep Postseismic Slips Following Large Earthquakes in Southern Taiwan
Authors: Xie Yanan , Luo Yinhe , Tang Chi-Chia , Liu Shujun
Published: January 2023

Deep postseismic slips that reflect the rheology and the deformation of the seismogenic fault after large earthquakes are usually investigated less than shallow slips because of the difficulty of obtaining direct observations. In this study, we used the seismicity of repeating aftershock sequences (RASs) to improve our understanding of the deep postseismic slips after three large earthquakes in southern Taiwan. To more precisely characterize the evolution of the RASs, we applied a template-matching technique to continuous waveform data for 90 days before and after the mainshocks. We identified 28 RASs that mainly occurred in regions near the mainshock hypocenters with relatively high VP/VS ratios. The deep fault slips estimated from the RASs show that the postseismic slip rates decreased logarithmically with increasing duration time, suggesting that the faults were creeping according to the velocity-strengthening friction law. We inferred that the high hydraulic pressure environment contributed to the fault creep, but the dynamic stress perturbation may have been the main factor affecting the fault creep. The results of this study improve our understanding of the behavior of deep faults and may aid in future seismic hazard assessments in Taiwan.
Performance improvement of shell and tube heat exchanger by using Fe3O4/water nanofluid
Authors: NAJIM Saad , HUSSEIN Adnan , DANOOK Suad Hassan
Published: January 2023

The objective of this paper is to study the effect of nanofluid on the performance of the heat exchanger, as well as the heat transfer rate, coefficient of total heat transfer, friction influence and average Nusselt number, and thermal efficiency factor and has been investigated and discussed. In this work, the output heat transfer of Fe3O4/water nanofluid through shell and tube heat exchanger has been numerically investigated under laminar flow. CFD simulations with ANSYS FLUENT 2020R1 were used adopting finite volume approach to solve the governing equations. Numerical calculations were carried out for Reynolds numbers ranging from 200 to 1400, with nanoparticles as the volume fraction (0.2% and 0.35%). The results show that the augmentation in increase Nusselt number and amount of heat transfer rate and the efficiency of nanofluid at the concentration of 0.35% are approximately 19%, 25% and 12% respectively. It was observed through the results that the friction decreases as the Reynolds number increase.
Pattern recognition for the modification of characteristics using non-linear techniques
Authors: Mesa Fernando , Ospina-Ospina Rogelio , Devia-Narvaez Diana Marcela
Published: January 2023

Traditional data processing applications are unsuitable for handling large amounts of data. To achieve an efficient manipulation and extraction of characteristics or samples that the information represents, it is necessary to know aspects such as data collection and treatment. In this document, a database corresponding to the behavior of electrical energy consumption in a residential load was refined. The debugging and statistical analysis of the samples were carried out using the principal component analysis. The training of the smallest data set to the original database was made using vector support machine techniques and artificial neural networks. Finally, a proposal is presented for the analysis of samples that are within the operating limits or not using updating dynamic patterns for the unsupervised validation of new samples.
Toluene hydrogenation and ring-opening on bimetallic Pd-Pt/HY catalysts
Authors: Romero Trino , Melo Luis , Esparragoza María , Ávila Rosarmy , Moronta Alexander , Carruyo Gabriela , García Luis , Donoso Caterine , Sáenz Laura , Yugcha-Pilamunga Carlos
Published: January 2023

