bluuebunny/crossref_metadata_2025 huggingface dataset:
Application of digital twin technology in Russia: Development opportunities and constraints
Authors: Sosfenov D. A. , Shahova M. S.
Published: December 2023

Aim. To identify trends in the development of the digital twin concept in Russia.

Objectives. To analyze the experience of applying such an innovative tool as a digital twin at Russian enterprises and consider the benefits of its implementation; to characterize the aspects of regulation and state support in the field of digital twin application in Russia; to reveal the main problems hindering the development of digital twin technology, as well as to propose posible solutions to the identified problems.

Methods. The authors used empirical methods, in particular, the analysis and generalization of data from scientific and methodological literature; methods of observation and comparison. The article also reflects the results of scientific research of Russian and foreign scientists.

Results. It is established that today the method of digital twins in the economy is becoming more and more popular. Thanks to the introduction of digital twin technology, companies manage to speed up production processes, increase their transparency, reduce costs, improve the quality of manufactured products and, in general, achieve greater efficiency, competitiveness and investment attractiveness. The main constraints to development include insufficient funds required to implement digital transformation, lack of necessary experience and highly qualified specialists, low level of legal framework in the field of digital twins and high level of risks associated with data security. For successful implementation of digital transformation, it is advisable to study and generalize successful examples of digital twins implementation both in foreign and domestic companies, to create a unified management system for this area, to develop a motivation system for companies applying digital twin technology, to increase the level of information security.

Conclusions. In Russia, innovative technologies are a priority for ensuring technological leadership and entry of domestic companies into international markets. Despite lagging behind some foreign countries, Russia has great potential for the formation of a national market and the introduction of digital twin technology, especially among large corporations and high-tech enterprises. But for this purpose it is necessary to eliminate the factors that hinder the development of the digital twin method, such as high risks associated with cybersecurity, insufficient funding in the use of technology, the lack of specificity in some cases in the field of legal regulation and a number of others.
Transformation of management of dental organizations in the conditions of transition to a value-based healthcare model
Authors: Yashin S. N. , Avdeeva I. N. , Aleshina O. A.
Published: December 2023

Aim. To develop recommendations for management consulting on practical implementation of the model of value-oriented approach in medical organizations of dental profile.

Objectives. To analyze the experience of implementing the elements of the value-oriented approach in the management of dental organizations in foreign medical practice and dental institutions of the Russian health care system; to review foreign and domestic scientific literature in the context of the research topic; to study and apply the data of analytical reports of specialized international organizations.

Methods. The authors used general scientific and special scientific methods. The analysis of domestic and foreign scientific publications in the context of the research topic was presented, and also methods of modeling, applied qualitative content analysis of information were applied.

Results. The article investigates the models of implementation of the value-based approach in the organizations of the health care system abroad. The dissemination of the elements of this model in domestic dental institutions was analyzed. The conclusions about the main obstacles in the implementation of the principles of value-oriented approach in Russian dentistry are made. Recommendations on forms and methods of management consulting for effective implementation of the value-oriented health care model in the stomatological sphere of medical activity are formulated.

Conclusions. According to the evaluations of pilot projects and indicators of scientific calculations, the transition to the system of value-oriented health care is slow, but it is recognized as an inevitable and necessary vector of health care development. Taking into account the socially useful effect of this model, the need for the Russian system of state guarantees of health care in the introduction of a value-oriented approach is extremely high. Further practical, research activities are necessary to develop tools for implementing the principles of value-oriented approach in the dental sphere.
Il guardiano del trust come mero vigilante sulla gestione del trust (In the Matter of the X Trusts, 23 febbraio 2023 )
Authors: Caudana Davide
Published: December 2023

Massima
La principale funzione del guardiano, salvo sia diversamente previsto nell’atto istitutivo, consiste nella vigilanza sulla corretta amministrazione del trust senza sostituirsi alla figura del trustee.
Conferimento di beni in trust indebitamente distratti e rapporto tra fattispecie penali (Cass., 31 maggio 2023, n. 23925)
Authors: Chniter Adil
Published: December 2023

Massima
L’induzione alla istituzione di un trust è condotta astrattamente idonea ad integrare il delitto di circonvenzione di incapace e l’amministratore di sostegno che compie atti di distrazione mediante conferimento di beni dell’amministrata nel trust può rispondere del reato di truffa e non di quello di peculato, non avendo la libera disponibilità dei beni oggetto di appropriazione essendo necessario il provvedimento del giudice tutelare.
Un progetto di risparmio fiscale finito male (Bhaur v Equity First Trustees, 18 maggio 2023)
Authors: Arienti Leonardo
Published: December 2023

