bluuebunny/crossref_metadata_2025 huggingface dataset:
“Something there is that doesn’t love a wall”: Collaboration and Interdisciplinarity
Authors: Hutcheon Linda , Hutcheon Michael
Published: December 2023

Quando una studiosa di teoria della letteratura e un medico collaborano per studiare l’opera, molti confini disciplinari devono essere negoziati. Guardando sia l’esperienza personale che la letteratura scientifica, questo articolo indaga il processo di tale collaborazione interdisciplinare ed esplora i suoi vantaggi e i suoi rischi.
Australian Fiction and the Lure of Painting
Authors: Ackland Michael
Published: December 2023

Questo saggio studia il perché i pittori, le tecniche pittoriche e i temi legati all’arte siano presenti nella narrativa australiana dal colonialismo ad oggi. La pittura infatti ha rivestito a lungo un ruolo importante nei diari dei coloni e nella loro narrativa, diventando un emblema dei dilemmi rivelatori e delle ispirazioni condivise dagli autori. In breve, viene dimostrato come l’arte pittorica sia stata scelta come Arte Sorella della scrittura antipodea dei bianchi.
In vivo reduction of age-dependent neuromelanin accumulation mitigates features of Parkinson’s disease v2
Authors: Gonzalez-Sepulveda Marta
Published: December 2023

Methodological collection for In vivo reduction of age-dependent neuromelanin accumulation mitigates features of Parkinson’s disease
Long-term results of oncological endoprosthetics of the ankle joint: multicenter study
Authors: Sokolovskii A. V. , Kurilchik A. A. , Ivanov V. E. , Sokolovskii V. A. , Zavalishina M. K.
Published: December 2023

Introduction. The distal tibia and fibula are rare sites of involvement by primary and metastatic tumors. For a long time, amputation remained the standard surgical intervention for this location. Oncological ankle replacement is associated with a number of difficulties, including a lack of soft tissue necessary to cover the implant, close proximity of anatomical structures, a high probability of vascular and infectious complications, and difficulties in restoring the biomechanics of the lost joint. Currently, due to the small number of analyzed groups and short-term observations, there is no generalized data on primary and revision oncological ankle replacement, and there is no developed approach to treatment and prevention of complications.

Aim. To generalize the analysis of long-term results, the structure of complications, and functional results in a group of patients after primary and revision oncological ankle replacement in a statistically significant group of patients.

Materials and methods. The study included 40 patients with benign bone tumors, primary localized sarcomas of bone and soft tissue, and metastatic lesions, which, since 2008, until 2023 56 primary and revision endoprosthetics of postresection defect of the distal tibia were performed. Over a period of 15 years, the study group included 40 (71.4 %) surgeries in the scope of primary endoprosthetics and 16 (28.6 %) surgeries in the scope of revision oncological endoprosthetics of the ankle joint.

Results. Over a 15-year follow-up period, the overall incidence of complications, structured according to the International Society of limb Salvage (ISOLS) 2013 classification, after primary and revision arthroplasty was 50 %. The average time until detection of oncological and non-oncological complications was 16.1 months. The leading complication after endoprosthetics was aseptic instability (Type II; 21.4 %) and tumor recurrence (Type V) – 20 %. The average functional outcome after primary and revision ankle replacement was assessed using the MSTS scale and was 72 % after 6 months and ranged from 43 to 97 %. After 12 months, this figure was 78 % and ranged from 49 to 97 %.

Conclusion. An objective assessment and increase in the statistical reliability of the results of oncological ankle replacement requires a larger number of surgeries, a longer observation period and joint consolidation of data from various clinics. Development of indications for such reconstructive operations, careful selection of patients taking into account the effect of conservative treatment allows to reduce the total number of complications, the number of local relapses and achieve a good functional result.
Reconstruction of the left diaphragmic cupola using titanium nickelide metallic knitted mesh after combination resection due to leiomyosarcoma
Authors: Topolnitskiy E. B. , Shefer N. A. , Yunusov A. N. , Marchenko E. S.
Published: December 2023

Leiomyosarcoma of the diaphragm is an extremely rare disease. No more than 20 cases have been described so far. All patients needed reconstruction of the dome of the diaphragm, including with the use of implants. The article presents a clinical case of treatment of a 40-year-old woman with giant leiomyosarcoma of the left diaphragmic cupola.The extirpation of the tumor as a single block with the diaphragm and the pericardial wall was performed, followed by the restoration of the abdominal obstruction with nickel-titanium metal knitwear.
Evaluation of Drinking Water Quality Using Fuzzy Logic in Sulaimani City, Kurdistan, Iraq
Authors:   University of Sulaimani, College of Engineering, Department of Water Resources Engineering, Ghafour Zeren
Published: December 2023