Bimetallic Pd-Pt/HY catalysts prepared by the co-impregnation method with an atomic variation of Pd/Pd+Pt were studied to convert toluene and methylcyclohexane. The catalysts were characterized by the BET method, chemisorption of CO by the pulse method, programmed temperature reduction (H2-TPR), and programmed ammonia thermo-desorption (NH3TPD). Results of chemisorption of CO and H2-TPR for Pd-Pt/HY catalysts suggest the existence of a strong interaction between Pd and Pt. The NH3-TPD showed that incorporating metals influences the percentage of relative distribution of weak/strong acid sites presented in decreasing order of acidity: Pd0Pt100/HY>Pd100Pt0/HY>Pd33Pt67/HY. Atomic composition Pd/Pd+Pt equal to 0.33, and relative distribution of weak/strong acid sites equal to 2, favor hydrogenation of toluene to methylcyclohexane in metal sites and subsequent skeletal isomerization in the acidic sites through dimethylcyclopentane intermediate and ring-opening in the metal sites, leading to increased formation of n-heptane relative to iso-heptane. Bimetallic Pd-Pt/HY catalysts prepared by the co-impregnation method with an atomic variation of Pd/Pd+Pt were studied to convert toluene and methylcyclohexane. The catalysts were characterized by the BET method, chemisorption of CO by the pulse method, programmed temperature reduction (H2-TPR), and programmed ammonia thermo-desorption (NH3TPD). Results of chemisorption of CO and H2-TPR for Pd-Pt/HY catalysts suggest the existence of a strong interaction between Pd and Pt. The NH3-TPD showed that incorporating metals influences the percentage of relative distribution of weak/strong acid sites presented in decreasing order of acidity: Pd0Pt100/HY>Pd100Pt0/HY>Pd33Pt67/HY. Atomic composition Pd/Pd+Pt equal to 0.33, and relative distribution of weak/strong acid sites equal to 2, favor hydrogenation of toluene to methylcyclohexane in metal sites and subsequent skeletal isomerization in the acidic sites through dimethylcyclopentane intermediate and ring-opening in the metal sites, leading to increased formation of n-heptane relative to iso-heptane.
Inequality Regimes in Grocery Stores: Intersections of Gender, Hierarchies, and Working Conditions
Authors: Olofsdotter Gunilla , Bolin Malin , Mathiassen Svend Erik
Published: January 2023

This article explores the extent to which spatial and hierarchical divisions of work in grocery stores intersect with gender, and resulting inequalities in employees’ working conditions. Our empirical basis is individual and group interviews conducted with managers and employees at two grocery stores in Sweden. The theoretical concept of inequality regimes serves as an analytical tool for understanding if and how multiple intersecting processes produce and maintain inequalities in working conditions. The findings show that hierarchical and gendered inequalities are (re)created in the stores, for both permanently and temporarily employed workers. The organizing processes include a functional and gendered division of the workforce together with a division based on terms of employment mainly based on the profit generated by the goods handled in each department. The study shows how spatial divisions related to hierarchy, status, and gender intersect in creating inequalities in employees’ working conditions, career opportunities, and the physical and psycho- social working environment.
Проектная деятельность как условие учебного сотрудничества в образовательном процессе начальной школы
Authors: Бокина Ю.С
Published: January 2023

Статья посвящена проблеме использования проектной деятельности обучающихся начальной школы на уроках математики. Данное направление рассматривается как одно из условий организации учебного сотрудничества в образовательном процессе начальной школы. В работе рассмотрены основные характеристики учебного сотрудничества во взаимоотношениях «учитель-ученик». На примере проекта по математике на тему: «Математическая модель музыкального произведения С. Прокофьева «Песня без слов»» раскрыты возможности и дана оценка проблемного вопроса.
Воспитание сотрудников органов внутренних дел с позиции раскрытия сущности «долга» как категории этики
Authors: Бялт В.С.
Published: January 2023

В статье рассматривается содержание этической категории «долг», а также ее педагогическое значение в контексте совершенствования процесса воспитания личного состава органов внутренних дел. Исследуя мнения ученых касательно раскрытия сущности указанной категории этики, автор формулирует и обосновывает ряд выводов по анализируемой проблематике.
Experiments on direct chaotic differentially coherent data transmission in a wired communication channel
Authors:   Kotel'nikov Institute of Radioengineering and Electronics of Russian Academy of Sciences, Mokhseni Timur , Petrosyan Manvel ,   Kotel'nikov Institute of Radioengineering and Electronics of RAS
Published: January 2023

