bluuebunny/crossref_metadata_2025 huggingface dataset:
Ultrasound-guided inferior vena cava collapsibility index as a predictor of fluid responsiveness in septic cancer patients
Authors: Gaafar Mohamed Ahmed , Soliman Ahmed M , Ahmed Naglaa Abdallah , Kotb Tamer Ahmed , Shaker Ehab Hanafy
Published: July 2024

Background & objective: Intravenous fluid therapy is a critical step in the resuscitation of patients suffering from sepsis and septic shock. Meticulous hemodynamic monitoring is necessary before as well as during the fluid therapy to avoid under- as well as over-loading the patient. An evaluation of fluid status has been suggested to be done non-invasively using the inferior vena cava collapsibility index (IVC-CI). We assessed the effectiveness of IVC-CI in evaluating septic patients' responses to fluid therapy at our institution.
Methodology: Forty cancer patients with spontaneous breathing, who met sepsis criteria and were admitted to the intensive care unit, were included in this cross-sectional study. Over the course of three hours, the patients received crystalloids intravenously at a rate of 30 ml/kg, while CVP, ultrasonography guided IVC-CI measurement, and the vital sign monitoring was done every 30 min. Patients were divided into a responder group and a non-responder group based on a 10% change in cardiac output (CO) one hour later. IVC-CI variations in the volume responsiveness prediction served as the main outcome measure.
Results: According to the change in CO one hour after starting fluid treatment, 29 patients (72.5%) were classified as fluid responsive and the remaining 11 (27.5%) as fluid non-responsive. In the two groups, HR and IVC-CI decreased significantly; whereas MAP, CVP, and CO increased significantly. ROC-curve analysis showed a percent change ≥ 3.4% of IVC-CI predicted positive responsiveness with a sensitivity of 72.4% and a specificity of 63.6%. These values were 79.3% and 72.7%, respectively, for a change ≥ 6.3% after one hour. The baseline value of IVC-CI was not predictive of responsiveness.
Conclusion: In cancer patients with sepsis or septic shock, the change in inferior vena cava collapsibility index during the first hour of fluid therapy can predict fluid responsiveness with a moderate degree of accuracy.
Abbreviations: CO - Cardiac output; CVP - central venous pressure; IVC- inferior vena cava; IVC-CI - inferior vena cava collapsibility index; MAP - Mean arterial pressure; SV - Stroke volume
Keywords: Cancer; ICU; Critically sick; Inferior vena cava; IVC collapsibility index; Non-invasive cardiometry; Sepsis
Citation: Gaafar MA, Soliman AM, Ahmed NA, Kotb TA, Shaker EH. Ultrasound-guided inferior vena cava collapsibility index as a predictor of fluid responsiveness in septic cancer patients. Anaesth. pain intensive care 2024;28(3):547−552; DOI: 10.35975/apic.v28i3.2472
Received: March 20, 2024; Revised: March 23, 2024; Accepted: April 27, 2024
Enhancing anesthesia precision: integration of BIS monitoring in anesthesia machines
Authors: Zahid Muhammad Arslan , Kumar Vinod , Wadhwani Jatendar , Kumar Ajeet , Hasan Muhammad Farhan , Saleh Muhammad
Published: July 2024

The review examines the integration of Bispectral Index (BIS) monitoring into anesthesia machines, focusing on its fundamental principles, clinical applications, and technical nuances. BIS, a parameter derived from electroencephalogram (EEG) analysis, quantifies the hypnotic effects of anesthesia, providing an objective measure of the patient's neurological state. The integration enhances perioperative outcomes, improve patient safety, and optimize the administration of anesthetic drugs. This review highlights the challenges posed by variations in patient reactions to anesthetics and the limited effectiveness of traditional monitoring methods. BIS monitoring offers real-time evaluation and precise titration of anesthesia, reducing risks of over-sedation and insufficient anesthesia. Thereby reducing the risk of oversedation and insufficient anesthesia. It also mitigates anesthesia awareness, which is a rare but serious phenomenon. This review discusses the implementation and practice guidelines for BIS monitoring, emphasizing the need for thorough training of anesthesia practitioners. It also discusses the economic implications and cost-effectiveness of BIS monitoring, with potential benefits in optimizing anesthesia management. The ethical and legal considerations associated with BIS monitoring are also discussed, emphasizing its role in providing impartial evidence in disputes. The article concludes by positioning BIS monitoring as a standard of care in anesthesia and critical care settings, highlighting its pivotal development in anesthesia machines, including wireless connectivity.
Keywords: Anesthesia Machines; Anesthesia Precision; Awareness, Intraoperative; BIS Monitoring; Bispectral Index (BIS); Depth of Anesthesia; EEG Analysis; Perioperative Outcomes; Patient Safety; Surgical Precision
Citation: Zahid MA, Kumar V, Wadhwani J, Kumar A, Hasan MF, Saleh M. Enhancing anesthesia precision: integration of BIS monitoring in anesthesia machines. Anaesth. pain intensive care 2024;28(3):558−565; DOI: 10.35975/apic.v28i2.2481
Received: January 20, 2024; Reviewed: February 23, 2024; Accepted February 23, 2024
Study the immunostimulatory properties of a solution for injection comprising natural powdered honey in laboratory animals
Authors: Yemelianov A. V. , Koshova O. Yu. , Sumakova N. V. , Paliy A. P.
Published: July 2024

