bluuebunny/crossref_metadata_2025 huggingface dataset:
Percepción sobre el acceso a los servicios de salud mental que tienen los residentes de tres municipios de Antioquia, 2004-2006
Authors: Henao H. Silvia , Restrepo R. Vilma , Alzate R. Andrés F. , González P. Carlos M.
Published: July 2024

Objetivo: Conocer la percepción de usuarios, familiares, prestadores de servicios de salud y funcionarios sobre los servicios de salud mental y las condiciones de acceso en tres municipios. Metodología: la información parte de usuarios, familiares, prestadores y funcionarios. Incluye una mirada médica y social desde un enfoque etnográfico. Se entrevistaron 29 ciudadanos en los sectores de la salud, educativo,social y judicial. Resultados: la descripción del problema de salud mental es diferente en los tres municipios, tanto en su dimensión patológica como en las explicaciones causales, ya que se atribuye causalidad a la violencia social y a las condiciones laborales. Se evidenciaron dificultades en la prestación de los servicios, como también sobresalieron algunos aspectos positivos. El trauma posterior a la violencia es común en los municipios, pero los desencadenantes son particulares a las personas. Discusión: además de los trastornos mentales, los problemas psicosociales también se relacionan con la salud mental. Entre las dificultades de acceso, se encontró la afiliación al Sistema de Seguridad Social, recursos económicos y escaso personal calificado.
Epidemiología de los trastornos mentales en América Latina y el Caribe
Authors: Rodríguez Jorge J. , Kohn Robert , Aguilar Gaxiola Sergio
Published: July 2024

La Organización Panamericana de la Salud (OPS/OMS) presentó su nueva publicación Epidemiología de los trastornos mentales en América latina y el Caribe, en un acto realizado en el Centro Regional de Capacitación en Salud, en Ciudad de Panamá. La presentación de esta publicación estuvo a cargo de los doctores Jorge Rodríguez, Asesor Principal de Salud Mental, Coordinador del Proyecto de Salud Mental, Discapacidades y Rehabilitación de la OPS/OMS y coeditor de la publicación, Ricardo Goti, Director del Instituto Nacional de Salud Mental y Miguel Cedeño, Presidente de la Sociedad Panameña de Psiquiatría y docente de la cátedra de Psiquiatría en la Facultad de Medicina de la Universidad de Panamá.
Perfil demográfico y clínico de pacientes traumatizados en una institución de cuarto nivel de complejidad, Medellín 2005-2008
Authors: Jurado O. Sandra P. , Valencia V. Alejandra
Published: July 2024

Objetivo: describir el comportamiento demográfico y clínico de los pacientes traumatizados de una institución de cuarto nivel de complejidad que ingresaron entre el 2005 y el 2008. Metodología: estudio descriptivo retrospectivo basado en información de pacientes que ingresaron a urgencias y hospitalización. Se estimaron frecuencias y porcentajes para las variables demográficas y algunas clínicas. Finalmente, se realizó un muestreo aleatorio simple para estimar la puntuación de gravedad de las lesiones (trauma and injury severity scoretriss). Resultados: en este período ingresaron 165736 pacientes, de ellos, 57382 correspondieron a ingresos por trauma (35% del total). El sexo masculino y el grupo de edad de 20-29 años fueron los más afectados.La causa de ingreso predominante fue la de accidentes de tránsito, seguida por otros tipos de accidentes (caídas, quemaduras, ahogamientos). Fueron hospitalizados 6721 pacientes, de los cuales fallecieron 278, con tasa de mortalidad global de 4,1. La parte del cuerpo más afectada en estos pacientes fueron las extremidades (42%) y los traumas en cabeza y cuello (19%). Para estimar la TRISS, se analizaron en total 347 pacientes. El índice de severidad del trauma (ISS) calculado fue mayor de 49 en 3,17% de los pacientes analizados.La escala revisada de trauma (RTS) promedio fue de 7507. Las cifras de presión arterial sistólica y frecuencia respiratoria presentaron una media de 121,948 mmHg y 18,659 min respectivamente, y en la escala de coma de Glasgow, 30 pacientes obtuvieron un puntaje menor o igual a 8. El total de muertes esperadas correspondió a 17 pacientes y el total de muertes observadas a 19. Finalmente, la TRISS calculada fue de 1,097.
Aportes de los nuevos enfoques para la conformación de la salud pública alternativa
Authors: Valencia A. Marleny
Published: July 2024