Tesi
Nessuna tutela in equity da parte della Corti inglesi in caso di richiesta di annullamento di una disposizione lesiva effettuata nell’ambito di un progetto (elusivo) di pianificazione fiscale. È questo che in buona sostanza hanno deciso i Giudici della Court of appeal inglese nel caso Bhaur v Equity First Trustees. Secondo la sentenza, il Giudice che decide in equity è libero di valutare discrezionalmente la meritevolezza della condotta o dello scopo perseguito dalle parti, e dunque di non concedere alcun rimedio qualora l’attività perseguita abbia ad oggetto l’elusione fiscale, considerata attività “riprovevole” ed “un male sociale”. In tale contesto elusivo, le operazioni effettuate non potranno essere annullate dalle corti inglesi per errore (mistake) nel caso in cui le parti abbiano agito consapevolmente per finalità elusive conoscendo gli effetti giuridici di tali atti ma abbiano ignorato (ignorance), o mal valutato (misprediction o misrepresentation), le possibili conseguenze patologiche che la struttura avrebbe potuto avere.
Author’s View
English Courts do not grant equitable relief the to set aside a transfer carried out as part of a tax avoidance scheme. This is basically what the English Court of Appeal (EWCA) decided in the case Bhaur v Equity First Trustees. According to the decision, the Court can refuse equitable relief at its discretion, evaluating the conduct and the purpose pursued by the parties and therefore decide not to grant any equitable remedy where the activity pursued is a tax avoidance scheme considered “reprehensible” activity and a “social evil”. In such context, the transfer shall not be set aside by the English courts on the ground of mistake where the parties knowingly acted for tax avoidance purposes knowing the legal effects of such acts but ignored or mispredictted the possible consequences that the failing scheme might have on them.
A proper headache: trust drafting and the proper purpose rule after Grand View v Wong
Authors: McPhail Tom
Published: December 2023

The author’s view
The application of the proper purpose rule to broadly drafted discretionary trusts is problematic. The approach to the rule taken by the Broad of the Privy Council in Grand View v Wong risks depriving trustees of certainty and encouraging costly and unnecessary claims and court applications.
Tesi
L’applicazione della regola del proper purpose ai trust discrezionali redatti in modo ampio è problematica. L’approccio alla regola adottato dal Broad of the Privy Council nella causa Grand View v Wong rischia di privare i trustee della certezza e di incoraggiare richieste di risarcimento e domande giudiziarie costose e non necessarie.
Sul mancato riconoscimento di un ordine inglese di revoca di conferimento in trust (Cass., 8 giugno 2023, n. 16294)
Authors: Ricifari Rebecca
Published: December 2023

Tesi
Al fine di verificare se un provvedimento di cui si chiede il riconoscimento ricade nell’ambito di applicazione ratione materiae del Bruxelles II-bis, si deve tenere in considerazione l’oggetto del provvedimento stesso e, in particolare, trattandosi di una misura cautelare, del diritto che essa mira a tutelare. Ne deriva da un lato che non rientra nell’ambito di applicazione del reg. 2201/2003, e non è riconoscibile ai sensi dello stesso (né in forza di altri strumenti), un ordine inglese di revoca di conferimenti in trust di beni mobili e immobili siti in Italia (Freezing injunction) adottato allo scopo di tutelare i diritti derivanti dallo scioglimento della comunione legale tra i coniugi, adottato nel contesto di un procedimento di divorzio. Ne deriva altresì, dall’altro lato, che, affinché un provvedimento possa essere qualificato come provvisorio o cautelare ai sensi dell’art. 20 del Bruxelles II-bis, fermo il rispetto anche degli altri criteri previsti dalla norma - tra cui, in particolare, il fatto che il giudice che ha pronunciato il provvedimento non fosse competente, ai sensi del regolamento, per il merito del divorzio -, lo stesso provvedimento deve essere riconducibile all’ambito di applicazione del medesimo regolamento.
The author’s view
In the context of a proceeding regarding the recognition of a foreign order under the provisions of Brussels II-bis, for the purpose of ascertain whether it falls within its scope ratione materiae, consideration must be given to the object of the measure itself and, in particular, if such a measure is a protective measure, to the right it aims to protect. It follows, on the one hand, that it does not fall within the scope of Brussels II-bis, and is not recognizable under it (nor under any other instrument), an English order revoking a transfer in a trust that involves both movable and immovable proprieties located in Italy (Freezing injunction) aimed to protect rights arising from the dissolution of legal community between spouses, adopted in the context of divorce proceedings. On the other hand, it follows also that, in order for a measure to qualify under Article 20 of Reg. 2201/2003, subject to compliance with the other criteria laid down in the article-including, in particular, the fact that the court that issued the measure was not competent, under the regulation, for the merits of the divorce-, it must fall within the scope of application of the regulation.
Firenze 1865-1871: una capitale provvisoria
Authors: Paloscia Raffaele
Published: December 2023

Il contributo fa parte degli Atti "1871: Firenze capitale...dell'Antropologia Italiana", redatti a seguito della giornata di celebrazioni dei 150 anni dalla fondazione della Società Italiana di Antropologia e Etnologia  - Firenze, 15 Febbraio 2022
L'antropologia diventa disciplina
Authors: Roselli Maria Gloria
Published: December 2023

Il contributo fa parte degli Atti "1871: Firenze capitale...dell'Antropologia Italiana", redatti a seguito della giornata di celebrazioni dei 150 anni dalla fondazione della Società Italiana di Antropologia e Etnologia  - Firenze, 15 Febbraio 2022
Il centro storico di Palermo. Modi di vivere lo spazio pubblico tra resistenza e precarizzazione
Authors: Calderone Gloria
Published: December 2023