Water quality assessment is crucial for maintaining the health and well-being of communities. In this study, Fuzzy Logic Water Quality Index (FWQI) utilized as a tool to assess the water quality in Sulaimani City, Kurdistan, Iraq. FWQI combines the flexibility and interpretability of fuzzy logic with the ability to handle imprecise and uncertain data, making it suitable for assessing complex systems such as water quality. Daily data of eleven water parameters from 14-water tanks location across Sulaimani city were evaluated for the duration of 2011 to 2021. The identified parameters includes pH, TDS, EC, TA, TH, Ca, Mg, Cl, Na, K, and SO4 . Fuzzy logic membership functions used to represent the linguistic variables associated with each parameter, allowing for the conversion of numerical data into fuzzy sets. A set of fuzzy rules established to map the fuzzy sets of the input parameters to an overall water quality index. The formulated rules were based on expert knowledge and existing water quality guidelines. The Fuzzy Logic Inference Index (FLII) outcomes were validated by comparing them with conventional water quality indices and expert judgments, demonstrating the effectiveness and accuracy of the proposed approach. The FWQI values of the study area showed that the drinking water quality of all selected tanks are suitable for drinking. The quality classes of water ranges between acceptable to desirable.
Road Rage and Anger-Provoking Situations in Sulaimani City- Iraq
Authors:   University of Sulaimani, College of Engineering, Civil Engineering Department, Karim Hardy , Sharif Burhan ,   University of Sulaimani, College of Engineering, Water Resources Engineering Department
Published: December 2023

Driver behavior factors, including road rage factor, are often responsible for increasing traffic accidents that result in deaths, physical injuries, psychological problems, and financial losses. In order to improve traffic safety problems in our country, road rage issues related to anger-provoking situations were explored. To collect data, two questionnaire survey forms related to road rage level, traffic characteristics, and demographics of the drivers were prepared. The road rage questionnaire form included 12 questions related to popular anger-provoking situations. Six Likert scales were scored starting from 0% to 100%. Out of 600 spread forms, 463 valid forms were accepted to be analyzed. Different participants having different gender, age, education level, driving experience, vehicle type, daily travel time, vehicles’ price, traffic accidents, and the road rage history were contributed. A statistical software program (SPSS 26) was utilized to analyze the data. It was obtained that there are significant correlations among road rage-provoking anger questions and the total overall rate of the road rage. On the other hand, the results showed that male drivers are angrier than female drivers during driving. The older the drivers, the less overall road rage values were obtained. The overall road rage value decreased as the education level of the drivers raised to higher level. Driver skills had significant effects on the results of the overall road rage value of the drivers in which the drivers having 4 to 6 years of driving license were angrier than the other drivers, while drivers having driving license more than 6 years had the less feeling of anger during driving. Regarding types of vehicles, the bus, taxi, and then truck drivers had more overall road rage values than PC and SUV drivers. As the drivers traveled more distances, the obtained results of the overall road rage values became greater. The drivers who have high-price vehicles were angrier than those have low-price vehicles. The Drivers’ accident history did not significantly relate to overall road rage values. In addition, the drivers who did not have any road rage history in their real life had the smallest overall road rage values; while those drivers faced physical fighting and engaged police stations due to road rage problems had the greatest overall road rage value.
Renate Wagner-Rieger and the History of Croatian Historicist Architecture
Authors: Damjanović Dragan
Published: December 2023

The work of Renate Wagner-Rieger was crucial in reviving interest in 19th-century architecture and in its inclusion in Croatia’s national history of art. The use of stylistic terms, periodization of 19th-century architecture, particularly historicism, and Renate Wagner-Rieger’s method of organizing the text within monographs on the history of architecture of cities or areas according to building types have had a remarkable influence on how similar topics are treated in Croatian art history.
Education Testing System by Artificial Intelligence
Authors: Ryabinin A. E.
Published: December 2023

The article describes the possibilities of using and modifying existing machine learning technologies in the field of natural language processing for the purpose of designing a system for automatically generating control and test tasks (CTT). The reason for such studies was the limitations in generating theminimumrequired amount ofCTtomaintain student engagement in game-based learning formats, such as quizzes, and others. These limitations are associated with the lack of time resources among training professionals for manual generation of tests. The article discusses the applied research of the Large Language Model (LLM) and Generative pre-trained transformer (GPT) technologies for the development of a system for automatic generation of tests for the purpose of its implementation in the BoxBattle gamified learning platform. The result of such applied research can be a system for automatic generation of tests, which will reduce the time for developing tests. As a result, this will allow teachers to free up time to implement a personalized approach to teaching and develop students’soft skills.
DİNİ İNANÇ BAĞLAMINDA TÜKETİCİ BİLİNÇ DÜZEYİ İLE SORUMLU TÜKETİM DAVRANIŞLARI ARASINDAKİ İLİŞKİNİN BELİRLENMESİNE YÖNELİK AMPİRİK BİR ÇALIŞMA
Authors: Baydaş Abdulvahap , Cengiz Sercan
Published: December 2023

Araştırmanın temel amacı, tüketicilerin dini inanç bilinç düzeylerinin sorumlu tüketim davranışı boyutları üzerinde doğrudan etkilerini keşfedici ve doğrulayıcı analiz yöntemleriyle tespit etmektir. Araştırma evrenini; 18 yaşından büyük 685 genel tüketiciler oluşturmuş ve veriler çevrimiçi (online) anket tekniği ile toplanmıştır. Araştırmada; betimleyici istatistikler, keşfedici faktör analizi, doğrulayıcı faktör analizi ile yol (path) analizi kullanılarak analizler yapılmıştır. Veriler SPSS ve AMOS paket programları aracılığıyla sisteme yüklenmiş ve analize tabi tutulmuştur. Elde edilen analiz sonuçlarına göre; dini inanç tutumlarından iç güdümsel dindarlık boyutunun gönüllü sade tüketim, tasarruflu ve doğal tüketim değişkenleri üzerinde etkisinin olduğu, sekülerizm boyutunun ise sadece gönüllü sade tüketim üzerinde etkisinin olduğu saptanmıştır. Dini inanç boyutlarının diğer tüketim boyutları üzerinde herhangi bir etkisinin olmadığı belirlenmiştir.
“Whatever You Want to Call It”: Science of Reading Mythologies in the Education Reform Movement
Authors: Aydarova Elena
Published: December 2023