Este artículo plantea una forma diferente a la convencional para abordar las problemáticas de la salud pública y dar respuesta a la pregunta orientadora del mismo: ¿Cómo los enfoques contemporáneos en salud pública ayudan a comprenderla y a dimensionar su proyección en los próximos años? Inicialmente se desarrolla una breve caracterización de la salud pública convencional, con el fin de mostrar las limitaciones que se presentan para dar respuesta a los problemas de salud de la población. Luego, se abordan las perspectivas contemporáneas, específicamente, las desarrolladas en el marco de la corriente crítica, dado que allí convergen los enfoques que aportan de manera importante a la conformación de la salud pública alternativa. Entre las corrientes consideradas se destacan: la teoría crítica, la medicina social, la salud colectiva, los determinantes sociales de la salud, el enfoque de género y la teoría de la complejidad, campos que contribuyen a una forma diferente de trabajar la salud pública, que reivindica la importancia de los sujetos en el abordaje de los problemas de salud. Asimismo, es preciso trascender el conocimiento dirigido por la razón tecnológica hacia la multiculturalidad, en las cual se aceptan los otros saberes como válidos para la construcción del conocimiento.
Características del consumo de sustancias recreativas en establecimientos nocturnos del Valle de Aburrá
Authors: Martínez D. Gloria I. , Martínez S. Lina M. , Rodríguez G. María A. , Benítez R. Cristian C. , Castrillón V. Diana M. , Franco R. Catalina
Published: July 2024

Objetivo: explorar las características demográficas y de consumo de sustancias recreativas de las personas que acuden a establecimientos nocturnos de algunos municipios del Valle de Aburrá. Metodología: estudio de corte transversal, la población estuvo compuesta por personas de ambos sexos y mayores de edad que frecuentan establecimientos nocturnos en el Valle de Aburrá. Se aplicó el cuestionario sonar 98 modificado y adaptado por los investigadores. Resultados: se realizó en 17 centros nocturnos; participaron 789 personas; mujeres 57,7%; edad promedio 23 años; estudiantes 61,0%. La mayoría de los encuestados había consumido alguna vez en su vida alcohol 95%, cigarrillo 46,0%, cannabis 25,0%, nitrito de amilo “popper” 10,0%, “drogas de diseño” como anfetaminas y metanfetaminas 9,0% y sedantes e hipnóticos 10,0%. El primer consumo, se inició de manera temprana con las llamadas drogas sociales: alcohol 14 años, y tabaco 15 años. Discusión: a diferencia de los resultados obtenidos en el ámbito mundial, este estudio exploratorio mostró que el consumo de drogas recreativas se inicia con sustancias socialmente aceptadas, como el alcohol y el tabaco, mientras que las drogas de diseño y otras tienen un uso más restringido, y su consumo se ve relegado a edades más tardías.
Salud, ambiente y trabajo en poblaciones vulnerables: los cultivadores de papa en el centro de Boyacá
Authors: Ospina Juan M. , Manrique Fred E. , Ariza Nelly E.
Published: July 2024

Objetivo: describir las principales características del ámbito doméstico, laboral y de condiciones generales y accesibilidad a la salud, así como la morbilidad sentida y las prácticas de au­tocuidado y atención sanitaria en una muestra representativa de cultivadores de papa de la Provincia Centro en el Departamen­to de Boyacá. Materiales y métodos: estudio descriptivo de corte transversal. Se tomó una muestra de 1410 cultivadores de papa de siete municipios que fueron invitados a contestar un instrumento previamente diseñado. Se evaluaron las condi­ciones de vivienda, el ambiente laboral y socioeconómico, la morbilidad sentida y las prácticas de autocuidado y atención en salud. Resultados: edad promedio fue de 44,5 años; 7,8% no sabe leer; 51,3% no ha terminado la primaria, solo 7,1% terminó bachillerato; el ingreso mensual promedio declarado US$115,34 aproximadamente. Solo 1,8% recibe prestaciones económicas; 73,4% reside en vivienda propia; 82% se expone a plaguicidas y herbicidas; 31,5% son obesos; 76,9% consume bebidas alcohólicas (81,9% hombres y 66,7% mujeres). La fre­cuencia media de consumo es 3,75 por semana (sd = 2,35), las bebidas preferidas son la cerveza y el guarapo. La Cobertura de los programas de promoción y prevención es inferior a 30%. Conclusiones: se encontraron como principales factores de riesgo el bajo nivel educativo, el alto porcentaje de exposición a plaguicidas y herbicidas, el sobrepeso por dieta desbalanceada, los ingresos reducidos, el alto consumo de alcohol y las con­diciones de accesibilidad cultural y geográfica limitada a los servicios de atención y promoción de la salud.
salud de las comunidades: un asunto del derecho formal o de justicia social
Authors: Olaya Peláez Álvaro
Published: July 2024

Un paso importante dentro del desarrollo histórico de la salud pública se dio cuando las decisiones fundamentales sobre la protección a la salud de las comunidades pasaron de ser un asunto concerniente a médicos y sacerdotes para convertirse en un tema de interés colectivo y en donde las decisiones fundamentales emanaban de los Estados, y por lo tanto el bienestar de los pobladores se vincula de manera estrecha con los fines de sociedad, incluyendo la salud en su más amplio concepto, tal como lo establece la carta de constitución de la OMS “...el goce del grado máximo de salud que se pueda lograr es uno de los derechos fundamentales de todo ser humano sin distinción de raza, religión, ideología política o condición económica.” (OMS 1948).
protección social y los derechos ciudadanos en América latina: una revisión narrativa
Authors: Franco Alvaro , Mejía Luz M.
Published: July 2024

