bluuebunny/crossref_metadata_2025 huggingface dataset:
Bridging dentistry and ENT: the role of multidisciplinary care in odontogenic maxillary sinusitis - a comprehensive review
Authors: Alzamil Abdullah , Alkhalid Saud , Alakeel Nouf , Alkhalid Thakra , Alqahtani Faisal , Mobarki Mazen , Naitah Abdulaziz
Published: January 2025

Odontogenic maxillary sinusitis (OMS) is a prevalent condition arising from dental pathologies or complications in dental treatments. The close anatomical relationship between the maxillary teeth and sinus makes it prone to inflammation due to dental infections or procedures. This review employed a systematic search strategy across reputable scientific platforms, utilizing varied keywords to ensure comprehensive coverage of recent advancements and insights into OMS. This comprehensive review explored the anatomy, etiology, diagnosis, and management of OMS, emphasizing its increasing incidence linked to advancements in dental care. It highlighted the diagnostic challenges and underscores the importance of a multidisciplinary approach involving dental and ENT specialists. OMS management ranges from antibiotics and nasal irrigation to surgical interventions like endoscopic sinus surgery, depending on its severity and etiology. A sequenced, collaborative approach targeting both dental and sinus pathology significantly improved prognosis, minimizes recurrence, and enhances patient outcomes.
Comparative outcomes of laparoscopic vs. open surgery for appendicitis in young adults: a systematic review
Authors: Almuhaini Amal , Alodayli Zahra , Boshamla Aqelah , Bukhader Zahra , Abudrees Duaa , Alghasham Zainab
Published: January 2025

Appendectomy is a common surgical procedure performed to treat acute appendicitis, with two primary approaches: laparoscopic appendectomy (LA) and open appendectomy (OA). While both methods are widely utilized, there is ongoing debate about their relative efficacy, safety, and cost-effectiveness. This study aimed to compare the clinical outcomes, complications, recovery parameters, and cost-effectiveness of LA and OA to determine the optimal surgical approach. This study systematically reviewed 13 studies published between the years 2016 and 2024, encompassing prospective, retrospective, and interventional designs. A total of 2,490 patients (1396 underwent OA, and 1094 underwent LA) were included. Data on operative time, complications, recovery parameters, and cost were extracted and analyzed, with a meta-analysis conducted to evaluate differences between LA and OA. The meta-analysis revealed that LA was associated with a longer operative time compared to OA, with a mean difference of 9.57 minutes (p-value=0.067), though this was not statistically significant. LA demonstrated a significantly lower prevalence of wound infection, with a prevalence ratio of 0.241 (p-value=0.001). Hospital stay duration was significantly reduced in LA, with a mean difference of -0.618 days (p-value=0.001), and patients undergoing LA returned to normal activities much faster, with a mean difference of -5.405 days (p-value=0.001). Although certain patient factors and clinical scenarios might necessitate OA, LA should be the preferred surgical method in most cases due to its favorable outcomes. Future studies are recommended to explore long-term outcomes and refine patient selection criteria for both approaches.
Diabetic ketoacidosis and hypoglycemia management interventions in the emergency department
Authors: Alanazi Mazi , Bukhari Ahmed , Alhawas Israa , Abdullah Asma , Nadhry Ahmed , Albahar Sarah , Alnaim Amjad , Alhawas Abdulrahman , Alotaibi Mohammed , Alzahrani Faisal , Almuidh Faisal
Published: January 2025

Among patients with diabetes mellitus, hypoglycemia, and hyperglycemia crises are the most frequent acute consequences. One avoidable cause of death, illness, and decreased quality of life is hypoglycemia. The chance of having hypoglycemia doubles beyond the age of 60 years, making it more prevalent among older persons. With advancing age and a history of severe hypoglycemia, hypoglycemia is linked to death rates that increase two to three times. This study aimed to present evidence on the effectiveness of treatments used in the emergency management of diabetic ketoacidosis (DKA) and hypoglycemia. The PRISMA statement was followed in the conduction of this study. The comparators for either hypoglycemia or DKA were excluded from the search strategy to prevent restricting the search results. Randomized controlled trials and cohort studies were considered, and only English-language articles were selected. The electronic health databases Medline, Cochrane, and Embase were searched for relevant content between the years 2019 and 2024. It was found that hypoglycemia can be effectively treated with both 10% and 50% dextrose. Sodium chloride and playmate-based fluid treatment had a greater impact, shortened hospital stays, and DKA recovery times. Similarly, a potassium content below 10 mmol/l raises mortality, and excessive use of fluids containing chloride was linked to prolonged hospital stays and a higher risk of comorbidities.
İrisin Hormonunun Sağlık ve Enerji Homeostazı Üzerine Etkileri
Authors: Kartal Muhammed Enes , Baran Özlem
Published: January 2025