In recent years, a wave of science of reading (SOR) reforms have swept across the nation. Although advocates argue that these are based on science-based research, SOR remains a contested and ambiguous notion. In this essay, Elena Aydarova uses an anthropology of policy approach to analyze advocacy efforts that promoted SOR reforms and legislative deliberations in Tennessee. Drawing on Barthes’s theory of mythology, this analysis sheds light on the semiotic chains that link SOR with tradition, knowledge-build ingcurricula, and the scaling down of social safety nets. This deciphering of SOR mythologies under scores how the focus on “science” distorts the intentions of these myths to naturalize socioeconomic inequality and depoliticize social conditions of precarity. This study problematizes the claims made by SOR advocates and sheds light on the ways these reforms are likely to reproduce, rather than disrupt, inequities and injustices.
Strategies and Challenges of Unified Payment Interface
Authors: Kuriakose Athul , Sajoy P. B.
Published: December 2023

The Indian economy is gradually curtailing its overdependence on currency-based transactions and thereby moving closer to digital and mobile-based payment transactions. The main objective of the paper is to provide an in-depth theoretical understanding of the Unified Payments Interface (UPI), its current pace of growth and the possible future penetration based on polynomial trendline projection, the possible challenges that limit future penetration, and the various strategies to overcome these challenges. The paper used the previous six years’ UPI penetration statistics from 2016 to 2017 and established trends using polynomial trendline equation for the purpose of anticipating future penetration. The study also used statistics from published reports of the Reserve Bank of India (RBI) and the National Payment Corporation of India (NPCI) to draw meaningful conclusions on future UPI penetration. The study finds that the targeted one billion UPI transactions per day is achievable. The article contributes towards applied research by providing a decision-making tool to support policymakers, the government, and payment service providers, among others. Strategic applications of this research outcome include Unified Dispute and Issue Resolution processes, the RBI’s lapse management, customer protection measures, UPI limit management, expansion of  Internet user base and promoting digital financial inclusion in India.
Presentación del dossier: Derechos de las personas en movilidad humana, tensiones y desafíos en el desarrollo normativo y jurisprudencial
Authors: Arcentales Illescas Javier
Published: December 2023

Presentación del dossier.
Protection of Christian Values and Religious Websites
Authors: Santoro Roberta
Published: December 2023

The civil society is experiencing a new phase of secularisation. The Author describes in the article the following issues: 1) the digital world is the result of epochal changes, which cannot be separated from a system of values; 2) the digital world as the site of a new relationship between Church and civil society; 3) the search for new rules of coexistence in the use of digital tools; 4) the legal dimension of digital communication.
Diversity of Monastic Life in the Historical Perspective
Authors: Krawczyk Piotr
Published: December 2023

In the history of the Catholic Church, various ways of implementing the consecrated life and its specific type in religious life have been revealed. To this day, there are monastic orders, cloistered orders, canons regular, hospitaller orders, mendicant orders, and congregations performing works of mercy. The author briefly presents the history of the evolution of these orders, from antiquity to the present day. The article shows how they have changed throughout history and how they undertake contemporary tasks in a new way. The nature of religious life is still the same, but, depending on the circumstances, it constantly takes new forms to implement the ideal of imitating Christ by pursuing the evangelical counsels in the present times.
Wisława Szymborska w polskich dokumentach biograficznych (na podstawie filmów: Chwilami życie bywa znośne, Napisane życie. Wisława Szymborska oraz Radość Pisania)
Authors: Mocarz-Kleindienst Maria
Published: December 2023

Celem podjętych badań jest analiza strategii narracyjnych, zastosowanych przez twórców filmowych w trzech dokumentach biograficznych, poświęconych polskiej noblistce – Wisławie Szymborskiej. Przeanalizowano sposoby profilowania obrazu poetki z ich następującymi komponentami: podmiotem (podmiotami) prowadzonej narracji, analizą niesionych przez nią treści oraz zastosowanymi technikami ekspozycji wątków biograficznych. Na warsztacie badawczym znalazły się następujące filmy: Radość pisania (reż. Antoni Krauze, 2005), Chwilami życie bywa znośne. Przewrotny portret Wisławy Szymborskiej (reż. Katarzyna Kolenda-Zaleska, 2009), Napisane życie. Wisława Szymborska (reż. Marta Węgiel, 2015). Analiza wykazała, że dokumenty biograficzne pełnią typową dla nich rolę poznawczo-edukacyjną: zapoznają z twórczością literacką noblistki, informują w sposób nietuzinkowy o wybranych faktach z jej życia prywatnego. Zabiegi wykorzystywania i łączenia różnych mediów i kanałów (intermedialność, intermodalność, intertekstualność) czynią film biograficzny bardziej wiarygodnym pod względem informacyjnym i atrakcyjnym z estetycznego punktu widzenia.
Method of influencing a student's attestation results through extracurricular activities
Authors: Aghayev N.B. , Huseynova G.B.
Published: December 2023