The article presents the results of pharmacological studies of a new domestic drug ‘Apimel’ in the form of a solution for injection based on natural powdered honey as an active ingredient. The effect of the solution for injections with natural powdered honey on the severity of the immune response in rats and mice with normal immune status was studied, and the immunostimulating properties of the drug ‘Apimel’ in mice with immunodeficiency were studied. It was found that the most pronounced immunostimulatory properties of the drug were observed in doses of 50 and 250 mg of natural powdered honey/kg body weight. The study of the effect of the drug on the development of a slow-type hypersensitivity reaction in mice revealed the anti-inflammatory properties of the drug at doses of 25 and 150 mg of natural powdered honey per kilogram of body weight. In the course of studying the immunostimulating properties of the investigated drug in mice with immunodeficiency, it was found that the solution for injection at a dose of 50 mg of natural powdered honey/kg body weight restored the processes of antibody formation at the level of the comparison drug, and significantly exceeded it in terms of the expression of phagocytic activity of neutrophils
THE NUMBER AND SITUATION OF DISADVANTAGED CHILDREN IN SLOVAKIA AND THE FACTORS INFLUENCING THEIR PARTICIPATION IN SPORTS ACTIVITIES
Authors: Zidek Péter , Müller Anetta
Published: July 2024

This research paper analyzes socially disadvantaged children in Slovakia, focusing on current statistics and factors influencing their engagement in sporting activities. Drawing on recent data, the study highlights the prevalence and distribution of socially disadvantaged groups among children in Slovakia. It also investigates the multifaceted factors impacting their participation in sports, including the roles of parents, peer groups, coaches, and other socio-cultural influences. By examining these factors, the research aims to understand the barriers and facilitators to sports participation among socially disadvantaged children. The findings contribute to the broader understanding of the intersection between socio-economic status and sports engagement, offering insights for policymakers, educators, and practitioners seeking to develop targeted interventions and programs to promote sports inclusion and equity among disadvantaged youth in Slovakia.
Analysis of Turnover Intention at PT Infia Media Pratama
Authors: Sukamdani Nugroho B , Sukamdani Hariyadi B , Sulistyadi Yohanes , Hasibuan Reyki Wahyudi
Published: July 2024

PT Infia Media Pratama is a company based in the creative content industry, primarily social media content, which is currently experiencing a quite serious turnover rate, reaching an average of 19% in the last three years. Even though the normal turnover rate is 5%, to overcome this turnover problem, an analysis of the various variables that influence employee turnover intention is needed. This research aims to try to observe the relationship between the variables' employee engagement, quality of work life, organizational commitment, and employee turnover intention. The research was conducted through a survey using a census sampling method. Primary data analysis tests use multiple linear regression, and hypothesis testing uses t-test and F-test. The research results show that increasing employee engagement and organizational commitment have a positive influence on increasing employee turnover intention. The quality of work-life variable has a negative relationship with employee turnover intention, even though the effect is only 4%. Thus, companies need to improve the quality of work life in an effort to reduce employee turnover intention.
Konsep Pembentukan Personal Branding Peter Montoya Pada Akun Instagram @satriviavijie
Authors: Adevy Vanie , Naila Filzani
Published: July 2024

This research aims to understand the concept of forming Peter Montoya's personal branding on the Instagram account @satriavijie. The approach used is descriptive qualitative. Montoya's eight personal branding concepts consist of, Specialization which is concentrated on strengths, skills or achievements. Leadership, providing clear direction to meet their needs. Personality is based on the personality that is. Differences are shown in a different way than others. The appearance of being someone who seems to need to promote himself, using every opportunity he encounters. Unity must be in line with moral ethics and attitudes. Firmness, a person must remain steadfast to the initial personal brand that has been formed and a good name lasts longer if it is perceived positively. The result is that Satria Vijie formed Personal Branding on Instagram by having a strong relationship with followers, providing motivation on his Instagram social media, sharing information about Skateboarding, carrying out positive activities starting from creating a social movement to educating children who are at LPKA. Satria Vijie built a Skatepark for Skaters thereby creating a positive perception in the minds of the public.
Análise Epidemiológica Da Mortalidade Por Doenças Infecciosas Intestinais Em Menores De Cinco Anos De 2018 A 2022 No Brasil
Authors: Nogueira Firmino Marília , Bezerra Motta Câmara Sara , Luvizon Mollo Thiago , Tue Domingos Diniz Cambraia Audrey , Araújo Ferreira Lucas
Published: July 2024

