bluuebunny/crossref_metadata_2025 huggingface dataset:
PRINCIPLES OF ECONOMIC MECHANISM FORMATION OF GROUNDWATER USE REGULATION
Authors: Levkovska Lyudmila , Mytrofanova Olha
Published: July 2021

The publication is devoted to issues of the formation of an economic regulation mechanism of sustainable water resources using in Ukraine, in particular the development of scientifically based recommendations for the involvement of underground aquifers in operation and increase the quantity of their use in various sectors of economy. It is noted that a system approach to the consideration and solution of this issue provides the need to develop appropriate methodical and methodological bases and create an information and analytical base. Assessment and forecast of prospects for the development of water consumption from underground sources and the involvement of appropriate administrative, legal and financial levers to perform such tasks are impossible without taking into account a range of geographical, socio-economic and environmental factors. It is proposed general methodological approaches to the creation of an appropriate forecasting system considering hydrological and hydrogeological conditions of different regions, the characteristics of water intakes, the qualitative and quantitative indicators of water supply sources, the state of their protection from the influence of anthropogenic factors, and a number of other indicators. It is accentuated that only a methodically balanced analysis of all these factors will reveal the natural, social and economic patterns of the region and determine the economic basis and appropriate ways of the water management industry development. In the publication schematically presented the tasks and ways to solve these tasks, and the information basis and algorithm for involvement and using data to analyze the possibilities of realizing the natural potential of groundwater within different territorial units.
The creation of an accomplished system for determination of the prospects for the use of groundwater resources as a tool for regulation of using, quality and ensuring their protection, will allow performing a forecast economic assessment of the potential role of groundwater in improving water use systems in each specific region.
Generationsspezifische Erzählmuster? : Die DDR in Texten von Autorinnen und Autoren der Aufbau-Generation, der Entgrenzten Generation und der Wende-Kinder nach 1989
Authors: Norkowska Katarzyna
Published: July 2021

Abstract Der Beitrag thematisiert die literarische Verarbeitung der DDR-Vergangenheit in Texten ostdeutscher SchriftstellerInnen. In Abgrenzung zu bisherigen Forschungsansätzen werden literarische und gesellschaftliche Tendenzen nicht als zielgerichtete Entwicklungen
in der Zeit konzeptualisiert, sondern als polyphoner Erinnerungsraum gefasst. Diese Neuperspektivierung des literarischen Umgangs mit der DDR-Vergangenheit wird durch ein soziologisch und sozialpsychologisch fundiertes Generationenkonzept ermöglicht, das es gestattet, die subjektive Zeit
einer Generation genauer zu profilieren und sie der ,objektiven‘ Zeitrechnung gegenüber zu stellen.This article focusses on East German texts that deal with memories of the GDR. In contrast to previous research approaches, literary and social tendencies are not conceptualized
as purposeful temporal developments but as a polyphonic space of memory. This new perspective on the literary treatment of the GDR past is made possible by a concept of generation based on sociological and socio-psychological ideas. It allows to shape the subjective time of a generation more
precisely and to contrast it with an ,objective‘ chronology.
Ungedruckte Erinnerungen an Elias und Veza Canetti
Authors: Preece Julian
Published: July 2021

Natalie Davenport schrieb mir am 5. August 2020 die folgende kurze Nachricht, die mitten im Satz anfängt:
Die Wahrheit der Illusion. : Efraim Frischs Hochstaplerroman ,,Zenobi“ (1927)
Authors: Werner Sylwia
Published: July 2021

In den 1920er Jahren kam es zu einer Konjunktur des Hochstaplers als Figur in der europäischen Literatur. Thomas Manns ,,Felix Krull“ ist ein prominenter Vertreter,1 aber nur eine von vielen Hochstaplerfiguren, die das Erbe der Helden der Pikaro- und Schelmenromane
antraten.2 Charakteristisch für den damaligen Diskurs über Hochstapler war, dass verstärkt ihre kriminellen (anstatt ihrer künstlerischen) Erscheinungsformen thematisiert wurden.3 Unbekannt sind jedoch die Gründe, warum die Faszination für
diesen Gegenstand so virulent wurde. Wie die Forschung notierte, waren für die vermehrt auftretende Hochstapelei soziale Ursachen, vor allem die zunehmende Kluft von arm und reich, verantwortlich. Denn ,,in einer Gesellschaft, die den Erfolg nicht von Talenten, sondern von der sozialen
Herkunft abhängig macht, muss der talentierte Außenseiter die exklusiven Zeichen der Oberschicht okkupieren, um zu seinem Recht zu gelangen“.4 Die Täuschung wäre dieser Deutung zufolge ein Akt der Notwehr, mit deren Hilfe soziale Benachteiligung ausgeglichen
wird.
Recent Advances in the Nield-Kuznetsov Functions
Authors: Hamdan M.H. , Dajani S. Jayyousi , Abu Zaytoon M.S.
Published: July 2021

In this article, we discuss a class of functions known as the Nield-Kuznetsov functions, introduced over the past decade. These functions arise in the solutions to inhomogeneous Airy’s and Weber’s equations. Derivations of these functions are provided, together with their methods of computations
Statistical Modeling of Antiemetic Activity of Chemical Compounds
Authors: Mukhomorov Vladimir K.
Published: July 2021

A model has been built linking the molecular structure of drugs with their antiemetic activity. It is shown that the bioactivity of drugs depends on the pseudopotential of the molecule, the information function of the molecule, and the geometric size of the substituents. The critical conditions for the emergence of effective antiemetic activity of molecules have been established. The optimal sizes of the substituents were determined, which correspond to the maximum bioactivity of the drugs. The mechanism of the threshold action of substituted benzamides was revealed.
O Imposto sobre o valor Agregado: histórico e possibilidade de implementação no Brasil
Authors: Ribeiro Cardoso Henrique , De Aboim Machado Luciana , Matheus Araujo Matos Yuri , De Santana Silva Yago
Published: July 2021