Methods of differentially coherent information transmission using noise signals are of interest because of the impossibility of implementing the known methods of correlation reception for such signals. With a potentially higher noise immunity compared to the methods of information transmission based on chaotic synchronization, however, they have a feature that does not allow transceivers to be implemented in practice. The transmitter and receiver of the scheme, based on already known methods of differentially coherent transmission, require a time delay comparable to the duration of the transmitted bits. With an analog implementation of the scheme this leads to a physical length of the delay line of tens of meters or more. Previously, the authors proposed and studied a differentially coherent transmission scheme in which there are no long delays. In this scheme, the duration of delays in the transmitter and receiver is determined not by the duration of the bit, but by the decay time of the autocorrelation function of the chaotic signal. Purpose of this work is to experimentally demonstrate the possibility of physical implementation of a direct-chaotic differentially coherent information transmission scheme in a wired communication channel. Methods. For this, a layout of the communication scheme, transmitting a binary data stream in the frequency range from 200 to 500 MHz, was designed and assembled. The layout is an ultrawideband differentially coherent transmitter and receiver connected via a wired channel. Results of the experiment are in full agreement with the previously obtained results of the analytical evaluations, as well as with the data of computer simulation. Conclusion. In the course of the research, a transceiver layout of a differentially coherent ultra-wideband direct chaotic communication scheme was developed, designed and manufactured. For the first time, experiments on the transmission of digital information were carried out on it, and thereby the practical feasibility and operability of the proposed direct chaotic differentially coherent transmission scheme were proved.
SYNTHESIS, STRUCTURE AND AFFINITY TO CNS RECEPTORS 8-BROM-11-METHYL-6-PHENYL-11-PYRIMIDO[4,5-B][1,4]BENZO¬DIAZEPINE
Authors: Bachinsky S. Yu. , Burenkova N. A. , Ishkov Yu. V. , Kravtsov V. Kh.
Published: January 2023

The purpose of this work is the synthesis of an annelated with pyrimidine system at position 2–3 of  the diazepine cycle and the study of the affinity of the synthesized compound for the central  benzodiazepine receptors (CBDR) and peripheral  benzodiazepine receptors (PBDR) of the CNS, as well as, in the future, the study of pharmacological  properties. The synthesis of 8-bromo‑11-methyl‑6-phenyl‑11-pyrimido[4,5-b][1,4]benzodiazepine II was carried out by heating 7-bromo‑1-methyl‑5-phenyl‑1,3-dihydro‑2Н‑1,4-benzodiazepin‑2-one I with formamide in a solution of phosphorus  oxychloride. The structure of compound II was  confirmed by mass spectrometry and 1H NMR spectroscopy, as well as by X‑ray diffraction analysis.  1Н NMR spectrum was recorded in ~2% solution of the compound in CDCl3 on the Bruker (300 MHz),  internal standard TMS. Mass spectrum of the  compound was obtained by electron impact on an  mass spectrometer, “MX‑1321”, ionizing voltage 70  eV, ionizationchamber temperature 220 °C. The X‑ray diffraction study of the single crystal was carried out on a KUMA‑4CCD diffractometer using MoKa –  radiation with ω-scanning at 100 K. The affinity of compound II to the central and peripheral  benzodiazepine receptors of the CNS was studied by radioligand analysis. The experiment was carried out on nonpedigreed male rats with mass 180–220 g. The following radioligands were used: [3H]flumazenil (CBDR) and [3H]RK 11195 (PBDR). As a result of  radioligand studies, it was found that compound II at a concentration of 1 10–6 M inhibits the specific  binding of the radioligand [3H]flumazenil to CBDR by 43.7%, which indicates the presence of a moderate affinity for CBDR. It was also found that compound II  at a concentration of 1 10–6 M inhibits the specific binding of the radioligand [3H]RK 11195 with PBDR  by 3.7%, which indicates the practical absence of  affinity for PBDR. The presence of a moderate affinity of compound II for CBDR and the selectivity of the  binding of this compound to CBDR with respect to  PBDR is of interest for further studies of this class of compounds as potential anxiolytics of a new type.
“Casebaskets”
Authors: Smalls Shanté Paradigm
Published: January 2023

This chapter demonstrates how Brooklyn-based emcee/producer/singer Jean Grae sonically disrupts Black heteronormative expectations in hip hop performance. The chapter thinks through the artistic uses of the uncanny, particularly how Grae works with uncanniness to decenter heteronormative Black masculinity, as well as to navigate abjection and social death.
Storied Justice
Authors: Offit Anna
Published: January 2023