O presente estudo tem como objetivo analisar a mortalidade por doenças infecciosas intestinais em menores de 5 anos de idade no período de 2018 a 2022 entre as diferentes regiões do Brasil. Trata-se de um estudo ecológico, realizado mediante a coleta de dados no Sistema de Informações sobre Mortalidade do SUS (SIM/SUS) vinculado ao DATASUS, segundo as variáveis ano do óbito e regiões brasileiras. Os óbitos investigados foram aquelas relacionadas às doenças infecciosas intestinais das categorias CID-10 A00 a A09 entre as regiões brasileiras nos anos de 2018 a 2022. Quanto aos resultados, no total, 2.355 óbitos foram registrados, com distribuição regional variada, sendo que a região Nordeste destacou-se pelo maior número de óbito, enquanto a região Sul apresentou o menor número de óbitos. Notavelmente, ocorreu um declínio do número de óbitos durante 2020, seguido por um aumento nos anos posteriores à pandemia de COVID-19. Por categoria de classificação CID-10, a diarreia e gastroenterite presumivelmente infecciosas foram responsáveis por 82,76% dos óbitos, enquanto outras categorias representaram proporções menores. Não houve uma tendência uniforme de aumento ou diminuição entre as categorias durante os anos analisados, mas houve uma redução significativa em 2020 em todas as categorias. Os anos pré-pandêmicos não apresentaram tendências claras nos números de óbitos por categoria CID-10. Em suma, a maior taxa de mortalidade por infecções intestinais se concentrou na região Norte do Brasil, a qual se apresenta com baixo índice de saneamento básico. Há necessidade de investir nas áreas Norte e Nordeste do país a fim de melhorar seus índices socioeconômicos e deve-se aumentar a adesão ao calendário vacinal na infância, o qual conta com as vacinas contra o rotavírus humano, grande causador das infecções intestinais.
Edukasi dan Layanan Pemeriksaan Kesehatan sebagai Upaya Mewujudkan Gerakan Masyarakat Hidup Sehat
Authors: Salman Yuliana , Perdani Rizki , Pratiwi Wulan
Published: July 2024

Anemia is a health problem that can occur in all age groups, from toddlers to old age. Anemia in pregnant women can increase the risk of premature birth, maternal and child death, and infectious diseases. Iron deficiency anemia in the mother can affect the growth and development of the fetus/baby during pregnancy and afterward. The 2018 Riskesdas results stated that in Indonesia 48.9% of pregnant women experienced anemia. As many as 84.6% of anemia in pregnant women occurs in the 15-24 year age group. Hemoglobin examination and education are one of the preventive measures for disease in order to increase public awareness about the condition of their respective bodies in order to create a Healthy Living Community Movement (GERMAS). This service activity was carried out on Sunday, May 7 2023, located in the Siring area, Banjarmasin City, which was attended by 43 participants. The activity stages began with group healthy exercise, registration, blood pressure and hemoglobin checks, consultation and distribution of snacks (mung bean porridge) and multivitamins. People who take part in this activity gain additional knowledge and are motivated to routinely check their health condition at the nearest health agency. Apart from that, providing multivitamins also increases people's nutritional intake to improve their health status.
ANALISIS KEPATUHAN WAJIB PAJAK ORANG PRIBADI BERDASARKAN GENDER, JENIS PEKERJAAN DAN TINGKAT PENDIDIKAN
Authors: Gea Johan Putra Jaya , Purwanto Hari , Triatmaja Nur Asih , Wulandari Amy
Published: July 2024

This study aims to identify differences in the number of taxpayers at KPP Pratama Boyolali based on gender, type of work, and level of education. Data was collected through questionnaires which were distributed to one hundred people who answered. The Kruskal-Wallis method and independent t-test were used to test the hypotheses and analyze the data. The results of the study show that, although there is no difference between female and male taxpayers in the level of fulfillment of individual tax obligations, there is a difference between taxpayers who are employees and those who are not. In addition, this study found that there are differences in individual taxpayer compliance based on educational level, such as SMA-equivalent, Diploma 3, Bachelor, Diploma 4, Masters, or Doctoral.
PENGARUH LINGKUNGAN KERJA, MOTIVASI DAN DISIPLIN KERJA TERHADAP PRODUKTIVITAS KERJA KARYAWAN PADA PT. TUPAI ADYAMAS INDONESIA KABUPATEN BOYOLALI DI BOYOLALI
Authors: Gea Yernijati , Puji Rahayu Listyowati , Safitri Unna Ria , Suryana Alean Kistiani Hegy
Published: July 2024

The purpose of this study was to analyze the effect of 3 independent variables (partial) which are work environment, work motivation and work discipline on the dependent variable Y, namely work productivity and also to determine the effect together (simultaneously). And the participants of this study are some of the company's employees. Purposive sampling was used to select samples for research. 100 company workers in ready-made cloth factories who were enrolled in this study became the research sample. Questionnaire data in the form of a questionnaire is the type of data used. Multiple linear regression analysis is used in the analytical method. According to the results of the F test, all the company's independent variables X1, X2, X3 have a significant effect on the dependent variable Y. well, the t-test reveals that while the variables X2 (work motivation) and X3 (work discipline) have a significant impact on the Y variable (productivity work), while variable X1 (work environment) does not significantly affect productivity. The R-square value indicates a coefficient of determination of 0.650. This shows that the three independent variables, namely X1 (work environment), X2 (work motivation) and X3 (work discipline) can explain 65.0% of the dependent variable Y (work productivity), while the remaining 37.5% is explained by the factors outside the model.
ANALISA SWOT STRATEGI PEMASARAN DAN KEPUASAN PELANGGAN DI PERUSAHAAN ALFAMART BOYOLALI (Studi Kasus Alfamart Jl. Pandanaran No.194, Banaran, Kecamatan Boyolali, Kabupaten Boyolali)
Authors: Ummah Mar'atus Sholikhatul , Rahayu Listyowati Puji , Safitri Unna Ria , Purwanto Hari
Published: July 2024