Starting from the second half of the nineteenth century, the historic centre of Palermo experienced a progressive abandonment that has relegated it to a peripheral position, downgraded compared to the rest of the city. This process determined the area’s popular social identity: residents who have lived there for generations belong to the underemployed and poorly educated urban proletariat and underclass. Prolonged isolation of the context allowed those who lived there to establish anti-urban habits and particular ways of staying and using public space. The recovery of the historic centre activated by municipal policies starting from the Nineties after decades of marginalization and obsolescence has triggered deep changes in the urban and social fabric. This contribution aims to examine the consequences that this redevelopment process has had on the ways of inhabiting public space by the historical community. The hypothesis is that ongoing changes lead to their gradual weakening.
Ernesto Mazzei, un medico italiano in Perù. Una rilettura storica e culturale
Authors: Dionisio Giulia , Bigoni Francesca
Published: December 2023

The pre-Columbian Mazzei collection is often cited as one of the most important in the Florentine Museum. However, the figure of Ernesto Mazzei is little known. With this study we outline a brilliant, complex personality, active in apparently separate cultural spheres. He was the protagonist of an adventurous life divided between Italy and distant countries of South America.
La Valle dei Templi in epoca medievale. Caratterizzazione antropologica e paleopatologica delle sepolture antistanti il Tempio della Concordia
Authors: Fiorentino Claudia , Miccichè Roberto , Caminneci Valentina , Rizzo Maria Serena , Di Giuseppe Zelia , Ficarra Salvatore , Sineo Luca
Published: December 2023

This research presents the results of the bio-archaeological analyzes carried out on human skeletal remains found in fourteen burials of Medieval chronology at the Archaeological Park of Valle dei Templi in Agrigentum (Sicily). The aim of the research was the acquisition of the information necessary for the reconstruction of the biological profile of each individual, throught the determination of sex, the estimate of the biological age at death, the estimate of height and the evaluation of pathologies and markers of occupational stress through current anthropological diagnostic methodologies and techniques. Althought the poor state of conservation of some individuals has not allowed their whole anthropological characterization, the investigations have highlighted the heterogeneity relating to the age groups and have allowed us to ascertain the presence of pathological alterations in subjects of mature age, sometimes of unknown etiology, such as DISH (Diffuse Idiopathic Skeletal Hyperostosis). The sample size is not representative of the entire population, but subsequent insights will provide a better understanding of the population dynamics of Medieval Agrigentum.
Ricognizione e analisi antropologiche delle spoglie mortali di Ferrante Gonzaga Duca di Guastalla
Authors: Mallegni Francesco , Bedini† Elena , Mallegni Gabriele , Bertelli Paolo
Published: December 2023

The mortal remains of Ferrante Gonzaga (Mantua, 28 January 1507-Brussels, 15 November 1557), Italian condottiere (military leader) leader and trusted man of Emperor Charles V, are presented and discussed from the physical-anthropological point of view. Ferrante Gonzaga was appointed by Charles V as viceroy of Sicily from 1535 to 1546 and governor of Milan from 1546 to 1554. His skeletal remains were found in a room of the current sacristy of the Duomo in a lead coffin of anthropomorphic shape enclosed in turn in a wooden box, parallelepiped-shaped with a «barrel» roof. Through the anthropological examinationof his skeleton, it was possible to demonstrate not only that the bones in the coffin really belonged to Ferrante Gonzaga, but also to highlight the strong bone structure of Ferrante as reported in the writings of those who knew this historical figure and could relate to his attitude to physical exercises and riding, activities that contributed strongly to defining it. In the anthropological study, other documented aspects of his life are considered: traces of wounds in battles, physical stress markers as far as well as surgical practices during the artificial mummification of his corpse. These aspects are highlighted and discussed through radiographic examinations of his remains. The physiognomic reconstruction of his face allows us to notice traits that also recur in other members of his closest kinship and are highlighted in their effigies as can be seen from theartworks of talented painters of the time.
A dental metric open access dataset. Odontological applications in anthropological studies
Authors: Lauria Gabriele
Published: December 2023

Teeth due to their peculiar structure and composition are the most durable elements of animal bodies and therefore the most common osteological remains in collections. The abundance of teeth in collections means that they are subject to extensive research that today constitutes a well-defined discipline called Odontology. Fortunately, through appropriate anatomical and comparative studies teeth can be informative about phylogenetic history and evolutionary mechanisms of species. Variations in teeth, including dimensional variations, are commonly used in physical anthropology as a powerful diagnostic tool. This paper aims to provide a free database of adult human tooth measurements. The database consists of a series of maxilla and mandible mesiodistal and buccolingual diameters (711 measures) taken on the premolars and molars from 19 Sicilian sites that belong to the Mesolithic up to modern times. It is not our intention, at this time, to provide an extensive ontological study. Instead, we illustrate with a simple example of how the database can be used. The example shows the database is reliable and reproducible.
Conservazione preventiva al Museo di Antropologia e Etnologia dell'Università degli Studi di Firenze
Authors: Manfriani Chiara , Gualdani Giovanni , Fioravanti Marco , Roselli Maria Gloria
Published: December 2023