This chapter explores the processes by which prosecutors develop and revise opening and closing statements for trial. Prosecutors’ collaborative development of these trial narratives allows them to inscribe evidence, actors, motivations, and events within a broader story that confirms the guilt of the accused while affirming the moral character of the federal prosecutor. The chapter shows that opening and closing statements are keyed to the perspectives that prosecutors believe are held by their imagined jurors. Further, it focuses on particular narrative techniques and prosecutors’ assessments of these techniques’ suitability for engaging jurors’ perceptions of character and evidence. The chapter ultimately contends that crafting trial narratives is something that prosecutors do less for actual people than for the purpose of giving form to their own professional identities as trustworthy actors who strive toward just outcomes.
The Rationale of Growth
Authors: Reczek Rin , Bosley-Smith Emma
Published: January 2023

Chapter 3 delves into the second of three rationales of compulsory kinship used to explain the persistence of the parent-child bond: growth. LGBTQ adults maintain their parent-child ties in accordance with compulsory kinship despite having parents who are often highly problematic and hurtful at worst or mediocre and not fully understanding at best. In this rationale, the promise that parents are becoming more accepting, even if they are still somewhat rejecting, keeps children in this relationship by leveraging the illusion of growth. Parents are always getting better, so the relationship can continue even if it is still deeply conflictual. The rationale of growth was used in similar ways by people of all gender, sexuality, and racial-ethnic identities, but this approach was used more obviously and with stronger emphasis by people of color and gender-expansive people.
The Rationale of Uniqueness
Authors: Reczek Rin , Bosley-Smith Emma
Published: January 2023

Chapter 4 reveals the third rationale of compulsory kinship used to explain the persistence of the parent-child bond: uniqueness. In this chapter, LGBTQ adults explain they must stay in this relationship because the parent-child tie is irreplaceable, even if it doesn’t serve them. Those in this chapter firmly believe once a child, always a child, and once a parent, always a parent. Even if parents are inadequate or even terrible, keeping the identity of parent or child and performing the basic functions that come with these labels is paramount. The parent-child tie is unique, the people who were interviewed insist, and no other social relationship could take its place at the core of the family. Even if parents are bad parents, they’re the only ones you have. Black and brown people in the study used the rationale of uniqueness in clear and consistent ways that are highlighted in this chapter, although white people relied on this rationale too, although to a lesser degree.
Out of the Closet, Under the Rug
Authors: Reczek Rin , Bosley-Smith Emma
Published: January 2023

Chapter 7 shows how after some people come out of the closet and unsuccessfully try to educate their parents, they go back “under the rug”—treating their LGBTQ identity as an open secret. The rug is a tool that allows LGBTQ adults to manage parents’ LGBTQ-phobia to stay in the family. For some, going under the rug after coming out is the path of least resistance—one that allows them to stay in the family while also still being themselves. Other LGBTQ adults get to be “out” but also hidden—protecting both their sense of self and the parent-child tie. As such, the rug can preserve familial relationships in line with the expectations of compulsory kinship. The chapter notes that the rug was used by people across gender, sexuality, and racial-ethnic identities.
Out of the Family
Authors: Reczek Rin , Bosley-Smith Emma
Published: January 2023

Chapter 9 discusses the very few individuals in the sample who cut a parent out—something almost always done temporarily. Cutting parents out is possible, but the pull of compulsory kinship is extremely strong in curtailing lifelong estrangement. It is through the rejection of compulsory kinship – even temporarily—that we can see the true strength of it. The people interviewed for this book recognize the severity of cutting off their parents but do so when the relationship reaches a point where they can no longer reframe positive experiences as more salient than negative ones. Estrangement was far more common with dads than moms because many dads already have a precarious relationship with their children due to the structure of parenting and the norms of masculinity that disconnect men from emotional closeness with their children in the United States today.
Misspeaking Poetics
Authors: Davidson Michael
Published: January 2023

In chapter 3, I look at artists who have used their speech impediments to generate new work—Norma Cole’s “Speech Production” and Jordan Scott’s Blert. One section deals with various artists’ interpretation of the shibboleth as it applies to more recent history. Paul Celan’s poem “Shibboleth” responds to the horrors of the Holocaust; Doris Salcedo’s Shibboleth carves a crack in the Tate Modern’s massive gallery to memorialize global subjects who fall through cracks in national narratives; Caroline Bergvall’s “Say, ‘Parsley’” remembers the murder of Haitians by Dominican military for their inability to pronounce the Spanish word for parsley, perejil. Jordan Scott’s Blert offers an exercise in transforming his “blurts,” caused by a lifelong stammer, into sound poems based on ecopolitical issues that link his speech impediment to the global environment. The work of Jordanian-Lebanese artist Lawrence Abu Hamdan involves studying acoustic technologies and surveillance in determining how mispronunciation is used to identify “true” from “false” asylum seekers.
A Captioned Life
Authors: Davidson Michael
Published: January 2023