The article systematically analyzes, systematizes the impact of extracurricular activities of students on educational indicators and identifies the main characteristics. A methodology for assessing the impact of students' extracurricular activities on educational indicators using the Bayesian approach has been developed. Using the proposed methodology, reports were compiled based on a priori data and the impact of students' extracurricular activities on their success rates was assessed. Based on the a priori data obtained, it was determined that this effect does not exceed 30%.
Розробка бази даних для зберігання показників стану атмосферного повітря з дослідних станцій комунального підприємства
Authors: Перекрест А.Л. , Бахарєв В.С. , Вадурін К.О. , Дерієнко А.І. , Іващенко А.В. , Шкарупа С.А.
Published: December 2023

Станом на сьогодні проблема забруднення атмосферного повітря стоїть гостро, особливо в Україні, де відбуваються значні зміни екологічного стану довкілля внаслідок війни. Ці зміни призвели до необхідності релокації виробничих підприємств та населення, що збільшило навантаження на організації, що займаються екологічними дослідженнями. У м. Кременчук задачі дослідження стану компонентів довкілля виконує комунальне підприємство міської ради, що має відповідне технічне оснащення.

Для проведення детальних досліджень поточного екологічного стану атмосферного повітря в межах Кременчуччини та інших зонах досліджень, накопичення знань про тренди змін вимірюваних показників забрудненості повітря та прогнозування майбутніх змін екології, актуальною задачею є створення сукупної бази даних для автоматичного збереження показів з постів та станцій досліджень.

У даному дослідженні проаналізовано моделі баз даних та системи керування базами даних з метою обрати оптимальну модель для проєкту. Основна увага приділена проєктуванню структури бази даних, включаючи розробку таблиць та їх зв’язків, що дозволило зберігати великі обсяги даних про стан повітря в одному просторі. Для реалізації бази даних використано PHP та MySQL – систему керування базами даних з гарними показниками продуктивності та масштабованості.

Окремий аспект дослідження становить можливість розширення бази даних за рахунок додавання нових станцій та інтеграція даних з онлайн-ресурсів. У ході роботи проведено міграції бази даних, які допомагають досягти фінальної структури бази даних, що закладає основу для подальшого розвитку функціоналу та збільшення кількості джерел отримання даних.

Створена база даних стане основою для створення служби автоматичного формування звітів та прогнозів, а також дозволить дослідникам та спеціалістам здійснювати детальний аналіз стану атмосферного повітря в різних регіонах України.
ІНФОРМАЦІЙНЕ СУСПІЛЬСТВО: ПРОГНОЗИ СОЦІАЛЬНИХ ТРАНСФОРМАЦІЙ І РЕАЛЬНІСТЬ
Authors: Броннікова Лариса
Published: December 2023

Анотація. Стаття присвячена аналізу образу сучасного суспільства, який було сформовано на основі чисельних спробконцептуалізації інформаційного суспільства наприкінці ХХ ст. Осмислення нових феноменів і характеристиксуспільного життя інформаційної доби здійснено разом із зіставленням прогнозів відомих західних учених. Зазначено, щооптимістичні прогнози щодо забезпечення у майбутньому всезагального добробуту і соціального порядку завдякивикористанню технологічних інновацій співіснують у філософській літературі із передбаченнями різноманітних загроз,викликів і негативних тенденцій.
СОЦІАЛЬНО-ФІЛОСОФСЬКІ АСПЕКТИ УПРАВЛІНСЬКИХ ВІДНОСИН У КОНТЕКСТІ СУЧАСНИХ СУСПІЛЬНИХ ВИКЛИКІВ
Authors: Сідоркіна Олена
Published: December 2023

Анотація. У статті розглядаються філософські аспекти соціально-комунікативних управлінських відносин,особливості їхніх історичних типів. Обґрунтовуються духовні чинники організації механізмів соціального управління,показується їхній зміст та значення як фактору соціального розвитку в умовах сучасних суспільних викликів.Гуманізація соціальних відносин, гуманізм соціального управління виступає основним принципом побудовимайбутнього діалогічного середовища у міждержавних та міжкультурних відносинах.
АКАДЕМІЧНА МІГРАЦІЯ З УКРАЇНИ В УМОВАХ ВОЄННОГО СТАНУ
Authors: Мозгова Наталія , Шушкевич Євгеній
Published: December 2023

Анотація. У статті досліджено одну з найактуальніших проблем сьогоднішньої України – академічну міграціюукраїнців в умовах розв’язаної Росією війни проти українського народу. Головним завданням був аналіз процесівміграції українців як у минулому, так і сьогодні – після 24 лютого 2022 р. Розглянуті особливості чотирьох хвильміграції українців з останньої чверті ХІХ ст. до сьогодні. Автори намагалися довести суттєву відмінністьміграційних процесів українців минулого і сьогодення.
Dynamic changes of serum miR-105-3p expression and prognostic value evaluation of postoperative thyroid cancer
Authors: Zhou JianPing , Song XiaoLong , Li YuFang , Song Yu , Wei Long , Yang Ru
Published: December 2023