Preventive Conservation (PC) is the sum of the activities needed to protect cultural heritage from damage. Among PC activities, climate monitoring and control are especially necessary for anthropologic and ethnographic collections, which are highly hygroscopic. Knowledge of collection objects and their conservation needs, together with their housing characteristics, is at the base of efficient PC strategies, including the evaluation of potential changes in the environmental parameters. An approach based on international standards is required to make museum indoor climate control activities objectives needs-based, and more economically, environmentally, and energetically sustainable. This approach was implemented for the PREMUDE research project, with the collaboration of DAGRI Department of University of Florence, Sistema Museale di Ateneo (SMA) and Opificio delle Pietre Dure (OPD). In this context, national and international norms, standards and museum guidelines were examined and used to apply innovative technologies of the Internet of Things (IoT) for monitoring and climate control of case studies from the Museum of Anthropology and Ethnology of Florence.
Etnografia della transizione culturale nelle comunità San del Kalahari
Authors: Zavattaro Monica , Backwell Lucinda
Published: December 2023

During her palaeoanthropological and ethnoarchaeological research at the University of the Witwatersrand, South Africa, between 2007 and 2014, Lucinda Backwell privately collected a significant amount of objects produced by the San communities who currently live in Kalahari reserves, assigned to them by the governments of Botswana and Namibia: the villages around Tsumkwe, in the Nyae Nyae Conservancy, the village of Kacgae in the district of Ghanzi and the Transfrontier Park on the border between Botswana and South Africa. Initially motivated by the desire to offer some economic support to the communities by purchasing some products of their craftsmanship, the author realized that it would be important to document the culture of the San and the elements in transition. With this in mind, she put together a collection of over 400 artifacts, which in 2018 she donated to the Natural History Museum of Florence. This work aims to document the collection and highlight its ethnographic meaning, considering the archaeological traces that attest to the antiquity of the San culture, and the evidence on the current living conditions of a people threatened in their survival.
Caregiver Burden in Substance Use Disorders Patients
Authors: Uddin Md. Jasim , Md. Sabiruzzaman Md. Sabiruzzaman , Habiba Rezwana , Pal Basudeb Chandra , Royle R K S , Chowdhury Ahmed Riad , Parvez Muhammad Kabir Hasan , Islam Md. Rofiqul , Roy Krishna , Firoz Kazi Farah , Islam S. M. Zikrul
Published: December 2023

Background: Substance Use Disorders (SUDs) impose significant challenges not only on individuals grappling with addiction but also on the caregivers who provide support and care. The caregiving role is associated with multifaceted burdens that require understanding and targeted interventions. Recognizing the diverse dimensions of caregiver burden is crucial for offering effective support. Objective: The study aimed to find out the caregiver burden in substance use disorder patients, examining severity and socio-demographic correlations, contributing insights into effective support strategies. Methodology: The cross-sectional observational study took place at Sylhet MAG Osmani Medical College's Psychiatry Department and a private psychiatric and drug rehabilitation center in Sylhet from September 1, 2018, to August 31, 2020. The research focused on substance use disorder patients and their caregivers, involving 50 eligible patients selected through inclusion and exclusions criteria. Diagnoses followed DSM IV criteria. Socio-demographics were gathered via semi-structured questionnaires. Caregiver burden was assessed using the Bengali Zarit Burden Interview (ZBI) scale through approximately hour-long interviews, with 1-2 daily. Ethical procedures encompassed informed consent and confidentiality assurance. Result: The study included 50 male participants. Patients mean age was 31.92 (±8.21) and caregivers mean age was 41.68 (±12.89). Mainly, caregivers were mothers (40%) and wives (34%). Caregivers experiencing moderate to severe burden were 58%, mild to moderate burden were 26%, and severe burden were 16%. Mean ZBI score was 48.22±13.55. Higher burden correlated with illiteracy, low family income, excessive drug spending, prolonged substance use, and multiple drug usage. Alcohol users faced more burden than other substance users. Female caregivers, younger age, and housewives experienced heightened burden. No burden links were found with marital status, habitat, religion, family type, or drug administration method. Conclusion: This study concluded that Substance use heightens caregiver burden, notably among female, young, and housewife caregivers. Addressing these trends is vital for effective care of substance use
GOC in Maxillary Anterior Jaw: An Infrequent Case Report
Authors: Bargoti Gauri , Verma Aviral , Yadav Ipshita , Gupta Amit
Published: December 2023

Padayachee and Van Wyk in 1987 first documented the case of Glandular odontogenic cyst (GOC) and regarded this as ‘sialo-odontogenic cyst’ they published two cases that mimicked botryoid odontogenic cyst and the central mucoepidermoid tumor of jaws. Glandular odontogenic cyst (GOC) is counted as infrequent developmental odontogenic cyst of jaw that has the incidence of 0.012 to 1.3% only GOC is very rare with only 111 cases have been documented in the English literate till date. This case report in unique as this patient presented with the painless swelling in maxillary anterior region.
Clinical Profile, Treatment Modalities and Outcomes among Patients with Upper Aero-Digestive Tract Emergencies at Bugando Medical Centre, Mwanza, Tanzania
Authors: Protas Cecilia , Kimaro Olivia , Donasiano Alex , Kichiba Samson E
Published: December 2023