The final chapter begins with accounts of captioning errors drawn from the author’s own experience of using dictation applications on his smartphone or using captioners in classrooms and meetings. After providing a short history of closed and open captioning of films and television, the chapter turns to artists and poets who have used captions to test—or satirize—the “authenticity” of received communication. The work of Liza Sylvestre, Carolyn Lazard, Robert Fitterman, and Christine Sun Kim all utilize captions to unseat the authority of the original text or communication being transcribed. The chapter also considers Darius Marder’s film The Sound of Metal, about a drummer who loses his hearing and must negotiate life between hearing and deaf worlds. The film turns captions on and off, turns sound on and off, to illustrate the complex and often frustrating experience of a late-deafened individual.
The Inner Border
Authors: Chouliaraki Lilie , Georgiou Myria
Published: January 2023

Moving away from Europe’s outer border, this chapter focuses on the workings of the inner border in European cities where migrants seek to settle, live, and work. What this chapter shows is that, across these cities, technologies of mobility control and access to rights shapes the domain of migrant work within a neoliberal logic of individual entrepreneurialism. The outer border’s power regime of humanitarian securitization is here transformed into entrepreneurial securitization, a regime of power that regulates not only migrants’ opportunities for economic success but also their hopes for legal status and their sense of self-worth and community belonging.
The Inner Border as Networked Commons
Authors: Chouliaraki Lilie , Georgiou Myria
Published: January 2023

After unraveling the digital border’s territorial manifestations at Europe’s outer and inner border in Chapters 1 and 2, Chapter 3 analyzes the incompleteness and fragility of the digital border. With an empirical focus on the metropoles of Athens, Berlin, and London, this chapter shows how the digital border is contested through the emergence of differential and uneven networked commons in the city. Networked commons, we argue, are unstable but lively collectivities of communication, collaboration, and self-expression between urban citizens and noncitizens that challenge the normative contours of the border and open up spaces for alternative imaginaries of migration beyond the dominant regimes of humanitarian and entrepreneurial security.
Narrative and Voice in News Stories
Authors: Chouliaraki Lilie , Georgiou Myria
Published: January 2023

Chapter 4 shifts focus onto the symbolic border and is the first of three analytical accounts that interrogates the narrative constitution of the digital border in the 2015–16 migration “crisis.” The chapter discusses the remediation of migration in online news storytelling from the standpoint of voice—who speaks (subjects of voice), in which capacity (status of voice), and within which context (context of voice). Drawing on analysis of 1,200 news articles, it demonstrates that the systematic silencing of migrants in European news during the “crisis” relied not so much on an either/or binary of “victim” and “terrorist” as on the shifting and multiple articulations of the two within the fluid regime of humanitarian securitization. In the course of the “crisis,” this regime fluctuated between moments of tolerance, empathy, and fear and, in this erratic discursive context, silencing, we show, is accomplished through persistent representations of migrants as abstract and ahistorical figures that lack voice and agency.
Bimbingan Qur’ani-Ruhani-Islami bagi Perawatan Kesehatan Mental Pasien
Authors: Lutfi M , Lutfi Muhammad Fauzi Rais
Published: January 2023

The various disturbances and difficulties that a person faces in his life may reduce his physical and mental health, The quality of each person's work is also closely related to the condition of his physical and mental health. If his body is mentally ill, he also suffers from illness which is marked by feelings of anxiety, pale face, decreased enthusiasm, difficulty sleeping, emotional instability, irritability (sensitive), negative thinking, and easily gives up and feels that the illness he is suffering from is a threat to him.Based on the results of surveys and observations conducted at various hospitals around Greater Jakarta and its surroundings, generally when a person experiences a physical disorder that requires him to receive medical treatment at a hospital (patient) will experience disturbances and psychological/mental. Of course, these phenomena and facts are related to the severity and severity of the illness, as well as the length or absence of the treatment period. Therefore, the presence and existence of qur'ani-ruhani-Islamic guidance and mentors as "friends" of patients in mental health care when they are sick is really needed to accompany them and their families who are facing sickness tests from Allah SWT.
Mersin Üniversitesi Tıp Fakültesi Öğrencilerinde Akıllı Telefon Bağımlılığı Prevalansı Ve İlişkili Faktörlerin Araştırılması
Authors: BUĞDAYCI YALÇIN Bengü Nehir , KALE Derya , EKİCİ Baharnaz , POLAT Süleyman , DOLATABADİ Matin , ÇEVİK İbrahim Muhammed , ŞAŞMAZ Caferi Tayyar
Published: January 2023