Objective. To explore the dynamic changes of serum miR-105-3p expression after thyroid cancer surgery and its correlation with clinicopathological manifestations and to evaluate its clinical value as a potential biomarker after surgery. Methods. A total of 100 thyroid cancer patients admitted to Shaanxi Provincial People’s Hospital from November 2020 to August 2021 were selected as the research objects. The aim was to detect the expression of serum miR-105-3p in patients and its correlation with tumor pathological characteristics (pathological type, tumor differentiation, TNM stage, lymph node metastasis), and to detect the dynamic changes of postoperative serum miR-105-3p in patients to evaluate its prognostic value as a potential biomarker. Results. The level of serum miR-105-3p increases in patients with well-differentiated thyroid cancer and lymph node metastasis; the level of serum miR-105-3p gradually decreases with the passage of time after surgery, and there is a significant difference between 4 d after surgery and before surgery; serum miR-105-3p level can significantly distinguish between patients with poor prognosis and good prognosis within 2 years after the operation, and it can predict the improvement of the prognosis of thyroid cancer after surgery. Conclusions. The level of serum miR-105-3p is closely related to the degree of differentiation and lymph node metastasis in patients with thyroid cancer. Its level gradually decreases with the passage of time after surgery. It has a good diagnostic value for the prognosis of thyroid cancer after surgery and when it is expected to become a thyroid cancer surgery. Potential biomarkers for post-diagnosis.
Application of B-Lines in Lung Ultrasound for Early Diagnosis of Acute Respiratory Distress Syndrome
Authors: . Shivi , Lamba Priyasharan , Bhardwaj Shashank
Published: December 2023

Background: Bedside lung ultrasound (LUS) is increasingly being used in diagnosing various lung pathologies. Acute respiratory distress syndrome (ARDS), one of such lung pathology, is a major underlying cause of mortality in critically ill patients. Early diagnosis of ARDS can improve the outcome in such patients. The primary objective of this study is to explore application of B-lines in LUS for early detection of developing ARDS in susceptible patients.
Methods: This is a prospective cohort study. This study enrolled patients admitted in intensive care unit. Daily clinical evaluation, bedside chest x ray and bedside lung ultrasound done to diagnose ARDS. Mean days of diagnosing ARDS by chest x ray and LUS were compared using t-test. Area under the Receiver Operating Curves Characteristics was calculated with a 95% confidence interval to determine the prognostic value of LUS.
Results: Out of a total of 100 participants, 28 patients developed ARDS. Lung ultrasound was found to diagnose ARDS significantly earlier then chest x ray (p=0.001).
Conclusion: Results in this study showed that B-line score in patients susceptible to develop ARDS can help in early diagnosis of the same.
Comparative Evaluation of Two Different Doses of Dexmedetomidine for Intra Operative Moderate Sedation During Spinal Anesthesia
Authors: Patel Ritesh , Vadhadiya Gunjan , Gadani Hina , Gupta Shobhana
Published: December 2023

Background: Intravenous (IV) sedation is often used to relieve anxiety or stress during surgery under regional anesthesia. Subarachnoid block is a widely followed regional anaesthesia technique, especially in lower abdominal and lower limb surgeries. Intense sensory and motor block, continuous supine position and the inability to move the body also brings a feeling of discomfort and phobia in many patients. Sedation has been shown to increase patient satisfaction during regional anaesthesia. Dexmedetomidine is well suited for conscious sedation as patient can be quickly aroused and oriented on demand. Aim of this study was to compare infusion doses of 0.3μg/kg/hr and 0.5μg/kg/hr, after loading dose of 1μg/kg of injection (inj).dexmedetomidine in order to obtain a better regimen for patients undergoing procedures under spinal anaesthesia in terms of sedation and hemodynamic stability.
Objective: To compare efficacy of dexmedetomidine for intraoperative sedation and hemodynamic stability at doses of 0.3μg/kg/hr and 0.5μg/kg/hr after loading dose of 1 μg/kg in patients operated under spinal anaesthesia.
Methods: Adult 80 Patients were randomly divided into two groups, (Group D-0.3) and (Group D-0.5). They were given spinal anaesthesia with 0.5% hyperbaric bupivacaine and initial dose of inj.dexmedetomidine 1 μg/kg was infused over 10 minutes. Group D-0.3 received maintenance dose of inj.dexmedetomidine of 0.3μg/kg/hr and Group D-0.5 received maintenance dose of 0.5μg/kg/hr.  Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), respiratory rate (RR), spO2 and sedation using observer’s assessment of alertness/sedation (OASS) were recorded at baseline, after loading dose, before spinal anesthesia, after spinal anesthesia at every 5 minutes upto 30 minutes, followed by every 15 minutes till the end of surgery and every 5 minutes upto 15 minutes after surgery. Data were compared using chi-square and unpaired t test.  
Results: The mean age for Group D-0.3 is 43.9+11 and for Group D-0.5 is 35.3+20. There is no statistically significant difference in demographic profile between two groups. It was also observed that there is no statistically significant difference in HR, SBP, DBP, MAP, RR and SpO2 in all point of time (p>0.05). According to sedation score in group D-0.3 72% patients were sleeping comfortably but easily arousable and 8% patients were in deep sleep, while in group D-0.5 70% were sleeping comfortably but easily arousable and 15% in deep sleep.
Conclusion: After a loading dose of 1 μg/kg intravenously, an iv infusion of dexmedetomidine at a lower rate, i.e. 0.3μg/kg/hr is equally effective in providing sedation for patients undergoing surgeries under spinal anesthesia as 0.5μg/kg/hr.
Analysis of Epidemiological and Clinical Factors of Patients Admitted to Covid ICU Setup in a Tertiary Care Center during Second Wave in India: A Retrospective Observational Study
Authors: Sharma Vibhuti , Chandra Mahesh , Kohli Santvana , Sandill Surabhi , Yadav Ankita , Sachdeva Harish C
Published: December 2023