O objetivo do presente artigo é discussão da pertinência da implementação do imposto sobre o valor agregado (IVA) no cenário nacional, ao tomar como base o histórico de tal taxação em outros Estados. A metodologia utilizada é o estudo hermenêutico literário, através de análise de livros, decisões judiciais e administrativas, artigos científicos e notícias. No que tange à relevância do presente estudo, resta claro que a reformulação tributária no Brasil é indispensável para a contenção de fraudes, além de contribuir para a necessária eficiência no recolhimento de taxas. Desse modo, é possível obter como um dos principais resultados a pertinência da implementação do imposto de valor agregado no Brasil. Baseado nas lições de Waldemir Luis Quadros foi possível adentrar nas implicações teóricas pertinentes à presente discussão e delinear as possíveis benesses aos sistema de tributação brasileiro.
Saneamento Básico: Direito assegurado pela Constituição Federal
Authors: Faganello Célia Regina Ferrari , Muniz Fiuza Neto Olimpio
Published: July 2021

Objetivo do estudo: Analisar se o direito ao saneamento básico era, de fato, assegurado para a população de Porto Seguro assim como é prezado na Constituição da República Federativa do Brasil, a partir das percepções da população. Além disso, buscamos entrecruzar como referencial teórico os pensamentos de Patrícia Borja e a realidade do saneamento vivenciada pelo público em Porto Seguro. Metodologia: O método utilizado foi o quantitativo. Assim sendo, foram aplicados questionários para a população em Unidades Básicas de Saúde de três diferentes bairros da cidade. Em seguida foi feita uma análise quantitativa dos resultados. Relevância: O tema está conexo com a intrínseca relação entre a efetiva prestação dos serviços de saneamento básico e a qualidade de vida da população. Principais resultados: Ficou evidenciada a enorme insatisfação popular com os serviços de saneamento básico ofertados na cidade de Porto Seguro. Apesar das legislações assegurarem a plena eficácia do serviço, na prática não é o que a população percebe, já que conforme os resultados obtidos 83% dos entrevistados discordavam da plena eficácia do serviço. Outro fator analisado foi a percepção de que a maioria não sabia o englobava os serviços de saneamento básico. Contribuições teóricas: O presente trabalho traz como contribuição um implemento na relevância atribuída aos direitos sociais hodiernamente, mostrando que os mesmos se analisados sob um viés holístico influenciam diretamente na qualidade de vida da população e concomitantemente na manutenção de um meio ambiente saudável e equilibrado.
Indígenas Sob um Contexto Vulnerável de Seguridade Social em Meio À Crise Sanitária
Authors: Ninomiya Bruno Lopes , Peixoto Isabella Coimbra , Silva Lucas De Carvalho Pereira da , Moreira Adilson José
Published: July 2021

Objetivo: Analisar, desde uma perspectiva histórica, os processos geradores de vulnerabilidade do grupo indígena consoante à pandemia causada pelo coronavírus. Metodologia: Efetuou-se uma revisão bibliográfica em artigos e livros que tratassem da questão da vulnerabilidade e discriminação enfrentada pelas tribos indígenas, alinhada a uma análise quanto a falta de reconhecimento social, político e cultural do grupo em questão; assim como uma pequena pesquisa jurisprudencial. Resultados: Constatou-se que o problema histórico de opressão e vulnerabilidade dos indígenas ratifica um processo, em curso, de genocídio, e sua existência e proteção correm risco durante a crise sanitária. Com isso, faz-se necessário uma transformação cultural, com o objetivo da valorização e integração das diferentes culturas indígenas na política. Contribuições: O estudo histórico demonstra a estrutura de violência que impôs aos indígenas suas condições vulneráveis e que se mostra de forma intensa durante a pandemia causada pelo novo coronavírus, realçando ainda mais o descaso por parte do Estado em relação a esse grupo.
Auxílio Direto: Uma Cooperação Internacional no Combate à Lavagem de Ativos e os Crimes que a Antecedem
Authors: Franco de Lima Letícia Gabriela Camargo , Maciel-Lima Sandra
Published: July 2021

Contextualização: O processo penal precisa se adaptar ao mundo globalizado e aperfeiçoar as técnicas investigativas, sob pena de se tornar inoperante com relação à macrocriminalidade representada por crimes que geram consequências globais e se concretizam muitas vezes a partir da utilização do sistema financeiro de diversos países. Objetivo: O objetivo do artigo é analisar o auxílio direto, procedimento investigativo que propicia o diálogo, auxílio e compartilhamento de provas transnacional, previsto no Código de Processo Civil de 2015. Pretende-se verificar a necessidade de cooperação interna entre órgãos fiscalizatórios, poder judiciário e empresas privadas por mecanismos de compliance para efetividade punitiva. Método: O presente artigo utiliza a abordagem qualitativa; quanto ao procedimento técnico, utiliza a pesquisa bibliográfica, mediante revisão de artigos científicos realizados sobre o tema no Google Scholar, no período de 2018 à 2020, com os descritores “persecução penal”, “cooperação internacional” e “crimes financeiros; assim como, revisão da legislação relacionada ao tema. Resultados: As pesquisas realizadas contribuíram na verificação de que a solução para o melhor desenvolvimento investigatório e sancionador da macrocriminalidade econômica é isolar países não cooperantes buscando em última medida a proibição de relacionamento financeiro com os demais Estados, medidas que já vem sendo orientadas por organismos intergovernamentais. Conclusões: Observou-se que os órgãos fiscalizatórios e os procedimentos adotados caminham em direção ao compartilhamento de provas e auxílio internacional expandindo o alcance da investigação, porém ainda existem paraísos fiscais que impedem o aperfeiçoamento do sistema punitivo.
A Study to Assess the Knowledge and Attitude Regarding Weaning among Mothers of Infants in selected Rural Area at Rohtak with a View to Develop an Information Booklet on Weaning
Authors: Nisha Rani
Published: July 2021