La protección social incluye todas aquellas variables de orden económico, político y social que garantizan la salvaguardia en la adversidad que pudiera causar detrimento del derecho a la sa­lud, al empleo, al bienestar y a la calidad de vida. Objetivo: de­velar los nexos de los sistemas de protección social en América latina con el ejercicio de los derechos sociales. Método: se parte de la revisión documental y se comparan los diferentes modelos de protección social aplicados en América latina con las tipolo­gías de derechos ciudadanos defendidas en las últimas décadas. Se consideran varios enfoques de protección social: asistencia social, seguro social y seguridad social y, adicionalmente, las Redes Mínimas de Protección Social (RMPS), en los años 80, y el más reciente Manejo Social del Riesgo del Banco Mundial. Se retoma la clasificación de los derechos humanos: derechos civiles, derechos políticos y derechos sociales. Discusión: se enfatiza en las dificultades en América latina que condicionan el modelo de protección social, dadas las diferencias de clase social, la fragmentación de la política social y las condiciones de inequidad imperantes que niegan la posibilidad de hacer efectivos los derechos ciudadanos. En conclusión, solo es fac­tible el pleno ejercicio de los derechos sociales mediante el desarrollo de modelos de protección social que cubran toda la población y todos los riesgos inherentes, no solo al trabajo, sino al desarrollo humano integral.
Strategic acts of management as a form of managerial decision-making in the field of ensuring national security and state sovereignty of the Russian Federation: problems of hierarchy
Authors: Zubarev S. N.
Published: July 2024

The article substantiates the relationship between state management decisions and strategic management acts. The latter are the basis not only for building a system of legal acts of management in the field of ensuring national security as the most important component of state sovereignty of the Russian Federation, but also for the adoption and implementation of managerial decisions in this field. It is concluded that it is necessary to clarify the content of strategic planning documents and to give them legal certainty, systematicity and hierarchy. The types of these documents are analyzed: strategies; state policy frameworks; doctrines; concepts; state programs. The following model of hierarchy of strategic acts of management in the field of national security is argued: strategy of national security of the Russian Federation — conceptual acts (bases of state policy, doctrines, concepts) on the most important directions of ensuring national security of the Russian Federation — strategies on the most important directions of ensuring national security of the Russian Federation — state programs of the Russian Federation on the most important directions of ensuring national security.
Digital Transformation in Management Decisions of the Administrative Licensing Procedure in the Russian Federation
Authors: Standzon L. V.
Published: July 2024

One of the forms of realization of public power is managerial decisions that apply to all spheres of public administration. Licensing is the most important administrative procedure. It is aimed at preventing threats and possible damage to economic relations, environmental protection, public health, social relations, defense and security of the state, the potential for which is associated with the implementation of certain types of entrepreneurial activity. This article discusses such a type of management decision, which is aimed at optimizing the management process. Digitalization involves improving and changing the model of the administrative licensing procedure. Special attention is paid to such a digital solution as the implementation of the registry model of a management solution. This made it possible to significantly simplify the administrative licensing procedure, reduce its time, as well as to conduct most of the interaction with the licensing authority remotely. The author notes the positive impact of digital transformation on the management decision-making process in the field of licensing, and also proves that the use of technology has made it possible to increase efficiency and automate most of the management processes in the administrative procedure. In conclusion, the author notes the prospects for the modernization of Russian legislation in the field of licensing and argues for proposals for its improvement.
Dogmatics of administrative law
Authors: Agapov A. B.
Published: July 2024

The basic terms and definitions inherent in Soviet administrativelegal science are examined; dogmatic concepts currently used in everyday life in domestic science and teaching need to be improved; in many cases they are not applicable in the existing political and legal realities. The concept of “public administration” does not correspond to its purpose in the conditions of separation of powers, constitutional and legal guarantees for the activities of executive authorities, pluralism of various forms of ownership, especially non-public ones. Using the example of teaching activities in the field of German administrative law, the need to distinguish between various training courses is shown, first of all, substantiating the theoretical postulates of German administrative law science — Verwaltungslehre, Polizeiund Ordnungsrecht, from training courses devoted, just like in domestic administrative law , the study of the institutions of the Special Part of Administrative Law — Besonderes Verwaltungsrecht. The dogma of “public administration” is now being replaced by the study of the theoretical postulates of the executive branch, with special attention should be paid to the generality and subordination of public and civil regulation in various spheres of government influence, primarily in relation to property regulation, which is especially significant in conditions of the dominance of public property relations , based on the hierarchical subordination of their participants, and not regulated by civil law.
Prerequisites of the principle of federalism in the legal regulation of administrative responsibility (on the example of managerial decisions)
Authors: Zokirov T. Z.
Published: July 2024

This article considers the prerequisites for the emergence of the principle of federalism in the legal regulation of administrative responsibility in the unitary Russian state before 1918, in terms of the development and continuity of managerial decisions in proceedings on cases of administrative offenses as a mechanism for the implementation of administrative responsibility. The thesis about the isolation of administrative responsibility in the public law of the pre-revolutionary Russian state is taken as a basis. Attention is paid to the forms of individual managerial decisions, through which arise, change and terminate protective administrative-procedural relations, which were provided for in the Russian legislation and legal acts of local authorities. The conclusion is made about the presence of continuity in the development of administrative decisions in the relevant sphere in the Russian Empire, RSFSR and the Russian Federation.
The management of digital transformation of education in the context of the implementation of constitutional amendments
Authors: Korneev A. A.
Published: July 2024