This study aims to determine and improve the right marketing strategy, as well as the relationship between the level of customer satisfaction and marketing strategy and SWOT analysis at Alfamart Boyolali. The method used in this research is qualitative, namely research that emphasizes the analysis more on the process of deductive and inductive inferences on the dynamics of the observed phenomena using scientific logic. The data used is the result of distributing questionnaires to strengthen the results of the analysis as well as conducting surveys, problem identification, literature study, identification of research variables, validity testing and data analysis. The results of the research are data analysis from interviews with resource persons and distributing questionnaires which include Internal environmental analysis including discussions of company strengths and weaknesses which include company management based on POAC, marketing based on 5P, research, development and information systems used. External Environmental Analysis on micro-relationships between suppliers and well established. Customer satisfaction based on the questionnaire that was analyzed got the highest results on the opportunity variable with an average of 44.4, the strength variable with an average of 33.85 and the weakness variable got an average of 38.24. The comparison becomes a problem because the weakness is greater than the strength, so to achieve maximum strength, it is necessary to increase or change.
DIGITAL ASPECTS OF PERSONALIZED SERVICE TECHNOLOGIES IN THE FIELD OF TOURISM AND HOTEL BUSINESS
Authors: Bogomolova Elena S. ,   Peoples’ Friendship University of Russia named after Patrice Lumumba, Higher School of Management, Moscow, Russia, Lambrecht Vera V. , Titova Natalia S. ,   Peoples’ Friendship University of Russia named after Patrice Lumumba, Higher School of Management, Moscow, Russia,   Peoples’ Friendship University of Russia named after Patrice Lumumba, Higher School of Management, Moscow, Russia
Published: July 2024

Consideration of the individualization of the provision of tourism and hotel services based on personalized technologies, which involve the process of organizing the provision of individually selected tourism and hotel services by the consumer, taking into account his preferences using modern digitalization platforms, is the main objective of this article. The article reveals approaches to personifying service technologies, the content of which is determined by the requirement to organize the formation of tourism and hotel products, taking into account modern trends in the development of the tourism sector and hotel business, improving their quality and diversity, and also emphasizes the increasing influence of digitalization in the form of interactive technologies and self-service technologies to ensure improved customer experience.
Studying the patterns of accumulation of radioisotopes of natural and man-made origin using the example of the aboveground part of the wormwood of the bitter flora of the urbanized territories of the Central Black Earth Region
Authors: Dyakova Nina А.
Published: July 2024

Radionuclides are currently to the most dangerous ecotoxicants, due to their high resistance, wide distribution, ability to biogenic migration and cumulation in living organisms. The purpose of this study was to study the patterns of accumulation of radionuclides of natural and man-made origin in the synanthropic flora of the Voronezh region using the example of the aboveground part of bitter wormwood (Artemisia absinthium L.). All studied samples of plant raw materials prepared in natural and artificial phytocenoses of the Voronezh region meet the existing radiation safety requirements (first group). Correlation analysis of the specific activity of artificial and natural radionuclides in the soil and the aboveground part of the bitter wormwood showed a close relationship between these numerical indicators, which confirmed their predominant transposed pollution. The results of the study showed that with an increase in the specific activity of natural and man-made radionuclides in the soil, their specific activity increased in the above-ground part of the bitter wormwood. The accumulation coefficients of strontium-90, cesium-137, potassium-40 from soils in bitter wormwood grass tended to decrease as the specific activity of radionuclides in the soil increased, indicating the presence of physiological mechanisms for regulating their entry into the plant, and thoria-232, radia-226, on the contrary, increased, which indicates high phytoremediation abilities of the species in relation to these isotopes. For the first time, the patterns and mathematical dependencies of the accumulation of technogenic and natural radionuclides in bitter wormwood grass revealed as a result of the study make it possible to predict the peculiarities of contamination of plant raw materials with these ecotoxicants.
Impact of the natural environmental factor - trematode Opisthorchis felineus on the system of regulation of proliferative activity of somatic cells
Authors: Rybka Angelina G.
Published: July 2024

One of the leading epigenetic factors of canerogenesis is a high level of proliferative activity of somatic cells. Activation of cholangiocyte proliferation against the background of organismal invasion by trematode Opisthorchis felineus (Rivolta, 1884) is described by many researchers. The present study shows the role of metabolites of metacercariae and opisthorchis in the induction of proliferative activity of somatic cells of the hepatobiliary system and other organs. The significance of cell-tissue bioregulators in increasing the level of proliferative activity of various tissues in trematode-infected organisms has been considered. It follows from the data obtained on the model of hepatocellular tissue that kylon-containing factor from liver tissue of healthy animals, as an inhibitor of cell-tissue proliferation, was more sensitive to hepatocytes of uninvaded inbred mice as compared to the animals invaded with the above biotic pathogen for 2 months. The level of biological activity of the studied tissue-specific effector isolated from the liver tissue of mice with the same period of opistorch invasion is lower than in the group of uninvaded animals. Hence, it follows that activation of cell-tissue proliferation in opistorch-infected animals is caused by disturbed regulation mechanisms of cell-tissue homeostasis. Decrease in the function of control over somatic cell mitotic cycle during parasitization in the hepatobiliary system of Opisthorchis felineus trematode is confirmed by increase in growth rate of syngeneic malignant tumors as well as modification of homologous leukocyte interferon effect from inhibitor of malignant process – to activator. Induction of intensive regenerative proliferation of cholangiocytes by opisthorchial metabolites as a result of dysfunction of their cell-tissue regulation mechanisms is a promoter factor of oncogenesis process.
The impact of environmental factors on the biometric characteristics of high juniper forests of the Crimea
Authors: Koren`kova Olesya O.
Published: July 2024