Obezite; kardiyovasküler hastalık, tip-2 diyabetes mellitus, belirli kanser türlerinin görülme sıklığında artış ve solunum komplikasyonlarıyla
ilişkili, prevelansı günden güne artan önemli bir halk sağlığı sorunudur. Obezitenin yönetiminde adipoz doku ve kas dokusu
önemli bir rol oynamaktadır. Kaslardan, adipoz dokudan ve çeşitli doku ve organlardan salınan bir miyokin olan irisin, egzersizle
stimüle edilen bir hormondur. Literatür incelemesinde, PubMed, Science Direct ve Google Akademik veri tabanları taranarak, irisin
hormonunun yapısı, salınımı, enerji metabolizmasındaki rolü ve obezite üzerindeki etkileri kapsamlı bir şekilde analiz edilmiştir. İrisin,
henüz tam olarak keşfedilmeyen bir proteaz tarafından, bir hücre zarı proteini olan FNDC5’in C-terminal kısmının proteolizinin ardından
meydana gelerek sirkülatuar sisteme dahil olur. Miyositler tarafından salınan irisin, 12 kDa büyüklüğünde ve 112 aminoasitten
oluşmaktadır. İrisin, mitokondri biyogenezini ve uncoupling protein-1 ekspresyonunu artırarak enerji metabolizması üzerinde önemli
bir etkiye sahiptir, böylece beyaz adipoz dokunun kahverengi adipoz dokuya dönüşümünü ve termojenezi artırmaktadır. Bunun sonucu
olarak da enerji harcaması önemli ölçüde artar. Bu etkisiyle irisinin, obezitenin tedavisi açısından faydalı olabileceği düşünülmektedir.
Ancak irisin hormonunun çeşitli doku ve organlardaki işlevleri, bu işlevlerdeki görevli reseptörler ve hastalıklar üzerindeki etkileri
henüz bulunamamıştır. Bu sebeple enerji metabolizmasının regülasyonu ve obezitenin önlenmesi için umut vaat eden bir hormon olan
irisin hakkında daha fazla araştırmanın yapılması gerekmektedir.
La paz en Colombia: aportes y limitaciones de las negociaciones con el Ejército de Liberación Nacional (ELN) 2002-2022
Authors: Calderón Flórez Nijite Johanna , Moya Saenz Luis Gabriel
Published: January 2025

El artículo analiza la importancia de los procesos de paz en contextos de conflicto armado, centrándose en la experiencia de Colombia con el grupo guerrillero Ejército de Liberación Nacional (ELN). Con base en la teoría de Vicenç Fisas sobre las diferentes etapas y factores que caracterizan los procesos de paz, el documento estudia los intentos de negociación entre el Gobierno colombiano y el ELN en el período 2002-2022 y describe los desafíos que han enfrentado. Finalmente, a partir del conocimiento profundo de expertos, describe cuáles elementos clave permitirían construir un lineamiento que aporte al proceso de diálogo y a la solución óptima del conflicto.
STUDI KASUS: OSTEOCHONDROMA SCAPULA DAN TIBIA FIBULA PADA REMAJA USIA 14 TAHUN
Authors: Tanaji Tandy Chintya , Leonita Firdha , Napitupulu Partogi , Astien Astien , Wahab Revalita , Rahmansyah Mulia , Nareswari Gupita
Published: January 2025

Multiple Hereditary Exostoses (MHE) is an autosomal dominant inherited genetic condition characterized by multiple exostoses (or osteochondromas). Genetic analysis had identified a certain type of mutated Exostosin genes, can potentially cause exostoses. A 14 years old boy referred to our hospital with a chronic hard palpable lump on his left back and right lower limb in the past 10 years, and was gradually increased in size. Laboratory test which consists of complete blood count, urinalysis, and renal function test were normal. A radiographic examination of the related skeleton demonstrated multiple osteochondromas of scapula and tibia fibula. As a consequence of mutations in the Exostosin 1 and Exostosin 2 genes, chondrocytes exhibiting shortened Heparan Sulfate chains are present in this region. In the later stages, these cells develop exostoses. Multiple Hereditary Exostoses may involve different bone locations and could be diagnosed using various medical imaging modalities, however plain radiography x-ray was already sufficient enough to conclude the abnormality. Sessile lesions were much more common than pedunculated in Multiple Hereditary Exostoses, however Sessile lesions bear a higher risk of malignant transformation into chondrosarcoma. Upon early detection, the prognosis for patients who have chondrosarcoma was favorable. Multiple Hereditary Exostoses is a rare bone disorder marked by the development of non-cancerous tumors near the growth plates of bones. This condition can greatly affect an individual's quality of life, resulting in restricted mobility, skeletal abnormalities, ongoing pain, inhibited growth, and the risk of the exostoses becoming malignant.
APAKAH BEBAN KERJA MENTAL BERHUBUNGAN DENGAN TINGKAT KECEMASAN PADA KARYAWAN BANDARA?
Authors: Raihan Muhammad Fajri , Wartono Magdalena
Published: January 2025