The amendments to the Constitution of the Russian Federation, which came into force following the results of the all-Russian vote in July 2020, directly affected issues of public administration in education. These constitutional amendments refer to the jurisdiction of the Russian Federation to establish a unified legal framework for the system of education and upbringing, including continuing education. At the same time, the strategic directions for the development of the state outlined by the President of the Russian Federation after the publication of amendments to the Constitutiondetermined the need to achieve digital maturity of key sectors of the economy and the social sphere, including education. The article examines the issues of managing the digital transformation of education based on the constitutional thesis on the continuity of education, as well as taking into account the principle of unity of education and upbringing established at the legislative level, the unity of the educational space on the territory of the Russian Federation.
Role of teleradiology in the interpretation of ultrasound images acquired in the emergency setting
Authors: Kalyanpur Arjun , Mathur Neetika
Published: July 2024

BACKGROUND: Teleradiology has become an important tool in emergency medicine, particularly in the interpretation of emergency ultrasonography. In emergency situations, where time is essential, rapid diagnosis and treatment can mean the difference between life and death. Teleradiology is an innovative alternative to augment the staffing and fill the gaps of onsite radiology personnel in emergency departments or during off-hours.
AIM: To assess the effectiveness/impact of teleradiology in emergency ultrasound interpretation.
MATERIALS AND METHODS: A retrospective study was performed in a cohort of 33,616 patients from 86 hospitals across the USA between January and December 2022. The study involved radiological interpretations of 37,253 ultrasound images acquired in the emergency setting by American Board Certified Radiologists empaneled by a teleradiology service provider, headquartered in Bangalore, India.
RESULTS: The proposed telehealth model provided timely and quality reporting of 37,253 scans of patients with a mean turnaround time of 35.71 min (95% confidence interval 35.50–35.91).
CONCLUSION: This study demonstrates that a structured telesonography program with defined protocols for image capture, transmission, and clinical communication can allow for successful immediate reporting of ultrasound data in the emergency care setting.
IGF1R rs907806 and GHSR rs572169 genetic variants in fetal macrosomia
Authors: Alekseenkova Elena N. , Tonyan Ziravard N. , Nasykhova Yulia A. , Kopteeva Ekaterina V. , Kapustin Roman V. , Kogan Igor Yu.
Published: July 2024

BACKGROUND: Being strongly affected by maternal and fetal genetic factors, intrauterine environment plays a critical role in fetal growth. Intrauterine conditions, in turn, are largely determined by the genetic factors.
AIM: The aim of this study was to evaluate the effect of the IGF1R rs907806 and GHSR rs572169 genetic variants on the weight of newborns.
MATERIALS AND METHODS: This prospective study included 221 mother-newborn pairs. The inclusion criteria were singleton pregnancy and informed consent to participate in the study. The exclusion criteria were severe somatic, oncological and acute illnesses three months prior or during pregnancy, gestational diabetes mellitus, refusal to participate in the study at any stage, and insufficient data. The study groups included patients with type 1 diabetes mellitus (group I), type 2 diabetes mellitus (group II), and no carbohydrate metabolism disorders (group III). Cord blood samples were obtained after delivery. The IGF1R rs907806 and GHSR rs572169 genotypes were determined by polymerase chain reaction with restriction fragment length polymorphism analysis. The main outcomes were delivery of a large for gestational age fetus (weight of more than the 90th percentile INTERGROWTH-21st). The secondary outcomes were diabetic fetopathy, diabetic cardiomyopathy, and neonatal hypoglycemia.
RESULTS: In group III, the minor G allele of the IGF1R rs907806 variant was more frequent in large-for-gestational-age newborns (p = 0.017; odds ratio 3.039; 95% confidence interval 1.244–7.424) than in those with a weight of less than 90th percentile. For the GHSR rs572169 variant, no similar trend was observed. This pattern was pronounced in the male newborns only (rs907806 AA vs. AG+GG; p = 0.046; odds ratio 4.229, 95% confidence interval 1.181–15.139). In newborns with hypoglycemia, a higher frequency of the GG genotype of the GHSR rs572169 (GA) variant was observed in the total sample (p = 0.004) and the type 1 diabetes mellitus group (p = 0.0496).
CONCLUSIONS: The IGF1R rs907806 variant may affect birthweight in the male newborns of mothers without carbohydrate metabolism disorders. The observed association of neonatal hypoglycemia with the GG genotype of the GHSR rs572169 variant requires further investigation. Genetic factors can contribute to prognostic models of perinatal complications, while improving their early diagnosis opportunities.
ABC of the future: prolonged coculture of human embryos with endometrium in a nutrient medium in vitro
Authors: Bespalova Olesya N. , Komarova Evgenia M. , Lesik Elena A. , Ob’edkova Ksenia V. , Tapilskaya Natalia I. , Kogan Igor Yu.
Published: July 2024