Background: Emergencies of the upper aero-digestive tract emergencies (UADTEs) are common in our setting, can be life threatening, challenging to the otolaryngologists and yet there is a paucity of clinical studies on these emergencies. This study aimed to determine the clinical profile, treatment modalities and outcomes of upper aero- digestive tract emergencies at Bugando Medical Centre (BMC), Mwanza, Tanzania. Methods: Between January and May 2019, a cross sectional study involving patients presenting with a clinical diagnosis of UADTEs was conducted at BMC. Data on socio-demography, clinical presentation, duration of symptoms, time interval between admission and intervention, type of intervention, postoperative complications and length of hospital stay were collected in questionnaire designed for the study. Ethical clearance was obtained from the Joint CUHAS/BMC Research, Ethics and Review Committee. Results: Of 487 ENT emergencies seen during study period, 128 (26.3%) patients had UADTEs. Male outnumbered females by a ratio of 1.5: 1. Their median age at presentation was 5 [range, 2-40] years. The major causes of UADTEs were foreign body ingestion, head & neck tumors and foreign body aspiration and cut-throat injuries that were seen in 56(43.8%), 33(25.8%), 25(19.5%) and (3.9%) respectively. The most frequent presentations were dysphagia 81(63.3%), difficulty in breathing 61(47.7%) and odynophagia 56(43.8). Poor outcome following esophagoscopy was associated with younger age (0-17 years) (p=0.02), prolonged duration to treatment (p=0.04) and low blood oxygen saturation (SPO2) (p=0.04). In addition, delayed duration to treatment (p=0.01) and foreign body ingestion (p=0.001) were significantly associated with prolonged hospital stay. Conclusion: At Bugando Medical Centre, UADTE pose a serious burden and challenge. Peripheral hospitals should be equipped with trained health workers and basic equipment to resuscitate and manage these patients before they are ......
The Strabismus Prevalence in a Random Sample of Iran's Northeastern Population
Authors: Derakhshan Akbar , Sabermoghaddam Aliakbar , Abdolahian Milad , Zarei  Ganavati Siamak , Shakeri Mohammad Taghi , Alirezaei Mehran , Zareei Athar , Bamdad Shahram
Published: December 2023

Purpose:  To investigate prevalence of strabismus and related factors in Mashhad, Iran.
Study Design:  Cross sectional study.
Place and Duration of Study:  Khatam-al-Anbia Hospital, affiliated with Mashhad University of Medical Sciences.
Methods:  Using multistage cluster sampling, participants were selected. All participants underwent detailed ocular examinations. A unilateral cover test was performed with the prism bar to achieve binocular alignment. Deviation magnitude was determined by considering the best refractive correction. Fixation targets were chosen as single letters one line above the best-corrected visual acuity on the distance and near chart.
Results:  This study included 5054 participants with a mean age of 35.35 ± 19.4 years. Strabismus was detected in 110 participants (2.17%) including 26 (0.51%) with esodeviation, 74 (1.46%) with exodeviation, and 10 (0.19%) with vertical deviation. The prevalence rates for strabismus, exotropia and esotropia were 2.38%, 1.64%, and 0.56% in females and 2.00%, 1.31%, and 0.51% in males respectively. The results did not indicate a significant gender difference in terms of strabismus prevalence (p>0.05). Among the deviated eyes, there were 25.5% with hyperopia, 39.1% with myopia, and 35.5% with emmetropia. Anisometropia and amblyopia rates were 2.79% and 2.55%, respectively. The results did not reveal a significant correlation between strabismus prevalence, exotropia, and esotropia and age (p=0.56). The familial strabismus prevalence was 5.45%.
Conclusion:  Exotropia was more prevalent form of strabismus. Myopia was the dominant refractive error associated with deviated eyes. Tropia showed no age-related association.
Visual Acuity Assessment in Deaf-Mute Children: Identification of Shortcomings and Search for Solutions in the Russian Federation and Some Countries Formerly Part of the Soviet Union – A Narrative Review
Authors: Jonnazarov Eldor , Eduardovich Avetisov Sergey , Cervatiuc Maria , Thai Duong Pham , El Khoury Antoine
Published: December 2023

The purpose of this narrative review is to study the problems in assessing visual acuity in deaf-mute children. We identified various methods of Visometry, published articles and patents for the inventions based on the assessment of visual acuity in deaf-mute children in the Russian Federation and parts of countries formerly part of the Soviet Union, in order to identify shortcomings and search for solutions. According to the total number of 126 cited scientific papers, the most common methods for assessing visual acuity in deaf–mute patients included Golovin-Sivtsev table (89.1%) and new JEI/JEI technique (8.9%). However, 2% of the doctors used tables of "illiterate" E, Teller Acuity cards with hand gestures, combining Teller Acuity cards with hand gestures to trigger reactions, Lea symbols with visual cues enabling visual cues or pointing to stimulate recognition and Graphic tables with sign language. In the presence of signs of hearing and speech disorders in patients, it is recommended to consider the use of cards duplicating optotypes to the table for assessing visual acuity
Clinical phenotypes and variants of mutations of the ALPL gene in children with hypophosphatasia, enzyme replacement therapy with Asfotase alfa: literature and clinical case data
Authors: Savenkova N. D. , Leviashvili Zh. G. , Barsukova V. N.
Published: December 2023