Amaç: Bu çalışma ile Mersin Üniversitesi Tıp Fakültesi öğrencilerinde akıllı telefon bağımlılığı prevalansı ve ilişkili faktörlerin araştırılması amaçlanmıştır.
Yöntem: Kesitsel tipte planlanan bu çalışmanın evrenini 2021-2022 eğitim öğretim döneminde tıp fakültesinde öğrenim gören 1581 öğrenci oluşturmaktadır. Minimum örneklem büyüklüğü 436 olarak hesaplandı ve çalışmaya 442 kişi alındı. Sınıflara göre ağırlıklandırma yapılarak dağılımı yapıldı. Sınıflardan alınacak öğrenciler ise öğrenci listesinden sistematik örnekleme yöntemi ile rastgele seçilerek belirlendi. Akıllı telefon bağımlılığını saptamak için Akıllı Telefon Bağımlılığı Ölçeği-Kısa Formu kullanıldı. Verilerin analizinde tanımlayıcı istatistikler, ki-kare önemlilik testi, sürekli Mann-Whitney U ve lojistik regresyon testleri kullanıldı. İstatistiksel olarak önemlilik düzeyi p≤0.05 olarak kabul edildi.
Bulgular: Çalışmaya yaş ortalaması 21.5±2.4 olan 442 öğrenci katılmıştır. Ölçek sonucuna göre öğrencilerin 215’inin (%48.6) akıllı telefon bağımlısı olduğu tespit edilmiştir. Akıllı telefon bağımlılığını; öğrencilerin kendisini akıllı telefon bağımlısı olarak düşünmesi 13.5 kat (p<0.001), annesi ve babasının sağ ve beraber olmaması 2.8 kat (p=0.013) artırdığı saptandı. Öğrencinin yaşının ve okul başarı durumu puanlamasının artmasının akıllı telefon bağımlısı olma riskini düşürdüğü, kardeş sayısının artmasının ise riski arttırdığı tespit edilmiştir (p<0.05).
Sonuç: Mersin’de tıp fakültesi öğrencilerinin yaklaşık olarak yarısının akıllı telefona bağımlı olduğu saptanmıştır. Öğrencilere akıllı telefon cihazının doğru kullanımının ve ayrıca bağımlılığın insan sağlığı ve davranışı üzerindeki tehlikeli etkileri ve toplum üzerindeki nihai sonuçları konusunda bilgilendirme yapılması önerilir.
İZMİR 2016-2019 YILLARI ARASINDA TARAMA MAMOGRAFİSİ SONUÇLARININ DEĞERLENDİRİLMESİ
Authors: YASLI Gökben
Published: January 2023

GİRİŞ ve AMAÇ: Meme Kanseri kadınlarda en sık görülen ve en sık ölüme yol açan kanserdir. Çalışmamızda İzmir ilinde 2016-2019 yıllarında 40-69 yaş arası kadınlarda yürütülen meme kanseri tarama programına katılan kişilerin tarama sonuçlarının değerlendirilmesi amaçlanmaktadır.