Introduction: Weaning is that the most important amount for the expansion of the kid. this canbe the time once growth faltering and organic process deficiencies manifest in youngsters. Weaning,a shift amount from breast-feeding to adult diet is sometimes related to variety of issues and issues indeveloping countries. the main issues area unit what foods ought to lean to the kid, however and afterthey ought to lean. The age to introduce a lactation foods varies and is influenced by the tradition of thevarious ethnic population within the country, urbanization and therefore the socioeconomic standing ofhouseholds Objectives of the study: To assess the information of mothers of infants relating to a lactation.To assess the perspective of mothers of infants relating to a lactation. To develop associate data leaflet.Material and Methods: The scientist conducted the study exploitation quantitative approachand non- experimental style on a hundred mothers of infants by non likelihood convenientsampling technique. Structured form was accustomed assess the information of mothers of infantsand perspective list was accustomed assess the perspective of mothers of infants relating to alactation. Descriptive and inferential statistics accustomed analyze the info. Results: The norm of takea look at information score and perspective was fifteen.4 and 9.45respectively. None of mothersof infants had inadequate information, thirty first had moderate information and sixty nine hadadequate information relating to a lactation. Majority of samples that’s ninety eight of mothers ofinfants had favorable perspective, and solely two mothers had unfavorable perspective relating tolactation. There was vital correlation between information and perspective of mothers of infants relatingto lactation. Conclusion: The investigator finished that the information of the mothers of infants isadequate. And there’s vital correlation between information and perspective of mothers of infants relatingto a lactation. {the information the information |the data} leaflet can facilitate in up the knowledge ofmothers of infants relating to a lactation
Nursing Students’ Perceptions and Practices of Physical Restraint in a Hospital Setting: A Qualitative Study
Authors: Nurfatin Amalina Haji Masri  , Agong Lupat  , Yusrita Zolkefli
Published: July 2021

Physical restraint is generally used in the healthcare setting, implying that students were exposed toit during their clinical placement and may have participated in it, either actively or passively.Thisstudy explores the student nurses’ knowledge and practice of physical restraints in clinical practice.A descriptivequalitative design using one semi-structured individual interview and five focus groupdiscussions on nursing students (N=24) from two higher nursing institutions in Brunei Darussalam.The data were analysed using thematic analysis.We identified three meaningful themes focused on theuse of physical restraint in the hospital setting from the perspective of nursing students, namely, thedefinition of physical restraint, the uses of physical restraint and concerns towards its practice. Thestudent nurses reported that physical restraint was justified in providing safe and high-quality patientcare.However, they have concerns about its practice, both for themselves and the patients. The needfor theoretical and practical guidance onsafe and efficient use of physical restraint may further provideeducational supports to the students.
Impact of Staff Development Programme Importance in Nursing among Female Staff Nurses Working in Tertiary Care Centre, Chennai 40
Authors: Valli Krishnan G
Published: July 2021

A descriptive study carried out the knowledge regarding staff development programme importancein nursing among female staff nurses working in tertiary care centre, Chennai -03. The knowledgewas assessed using structured knowledge questionnaires. The data analysis, among the 30 staff nurseslevel of knowledge of SDP importance in nursing according to their knowledge assessed by using selfstructured questionnaire 16% of female staff nurses having inadequate knowledge, 22 % of the femalestaff nurses having moderate knowledge, 62 % of the female staff nurses having adequate knowledge.
Public Awareness and Compliance with Preventive Measures for the Novel Coronavirus (COVID-19) Pandemic in Jazan Area, KSA
Authors: Wafa H. Bashir  , Eman M. Abdelrazek  , Amal H. Khair  , Omnia A. Higazy  , Amani A. Mohammed  , Shahinda Salih2  , Hammad A. Fadlalmola
Published: July 2021

Objectives: COVID-19 being one of the significant public health challenges, preventive measuresplay an essential role in reducing infection rates and the severity of the disease. This study obtained toestimate the general level of knowledge, attitude, and practices regarding emerging COVID-19.Study design: cross-sectional community based.Methods: Data collected using a structured self-administered online questionnaire, distributed to Jazanresidents, KSA between March to September 2020.Results: 345 eligible participants were enrolled, among whom the total mean score of the knowledge,attitude, and practice were 19.6 ± 10.8, 34.8 ± 3.4, 32.7 ± 3.4 consecutively, In term of prevention andprotection against the virus transmission, only 186 (53.9%) know that hand washing and (54.5%) knowthat using of the face mask can protects against the virus transmission.Conclusions: The community was highly significant regarding transmission of (COVID19) andimplemented most of the precautionary practices, such as avoiding handshaking and using an alcoholhand rub. Most of the participants obtaining an average level of virus-related information and retaininga positive attitude towards overcoming COVID-19 infection, but they reflect a low to moderate level ofawareness of Covid19’s clinical manifestation
Pedagogical Framework Versus Traditional Method on Knowledge and Self-Efficacy of Nursing Students Regarding Neonatal Resuscitation: A Randomized Controlled Trial
Authors: Mishal Liaqat  , Muhammad Hussain  , Muhammad Afzal  , Maryam Altaf  , Sadia Khan
Published: July 2021