BACKGROUND: The development of new systems for the cultivation of embryos of model objects and the creation of embryonic models based on stem cells allow for describing the events of early embryogenesis in more detail. However, these models have a number of limitations, endorsing only indirect extrapolation of the knowledge gained to events occurring in vivo. Despite certain limitations, including those related to some differences between embryos developing in vivo and in vitro, implantation conditions in vivo and in vitro, and limited time for culturing human embryos, the study of post-implantation development has great prospects.
AIM: The aim of this study was to evaluate the viability and potential for the development of human embryos from the blastocyst stage during their prolonged coculture with the endometrium in culture media designed to support the growth to the blastocyst stage.
MATERIALS AND METHODS: Embryos obtained through assisted reproductive technology were cultured from the blastocyst stage to day 19st of development in culture media designed to support the growth to the blastocyst stage, in the presence of the endometrium. On day 19st, embryos and endometrial fragments were assessed under an inverted microscope using Hoffman modulation contrast.
RESULTS: During visual assessment under an inverted microscope on day 19st of development and days 13–14st of coculture with the endometrium, viable developing embryos without signs of degradation were recorded, both freely located in a mass of undifferentiated cells and in direct contact with the endometrium.
CONCLUSIONS: The data obtained indicate the ability of the embryo to further develop in the presence of the endometrium from the blastocyst stage to day 19st in in culture media that supports the growth to the blastocyst stage. This may serve as an experimental model for both evaluating endometrial receptivity in vitro and studying intercellular communication during implantation.
A modern view of pregnancy management tactics with a tendency to post-term pregnancy
Authors: Burkitova Ainura M. , Burkitova Gulnura M. , Bolotskikh Vyacheslav M.
Published: July 2024

This analytical review article compares elective induction of labor with expectant management for a tendency to post-term pregnancy and examines its impact on maternal and neonatal outcomes and caesarean section rates. Currently, the issue of management tactics during pregnancy beyond 41 weeks remains hotly debated and requires further research.
Exploiting Signal Coherence to Simultaneously Detect and Locate Earthquakes
Authors: Singha Roy Ketan , Arrowsmith Stephen , Stump Brian , Hayward Chris , Park Junghyun
Published: July 2024

This study introduces an earthquake detection and location technique that exploits the spatial coherence of the seismic wavefield. The method leverages the signal coherence across clusters of seismic stations to generate characteristic functions that are backprojected (migrated) to detect and locate seismic events. The effectiveness of the technique is assessed using a limited set of stations from the Oklahoma wavefield experiment, with minimal tuning of processing parameters. The technique is then applied to one day of continuous data, leading to the detection of new seismic events compared with an analyst-based catalog. Noteworthy advantages of this method include its independence from prior information or assumptions (such as template waveform) and its ability to operate effectively with a network design for which seismometers are deployed in a relatively small number of clusters rather than distributed throughout a region.
The Relationship Between Quality Management and Marketing – Study of the Current Situation
Authors: Majchrzak Joanna ,   Poznań University of Technology. Faculty of Engineering Management
Published: July 2024

Theoretical background: This paper considers the interdisciplinarity of quality science. In the first part of the work, a set of important disciplines supporting qualitative research was defined, focussing on management science and marketing. It is noticed that the studies have been conducted to examine the relationships among quality management and marketing performance. However, the literature is short of studies relating to the ordering, classification and categorization of current research results, which integrates the concepts of Total Quality Management (TQM) with the basics of marketing management. Purpose of the article: The study used the method of systematic literature review in order to recognize the relationship between the selected area of quality science, i.e. quality management, and the selected discipline supporting quality science, i.e. marketing management. Research methods: A four-stage research process was applied, defining the purpose of the research as the ordering (classification) of the research, in which the issues of TQM and marketing management were referred to. A collection of literature (n = 1,649) was selected using the Web of Science database. Bibliometric analysis was used, indicating the distribution of the number of publications and the analysis of the number of citations. Content related analysis referring to the recognition of occurrences, here working with keywords, was conducted. Main findings: As a result, four clusters were distinguished and taking into account the significance expressed in terms of the number of repetitions of individual words in a given cluster, four thematic areas of research were specified in which the integration of knowledge in the field of marketing with quality management is visible, i.e. (1) customer driven quality management, (2) the quality of design, (3) quality of conformance, and (4) the cost of quality management. The last part of the paper focuses on significant changes in the quality management strategy related to the ongoing Fourth Industrial Revolution and the importance of managing quality in a global, interdisciplinary approach.
LINGUISTIC AND VISUAL MODES CONTRIBUTION TO THE HUMOR PRODUCTION OF PUNS IN INTERNET MEMES
Authors: Bahtiar Zulfan , Chojimah Nurul , Nurhayani Ika
Published: July 2024

This article aims to get a better understanding of the text-picture interaction and, in particular, the pragmatic consequences of 150 online memes that feature puns, one of the linguistic humor subgenres. This article will analyze a corpus of 150 memes. Using a comic taxonomy by McCloud (1994). The internet memes then were to be categorized. The default taxonomy of categories produced the following classification of internet memes: word specific (28), picture specific (2), additive (29), and interdependent (91). The findings show rather significant disparities among the findings. Some categories in the original taxomony are even absent in the data set.
Landscape of scientific research on the problems of decarbonization and achieving carbon neutrality of national economies
Authors: Sadriev A. R. , Vasilev R. A.
Published: July 2024