YÖNTEM ve GEREÇLER: Çalışmamızda Kanser Erken Teşhis ve Tarama Merkezine (KETEM) ve Mobil KETEM’e davet edilen 40-69 yaş arasındaki kadınlara yapılan mamografi sonuçları değerlendirilmiştir. Veriler araştırmacılar tarafından MM TARAMA yazılım programından retrospektif toplanmış, Kanser Kayıt Merkezi verisiyle karşılaştırılmış ve SPSS 20.0 programıyla değerlendirilmiştir. Analizlerde tanımlayıcı istatistiksel yöntemler (sayı, yüzde) ve ki kare testi kullanılmıştır. p
Ten tene temasın plasenta ayrılma süresi ve doğum hormonları üzerine etkisi
Authors: PÜSKÜLLÜOĞLU Betül , GÖKER Aslı , KOSOVA Funda
Published: January 2023

Giriş ve Amaç: Ten tene temas vajinal ve sezaryen doğumlarda tercih edilen ve pek çok olumlu etkisi bilinen bir uygulamadır. Bu çalışmada vajinal doğum sonrasında ten tene temasın plasenta ayrılma süresi ve doğum hormonları üzerine olan etkisini araştırnayı planladık.

Yöntem ve gereçler: Çalışmaya XXXX kadın hastalıkları ve doğum kliniğine başvuran 40 gebe dahil edildiç çalışma grubunda doğum sonrası kesintisiz ten tene temas uygulandı, control grubunda anne ve bebek ayrıldı.Plasentanın ayrılma süresi not edildi ve doğum öncesi doğum sonrası kan örneklerinde oksitoain, β-endorfin ve katekolamin düzeyleri ölçüldü.

Bulgular: Kadınların ortalam yaşı çalışma grubunda 28.55±5.97, control grubunda 26.75±6.58 idi. Plasentanın ayrılma süresi çalışma grubunda istatistiksel olarak anlamlı biçimde daha kısa bulundu. Oksitosin ve katekolamin seviyeleri hem çalışma hem control grubunda pre ve postpartum dönemde benzerdi. β-endorfin seviyeleri postpartum dönemde iki grup arasında benzerdi ancak prepartum dönemde çalışma grubunda istatistiksel olarak anlamlı biçimde daha yüksektir.

Tartışma ve Sonuç: Doğum sonrası uygulanan ten tene temas doğum hormonları arasındaki dengeyi bozmadan plasenta ayrılma süresini kısaltmaktadır. Sağlık çalışanları ten tene temasın önemi hakkında bilgilendirilmeli ve uygulama erken postpartum dönemde yaygınlaştırılmalıdır. Doğum salonunda çalışanlar yani ebe, hemşire ve doktorlar ten tene temasın pek çok avantajının yanısıra plasenta yarılma süresini kısaltması ve doğum hormonlarına etki etmemesi konusunda da bilgilendirilmelidir.
Antifungal Activity Test of the Ethanol Extract of Kaembu-embu (Blumea balsamifera) Leaves Against the Fungus C. albicans Growth
Authors: Wela Nasriadi Dali , Wela Arniah Dali , Dali Seniwati , Chairunnas Armadi , Amalia Hilda Ayu Melvi , Puspitasari Sri Ayu Andini
Published: January 2023

AbstractResearch on the antifungal activity test of ethanol extract of Kaembu-embu (Blumea balsamifera) leaves against the fungus C. albicans growth was carried out. The aim of this study was to examine the antifungal activity of ethanol extracts of Kaembu-embu (Blumea balsamifera) leaves on the growth of the fungus C. albicans. The ethanol extract of Kaembu-embu (Blumea balsamifera) leaves was obtained through maceration method. The ethanol extract of Kaembu-embu (Blumea balsamifera) leaves was tested for antifungal activity by liquid and solid dilution methods in determining minimum inhibitory concentration (MIC) and minimum kill concentration (MKC). The results of the antifungal activity of the ethanol extract of Kaembu-embu (Blumea balsamifera) leaves on the growth of the fungus C. albicans by the liquid dilution method showed the MIC value of 25 ppm and MKC value of 500 ppm. While the results of the antifungal activity of the ethanol extract of Kaembu-embu (Blumea balsamifera) leaves on the growth of the fungus C. albicans by solid dilution method showed the MIC value of 5 ppm with inhibitory ability of 50.13% of media control and a MKC value of 250 ppm.
Karakterisasi Elektrokimia Ekstrak Klorofil dari Daun Salam (Syzgium polyanthum) pada pH Basa sebagai Sensitizer pada Dye Sensitized Solar Cell (DSSC)
Authors: Wahyuni Indah Tri , Setiarso Pirim
Published: January 2023