Background: Since its inception, the Neonatal Resuscitation Program (NRP) has been in quest ofevidence-based strategies that promises the best outcome specifically in developing regions. Hence, thepresent study aims to investigate the efficacy of pedagogical framework versus traditional method ofeducation on knowledge and self-efficacy of nursing students regarding neonatal resuscitation.Methods: A randomized controlled trial was conducted between November 2020 to March 2021.The 60 nursing students were randomly assigned to experimental and control groups taught throughtraditional method (Learn, Practice), and LSPPDM Pedagogical (Learn, see, practice, prove, do,maintain) steps respectively. Students were assessed at the baseline and after the intervention usingvalidated questionnaires. Masking of data assessment was provided by assigning a code to each student.ClinicalTrials.gov registration number (NCT04748341).Results: Both knowledge and self-efficacy had been significantly improved (p <0.001) after theintervention. However, the posttest mean change in knowledge scores was significantly higher (p <0.001)in the experimental group (13.3±1.30) as compared to the control (9.97±1.22) with an insignificantdifference (p =0.655) in mean self-efficacy level.Conclusion: Both methods are effective in improving knowledge and self-efficacy. Yet, educationthrough integrating diverse strategies under the umbrella of LSPPDM pedagogy is a more effectiveapproach in enhancing knowledge regarding neonatal resuscitation.
Adherence to multidose Hepatitis B vaccination in a Tertiary Care Centre: A Retrospective Cohort Study
Authors: Swarup Kumar Patnaik  , Manoj Kumar Sahu  , Trilochan Sahu  , Kanishka Uthansingh  , Sambedana Mohanty
Published: July 2021

Background: Globally out of 200 crore population who are getting exposed to the hepatitis B virus (HBV),about 350 million are chronically carrying it resulting in 0.5 to 1.2 million deaths each year . These mortalitiesare due to chronic hepatitis, cirrhosis, and hepatocellular carcinoma (HCC). Horizontal transmission in earlychildhood and parental transmission at any age are the important routes of transmission. This study wasconducted with following objectives.(a) To assess the prevalence of adherence to Hepatitis vaccination.(b) To associate this adherence with demographic factors.Methodology: After receiving approval from the Institutional Ethics Committee a record based retrospectivecohort study was conducted at Gastroenterology and Hepatology OPD of IMS and SUM Hospital,Bhubaneswar. Data regarding all the patients who have received First dose of Hepatitis Vaccine from January2019 to December 2019 were followed up till June 2020 to find out how many of them have revisited toobtain second dose as well as third dose of vaccine. Their demographic characteristics collected from theimmunisation register. Data was entered and analysed using SPSS vs 21 using appropriate statistics.Results and conclusion: Total 1134 subjects have received the first dose of Hepatitis B vaccine. Meanage of the participants is 36±15yrs. First dose taken by 453(39.9%) people, 324(28.6%) had completed theschedule by taking the final dose of vaccine. Hardly one third of the patients adheres to the schedule andcompletes it. Inadequate vaccination makes the patients vulnerable to risks of Hepatitis B and its morbidities.
Ensuring a balance of interests in disputes regarding the mandatory vaccination
Authors: Antoniuk Olena , Pavliuchenko Yuliia
Published: July 2021

The establishment of compulsory preventive vaccinations raises a problem of balance with the right to personal integrity and the need to consent to medical intervention. The severity of this problem is added by the established restrictions on the implementation of individual rights of citizens, for example, the right to preschool and school education. The purpose of this article is to concretize the criteria for assessing the balance of interests in disputes regarding the mandatory vaccination.

The study concluded that the provisions of the law on compulsory preventive vaccinations indicate an excess of public interest over private interests of individuals.

The analysis of legislative norms on the issuance of a certificate, which is necessary for admission to preschool and school education, is carried out.Based on, conclusions were drawn about its content, the dependence of its issuance on the availability of all mandatory preventive vaccinations, the distribution of duties of a doctor and a healthcare institution lackingall such vaccinations.

It is argued that when a court is considering cases, the balance between the private interest of a particular person and the public interest in health protection is assessed through the legality and proportionality of interference with human rights. Based on the analysis of a number of court decisions, it was concluded that the proportionality of the intervention is achieved if the state: a) has given the right to choose a person (including the child's parents) to carry out mandatory preventive vaccinations or not; b) created equal conditions for children to receive, regardless of whether or not they have compulsory vaccination of school education; c) provides guarantees of vaccine safety for mandatory vaccinations.

It is substantiated that the balance of interests will also be observed if a person can exercise the right to compensation for harm in court if the preventive vaccination entailed harm to health or was carried out without the consent of the person (legal representative in cases provided for by law), or using a low-quality, inadmissible for use in accordance with the procedure established by law, vaccines.

Keywords: medical intervention, the right to personal integrity, compulsory preventive vaccinations, the right to education, proportionality of interference with human rights, balance of interests, criteria for assessing the balance of interests.
Effectiveness of Cultured Chondrocytes in the Restoration of Bone and Cartilage Defects of the Knee Joint (Experimental Study)
Authors: Zubov D.O. , Poliachenko Yu.V. , Kostrub O.O. , Kotiuk V.V. , Blonskyi R.I. , Zasadniuk I.A.
Published: July 2021

Summary. The aim of our study was to determine the effectiveness of cultured articular chondrocytes in agarose hydrogel (early follow-up, 3 months) in the restoration of simulated cartilaginous defects of the knee of critical size in large animals.

Materials and Methods. The experimental series consisted of 4 dogs (right hind limb) with created defects of articular cartilage deeper than the subchondral bone in the area of the intercondylar notch of the femur with a diameter of 3 mm and 5 mm deep. At the second stage of the experiment, agarose hydrogel with cultured allogeneic chondrocytes was implanted (sealed) into the injured joint intraarticularly. The control series consisted of 4 animals (left hind limb) without agarose hydrogel with cultured allogeneic chondrocytes implantation to the intercondylar notch of the femur. Agarose hydrogel with cultured allogeneic chondrocytes was implanted by application into the defects of the articular surfaces after curettage of the bottom and walls of bone and cartilage defects of the articular surfaces. Cell preparations and cultures were microscopically magnified at 40, 100, 200, and 320 times. Histological sections 10-15 μm thick, made using a cryotome, were stained with hematoxylin-eosin and hematoxylin-picrofuxin according to van Gizon.

Results. The technique of enzymatic isolation of chondrocytes articular cartilage of a dog was optimized. The satisfactory efficacy of cultured allogeneic articular chondrocytes in agarose hydrogel (early observation) in the treatment of simulated bone and cartilage defects of critical size in large animals within the planned observation period is shown.