Purpose: is to form a comprehensive understanding of the patterns of publication activity in the field of decarbonization that have developed in the global and Russian scientific space, in order to identify promising scientific areas on this basis that can define new research horizons in achieving carbon neutrality.Methods: the research methods involved bibliographic and bibliometric analyses of scholarly publications, utilizing data from the Scopus and eLibrary databases. The study encompasses the timeframe from 2012 to 2022. The research methodology is structured to address three key objectives. Firstly, it aims to identify the quantitative dynamics of global publication activity in the realm of decarbonization. Secondly, the investigation seeks to analyze publication patterns at the levels of research organizations, countries, keywords, related topics, scientific publications, subject areas, and thematic groups, including clusters of thematic groups. Thirdly, the research involves semantic analysis of publications and the identification of points of research interest within the contexts of both global and Russian scientific landscapes.Results: it has been established that bibliographic clustering of studies on decarbonization problems occurs not so much around technical and technological solutions, but in conceptually broader coordinates. It has been identified that the aspiration for carbon neutrality is predominantly observed in economies characterized by a high standard of living, where citizens exhibit a heightened sense of social responsibility and a greater commitment to enhancing the quality of life for future generations. It was revealed that if the global problems of decarbonization are the center of gravity of the most powerful researchers and scientific teams, but in Russia this topic is not yet characterized by a comparable positioning.Conclusions and Relevance: systematization of decarbonization research, which is rapidly developing both in terms of volume indicators and in terms of increasing its interdisciplinarity and social relevance, is the most important condition for effective scientific orientation and research routing in a highly fragmented and contradictory development space on the problems of the global energy transition.
Paradiplomacy and Its Influence on Visitor Trends at Twin World Heritage Sites: A Case Study of Borobudur Temple 2018-2019
Authors: Lailatul Lufiah  , Gumantiara Miftah Ichwani , Zaky Ramadhan
Published: July 2024

Indonesia, recognized for its substantial tourism potential, has leveraged the iconic Borobudur Temple, a premier cultural heritage site, to bolster its international cultural diplomacy and marketing efforts. This study examines the impact of the Twin World Heritage cooperation program implemented by the Indonesian government through PT. Taman Wisata Candi, on visitor numbers at Borobudur Temple during 2018-2019. The program epitomizes a strategic approach to enhancing cultural relations by facilitating cross-border collaborations and the exchange of expertise in cultural preservation and promotion. Situated in Magelang, Central Java, the Twin World Heritage Program at Borobudur Temple has not only elevated the temple's global profile but has also served as a pivotal instrument in strengthening international cultural ties and fostering mutual appreciation and understanding across nations. The empirical data from this study reveal a notable increase in visitor attendance: domestic visitor figures rose from 3,663,054 in 2018 to 3,747,757 in 2019, while foreign visitor numbers increased from 192,231 to 242,082 over the same period. These findings affirm the program's efficacy in harnessing Borobudur's potential and generating significant socio-economic benefits across multiple sectors.
Evaluating the Impact of Sister City Cooperation between Bandung and Kawasaki on Environmental Sustainability
Authors: Sabati Cholifatul Latifah
Published: July 2024

This research provided an in-depth analysis of the role of paradiplomacy practiced by the Government of South Sulawesi Province in enhancing agricultural exports to Egypt. The study utilized a conceptual framework integrating Paradiplomacy and International Trade, focusing on the impact of paradiplomacy policies on export volumes. The methodology was rooted in descriptive research, aiming to depict the findings clearly and comprehensively. Results indicated that the Government of South Sulawesi Province engages in the form of paradiplomacy termed global paradiplomacy, acting as a facilitator in international trade. Effective strategies for promoting exports included personal selling, public relations through webinars and training sessions, and participation in trade exhibitions. The research highlighted the crucial role of regional governments in boosting agricultural export volumes, supported by efforts in infrastructure development and service improvements. The application of global paradiplomacy enabled the Government of South Sulawesi Province to autonomously establish trade relations and expand market access to Egypt, leading to a significant increase in agricultural exports. This study offered a comprehensive overview of how paradiplomacy practices can positively impact regional agricultural exports, emphasizing the successful export promotion strategies and their outcomes. The findings demonstrated the effectiveness of paradiplomacy in fostering regional economic growth through international trade expansion.
A STUDY OF THE IMPACT OF THE WAR IN UKRAINE ON PSYCHOSOMATIC HEALTH OF PRESCHOOL CHILDREN IN LITHUANIA: PARENTS’ PERSPECTIVE
Authors: Lesinskiene Sigita , Lapinskaite Auguste , Kostiuk Olena , Sambaras Rokas
Published: July 2024