The article presents current literature data on clinical phenotypes and variants of ALPL gene mutations, the effectiveness of enzyme replacement therapy with asfotase alfa in children with hypophosphatasia (HPP). HPP is inherited disease ORPHA (436). The OMIM catalog contains forms of HPP: perinatal (lethal), infantile; hypophosphatasia of childhood; hypophosphatasia in adults; odontohypophosphatasia. M.E. Nunes (2023) considers 7 forms of HPP, taking into account the age and severity of the clinical manifestation. As a result of worldwide molecular genetic studies, fundamental information has been obtained on the phenotypic features of the manifestation and severity of HFF in pediatric patients, depending on the variants of the ALPL gene mutations. Molecular genetics diagnosis and enzyme replacement therapy with Asfotase alfa in our country are guaranteed for children with HPP at the expense of the «Krug Dobra Foundation», the founder of the foundation is the Ministry of Health of the Russian Federation. The article presents a clinical observation of a proband with hypophosphatasia receiving Asfotase alfa.
SEGURANÇA DO PACIENTE NO CENTRO CIRÚRGICO
Authors: Moraes Amanda Coelho de , Costa Franciele da , Santos Margarete Simone Fanhani dos
Published: December 2023

A garantia da segurança e proteção do paciente é o principal referencial pautado no controle de qualidade no centro cirúrgico. Desta forma o tema deste trabalho é a segurança do paciente dentro do centro cirúrgico e abordará a atuação do enfermeiro para a garantir essa segurança. Neste sentido este artigo tem por objetivo identificar o papel do enfermeiro na promoção da segurança do paciente cirúrgico, visando a identificar riscos e apontar condutas que favoreçam o cuidado seguro, livre de danos preveníveis. Para o desenvolvimento do artigo foi realizada uma pesquisa descritiva e exploratória, de natureza bibliográfica narrativa. Para isso realizou-se a leitura do material selecionado e os principais dados compilados para analise descritiva relatando a importância do papel do enfermeiro na promoção da segurança do paciente cirúrgico. Os principais resultados evidenciam que a  segurança do paciente no centro cirúrgico é uma preocupação crítica e complexa, exigindo a aplicação de medidas de prevenção, treinamento adequado da equipe, comunicação eficaz e uma cultura de segurança.
Barreiras enfrentadas pela população transgênero no atendimento odontológico: uma revisão narrativa
Authors: Santos Lucas Lourenço dos , Silva Ana Cecília Paula e , Almeida Ana Luiza Lima , Gervásio Nayane Rodrigues , Carvalho Thiago de Amorim
Published: December 2023

No Brasil, apesar da implementação de políticas afirmativas no SUS que ampliam a acessibilidade à população transgênero na saúde coletiva, os desafios para o acesso universal ainda persistem. Além disso, observa-se lacunas na formação em saúde e de seus profissionais. O objetivo deste trabalho foi analisar as barreiras que transexuais enfrentam no Sistema Único de Saúde (SUS) e reforçar a importância dos profissionais da equipe multiprofissional, incluindo o cirurgião-dentista, adotarem uma abordagem empática e inclusiva para com essas pessoas. Foi realizada uma revisão narrativa da literatura acerca da temática, incluindo as publicações produzidas entre 2013 a 2023. É necessário ressaltar o preconceito e os estigmas de gênero que a população transexual sofre no acesso aos serviços de saúde, incluindo a odontologia oferecida pelo SUS. A falta de capacitação, aliada à estrutura de preconceitos enraizados, dificulta o atendimento empático e inclusivo, facilitando o afastamento e constrangimento dessas pessoas. É evidente que há necessidades de uma reforma social para dar visibilidade ao público transgênero, integrando-os de forma universal, equânime e integral desse público, aproximando-os dos serviços ofertados no SUS garantindo saúde e qualidade de vida.
AFIRMAÇÃO DA CULTURA DA URBANIZAÇÃO SEGREGACIONISTA E SEUS IMPACTOS AMBIENTAIS
Authors: Soares Duarte de Moura Rafael , Freitas de Oliveira Azevedo Fernanda
Published: December 2023

Este artigo analisa as implicações ambientais decorrentes da cultura da urbanização segregacionista, tendo como foco o contexto do Plano Diretor de Montes Claros. É apresentado um breve histórico da cidade, abordando seu crescimento populacional e urbano ao longo do tempo. Em seguida, são discutidas as características da urbanização segregacionista. Posteriormente, o Plano Diretor de Montes Claros é explorado como um instrumento de gestão urbana, destacando seus objetivos e diretrizes. Utiliza-se abordagem de pesquisa qualitativa, que julga fundamental o Plano Diretor de Montes Claros abordar adequadamente a questão da segregação urbana e a promoção de uma urbanização equitativa, inclusiva e sustentável. Isso requer a implementação de políticas de planejamento urbano que considerem a preservação ambiental, a acessibilidade aos serviços básicos e sustentáveis e a participação da comunidade. Somente assim será possível mitigar os impactos ambientais da urbanização segregacionista e criar um ambiente urbano harmonioso e com qualidade de vida para todos os moradores de Montes Claros.
Features of tourism management based on PESTLE analysis
Authors: Oleksyuk Hanna V. , Slipetskyy Marko I.
Published: December 2023