Conclusions. The experimental study explored the effectiveness of the use of cultured allogenic articular chondrocytes embedded in agarose hydrogel (early follow-up period) in the restoration of modeled knee cartilage defects of critical size in dogs within the planned follow-up period. For the selected follow-up period (3 months), the signs of regenerate formation, which was characterized by its immaturity and the presence of a mixture of fibrous connective tissue and fibrous cartilage with the chondroid structure inclusions, were revealed in experimental group.
The Structure of the Causes of Primary Prosthetics of the Shoulder Joint
Authors: Strafun S.S. , Zanko I.S.
Published: July 2021

Relevance. Shoulder prosthetics is the method of choice in the treatment of patients with traumatic injuries that significantly impair joint function and are accompanied by prolonged pain.

Objective: to investigate the main causes of injuries of the shoulder joint that led to its prosthetics.

Materials and Methods. The clinical group consisted of 162 patients who underwent shoulder prosthetics in the Department of Microsurgery and Reconstructive Surgery of the Upper Limb of the SI “Institute of Traumatology and Orthopedics of NAMS of Ukraine”. There were 44.4% male and 55.5% female patients. The average age of male patients was 62±11.4 years; the average age of female patients was 66±10.1 years. The average period of seeking specialized medical care after an acute injury was 24±10.9 days and 50.6±81.1 months in patients with post-traumatic consequences. In most cases, patients underwent unipolar prosthetics of the shoulder joint (126 patients, 78.7%); 27 patients (15.6%) underwent reversible prosthetics and 9 (5.6%) – total prosthetics, respectively.

Results. In most cases, shoulder prosthetics were performed in patients with acute (up to 3 weeks from the date of injury) and old fractures and fractures of the proximal epimetaphysis of the humerus – 35 (21.6%) and 48 (29.6%) patients, respectively. The number of patients with posttraumatic aseptic necrosis of the humeral head was 49 (30.2%) (p<0.005), which indicates a high frequency of complications after osteosynthesis etc. The number of patients with massive traumatic injuries of the tendons of the rotator cuff who needed shoulder prosthetics was 18 (11.1%) and with false joints – 12 (7.4%). Unipolar prosthesis systems predominated in the general structure of the prosthesis type (126 patients, 78.7%), since reversible and total prosthesis in Ukraine were registered not so long ago.

Conclusions. The analysis of our observations showed that the causes of shoulder prosthetics are severe injuries that occur with high-energy injuries (101 patients, 62.3%) and post-traumatic aseptic necrosis (49 patients, 30.2%). Acute and old fractures and fractures of the proximal metaepiphysis of the humerus are one of the most common injuries according to the analysis (35 patients, 21.6% and 48 patients, 29.6%), and their number and complexity continues to increase with age. Understanding the etiological factors that led to shoulder endoprosthetics makes it possible to predict long-term functional results and work to reduce the number of such patients.
Features of Anatomical and Functional Changes in the Patellofemoral Joint of Patients with Gonarthrosis
Authors: Zhuk P.M. , Movchaniuk V.O. , Matsypura M.M. , Mazur V.P. , Psiuk S.S. , Wahbeh R.T.
Published: July 2021

Summary. In 67-72% of patients with gonarthrosis, there is an angular deviation of the tibia towards the lesion. Prolonged functioning in such conditions is accompanied by patellofemoral arthrosis, in the development of which we found patterns during unicompartmental arthroplasty of the knee joint.

Materials and Methods. This publication is based on the materials of a clinical and radiological examination of 106 patients with angular deviation of the tibia who were operated on using the method of unicompartmental arthroplasty.

Conclusions. The degree of patellofemoral osteoarthritis is directly dependent on the duration of the disease and the magnitude of the angular deviation of the tibia. The most degenerative-dystrophic changes occur in the knee facet and the central facet, which are displaced in the projection of the patellofemoral joint, where cartilage degeneration, subchondral sclerosis with foci of bone destruction, pronounced marginal bone growths, and exostoses progress.
Changes in Morphometric Indicators of Blood Vessels of Masticatory Muscles in Simulation of Diabetic Angiopathy in Rats
Authors: Hnatiuk M.S. , Rubas L.V. , Tatarchuk L.V. , Yasinovskyi O.B.
Published: July 2021

Summary. Relevance. Diabetic joint damage is common in the clinic. The blood vessels of the masticatory muscles that affect the morphogenesis of diabetic arthropathy of the temporomandibular joint remain poorly studied in this pathology.

Objective: to study the features of remodeling of blood vessels of the masticatory muscles of the temporomandibular joint in experimental hyperglycemia by quantitative morphological methods.

Materials and Methods. The study material was 45 laboratory mature white male rats, which were divided into 3 groups. The 1st group consisted of 15 intact apparently healthy animals, the 2nd included 15 rats with one-month diabetic angiopathy, and the 3rd had 15 rats with two-month specified pathology. Diabetes mellitus was simulated by a single intraperitoneal injection of streptozotocin from Sigma at a dose of 50 mg/kg. Euthanasia of animals was performed by bloodletting under thiopental anesthesia one and two months after the start of the experiment. The blood glucose concentration was determined. Histological micropreparations were made from the temporomandibular joint and the temporal and external pterygoid muscles. Morphometric measurements of small caliber arteries (outer diameter 26-50 μm), veins and microvessels of the hemomicrocirculatory tract were performed on muscle micropreparations; relative volumes of damaged synoviocytes and chondrocytes were determined on micropreparations of joints. Quantitative indicators were processed statistically.