Lithuanian society supports Ukraine in its war with Russia. The two countries, Lithuania and Russia (the aggressor in the conflict) share a common border in the southwest of Lithuania, and Lithuanians are aware of the threat of an extended war. However, there is little information about how to discuss the events of the ongoing war with children. The aim of our study, which was conducted during the first months of the war, was to investigate the ways that parents talked about the war with their kindergarten-age children, together with their views on the impact of the war on their children’s emotions, behavior, and psychosomatic health. Parents in 5 kindergartens filled out an anonymous 15-item questionnaire, developed by the authors, through which we collected general data about each respondent and their child, their ways of communicating with the child about war events, and the impact of the war events on the parent and on the child’s emotions, moods, and behavior. Of the 116 parents who filled in the questionnaire, 93 (80.2%) responded that they had not talked about war with their children prior to Russia’s invasion, 44.0% of parents responded that they do not talk about the war in Ukraine with their child, and 57.8% parents indicated that their child had asked them about the war. In regard to the war’s effects on children, significant changes were reported in their behavior, play, and drawing. It is crucial to study the effects the recent war has had on children and find appropriate ways in which parents and educational institutions can contribute to their support. Preschoolers need to be informed and involved in the community life in age-appropriate ways. Drawing and play could be used to create relevant opportunities to talk in age-appropriate ways with preschool children about the ongoing war, to try to understand their perceptions, fears, and imaginings.
Ultrasound-Guided Removal of Deep-Lying Foreign Bodies of the Soft Neck Tissue in a Patient with a Shrapnel Wound
Authors: Dadayan Arsen Rudolfovich , Belik Boris Mikhailovich , Tenchurin Rinat Shamilevich , Bolotskov Alexander Sergeevich
Published: July 2024

The paper describes a clinical case of intraoperative constant ultrasound-guided removal of deep-lying foreign bodies of the soft left neck tissue in a patient with a shrapnel wound resulted from mortaring. When deciding on a surgical option, the potential C-arm-guided foreign body removal was also considered; however, due to the topical localization of the foreign body between the internal jugular vein and the bifurcation area of the common carotid artery, the use of this technique was associated with a high risk of vascular trauma. The surgery was performed under local anesthesia using constant “free hand” US method in duplex mode. The foreign body was successfully removed. The wound completely healed by secondary intention, and a series of control ultrasound examinations revealed no signs of postoperative complications.
Successful Management of a Patient with an Aneurysm of the Inferior Pancreaticoduodenal Artery Complicated by Severe Bleeding
Authors: Sigua Badri Valerievich , Kochanov Igor Nikolaevich , Latariya Elgudzha Lavrentievich , Gluschkov Maxim Vadimovich , Asaturov Artem Vartanovich , Zertsalova Elena Nikolaevna , Zakharov Evgeni Alekseevich , Globin Anton Vladilenovich , Zemlyanoy Vyacheslav Petrovich
Published: July 2024

Retroperitoneal bleeding is a rare and life-threatening condition for which early diagnosis and proper treatment are of paramount importance. Currently, there are sparse literature data on this issue that provide limited info on the management of such patients. The paper presents a case of successful management of a patient with an aneurysm of the inferior pancreaticoduodenal artery, complicated by recurrent bleeding into the retroperitoneal space with severe blood loss.
Effect of Gestational Hypertension on Neonatal Hemoglobin Level
Authors: Khosravi Parisa , Beiranvand Soheila Pirdadeh , Ebrahimzadeh Farzad , Tadayon Arefeh , Hasani Maryam
Published: July 2024

This study aims to determine the effect of gestational hypertension on neonatal hemoglobin levels. This cohort study was performed on 150 pregnant women, 60 of whom had gestational hypertension and 90 were healthy. Participants were selected using sequential and quota non-probability sampling methods, respectively. The data were collected from interviews and examination forms. The newborns’ umbilical cords were clamped 30-60 sec after the delivery in both groups. Umbilical cord blood samples were taken to determine neonatal hemoglobin levels and sent to the laboratory immediately. Independent t-test was used to compare the two groups in terms of mean hemoglobin; general linear model with an identical link function was used to compare the two groups in terms of mean hemoglobin, considering the effect of confounding variables. SPSS software version 25 was used for the statistical analysis of the data. The statistical significance level in this study was considered to be 0.05. The mean neonatal hemoglobin level in women with gestational hypertension was significantly higher than that in the healthy group (16.73±1.81 gr/dl vs. 15.56±1.79, P<0.001). This difference remained significant after adjusting for demographic and background variables as well as medical records of the participants (P=0.008). The results revealed the hemoglobin level of newborns of mothers who had gestational hypertension, was higher than newborns of healthy mothers. Therefore, performing proper screening tests and knowledge of the hemoglobin level in these infants routinely helps the healthcare staff to prevent, decide and provide more and more useful services.
Risk Factors and Etiological Classification of Ischemic Stroke Subtypes in Southwest Iran
Authors: Monjezi Sara , Rafie Shahram , Behzad Ebrahim , Mohammadi Shooka
Published: July 2024