Background: Covid-19 has been associated with more than 330 million cases and 5.5 million deaths since December 2019 with many countries witnessing two or three waves of covid -19 cases. In our study we retrospectively analysed data of patients admitted to Intensive Care Unit of a tertiary care hospital in India with moderate to severe disease for association of mortality with comorbidities, gender and age of patients.
Methods: Data of patients admitted to Intensive care unit of our hospital from march 2021 to august 2021 with moderate to severe covid infection was retrospectively collected, patients with incomplete data in records were excluded and data of total of 415 patients was analysed for association of comorbidities (Diabetes, CKD, CAD, Hypertension, Chronic respiratory illness), gender and age for any association with mortality by multivariate binary logistic analysis and chi square test.
Results: There was significant association of increased mortality with age more than 50 yrs having an odds ratio of 1.5 and age more than 70 yrs having odds ratio of 2.46(p= 0.027). There was also significant association between CKD and mortality with odds ratio of 3.117. (p =0.050). No association between Diabetes, CAD, Hypertension, Chronic respiratory illness and gender was found in our study.
Conclusion: The novel coronavirus infection (COVID-19) has significantly increased mortality in patients of age more than 50 yrs, the risk increases further if age is more than 70 yrs. We also found increased mortality in patients with chronic kidney disease.
A Comparative Study of the Efficacy of Intrathecal Injection of Hyperbaric Bupivacaine with Fentanyl Versus Hyperbaric Bupivacaine with Dexmedetomidine in Lower Abdominal Surgeries: A Prospective Randomized Study
Authors: Patel Trupti , Shah Urvi , Rajani Bharti , Gupta Shobhana
Published: December 2023

Background: Spinal anaesthesia is the most common technique used for lower abdominal surgeries. Spinal anaesthesia using plain hyperbaric bupivacaine has disadvantages like delayed onset, shorter duration etc. Adding adjuvants like fentanyl, dexmedetomidine has overcome these disadvantages and improve post operative analgesia and stable hemodynamic condition with minimal side effects. Aim of the study was to determine the time of onset and duration of sensory and motor block, sedation score and postoperative analgesic efficacy of Fentanyl and Dexmedetomidine as adjuvant to bupivacaine in lower abdominal surgeries.
Methods: This prospective, double blind, randomized study included total 100 patient-divided equally in 2 groups (group F-fentanyl and group D-dexmedetomidine) after matching the inclusion and exclusion criteria. Group F received 3ml of 0.5 % injection Hyperbaric Bupivacaine + 25 mcg Fentanyl and Group D received 3ml of 0.5 % injection Hyperbaric Bupivacaine + 5mcg Dexmedetomidine intrathecally. The onset and duration of sensory and motor block, sedation score, duration of postoperative analgesia and need of rescue analgesia along with haemodynamic parameters were recorded.
Results: The mean time for onset of sensory block in group D was (3.5 ± 0.88 mins) significantly lower than group F (4.4 ± 1.2 mins) (p=0.001). And the mean time of onset of motor block in group D (3.23 ± 1.0mins) was significantly lower than in group F (4.3 ± 1.1 mins). Duration of sensory and motor block was significantly higher in group D as compared to group F. The mean analgesic dose in group D was 1.4 ± 0.78 and in group F was 3.6 ± 0.73(p<0.005).
Conclusion: From our study we concluded that Dexmedetomidine is a better adjuvant than Fentanyl as it provides rapid onset and prolonged sensory and motor block, hemodynamic stability with excellent post operative analgesia.
Extracorporeal Membrane Oxygenation for Low Cardiac Output Condition after Pediatric Heart Transplantation
Authors: Jabbari Ali , Nooralishahi Behrang , Fard Alireza Jahangiri
Published: December 2023

The Article Abstract is not available.
Efficacy of Dialectical Behavior Therapy in the Treatment of Borderline Personality Disorder: A Systematic Review of Randomized Controlled Trials
Authors: Hernandez-Bustamante Milton , Cjuno Julio , Hernández Ronald M. , Ponce-Meza Jacqueline C.
Published: December 2023

Objective: Borderline personality disorder (BPD) is a serious public health problem. Dialectical Behavior Therapy (DBT) is a program that has provided encouraging results for its treatment. However, scientific evidence about its efficacy is scarce. Therefore, we aimed to describe the scientific production on the components of the DBT program and its therapeutic efficacy in the treatment of people with BPD.
Method: A systematic review with relevant keywords was conducted based on studies available in Scopus, Web of Science, and PubMed until June 2023, including studies in English, research on therapeutic intervention, studies with a randomized controlled trial (RCT) design that included people with the diagnosis of BPD.
Results: We found 18 RCTs, most of which supported the effectiveness of DBT for BPD. There were a total of 1,755 participants in these studies, most of whom were women. These studies looked for treating self-injurious behaviors, suicidal thoughts or ideations, number of visits to emergency services, and frequency of hospital admissions. Most studies revealed that both short-term DBT and standard DBT improved suicidality in BPD patients with small or moderate effect sizes, lasting up to 24 months after the treatment period. Furthermore, these studies showed that DBT can significantly improve general psychopathology and depressive symptoms in patients with BPD. Improvement of compliance, impulsivity, mood instability, as well as reduction in hospitalization rate are other findings observed in the trials following DBT.
Conclusion: Although DBT shows efficacy in the treatment of BPD, heterogeneity in the methodologies employed is highlighted. Therefore, it is necessary to design studies from a homogeneous theoretical and methodological framework.
Prenatal Screening Using QF-PCR and Karyotyping with an Evaluation of Short Tandem Repeats Markers in the Iranian Population
Authors: Mazaheri Mahta , Yavari Mahdiyeh , Behravesh Soheil , NikKhah Haniyeh , Ekraminasab Sedigheh
Published: December 2023