Chlorophyll is a plant pigment that has the potential to be used as a dye (sensitizer) in DSSC. The performance of DSSC is highly dependent on the wide bandgap of the dye used. This study aims to determine the optimum pH of bay leaf extract in an alkaline condition through an electrochemical analysis. Bay leaves (Syzgium polyanthum) were extracted by maceration method using 96% ethanol solvent with a pH variation from 8 to 13. Bay leaf extract was characterized using UV-Visible spectrophotometry to determine the wavelength absorption. The results showed that the bay leaf extract contains chlorophyll compounds which has absorption wavelengths of 664 nm and 410 nm for chlorophyll-a as well as at the wavelengths 613,5 nm and 466,5 nm for chlorophyll-b. In electrochemical characterization, the optimum pH of bay leaf extract was at pH 13 with a bandgap value is 0,60105 eV.Keywords: Bay leaf, DSSC, electrochemical, chlorophyllKlorofil merupakan pigmen tumbuhan yang berpotensi untuk dimanfaatkan sebagai zat warna (sensitizer) pada DSSC. Kinerja DSSC sangat dipengaruhi oleh sensitifitas lebar bandgap zat warna yang digunakan.  Penelitian ini bertujuan untuk menentukan pH optimum ekstrak daun salam dalam kondisi basa secara elektrokimia. Daun salam (Syzgium polyanthum) diekstraksi dengan metode maserasi menggunakan pelarut etanol 96% dengan variasi pH 8 hingga 13. Ekstrak daun salam dikarakterisasi menggunakan spektrofotometri UV-Visible untuk mengetahui serapan panjang gelombang. Hasil penelitian menunjukkan bahwa ekstrak daun salam mengandung senyawa klorofil yang memiliki serapan panjang gelombang 664 nm dan 410 nm untuk klorofil-a serta pada panjang gelombang 613,5 nm dan 466,5 nm untuk klorofil-b. Pada karakterisasi elektrokimia, pH optimum ekstrak daun salam yaitu pada pH 13 dengan nilai bandgap sebesar 0,60105 eV. Kata kunci : Daun salam, DSSC, elektrokimia, klorofil
AnsT-19: Development and Validation of a Scale to Access the Anxiety of Family Physicians during Teleconsultation
Authors: Barbosa Ana Cecília , Costa Ana Isabel , Garcia Sílvia , Dias Rosana , Mesquita Edgar
Published: January 2023

Introduction: Following the outbreak of the disease caused by the novel coronavirus it was necessary to increase the non-face-to-face care activity through alternative means such as teleconsultation in primary health care. The adjustment to a type of remote consultation could have generated anxiety among family physicians. The main aim of the present study was to develop and validate a scale to assess the anxiety of family physicians during teleconsultation. Material and Methods: Observational, cross-sectional study involving a sample of family physicians working in Portugal. An online survey that evaluated anxiety in teleconsultation was developed.Results: A total of 359 valid responses were included in an exploratory factor analysis, after determining the number of factors to retain. A four-factor structure was detected with loadings ranging overall, from 0.44 to 0.98. Correlations between factors ranged from 0.42 to 0.58. Exploratory factor analysis results varied between good and very good fit, with chi-square/df result = 2.448, root mean square error of approximation (RMSEA) = 0.062 [90% CI = (0.053, 0.073)], root mean square of the residuals (RMSR) = 0.030 and Tucker Lewis index (TLI) = 0.931. Composite reliability was higher than 0.7 for all factors and average variance extracted was close or above 0.5 for the extracted factors, confirming convergent validity. McDonald’s omega (ω) = 0.95 suggested the presence of a second-order factor, and thus a global measure for assessing anxiety during teleconsultation. Concurrent validity results were good, with correlations ranging from r = -0.277 to r = -0.393 with General Self-Efficacy scale (GSE) and r = 0.302 to r = 0.547 with Depression Anxiety Stress scales (DASS). Moderate correlations found between DASS and the dimensions of AnsT-19 suggest that AnsT-19 is capturing anxiety from the teleconsultation point of view. AnsT-19 factors and total score were significantly associated with gender, experience as a family doctor, psychotropic medication during the pandemic period and pre-pandemic experience of teleconsultation, indicating good construct validity. The limitations of the study are related to the convenience process, the use of an online survey and self-reported measurements.Conclusion: AnsT-19 is a valid instrument to assess the anxiety of family physicians during teleconsultation.