High-juniper forests are a critical component of the sustainability of the Crimean Peninsula. However, the area visited by J. excelsa in Crimea is currently increasing. As a result, there is a threat of irreversible changes in the appearance of the peninsula in the future. As
a result of the research, the biometric characteristics of the high-juniper forests of the Crimea and the characteristics of the ancient environmental factors existing on them were determined. Based on the goals of the work, the following tasks were set: to establish the main taxation characteristics of hopes; the degree of influence of abiotic and anthropogenic factors according to the studied parameters. According to methods generally accepted in forestry and geobotany, 28 sample plots of 0.2 hectares in size were established within J. excelsa stands at an altitude of 40 to 1020 m above sea level, in various edapho-orographic conditions. Using one-way analysis of variance, the degree of biometric characteristics of abiotic and anthropogenic factors in the high-juniper forests of Crimea was revealed. As a result of the studies, it was established that the average diameter of J. excelsa stands is 27.1±1.3 cm (with minimum and maximum values of 11 cm and 41 cm, respectively). Among the factors that have the greatest influence on trunk diameter are: edaphic conditions and regional growth. In addition, it was established that J. excelsa trees are not described in the alphabetical heights characteristic of the main ones among the Mediterranean part of the range, which, in turn, indicates stable conditions of existence on its northern border. On average, the height of J. excelsa individuals in the Crimean Mountains is 5.4±0.2 m. A unique element of the Crimean culture, J. excelsa is being studied growing on the town of Krestovaya, their height reaches 16 m, which is 3 times higher than the average height of the area.
Analysis of forest cover change in Ben En National Park, Vietnam
Authors: Thien Bui Bao
Published: July 2024

The analysis of land use and land cover (LULC) based on remote sensing and geographic information systems in Ben En National Park, Vietnam, from 2003 to 2023 has revealed significant landscape changes. Assessing the accuracy of the classification results on our Landsat satellite images has shown high reliability, with kappa coefficients above 0.9 for both 2003 and 2023, indicating strong agreement between the classified images and actual reference data. Over the two-decade period, the dominant LULC class remained natural forest, albeit experiencing a substantial reduction in coverage. In contrast, waterbodies and agricultural land expanded significantly. These LULC changes can be attributed to both natural processes and human activities, such as dam construction and water management projects. The most concerning trend is the significant decline in natural forest coverage, primarily driven by deforestation, logging, and land conversion. These activities pose a severe threat to plant biodiversity and the habitats of wildlife within Ben En National Park. Climate change, characterized by erratic weather patterns, exacerbates these challenges, disrupting forest development. Prolonged droughts and heavy rainfall disrupt the growth of planted species, aggravating the situation. Urgent measures are required to address illegal logging and deforestation, coupled with sustainable land management practices to safeguard the park's unique biodiversity. This study underscores the importance of remote sensing and geographic information systems in monitoring and addressing environmental changes, providing essential data for informed decision-making in land use planning and conservation efforts within the national park.
Análisis de Percepción del Confort Térmico de Edificaciones Residenciales en la Ciudad de Loja basado en la Norma Ecuatoriana de Eficiencia Energética
Authors: Tituana Karina , Guillén Vanessa
Published: July 2024

La envolvente desempeña un papel crucial en el confort térmico interior y eficiencia energética de las edificaciones, por ello la importancia de la implementación del capítulo de eficiencia energética de la Norma Ecuatoriana de la Construcción (NEC-HS-EE). Este capítulo establece requisitos mínimos de transmitancia térmica para elementos de la envolvente. Sin embargo, se desconoce si estos valores garantizan una percepción satisfactoria del confort térmico interior. El presente estudio tiene como objetivo determinar la percepción de confort térmico en edificaciones residenciales en la ciudad de Loja, a través de la definición de la tipologías y caracterización de su envolvente. Para la definición de tipologías se considera la información de la Encuesta Nacional de Edificaciones (ENED), mientras que, para la caracterización de la envolvente se encuesta a profesionales de la construcción en la localidad. Finalmente, se aplica una encuesta de percepción térmica a ocupantes de las tipologías definidas. Los resultados muestran que, varios paquetes constructivos cumplen con la NEC-HS-EE (a excepción del uso de pared de ladrillo de 7 cm de espesor, que representa una práctica común) y brindan una percepción satisfactoria de confort a los ocupantes durante el día, alcanzando una percepción de confort dentro del 80% de aceptabilidad, no obstante, esto no se mantiene durante la noche.
Strategies for Enhancing Energy Efficiency in Public Service Buildings within a Hot and Humid Climatic Zone: A Case Study in Guayaquil, Ecuador
Authors: Vallejo Catalina , Godoy Luis , Vásquez Francis , Villacreses Geovanna , Orozco Marco , Navarro Santiago
Published: July 2024