Anxiety was the anticipation of future danger accompanied by feelings of dysphoria and somatic symptoms. Anxiety often occured in employees within the early adults (ages 26-35). Risk factors of anxiety in employees included genetics, social and family environmental factors, and mental workload. The impact of mental workload on employees could affect mental health, specifically the level of anxiety, that could implicate the job performance. The aim of this study was to assess the relationship between gender, age, and mental workload with the anxiety levels of airport employees. The design of the study was observational analytic cross-sectional approach. A sample size of 125 subjects were obtained through cluster random sampling. Primary data was collected using the HARS and NASA-TLX questionnaires. Data were analyzed with SPSS using the Kolmogorov-Smirnov and Kendall's Tau tests. There were 69 male employees and 53 individuals were in the early adulthood (26-35 years). For mental workload, 51 employees had a slightly high workload and 47 employees had severe anxiety.The bivariate analysis indicated that there was no relationship between gender and anxiety levels (p=0.709) as well as age and anxiety levels (p=0.142). However, there was a relationship between mental workload and anxiety levels (p=0.005). Mental workload is related with anxiety levels in airport workers.
BENEFITS AND RISKS OF ULIPRISTAL ACETATE FOR UTERINE FIBROIDS
Authors: Khusfiani Triasti , Imran Yudhisman , Rachmiyani Irmiya , Adriani Donna
Published: January 2025

Uterine fibroids (FU) are often experienced by women of reproductive age or in their early menopause with therapy options involving surgical intervention such as hysterectomy. Ulipristal Acetate (UPA) is an oral drug from the selective progesterone receptor modulator (SPRM) class which has been proven to be effective in treating FU symptoms so that patients can maintain their fertility and their uterus. The PEARL I-IV clinical trials (PGL4001/UPA Efficacy Assessment in Reduction of Symptoms Due to Uterine Leiomyomata) has proven the effectiveness of this drug in terms of reducing symptoms such as bleeding and pain, reducing fibroid volume, as well as its impact on the patient's quality of life. During ongoing clinical trials, the majority of side effects found were mild-moderate and reversible. In 2020, UPA was discontinued due to reports of the risk of DILI (drug induced liver injury), but after thorough investigation and considering its benefit and risk ratio for patients, UPA can be given again but its indication is limited to intermittent FU therapy with moderate to severe symptoms in women who has not reach menopause or when surgical procedures cannot be performed/have failed. Close monitoring of liver function is of course necessary.
IMPLEMENTASI ASAS KESEDERHANAAN DALAM PEMUNGUTAN PAJAK MELALUI INTEGRASI NIK DAN NPWP SEBAGAI UPAYA PENINGKATAN PENERIMAAN PAJAK
Authors: Faturohman Fatur
Published: January 2025

The aim of this research is to find out about the implementation of the principle of simplicity in tax collection in Indonesia. Tax collection by the government must be based on the principle of simplicity. The principle of simplicity means that the taxes collected by the government must be easy and understandable by the public. Currently, it is estimated that Indonesians have around 40 identity numbers, including taxpayer identification numbers. So, to achieve the principle of simplicity in tax collection, the government issued a policy regarding the integration of NIK and NPWP as one unit in managing tax administration. This research is normative legal research with a deeper understanding of secondary information in the form of literature reviews and related laws and regulations. The results of this research show that the application of NIK to NPWP as a means of tax administration has been regulated in Law Number 7 of 2021 concerning Harmonization of Tax Regulations, and Regulation of the Minister of Finance of the Republic of Indonesia No. 112/PMK.03/2022 with the policy of integrating NIK and NPWP, it will have the potential to increase the number of taxpayers in Indonesia, as well as tax revenues in Indonesia.
Peran PBB sebagai Organisasi Internasional Dalam Mengatasi Konflik Rusia Dan Ukraina Demi Membangun Perdamaian Dunia
Authors: Anggita  , Chintya Dewi Devi
Published: January 2025