Results and Conclusions. It was revealed that the gleam of arteries considerably decreases, their wall thickens, and endotheliocytes are damaged in the studied muscles with the modeled pathology. Venous vessels are dilated, full-blooded with a reduced wall thickness. The most pronounced changes in these experimental conditions are the structure of microvessels, which is characterized by narrowing of arterioles, precapillary arterioles and hemocapillaries, pronounced expansion of postcapillary venules and venules. Plethora, stasis, thrombosis, irregularity of the lumen, sacculation, and varicose expansions were noted in venous microvessels. Venous fullness led to hypoxia, disorders of trophism and metabolism, dystrophy, necrobiosis of muscle fibers and stromal structures, foci of infiltration and sclerosis. It was revealed that morphological changes in the vascular bed of the masticatory muscles affect the morphogenesis of diabetic arthropathy of the temporomandibular joint.
Current Management of Femoral Neck Fractures (Literature Review)
Authors: Zazirnyi I.M. , Kostrub O.O.
Published: July 2021

Summary. Femoral neck fractures are a commonly encountered injury in orthopedic practice and result in significant morbidity and mortality. It is essential that surgeons are able to recognize specific fracture patterns and patient characteristics that indicate the use of particular implants and methods to effectively manage these injuries. The use of the Garden and Pauwels classification systems has remained the practical mainstay of femoral neck fracture characterization that help choosing appropriate treatment. Operative options include in situ fixation, closed or open reduction and internal fixation, hemiarthroplasty, and total hip arthroplasty. Recent reports demonstrate diversity among orthopedic surgeons in regard to the optimal treatment of femoral neck fractures and changing trends in their management.
Fleet Asset Management Opportunities Arising from Transient Monitoring of Power Transformers and Shunt Reactors
Authors: Župan Tomislav , Jurišić Bruno , Murat Ivan , Filipović-Grčić Božidar , Goglia Slaven , Levačić Goran
Published: July 2021

Power transformers and shunt reactors are strategic assets for every system operator and their downtime should be kept as low and controlled as possible. During their multi-decade service life, they are regularly exposed to transient overvoltages. These situations stress their insulation systems and can cause accelerated deterioration and aging. Since the shapes of these overvoltages are usually unknown, an additional approach to assessing the health index can be realized using monitoring systems with transient recorders. Analyzing the transient overvoltages using frequency domain severity factor, a quantification of additional stress on the transformer’s/shunt reactor’s insulation can be given. This can help in assessing the current state of the insulation system and can lead to more advanced fleet asset management.
Dynamic Stability Enhancement Through the Application of Stabilizers of Electromechanical Oscillations
Authors: Franki Vladimir , Višković Alfredo , Valentić Vladimir
Published: July 2021

Power system dynamic stability is one of key issues system engineers face. Oscillations that regularly occur in the system, limit the transmission capability of the network. The need to study the stability of power systems has been increasingly growing along with the development of power systems and their grouping into large interconnections. The focus of this paper is determining the dynamic stability of a synchronous generator, and thus the power system, by applying the general theory of stability of dynamic systems. Furthermore, the procedure for the initial adjustment of the parameters of a conventional (IEEE3 type PSS1A) stabilizer of electromechanical oscillations is briefly described based on the frequency response analysis of a linear generator model also known as the Heffron-Phillips generator model.
URGENSI PEMBENTUKAN PENGADILAN KHUSUS EKONOMI SYARIAH DALAM LINGKUNGAN PERADILAN AGAMA
Authors: Saut Maruli Tua Manik
Published: July 2021

Pentingnya pengadilan khusus ekonomi syariah di lingkungan Peradilan Agama ditinjau secara filosofis, sosiologis, yuridis. Secara filosofis didasari Pancasila sebagai falsafah negara, dan ekonomi syariah sarat dengan muatan substantif dan peristilahan transaksi keuangan syraiah, seperti murabahah. Landasan sosiologis pengadilan khusus ekonomi syariah menjawab masalah dan memenuhi kebutuhan hukum agama Islam dibidang ekonomi syariah dengan dasar fakta empiris pelaksanaan penyelesaian sengketa ekonomi syariah, secara yuridis berdasarkan Pasal 3A UU Nomor 3 Tahun 2006, dan Pasal 3A ayat (1), (3) dan 13B ayat (1) UU Nomor 50 Tahun 2009 tentang Perubahan Kedua Atas UU Nomor 7 Tahun 1989 tentang Peradilan Agama. Permasalahan: Apa melatarbelakangi pentingnya pengadilan khusus di lingkungan Peradilan Agama dalam penyelesaian sengketa ekonomi syariah? upaya dan kendala apa dilakukan Mahkamah Agung terhadap peningkatan kualitas penyelesaian sengketa ekonomi syariah di lingkungan Peradilan Agama Indonesia. Metodelogi normatif dengan pendekatan yuridis normatif. Tipe penelitianya Deskriptif. Sumber data adalah data primer dan didukung  data sekunder.
PELAKSANAAN PENEGAKAN HUKUM BAGI ANGGOTA KEPOLISIAN YANG MELANGGAR KODE ETIK DALAM PENYALAHGUNAAN NARKOTIKA
Authors: Umar dinata
Published: July 2021

Dalam  UU Nomor 2 Tahun 2002 tentang Kepolisian Negara Republik Indonesia memperluas fungsi dan tugas Kepolisian yang meliputi pemeliharaan keamanan dan ketertiban masyarakat, penegakan hukum perlindungan dan pengayoman dan pelayanan kepada masyarakat dengan menjunjung tinggi Hak Asasi Manusia, namun Ada beberapa oknum polisi yang bahkan menyalahgunakan wewenangnya dengan ikut menggunakan dan mengedarkan obat-obatan terlarang atau narkoba. Hal tersebut tentu saja dapat menyebabkan hilangnya rasa percaya masyarakat kepada polisi untuk memberikan jaminan kepastian hukum atau memberikan perlindungan hukum terhadap masyarakat. Adapun yang menjadi permasalahannya adalah Bagaimanakah Penegakan Hukum Bagi Anggota Kepolisian Yang Melanggar Kode Etik, apa hambatan serta upaya yang dihadapi dalam Penegakan Hukum  terhadap Anggota Kepolisian Yang Melanggar Kode Etik, Kode Etik Profesi Polri sebagaimana diatur dalam Peraturan Kapolri No. 7 tahun 2006 dan Peraturan Kapolri No.8 Tahun 2006, merupakan kaidah moral dengan harapan tumbuhnya komitmen yang tinggi bagi seluruh anggota Polri agar mentaati dan melaksanakan Kode Etik Profesi Polri
WHY IS EPIGENETICS IMPORTANT IN PAEDIATRICS?
Authors:   Faculty of Medicine, Transilvania University, Brasov, Buzinschi Sorin
Published: July 2021