Since 2010, there has been an approximate annual increase of 1% in CO2 emissions due to buildings. The reduction of energy consumption and consequently the mitigation of Greenhouse Gases are global goals due to the global issue of climate change. A key step in achieving these goals is to improve the energy performance of buildings, thereby reducing energy consumption and emissions generated by the built environment. In this regard, the present research focuses on identifying and estimating strategies to reduce energy consumption in buildings known as Community Police Units (UPCs) located in the city of Guayaquil, which corresponds to a very hot and humid climate zone. The study consists of statistical analysis of the historical energy performance of 43 buildings sharing the same architectural design. Additionally, the selection of a representative building was made for energy use monitoring and energy simulation. The results revealed a potential saving of 16 000 kWh per year by reducing the control temperature of the air conditioning system by 1°C and adjusting the on/off schedule. This is equivalent to 1 150 USD and 5 metric tons of CO2 emissions.
Predicción a corto plazo de sistemas de medición inteligentes mediante arquitecturas de aprendizaje profundo multivariable y multipaso
Authors: Lara Jorge , Samper Mauricio , Colomé Graciela
Published: July 2024

Las Redes Eléctricas Inteligentes de Distribución (REID) han revolucionado la industria eléctrica al permitir un control y monitoreo más eficiente del suministro eléctrico, con un componente clave siendo los medidores inteligentes (SM). Estos recopilan información sobre la demanda, energía, distorsión armónica, entre otros, que deben ser almacenados y gestionados eficientemente en un sistema de gestión de datos de medición (MDMS). El MDMS debe garantizar la obtención de un conjunto completo de datos para su uso en algoritmos que aseguren la confiabilidad y calidad del suministro eléctrico. Para abordar el desafío de gestionar la gran cantidad de datos generados por los SM, se han propuesto diferentes técnicas de predicción de mediciones a corto, mediano y largo plazo, destacando el uso de inteligencia artificial como las Redes Neuronales Artificiales (ANN) y métodos de Aprendizaje Profundo (DL) debido a su capacidad de adaptación a diferentes variables de entrada y salida con diversos horizontes temporales. Además, se destaca la influencia de la diversidad de Tecnologías de la Información y Comunicación (TIC) en el tiempo de actualización y almacenamiento de datos en un MDMS. En este sentido, este trabajo tiene como objetivo identificar qué arquitectura o arquitecturas de ANN o DL podrían ser más adecuadas para aplicaciones en empresas, estudios o investigaciones, demostrando métricas de rendimiento favorables en diferentes escenarios de frecuencia de muestreo y tiempos de actualización de datos típicos en un REID. Esto es relevante debido a la necesidad del MDMS de realizar predicciones multivariables y multipaso a corto plazo para completar la información, hasta que la misma esté disponible o se actualice.
The Right to a Compulsory Share in Inheritance as Part of Public International Order (in Connection with the Judgments of the ECHR of 15 February 2024)
Authors: Tarikanov Dmitry V. ,   Russian Foreign Trade Academy
Published: July 2024

In most countries of continental Europe there is a right to a compulsory share in inheritance in favour of children and spouse of the testator, which is not conditioned by the neediness of heirs and which limits the ability of this testator to dispose of his property in case of death. This institution ensures equality of heirs and indirectly preserves family peace. These ethical considerations have led to the recognition of the right to a compulsory share as constitutionally protected in Germany, as well as to the struggle for its protection in cross-border relations on the part of the French legislator. The defenders of the compulsory share institution are opposed by international trends coming from the Anglo-Saxon world, where the compulsory share institution does not exist: the pan-European Succession Regulation applicable to inheritances opened after 17 August 2015 inheritances, contains vague rules on the status of the compulsory share as a value protected by public policy, and the European Court of Human Rights by two decisions of 15 February 2024 refused the heirs of the French composers M. Jarre and M. Colombier in defence of their French statutory right to the compulsory share against the absolute freedom of will in Anglo-American law.
Characteristics of the Referendum Process for Decision-Making on Self-Determination: The Case of the Donetskaya and Luganskaya People’s Republics, Khersonskaya and Zaporozhskaya Oblasts
Authors: Stepanyuk Denis Yu. ,   HSE University, Koshel Alexey S. , Gadzhieva Albina O. ,   HSE University,   HSE University
Published: July 2024

The principle of self-determination has occupied a central place in the international legal agenda of the 20th century, decisively influencing the restructuring of geopolitical space and the formation of the contemporary global order. Post-decolonisation examples of self-determination, characterised by ad hoc situations, have thus confronted the competing principle of the territorial integrity of states, enhancing the relevance of the problem concerning the conditions and forms in which peoples may exercise their right to self-determination. Alongside the bases for self-determination through secession, the form and procedure of its implementation, as well as the consequences associated with the decision on self-determination, are of significant importance. Legal doctrine lacks a clear understanding of the forms in which the right to self-determination may be realised. In practice, the procedures for implementing secession are also heterogeneous, and it does not always occur as a result of the direct expression of will by the self-determining people. However, a referendum can be regarded as one of the most authoritative confirmations of the act of self-determination due to its inherent democratic principles, which directly embody the will of the people determining their own destiny, and with which the international community must comply based on established principles. In this context, the referendums conducted in September 2022 in the Donetsk and Luhansk People’s Republics, as well as in the Kherson and Zaporozhye regions, described by the authors in the article, present a particular academic interest.
Russian Antitrust in the Era of Sanctions Wars: Implications for Antitrust Regulation
Authors: Voznesenskiy Nikolay N. ,   ALUMNI Partners
Published: July 2024