International organization is a coalition created to bring nations together in international cooperation. One of them was the United Nations, the most famous post-World War II international organization. The history of the organization began in the 19th century with the establishment of the International Communication Organization, followed by the presence of the League of Nations and the United Nations. The most important purpose of the existence of such an international organization is to bring about world  peace through the international relations held between these nations. Despite the existence of international organizations, international conflicts continue, such as the Russian-Ukrainian conflict. The United Nations, which is an international organization, has played a major role in bringing about peace between Russia and Ukraine in the conflict of 2022. That then produced some important points that became decisions that had a considerable impact, albeit indirectly, on Russia for having violated international law.
Peran United Nations Children’s Fund (UNICEF) Dalam Melindungi Hak-Hak Anak Korban Konflik Bersenjata Antara Palestina Dan Israel
Authors: Kandar Kanda Ramandana , Maharani Vina
Published: January 2025

In essence, every child has the right to life, security, comfort and growth, just like adults, but children are felt to be very vulnerable to various things. Persecution and victims in war are very inhumane acts against children, with war In addition, child abuse can cause children to feel insecure or rob them of their rights as humans and children, such as a sense of security, comfort and growth and development. By using the Normative Juridical Method, we can get a view regarding the role of protecting children in the international organization UNICEP as a problem solver, as a collective action mechanism, as a capacity builder, as an aid provider. Based on this, in the case of children who are victims of war, it cannot be tolerated. Law enforcement is clear in Article 77 of the Rome Statute which contains laws for perpetrators of crimes which include committing crimes by abusing children and even killing innocent children.
Korelasi Hukum Hak Asuh Lansia dalam Tradisi Sunda dan Islam
Authors: Sarip Sarip , Azis Husnarijal Muhammad , Nurkhaeriyah Nurkhaeriyah
Published: January 2025

This study aims to provide input related to the plan to change Law no. 13 of 1998. The number of elderly people is increasing day by day, it is necessary to make revisions in order to realize prosperity. Lanisa with her limitations is a human being who has the same position and degree and must be protected and given welfare. Through the discussion method to provide input on the revised plan, it focuses more on the approach of local wisdom and religious teachings. The value of local wisdom chosen is the Sundanese tradition in the custody of the elderly, the religion chosen is Islam. However, he does not deny other traditions and teachings to study them as an effort to provide input for the welfare of the elderly. In the Sundanese tradition and Islamic teachings there are indeed differences in parental custody, the location of these differences is not substantial. However, to get an understanding of custody of the elderly, a solution must be found first in order to avoid the perception of custody which is always identified with custody of children. The essence of both lies in the race to take care of and respect parents regardless of whether it is a boy or a girl.
Identification of Parameters for Solar Photovoltaic Systems Using a Human Optimization Algorithm
Authors: Muda Iskandar , Isdawimah Isdawimah , Kumar Abhinav , Alkhrsan Ibrahim , Ved Amit , T. Ramachandran , Zhiltsov Sergey , Shankhyan Aman , Singh Mann Vikasdeep , Nuñez-Alvarez José R.
Published: January 2025

By increasing the global demand for electricity, there is a heightened need for power generation. The rising costs of natural gas and regulatory pressures to limit greenhouse gas emissions have escalated the expenses associated with electricity production from fossil fuels. Consequently, there is a growing inclination to utilize alternative energy sources for electricity generation, particularly solar power through photovoltaic systems. Evolutionary algorithms are among the most favored methods for identifying and optimally estimating the parameters of photovoltaic systems, and this article examines their functionality. A critical issue in these systems is the appropriate selection of photovoltaic system parameters. This paper presents a new method for optimal parameters identification of the photovoltaic (PV) systems using a newly modified version of a metaheuristic algorithm. The propose algorithm is based on adapting the performance of the Human Evolutionary Optimizer and is called AHEO algorithm. Simulation results indicate that the estimation of the photovoltaic cell's circuit model parameters has been effectively accomplished, with the mean square error (MSE) associated with the AHEO demonstrating a high level of accuracy and robustness in parameters identification of the PV system.
Parental influence on Coping Strategies in Youth in Situations of Interpersonal Conflict
Authors: Borecka-Biernat Danuta
Published: January 2025