The article examines the topical issue of the development of the tourism industry in territorial communities, i.e. the impact of the external environment and the dependence of the development of the tourism sector of the economy on the system of macroeconomic factors which are not directly formed and controlled by territorial communities, despite being an integral element of their management. The authors outline the approaches to the application of PESTLE analysis as the strategic management tool, which makes it possible to analyze the external environment of influence on the development and functioning of tourism in communities, which does not exist outside the integration with other sectors of the economy and markets. The author emphasizes the definition of consumer values in tourism, which is the main goal for a tourist, a visitor to the territory, and a traveler when receiving certain services, which imply obtaining certain sensations: pleasure, emotions, cognition, comfort, health improvement, rest, etc. The article defines certain steps of the PESTLE analysis, which can be used in communities to prepare strategic planning. The authors reveal that when conducting a PESTLE analysis, it is necessary to try not only to describe and evaluate existing external factors but also to predict their changes for 3-5 years. It is necessary to identify the factors that can directly influence the development of the territorial community, the growth of its economic potential, and the preservation of the environment, and systematize them according to their importance for the achievement of the strategic goal. It remains important to predict and minimize possible risks and threats that occur/will occur during the functioning of the complex of tourist capacity of communities – tourist facilities, tourism industry enterprises, infrastructure, and communications.
Fragmentation of the Middle East: social and economic aspects
Authors: Zhyvko Maksym A. , Zastavnyy Andriy R.
Published: December 2023

The article aims to deepen the theoretical foundations of the fragmentation of the Middle Eastern countries in terms of socio-economic factors that have significantly influenced stability and development in the region. The authors highlight the consequences of fragmentation for various aspects of social life, including political stability, social cohesion, economic development, and human well-being. The article outlines potential strategies and interventions to address these challenges in order to contribute to a more inclusive and prosperous Middle East. The authors analyze the ethnic, religious, and cultural differences in the Middle East that have contributed to social fragmentation and led to tensions and conflicts that ultimately impede socio-economic development. Fragmentation is shown to have affected social cohesion and cultural identity in the region. Differences based on ethnicity, religion, and political preferences hinder social integration, leading to increased social tensions and potential conflicts. Political instability and governance problems, including weak governance structures and authoritarian regimes, are analyzed. The article reveals that political instability has contributed to fragmentation in the region due to the lack of inclusive governance systems and effective institutions, which hinders economic growth and social progress. The fragmentation of political stability and security in the Middle East is assessed. Internal conflicts, inter-confessional tensions, and the rise of non-state actors pose serious challenges to regional stability and cooperation. The authors show that the unequal distribution of wealth and resources, combined with high levels of poverty and unemployment, has increased social inequality and created economic fractures in the region. Limited regional cooperation, trade barriers, and political instability impede economic growth, preventing the creation of sustainable livelihoods and opportunities.
Behavioral features of the speech signal as part of improving the effectiveness of the automatic speaker recognition system
Authors: DOBROWOLSKI Andrzej , MAŁY Dominik
Published: December 2023

The current reality is saturated with intelligent telecommunications solutions, and automatic speaker recognition systems are an integral part of many of them. They are widely used in sectors such as banking, telecommunications and forensics. The ease of performing automatic analysis and efficient extraction of the distinctive characteristics of the human voice makes it possible to identify, verify, as well as authorize the speaker under investigation. Currently, the vast majority of solutions in the field of speaker recognition systems are based on the distinctive features resulting from the structure of the speaker's vocal tract (laryngeal sound analysis), called physical features of the voice. Despite the high efficiency of such systems - oscillating at more than 95% - their further development is already very difficult, due to the fact that the possibilities of distinctive physical features have been exhausted. Further opportunities to increase the effectiveness of ASR systems based on physical features appear after additional consideration of the behavioral features of the speech signal in the system, which is the subject of this article.
An Enhanced Authenticated Key Agreement Scheme for Cloud-Based IoT in Wireless Sensor Networks
Authors: Singh Sartaj , Singh Amar
Published: December 2023

Recent advancements in mobile and wireless technology have fundamentally impacted the underpinnings of cloud computing and IoEs. These changes have changed the way data is communicated across numerous channels, allowing for intelligent discovery and operation. The Internet of Things (IoT) is highly reliant on wireless sensor networks (WSNs), which have several applications in industries ranging from smart medicine to military operations to farming. The IoT's substantial reliance on these activities generates a large amount of data. All the above-specified data is transferred to a remote server for storage and processing. As a result, it is critical to enable safe data access in WSNs by authenticating individuals in altered states of awareness. Authenticating drug addicts in WSNs is still a topic that has not been fully addressed. This study describes a novel and improved authenticated key agreement mechanism for WSNs in cloud-based IoT applications. The technique suggested in this research provides a safe and effective solution for ensuring the confidentiality and integrity of the connection between sensor nodes and the cloud server. To enable a secure key exchange, the system implements a cryptographic method that combines symmetric and asymmetric encryption techniques. Furthermore, it employs a basic authentication approach to ensure that no data has been tampered with during transmission. In terms of security, communication overhead, and computing complexity, the simulation results show that the suggested solution outperforms the alternatives. The proposed methodology applies to a wide range of IoT application cases, including the previously described smart home, smart city, and industrial automation implementations. A comparison of related approaches supports the safety of our solution for WSNs.
Application of Delta PLC on Battery Management System in AC/DC Microgrid
Authors: Nanda Babita , Jena Ranjan Kumar , Muni Bishnu Prasad
Published: December 2023