The article considers the gradual transformation of antitrust regulation under the influence of sanctions restrictions and their recent economic consequences. The author concludes that the existing institutions of antitrust regulation are being adapted to new circumstances without fundamental changes. In the process of law enforcement a set of advisory techniques, mandatory prescriptions and unilateral voluntary self-restrictions is formed. This expands the regulatory impact of the norms of the Law on Protection of Competition and determines the limits of freedom of entrepreneurial activity at present.
Comparable Markets Method: Current Approaches of Law Enforcement Practice
Authors: Muzyka Maksim V. ,   Monastyrsky, Zyuba, Stepanov & Partners Law Firm
Published: July 2024

The difficult foreign policy environment in which the Russian economy has to function, accompanied by a significant reduction in the number of market participants and rising costs of logistics chains, significantly increase the risks of abuse of dominant position on various markets, primarily through the application of unfair prices. The key procedural element of cases on establishment of monopoly prices is the application of the comparable markets method, which is the most objective measure of the reasonableness and market character of the applied prices. This article provides the most significant patterns of application by antimonopoly authorities of the comparable markets method and specific comparability criteria, summarises current trends and regulatory problems, and assesses the regulator’s current approaches in specific cases from the point of view of their legality, consistency and reasonableness. Among other things, the article describes possible approaches to assessing the legality of using quantitative comparability parameters (number of sellers and buyers, manufactured products, production facilities), geographical features of the market territory being tested, differences in legislative regulation of markets in Russia and abroad, as well as between Russian regions.
Meta-Analysis of Effective Management Strategies for Malignant Central Airway Obstruction
Authors: Putri Septriana , Yessy Susanty Sabri  , Fenty Anggrainy
Published: July 2024

Background: Malignant central airway obstruction (MCAO) significantly impacts the quality of life and prognosis of patients with advanced lung cancer or metastatic disease. This meta-analysis aims to evaluate the effectiveness and safety of various management strategies for MCAO.
Methods: A systematic search of PubMed, Embase, and Cochrane databases from 2018 to 2024 was conducted to identify randomized controlled trials (RCTs) and observational studies comparing different MCAO management approaches. Primary outcomes included improvement in airway patency, dyspnea scores, and survival. Secondary outcomes included procedural complications and quality-of-life measures. A random-effects model was used to pool data, and heterogeneity was assessed using the I² statistic.
Results: A total of 25 studies (15 RCTs, 10 observational studies), encompassing 3456 patients, were included in the meta-analysis. Interventions assessed were rigid bronchoscopy with various modalities (e.g., laser therapy, cryotherapy, electrocautery, balloon dilation, stenting), external beam radiation therapy (EBRT), brachytherapy, and systemic therapy. Rigid bronchoscopy: Significantly improved airway patency and dyspnea scores compared to supportive care alone (OR 2.86, 95% CI 1.95-4.18; p<0.001). Stenting: Demonstrated superior airway patency and symptom relief compared to other bronchoscopic interventions (OR 1.73, 95% CI 1.21-2.48; p=0.003). EBRT/Brachytherapy: Offered moderate symptom improvement but with higher complication rates than bronchoscopic interventions (OR 1.39, 95% CI 1.05-1.85; p=0.021). Systemic therapy (chemotherapy/immunotherapy): Provided limited benefit in terms of airway patency but may impact overall survival in specific tumor types.
Conclusion: Rigid bronchoscopy, particularly with stenting, is the most effective initial management strategy for MCAO, providing rapid symptom relief and airway recanalization. EBRT/brachytherapy can be considered as adjuncts or alternatives in select cases. Further research is needed to determine the optimal combination and sequencing of therapies for different tumor types and stages.
Effect of TheraBand Exercises on Rounded Shoulders Associated with Pulmonary Capacity in Young Adults: A Pre-Post Intervention Study
Authors: M Anitha , Tamatta Shanti , Bhosle Snehal
Published: July 2024

Background: A Rounded Shoulder Posture (RSP) is characterized by physiological changes in the breathing pattern of individuals. This leads to an imbalance in scapular kinematics which is crucial for overall health. Thera band training helps to improve muscle strength and flexibility of muscle. This study aims to assess the effect of Thera band exercise training on rounded shoulders association with pulmonary capacity in young adults.
Methodology: Twenty-three participants with RSP, participated in three weeks of the Thera band training program with progression in protocol consisting of 4 sessions per week. The pulmonary capacity was assessed with the help of a Spirometer and the rounded shoulder was assessed by using inch tape. Descriptive statistics analyzed demographic data and pre/post-treatment measurements. Statistical analysis included the paired t-test.
Result: The results showed improvement in rounded shoulder posture and pulmonary capacity after 3 weeks of the exercise training program. For rounded shoulder Thera band exercises showed statistically significant values (p<0.001). There’s a slight increase in pulmonary capacity but statistically not significant (p>0.001).
Conclusion: This study concludes that Thera band exercises can effectively improve rounded shoulder posture in young adults.
Keywords: Rounded shoulder posture, pulmonary capacity, Thera band, PFT.
Process Mining unterstützt Lieferkettenmanagement
Authors: Bauer Janina
Published: July 2024