The understanding of the pathological changes in the last decades has become possible due to the epigenetic achievements. This branch of genetics explains the way in which the environment influences the dynamic functioning of genes. The epigenetic variations are determined by nutrition, infections, chemical noxae, and stress. The metabolic programming initiated in the fetal life is decisive in chronic pathology of the adulthood. Infections, allergic diseases, malignant diseases display a significant epigenetic dimension. By acting at the beginning of the life cycle, the paediatrician can intervene in the development of these processes through prophylactic approach and epigenetic therapy, the latter being underway.
DIAGNOSTIC ŞI TRATAMENT ÎN BOALA DE REFLUX GASTROESOFAGIAN – POSIBILITĂŢI ŞI LIMITE
Authors:   Pediatrie, Spitalul de Copii „Sf. Maria“, Iaşi, Ciubotariu Gabriela , Diaconescu Smaranda ,   Pediatrie, Spitalul de Copii „Sf. Maria“, Iaşi,   Universitatea de Medicină şi Farmacie „Gr. T. Popa“, Iaşi, Marin Angelica Cristina ,   Pediatrie, Spitalul de Copii „Sf. Maria“, Iaşi, Olaru Claudia ,   Pediatrie, Spitalul de Copii „Sf. Maria“, Iaşi,   Universitatea de Medicină şi Farmacie „Gr. T. Popa“, Iaşi, Gimiga Nicoleta ,   Pediatrie, Spitalul de Copii „Sf. Maria“, Iaşi,   Universitatea de Medicină şi Farmacie „Gr. T. Popa“, Iaşi, Moscalu Mihaela ,   Universitatea de Medicină şi Farmacie „Gr. T. Popa“, Iaşi, Burlea Marin ,   Pediatrie, Spitalul de Copii „Sf. Maria“, Iaşi,   Universitatea de Medicină şi Farmacie „Gr. T. Popa“, Iaşi
Published: July 2021

Departajarea refluxului gastro-esofagian (RGE) fiziologic (cel mai frecvent) de boala de reflux gastro-esofagian (BRGE) în primul an de viaţă este obligatorie pentru a evita farmacoterapia agresivă. La toate vârstele copilăriei se aplică criterii moderne de evaluare clinică, sumând simptome digestive şi/sau extradigestive şi rezultatele unor investigaţii moderne. Tratamentul igieno-dietetic (suficient in RGE fiziologic), obligatoriu în toate cazurile, şi inhibitorii de pompă protonică dupa vârsta de un an induc remisiune în majoritatea cazurilor de RGE. Evoluţia cronică/recidivantă şi rezistenţa la tratamentul comun impun intervenţia chirurgicală, domeniu îmbogaţit recent la copil cu miotomia perorală endoscopică (POEM).
DEFICITUL DE FIER ŞI ANEMIA PRIN DEFICIT DE FIER – PROBLEMĂ GLOBALĂ DE SĂNĂTATE PUBLICĂ
Authors:   Universitatea de Medicină şi Farmacie „Gr. T. Popa“, Iaşi, Florescu Laura , Temneanu Oana-Raluca ,   Universitatea de Medicină şi Farmacie „Gr. T. Popa“, Iaşi, Nistor Nicolai ,   Universitatea de Medicină şi Farmacie „Gr. T. Popa“, Iaşi, Mîndru Dana Elena ,   Universitatea de Medicină şi Farmacie „Gr. T. Popa“, Iaşi
Published: July 2021

Deficitul de fier este definit ca o stare în care nu există un nivel corespunzător de fier necesar pentru a menţine funcţiile normale fiziologice ale organismului. Anemia este o problemă globală de sănătate publică, de proporţiile unei epidemii, care afectează atât ţările în curs de dezvoltare, cât şi ţările dezvoltate, cu consecinţe majore pentru sănătatea umană, precum şi dezvoltarea socială şi economică. În prezent, deficitul de fier şi în special anemia prin carenţă de fier rămâne una dintre deficienţele nutriţionale cele mai grave şi importante din lume. Fiecare grupă de vârstă este vulnerabilă. Sugarii, copiii mici, preşcolarii şi adolescenţii prezintă un risc mai mare de a dobândi deficit de fier, de aceea Organizaţia Mondială a Sănătăţii (OMS) a elaborat un pachet cuprinzător de măsuri de sănătate publică care abordează toate aspectele legate de un deficit de fier şi anemia feriprivă. În încercarea de a diminua prevalenţa deficitului de fier şi a anemiei feriprive, Societatea Europeană de Gastroenterologie, Hepatologie şi Nutriţie Pediatrică (The European Society for Paediatric Gastroenterology Hepatology and Nutrition-ESPGHAN) a sintetizat în 2014 recomandările utilizate şi în prezent privind profilaxia marţială.
PNEUMOTORAXUL – FACTORI DE RISC LA NOU-NĂSCUŢI
Authors:   Catedra Neonatologie, Universitatea de Medicină şi Farmacie „Victor Babeş“, Timişoara, Manea Aniko ,   Secţia Neonatologie – Prematuri, Spitalul Clinic de Urgenţă pentru Copii  „Louis Ţurcanu“, Timişoara, Cioboata Daniela ,   Secţia Neonatologie – Prematuri, Spitalul Clinic de Urgenţă pentru Copii  „Louis Ţurcanu“, Timişoara, Doandes Florina ,   Secţia Neonatologie – Prematuri, Spitalul Clinic de Urgenţă pentru Copii  „Louis Ţurcanu“, Timişoara, Nicoara Delia ,   Secţia Neonatologie – Prematuri, Spitalul Clinic de Urgenţă pentru Copii  „Louis Ţurcanu“, Timişoara, Dobre Mihaela ,   Secţia Neonatologie – Prematuri, Spitalul Clinic de Urgenţă pentru Copii  „Louis Ţurcanu“, Timişoara, Boia Mărioara ,   Catedra Neonatologie, Universitatea de Medicină şi Farmacie „Victor Babeş“, Timişoara,   Secţia Neonatologie – Prematuri, Spitalul Clinic de Urgenţă pentru Copii  „Louis Ţurcanu“, Timişoara
Published: July 2021