Precise categorization of the causes of ischemic stroke (IS) is crucial for optimizing stroke treatment and assessing the prognosis of patients. This cross-sectional study aimed to determine the risk factors and various subcategories of IS in Iranian patients. The study included all patients with IS referred to Golestan Hospital (Ahvaz, Iran) for one year. Their demographics and clinical data were collected. The etiology of IS was classified based on the TOAST (Trial of ORG 10172 in Acute Stroke Treatment) criteria. A total of 1100 patients with IS were evaluated, 658 were male and 442 were female. They had an average age of 66 years (ranging between 20 and 99 years). The majority of them were in the 61-80 age group. The prevalence of risk factors for IS included hypertension (HTN) (71.4%), diabetes (50.4%), smoking (42.4%), history of previous stroke (28%), dyslipidemia (15.4%), and cardiovascular disease (22.5%). Three months after admission, the mortality rate was 10.7% and the majority of patients exhibited a lower level of disability based on the modified Rankin Score (mRS) compared to the time of admission. The frequency of all risk factors, except for HTN, differed significantly between genders (P<0.05). Furthermore, the prevalence of risk factors varied significantly among different stroke etiologic subgroups (P<0.05). The most common etiological factors identified by TOAST classification were associated with large artery atherosclerosis (LAA) and small artery occlusion (SAO). Significant variations were observed in the prevalence of different etiologic subtypes of stroke among genders and across different age groups.
Effects of Melatonin Supplementation on Clinical Symptoms and Paraclinical Outcomes in Women Diagnosed With Fibrocystic Breast Disease: An Interventional Study
Authors: Dolatshahi Kamran , Mosaheb Seyed Alireza , Foodani Mahdi Nabi , Hosseininezahdian Sahar , Esfahan Sasan Zandi
Published: July 2024

Fibrocystic breast disease is the most common benign breast disease in women, and it is necessary to investigate the most effective treatment method to reduce its symptoms. Therefore, the study was conducted to investigate the effect of melatonin supplementation on clinical symptoms and paraclinical outcomes in women diagnosed with fibrocystic breast disease. Investigating the Effects of melatonin supplementation on clinical symptoms and paraclinical outcomes in women diagnosed with fibrocystic breast disease. The present study is a controlled intervention-placebo treatment conducted on women suffering from fibrocystic breast disease aged 18-40. This interventional study was conducted on 66 patients (33 in the intervention group and 33 in the control group). Melatonin supplement of 3 mg was administered to the intervention group and a placebo to the control group for 12 weeks. Patient information, symptoms, and paraclinical outcomes were recorded at the beginning of the study before the intervention and 12 weeks after the intervention. After collecting the data, we analyzed it using SPSS version 16 software and appropriate statistical tests. The findings of this study showed that melatonin administration in patients with fibrocystic breast disease reduced anxiety, depression, improved sleep quality, increased TAC (Total Antioxidant Capacity), and decreased MDA (Malondialdehyde). However, both study groups did not have statistically significant differences in the average pain and hs-CRP before and after the intervention. According to the findings of the study and the identification of the positive effect of melatonin on laboratory indicators and symptoms in patients with fibrocystic breast disease, it is recommended to prescribe melatonin in addition to standard treatment to witness a better and faster recovery, and in this way, the quality of life of patients can be increased.
A Left Axillary Artery Variation: Case Report
Authors: Bayat Hanieh , Movassaghi Shabnam , Akbari Mohammad
Published: July 2024

Fetal abnormalities can cause axillary artery variations. Recognize and document of these variations are essential for surgeons performing interventional or diagnostic procedures for cardiovascular diseases. During routine dissection of an old female cadaver in the department of anatomy of Islamic Azad University, Tehran of Medical Sciences, we came across a variation in the branching pattern of the left axillary artery. The third part of the left axillary artery gave rise to a common trunk which was divided into the subscapular, lateral thoracic, posterior, and anterior circumflex humeral arteries.
Correlation between Complement C1q A Chain (C1QA) and Macrophages in the Progression of Carotid Atherosclerosis
Authors: Dong Guanglong , Yu Xiangwen , Zhao Mingyu , Lin Shusen , Meng Qingyu
Published: July 2024

Background: There is increasing evidence that macrophages are involved in the development of carotid atherosclerosis (CAS), but the specific mechanism is still unclear. We aimed to explore the key genes that play a regulatory role on macrophages in the progression of CAS.
Methods: From 2021 August to 2023 August, GEO datasets GSE100927 and GSE43292 were downloaded and the key gene modules related to CAS were identified by weighted Gene co-expression network analysis (WGCNA). Kyoto Encyclopedia of Genes and Genes (KEGG) pathway analysis was performed on the genes of the key modules to identify common gene enrichment pathways. Differential expression analysis of pathway-related genes was performed by the "limma" package of R software. Case groups were categorized into high and low expression groups based on the expression levels of key genes, and ssGSEA immune infiltration analysis was performed.
Results: The turquoise module of GSE100924 (threshold=12) and the brown module of GSE43292 (threshold=7) were obtained through WGCNA analysis. The analysis of KEGG showed that the differentially expressed genes in the turquoise and brown modules were co-enriched in the staphylococcus aureus infection signaling pathway. Differential expression analysis identified 18 common differentially expressed genes, all of which were highly expressed in the case group. C1QA is the gene of interest. According to ssGSEA analysis, the high expression group of C1QA showed a significant increase in the number of macrophages (GSE43292, P=0.0011; GSE100927, P=0.025).
Conclusion: This study identified the key gene C1QA involved in regulating macrophage functional activity during the CAS process, providing new ideas for effective control of CAS.