Das EU-Lieferkettengesetz bringt weitreichende Verpflichtungen für Unternehmen mit sich. Zugleich bietet es Chancen für mehr Nachhaltigkeit und Effizienz. „Process Mining“ erweist sich dabei als Schlüsseltechnologie, um die komplexen Anforderungen zu meistern und gleichzeitig Wettbewerbsvorteile zu erzielen.
Ağız Diş ve Çene Radyolojisi Soru Bankası
Authors: Orhan Kaan
Published: July 2024

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Hemşirelikte Eleştirel Düşünme
Authors: Çoşkun Palaz Simge , Çingöl Nurhan , Özcan İlçe Arzu , Coşkun Hamit , Çırlak Ahu , Demir Erbaş Şeyma , Gençer Şendur Elif
Published: July 2024

Düşünme ve Düşünme Türleri
Ganime Esra SOYSAL
Eleştirel Düşünme ve Önemi
Arzu AKMAN YILMAZ
Simge ÇOŞKUN PALAZ
Eleştirel Düşünme ve Eleştirel Düşünme ile İlişkili Kavramlar
Nurhan ÇİNGÖL
Eleştirel Düşünür Olmak
Arzu ÖZCAN İLÇE
Eleştirel Düşünme Stratejileri
Hamit COŞKUN
Eleştirel Düşünmenin Eğitime Yansımaları
Simge ÇOŞKUN PALAZ
Eleştirel Okuma, Dinleme ve Yazma
Ganime Esra SOYSAL
Eleştirel Düşünmenin Değerlendirilmesi
Ahu ÇIRLAK
Eleştirel Düşünmeye Yönelik Engeller
Arzu AKMAN YILMAZ
Eleştirel Düşünme Egzersizleri
Şeyma DEMİR ERBAŞ
Elif GENÇER ŞENDUR
Estrategias de Afrontamiento al Estrés Laboral Utilizadas por Profesionales de Enfermería
Authors: Velepucha Gualan Christian Alex , Garcia Guajala Emily Arelin , Torres Celi Daniela Yolanda
Published: July 2024

Introducción: El estrés es uno de los principales problemas que afectan a las personas, es considerada la segunda enfermedad presente disminuyendo la producción laboral en un 50-60%. Objetivo: Determinar las estrategias de afrontamiento al estrés laboral utilizadas por el personal de enfermería de un Hospital de Machala que laboran en las áreas de clínico-quirúrgico. Materiales y métodos: El presente estudio es cuantitativo, no experimental, analítico, correlacional, descriptivo, de corte transversal, observacional. El universo lo formaron 67 profesionales, de los cuales 17 cumplieron con los criterios de exclusión; siendo la muestra 50 profesionales. Para recopilar la información se utilizaron revistas como Scielo, Redalyc, Elsevier. La base de datos fue creada en IBM SPSS Statistics 26.0, evaluando la consistencia de la encuesta teniendo un alfa de Cronbach de 0,90. Resultados: Del total de 50 encuestados, el 13,05% manifiestan presentar agotamiento emocional, despersonalización y realización personal; demostrando que es necesario tener programas de apoyo social dentro de las instituciones sanitarias para reducir este impacto. Conclusiones: Las estrategias más utilizadas son evitación del problema, revaloración positiva y focalización en solución de problemas, mientras que algunas veces usan la religión y casi nunca la búsqueda de apoyo social, auto focalización negativa y expresión emocional abierta.
La influencia de la educación socioemocional en el rendimiento académico de los estudiantes
Authors: Olavarría Sánchez Katalina Olivia , Valencia Medina Nereyda Lizley , Caicedo Cangá Efigenia , Ocampo Gómez Amelia Maricela
Published: July 2024

El artículo "la influencia de la educación socioemocional en el rendimiento académico de los estudiantes" se presenta como un componente esencial para el desarrollo integral de los estudiantes, mejorando tanto su rendimiento académico como su bienestar emocional y social. Los hallazgos del estudio respaldan la necesidad de un enfoque educativo que valore y fomente estas habilidades para preparar a los estudiantes no solo para el éxito académico, sino también para la vida. El artículo subraya la importancia de integrar la educación socioemocional en el currículo escolar. Señala que las habilidades socioemocionales son tan importantes como las habilidades académicas tradicionales y deben ser una prioridad en el sistema educativo. El estudio recomienda a las instituciones educativas implementar programas de educación socioemocional de manera sistemática y continua para maximizar los beneficios tanto en el rendimiento académico como en el bienestar emocional de los estudiantes. Además, analiza cómo la educación socioemocional impacta positivamente el rendimiento académico. La educación socioemocional se centra en enseñar y aprender habilidades esenciales para reconocer y manejar emociones, establecer metas positivas, sentir y mostrar empatía, mantener relaciones saludables y tomar decisiones responsables. El objetivo del estudio es determinar el impacto de los programas de educación socioemocional en el rendimiento académico de los estudiantes de diferentes niveles educativos, con el fin de destacar la importancia de estas habilidades en el desarrollo integral de los estudiantes y promover su inclusión sistemática en el currículo escolar. En base al marco metodológico es un estudio con enfoque cuantitativo con diseño pre-experimental; para la recopilación de la información se utilizó como técnica la encuesta y como instrumento el cuestionario; para procesar la información se utilizó el software Microsoft Excel e IBM SPSS Statistics.