To keep the energy balance and power quality in check, a proper controller must be made for all the parts of the microgrid to work together. The sizing of the microgrid is done by considering the distributed generators and their connected ACDC loads. The performance of DC will obtain according to the state of charge condition of the battery bank. So it is essential to operate the battery bank by observing the state of the charge condition. To maintain the voltage stability of the system the PLC (programmable logic controller) best switching controller is designed to operate the battery bank according to the distributed generators’ demand. The main objective of the present work is to enhance the power conversion efficiency and maintain voltage stability during essential conditions which are fulfilled by the Battery storage and its controller. It must provide effective voltage support in a fault condition.
High-frequency Differential Mode Modeling of Universal Motor's Windings
Authors: Bermaki Dr. Mohammed Hamza , Miloudi Dr. Houcine , Miloudi Dr. Mohamed , Gourbi Dr. Abdelkader , Bendaoud Prof. Dr. Abdelber
Published: December 2023

The universal motor is a rotating electrical machine that can operate on either direct current or single-phase alternating current, similar to a DC motor. It has been widely used in various small and inexpensive drives for a long time, mostly in home appliances and hand tools. The noise generated by a universal motor is believed to be closely associated with the electromagnetic torque fluctuations of the machine, which are caused by variations in the current supplied to the motor. The power electronics utilized for controlling the motor's speed are responsible for these current changes. Accurate high-frequency motor models are crucial for reliable electromagnetic interference simulations in motor drive power electronic systems. Research efforts have expanded to explore different realistic configurations that can be used to investigate the electromagnetic compatibility behavior of electrical machines. This study describes a method for predicting the differential mode impedance of universal motor. The behavior of each motor winding has been individually studied through impedance measurements, starting with the armature, followed by the series winding, and finally the inductive compensating winding. The prediction results over a wide frequency range up to 1 MHz are in good agreement with the measurements and enabled us to propose a model circuit for each motor winding.
Optimized Multi Agent System for Stability Enhancement of Inter Connected Power System
Authors: Begari Vijaya Kumar , Reddy Dr. V.C. Veera , Sujatha Dr. P.
Published: December 2023

Due to the rising use of renewable energy sources and the use of contemporary power electronic equipment, power system stability has become a major challenge in current power systems. Controlling the power system characteristics can increase the stability of the power system. The traditional techniques for improving power system stability, such as the use of FACTS devices, are costly and may not be effective in handling the dynamic changes of the power system. As a result, by optimizing the power system parameters, an optimization-based multi-agent system can improve the stability of the power system. The Grey Wolf Optimizer based Multi Agent System (GWO-MAS) is proposed in this paper to improve power system stability. The control agents of Distributed Generations (DGs) are optimized using GWO algorithm based on the deviations in frequencies of DGs. Particle Swarm Optimization based Multi Agent System (PSO-MAS) and Conventional Multi Agent System performance are compared with the suggested technique's implementation on IEEE 30 bus system and testing in MATLAB/Simulink environment. The outcomes showed that the suggested approach is successfully improving the stability of an interconnected power system.
Relação da atividade física com a melhora da qualidade de vida de pessoas com Doença de Alzheimer: revisão sistemática da literatura
Authors: Kehrwald-Balsimelli Bruno , Teixeira-Filho Alberto de Azevedo Alves , Monaco-Cardoso Thomas Del , Anastácio-Oliveira Ana Laura , Evangelista-Filho Evandro Ramos , Fernandes-Santos Luciano , Tallo Fernando Sabia , Novais Maykon Anderson Pires de , Taha Murched Omar , Caricati-Neto Afonso , Guzella de Carvalho Rafael , Ferraz Renato Ribeiro Nogueira , Menezes-Rodrigues Francisco Sandro
Published: December 2023

The aim of this study is to report on the impact of physical activity in a palliative manner on the quality of life of people with Alzheimer's disease (AD). A literature review was conducted using scientific journal articles, theses, dissertations, and scientific websites that were evaluated for the present study. The bibliographic survey was carried out by consulting the following scientific databases: PubMed, Scielo, BVS Brasil. The search was retrospective, limiting itself to scientific papers published from February 2010 to February 2023. Physical activity can delay the expression of symptoms and cognitive impairment of AD, as well as increase protective mechanisms such as the release of neurotrophins and the hormone irisin. The combination of drug therapy with physical activity can also improve the quality of life of patients. Some studies indicate that light and moderate activities can contribute to the reduction of deficits in daily living activities and attenuate sleep disorders. Other studies show that physical activity can improve cognitive function, balance, and reduce the risk of falls in elderly people with AD. Walking seems to be a particularly beneficial physical activity for patients with AD. Although the studies presented in this review strongly indicate the benefits of physical activity for patients with AD, more research is needed to better elucidate the pathophysiology and treatment of the disease.