Obiectiv. Scopul principal al lucrării este acela de a evalua factorii predispozanţi, evoluţia şi patologia asociată pneumotoraxului în perioada neonatală. Material şi metodă. S-a efectuat un studiu retrospectiv, pe o perioadă de doi ani, pe 11 pacienţi internaţi în Spitalul Clinic de Urgenţă pentru Copii „Louis Ţurcanu“, Timişoara, secţia Neonatologie – Prematuri, diagnosticaţi cu pneumotorax în peiroada 2014-2015. Rezultate. Din 1.689 de nou-născuţi internaţi, 11 pacienţi au dezvoltat pneumotorax, incidenţa fiind de 0,65%. 8 pacienţi (73%) au fost de sex masculin şi 3 pacienţi (27%) de sex feminin. Din cei 11 pacienţi, 4 au fost nou-născuţi la termen cu VG (vârsta de gestaţie) peste 37 de săptămâni şi 7 au fost nou-născuţi prematuri cu VG sub 37 de săptămâni. În funcţie de greutatea la naştere, 4 au avut greutatea peste 2.500 g şi 7 sub 2.500 g. Cauza cea mai frecventă a pneumotoraxului în grupul studiat a fost reprezentată de sindromul de detresă respiratorie, cu un procent de 45,4%. Concluzii. Pneumotoraxul reprezintă o afecţiune importantă în patologia neonatală. Este esenţială recunoaşterea şi iniţierea tratamentului încă din fazele iniţiale, pentru reducerea apariţiei complicaţiilor secundare.
HEMORAGIA CEREBRALĂ FETALĂ DIAGNOSTICATĂ ANTEPARTUM
Authors:   Clinica de Obstetrică şi Ginecologie I, Spitalul Clinic de Urgenţă,Târgu-Mureş, Mărginean Claudiu , Puşcaşiu Lucian ,   Clinica de Obstetrică şi Ginecologie I, Spitalul Clinic de Urgenţă,Târgu-Mureş, Molnar Claudiu V. ,   Clinica de Obstetrică şi Ginecologie I, Spitalul Clinic de Urgenţă,Târgu-Mureş, Rozsnyai Florin ,   Clinica de Obstetrică şi Ginecologie I, Spitalul Clinic de Urgenţă,Târgu-Mureş, Szabo Bela ,   Clinica de Obstetrică şi Ginecologie I, Spitalul Clinic de Urgenţă,Târgu-Mureş, Zahiu Luminiţa ,   Clinica de Neonatologie I, Spitalul Clinic de Urgenţă, Târgu-Mureş, Simon Marta ,   Clinica de Neonatologie I, Spitalul Clinic de Urgenţă, Târgu-Mureş, Cucerea Manuela ,   Clinica de Neonatologie I, Spitalul Clinic de Urgenţă, Târgu-Mureş, Mărginean Cristina Oana ,   Clinica Pediatrie I, Spitalul Clinic de Urgenţă, Târgu-Mureş, Suciu Nicoleta ,   Universitatea de Medicină şi Famacie, Târgu-Mureş, Rugină Cosmin ,   Departamentul de Obstetrică şi Ginecologie, Spitalul Judeţean de Urgenţă, Piatra Neamţ
Published: July 2021

Diagnosticul antepartum al hemoragiei cerebrale fetale (HCF) este mai puţin raportat (0,9/1.000 naşteri) comparativ cu cel postpartum. Sunt prezentate două cazuri de hemoragie intraventriculară fetală, diagnosticate ecografic antepartum. Cazul 1: HCF diagnosticată ecografic la vârsta gestaţională de 28 de săptamâni de gestaţie şi confirmată postnatal prin prezenţa în LCR a hematiilor (număr semnificativ, ratatinate) şi a modificărilor semnalate de ecografia transfontanelară (hidrocefalie internă severă, ţesut cerebral minim). Decesul a survenit la 24 de ore postpartum (ex. histopatologic: hemoragie cerebrală intraventriculară). Menţionăm absenţa aparentă a factorilor de risc materni, negativitatea testelor TORCH. Cazul 2: hidrocefalie internă la vârsta de 37 de săptămâni de gestaţie şi confirmată la nou-născut (după cezariană) de modificările clinice caracteristice, suferinţa neurologică severă asociată cu modificări la ecografia transfontanelară şi aspectul hemoragic şi hipertensiv al LCR. Nu au fost depistaţi factori de risc materni. De asemenea, aparent nu au existat riscuri fetale: greutatea 2.820 g la 37 de săptămâni de gestaţie, teste TORCH negative, culturi şi CRP negative. Hidrocefalia a avut o evoluţie progresivă impunând ventriculotomii şi cisternotomii; plasarea unui şunt ventriculo-peritoneal în timpul celei de-a treia intervenţii neurochirurgicale a ameliorat prognosticul vital. Concluzii. Prezenţa hidrocefaliei a fost un semn ecografic fidel pentru diagnosticul HCF. Evoluţia şi prognosticul sunt influenţate de severitatea hemoragiei şi de vârsta gestaţională. Supravieţuitorii beneficiază de tratamentul neurochirurgical. Etiopatogenia plurifactorială, incomplet descifrată a HCF conduce la dificultăţi în stabilirea unui grup ţintă de screening, în scopul identificării acestei leziuni.