Background: Quantitative fluorescent Polymerase Chain Reaction (QF-PCR) has been widely used by laboratories as a rapid, low-cost, and convenient test compared to conventional karyotyping for detecting the most common aneuploidies for prenatal diagnosis. Although the latter has been considered the gold standard for detection, the debate to use QF-PCR or both methods together continues.
Methods: We screened the results of QF-PCR and karyotyping to compare their detection rate for the most common aneuploidies. In addition, we aimed to investigate the most informative markers in the Iranian population for aneuploidies.
Results: We screened 741 pregnant women’s amniotic fluid samples with nuchal translucency (NT) ≥ 2.5 for two years, during which QF-PCR and karyotyping were performed to compare the results. Also, we did a statistical assessment of samples for heterozygosity of 25 short tandem repeats (STR) markers in the Iranian population, which can be applied to find the most informative markers based on the population for each chromosome analyzed in the QF-PCR test.
Conclusion: QF-PCR could be used as a stand-alone test to reduce the workload and time-consuming of karyotyping, but using both of them could lead us to the most reliable results.
Incidence and Types of Congenital Anomalies in Newborns of Yazd Hospitals during Six Years (2016- 2021) Based on National Mother and Newborn Health Registration System
Authors: Dadbinpour Elahe , Dadbinpour Ali , Ekraminasab Sedigheh , Ghasemi Fatemeh , Nikkhah Haniyeh , Rafati Shiva , Mazaheri Mahta
Published: December 2023

Background: Congenital anomalies are responsible for a remarkable proportion of disability and mortality in newborns. Therefore, the aim of this study is to investigate the incidence and types of congenital anomalies in newborns born in Yazd hospitals during the years 2016 to 2021.
Methods: In this cross-sectional descriptive study, the data of all live births from 2016 to 2021 in hospitals of Yazd were extracted from the database of the National Mother and Newborn Health Registration System of Shahid Sadoughi University of Medical Sciences.
Results: From a total of 151,566 live births during six years, congenital anomalies were seen in 1338 (0.88%) newborns. The most common congenital anomalies involved the cardiovascular system (0.31%), followed by musculoskeletal anomalies (0.16%), gastrointestinal tract (0.14%), and genital system (0.1%), respectively. The incidence increased from 0.63% in 2016 to 1.05% in 2021, with the highest incidence observed in 2020 (1.31%).
Conclusion: The incidence of congenital anomalies in Yazd is lower than in most studies in Iran. However, shows an increasing trend over the years which can be due to the improvement of diagnostic methods especially in the case of congenital heart anomalies. However, more extensive studies on maternal risk factors and neonatal outcomes are needed
Evaluation of Immune Response to COVID-19 in Neonates
Authors: Bahrami Reza , Asadian Fatemeh , Golshan-Tafti Mohammad
Published: December 2023

Background: During the COVID-19 epidemic, many neonates were involved, but they had fewer complications and deaths than adults. Therefore, in this review study, we investigated the immune mechanisms of neonates in response to COVID-19.
Methods: We reviewed articles that evaluated the immune system, COVID-19, or SARS-COV2 in neonates. We searched the databases of Google Scholar, PubMed, Scopus, Web of Sciences, SciELO, and CNKI databases published up to December 2022.
Results: There are different immune mechanisms in response to COVID-19 in infants, which lead to a different response to COVID-19 compared to adults. The important mechanisms include lower expression of ACE2 receptor, abundant of naive T cells, absence of cytokine storm, abundant of immunosuppressive cells, less inflammatory reactions, breastmilk secretory IgA, transfer of IgG through the placenta, and absence of chronic comorbidities. Also, in comparison with pediatrics multisystem inflammatory syndrome in children (MIS‐C) doesn’t observe in neonates.
Conclusion: The exact immune mechanisms in response to COVID-19 in infants have not yet been discovered, but knowing the exact mechanisms can be effective in future treatments, the production of effective vaccines, and other viral treatments, so there is a need for more investigations in this field.
The Mechanism of Action of Cotoneaster Manna, an Iranian Herbal Medicine, in the Treatment of Neonatal Jaundice
Authors: Neamatzadeh Hossein , Ekraminasab Sedigheh , Bahrami Reza , Asadian Fatemeh
Published: December 2023

Background: Neonatal jaundice is a common clinical problem caused by the deposition of bilirubin in the tissue. Natural products have long been used to treat jaundice, and Iranian medicine can be a good source of natural treatments for this purpose. In this study, we investigate the mechanism of the effect of Cotoneaster, an Iranian herbal medicine, in the treatment of jaundice in neonates.
Methods: We investigated every article that evaluated Purgative manna, Cotoneaster manna, or Cotoneaster in the treatment of neonatal jaundice. We searched the databases of PubMed, Scopus, Web of Sciences, SciELO, CNKI, and Google Scholar for English articles, and a search was also done in Persian in Magiran and Scientific Information Database (SID) published until August 2023.
Results: The exact mechanism of Cotoneaster in reducing jaundice is not known, but the following mechanisms have been suggested. The most common mechanisms include increased urination, increased bile excretion from the liver, and increased defecation, as well as neutralizing the effects of oxidative agents and free radicals.
Conclusion: Considering that most studies have stated that Cotoneaster combined with phototherapy is effective in treating jaundice and herbal medicines alone cannot treat jaundice. Therefore, identifying the mechanism of Cotoneaster in reducing jaundice can lead to the creation of methods to strengthen its effect. More detailed biochemical and pharmacological studies are needed to understand the mechanism of action of Cotoneaster in reducing neonatal jaundice.
STATE LIABILITY IN THE CONTEXT OF EUROPEAN INTEGRATION
Authors: Lewandowski Alexander
Published: December 2023

The main idea in the pursuit of European integration in Ukraine is that the reception of foreign legal institutions is increasingly spreading among lawyers and ordinary citizens, and is the simplest and fastest way to solve problems that have accumulated in society. However, on the favor of the populist nature of such calls, a critical approach to such a complex process as reception is pushed to the background. The best example of the ambiguity of this approach can be demonstrated by the illustration of German law - the institution of state liability of bod­ies and their representatives for caused damage. The institute itself is not something new; it is also familiar to the Ukrainian law. Moreover, it even has similar regulatory mechanisms that in both the Constitution of Ukraine and the Civil Code of Ukraine are easy to find. However, the internal content of the institution has fundamental differences. The main reason is the difference in the law practice, which is aimed at compensating for the rather meagre regulatory body for such a complex legal institution. Being a two-component element that consists of a civil and a public liability, it includes an administrative liability which is fully subordinated to the German civil law logic in the context of the federal structure of the state, it often leads neither only to confusing casuistry, nor comes into conflict with the European law, there is a struggle for the right to determine independently the responsibility of its state bodies.
Not the least role in this is played by the degree-rank of the responsibility of the state as such with a complex mechanism of interaction of all these elements with each other. Thus, we can say that the implementation of any institution in isolation, outside the context of the legal system, where it has been nurtured and reinforced by the law practice, is doomed to failure in advance. This is why even two similar in form legal institutions in different countries will have different degrees of efficiency and are not always suitable to solve the same tasks.
ORGANIZATIONAL AND LEGAL MECHANISMS FOR ENSURING OF ENVIRONMENTAL SAFETY IN THE ENERGY SECTOR OF UKRAINE
Authors: Shekhovtsov V. V. , Stativka O. O.
Published: December 2023

In the article current legal issues of ensuring environmental safety in the Ukrainian energy sector of the economy in the context of ensuring sustainable ecologically balanced development and creating a safe energy future is examined. The purpose of the article is a comprehensive scientific study of the development and implementation of legal mechanisms for balancing energy and environmental policy. It is emphasized that the interaction of these two political spheres can have both positive and negative consequences, and their interrelationship can determine the sustainability and efficiency of energy systems, as well as provide a balanced approach to environmental protection.
Based on the analysis of legal norms, there are emphasized the partial correlation and synchronization of energy and environmental policy, taking into account the requirements for ensuring the ecological safety of the environment and people in the functioning of the electric energy market and relations related to the production, transmission and supply of such energy.
Ensuring environmental safety during the construction, commissioning and direct operation of energy facilities should be aimed at effective protection against pollution and deterioration of land and water resources, subsoil, biodiversity, implementation of legal measures in the field of waste management, which, in turn, conditions the implementation of effective legal mechanisms for such balancing. That is why the article reveals the legal basis of such measures as: land use planning and zoning of land in the energy sector, establishment of waste management rules, protection of water resources, which involves the establishment of rules and requirements for the protection of water resources from pollution as a result of energy activities, measures of preserving biodiversity, carrying out an environmental impact assessment.
Special attention is paid to the intensification of the transition to the use of renewable energy sources and the abandonment of the use of traditional types of fossil fuels, as well as the introduction of innovative technologies, the introduction of state incentives and improvement of the investment climate in the energy sector.
MÃES UNIVERSITÁRIAS
Authors: Matos Júnior Clodomir Cordeiro de , Sousa Taiane Cristine Meireles
Published: December 2023

A presente pesquisa tem como objetivo analisar os processos e situações que incidem sobre a permanência das discentes mães no curso de Licenciatura em Ciências Humanas/Sociologia do Centro de Ciências de São Bernardo (CCSB) da Universidade Federal do Maranhão (UFMA), Brasil. Trata-se de uma pesquisa de caráter qualitativo com característica descritiva e exploratória realizada por meio de entrevistas semiestruturadas. As principais referências teóricas utilizadas para o desenvolvimento da pesquisa foram Lucila Scavoni (2001), Maria de Jesus Correia (1998) e Pierre Bourdieu (1983). Frente os objetivos que o artigo propõe o texto está dividido em três sessões. Inicialmente, destacaremos os procedimentos metodológicos utilizados na realização da pesquisa, com especial destaque para a técnica da análise de conteúdo. Na segunda sessão, exploramos referências teóricas acerca da mulher e da maternidade, ressaltando a vivência da maternidade no contexto acadêmico. Na terceira etapa do artigo apresentam-se os resultados obtidos com a realização da pesquisa, destacando as estratégias dessas mães estudantes para sua permanência na universidade e os desafios de conciliar a maternidade com os estudos superiores. Por fim, apresentamos considerações finais acerca das questões que exploramos ao longo do texto.