The goal of the study was to explore ways in which family impacts the etiology of coping strategies in youth in situations of social conflict, with focus on the parental attitudes and their patterns of reacting to situations of social conflict. The Scale of Parental Attitudes (Skala Postaw Rodzicielskich) by M. Plopa, the Questionnaire for Coping Strategies in Parents in Situations of Social Conflict (Kwestionariusz strategii radzenia sobie rodziców w sytuacji konfliktu społecznego) by D. Borecka-Biernat, and the Questionnaire for Coping Strategies in Youth in Situations of Social Conflict (Kwestionariusz do badania strategii radzenia sobie młodzieży w sytuacji konfliktu społecznego) by D. Borecka-Biernat were the tools applied in the study. The empirical study was conducted in middle schools, on a sample of 893 adolescents (468 girls and 425 boys) aged 13 to 15. In the light of the conducted research, it has been concluded that destructive (aggressive, avoidant, submissive) mechanisms of coping with emotional tension in situations of social conflict are shaped by inappropriate parental attitudes characterized by emotional distance or emotional focus of the parents on the adolescent, lack of balanced emotional bond, and high expectations accompanied by excessive discipline and strictness. Among the family-related determinants of destructive coping strategies an important role is played by the patterns of destructive (aggressive, avoidant, and submissive) coping strategies in situation of social conflict presented to the adolescents by the parents. What is more, an analysis of the research material has indicated that appropriate parental attitudes, characterized by support, respect for the adolescent’s independence and their individuality equip the young person with a constructive (task-oriented) strategy that is efficient in overcoming situations of social conflict. It has been observed that a high level of the task-oriented strategy in parents in situations of social conflict causes an increase in the level of the task-oriented strategy in youth in situations of social conflict. It appears that the obtained information can serve as theoretical guidelines in designing parenting strategies that shape individuals capable of coping with conflict in a mature way.
W służbie chrześcijańskim rodzinom. Kręgi Domowego Kościoła na terenie diecezji gliwickiej (1982-2023)
Authors: Górecki Piotr
Published: January 2025

W 2022 r. małżeństwa, należące do kręgów Domowego Kościoła Ruchu Światło-Życie na terenie diecezji gliwickiej, przeżywały 40. rocznicę swojej działalności. W czasie okolicznościowych obchodów, jakie z powodu pandemii zorganizowano dopiero jesienią 2023 r. w pięciu okręgach na terenie diecezji, członkowie ruchu dzielili się doświadczeniami wieloletniej działalności ewangelizacyjnej, jaką z sukcesami i niepowodzeniami prowadzili w niełatwym okresie zrywu solidarnościowego i odzyskania wolności, postprzemysłowych przemian ustrojowych i czasu wzmożonej emigracji, a wreszcie w okresie postsekularyzacyjnym, czasie pandemii i kryzysu Kościoła w okresie najnowszym. Zauważono również, że wspólnota nie posiada jak dotąd opracowanych w sposób metodyczny swoich dziejów, a jedynie kronikę, której zapis doprowadzony został do 2007 r.Celem artykułu jest przedstawienie dziejów grup Domowego Kościoła na terenie diecezji gliwickiej, które obecne są w przestrzeni duszpasterskiej tamtejszych parafii od 1982 r. Dyskurs naukowy, którego tłem będzie również przedstawienie dziejów tego obecnie stowarzyszenia świeckich w Kościele w Polsce, posiłkować się będzie metodami analizy źródeł historycznych oraz dostępnych opracowań naukowych i pomocy duszpasterskich. Ponieważ dotychczas nie pokuszono się o napisanie jakiejkolwiek syntezy dziejów ruchu na terenie diecezji gliwickiej, praca wpisuje się w nurt ocalenia od zapomnienia tych wydarzeń, które ożywiały wspólnoty świeckich po Soborze Watykańskim II w rzeczywistości przemian politycznych, kulturowych i społecznych, a uzyskane wyniki potwierdzają tylko, jak ubogie byłyby dzieje Kościoła lokalnego bez grup Domowego Kościoła Ruchu Światło-Życie.
Zakochanie w relacjach narzeczeńskich i małżeńskich
Authors: Sadlak Robert , Lichtenberg-Kokoszka Emilia
Published: January 2025

Miłość towarzysząca relacjom pomiędzy mężczyzną a kobietą przybiera wiele form. W kontekście prowadzonych przez Sternberga badań naukowych i zgodnie ze stworzoną przez niego teorią kombinacja i natężenie trzech składników miłości: intymności, namiętności i zaangażowania pozwala na wyodrębnienie różnego rodzaju relacji, w jakie wchodzi człowiek (lubienie, zadurzenie, zakochanie, miłość fatalna, przyjacielska, doskonała) oraz stworzenie schematu faz związku uczuciowego.Przedmiotem prowadzonej dywagacji stało się uczucie zakochania, celem badań naukowych zaś, wskazanie jego znaczenia dla budowania relacji w okresie narzeczeństwa i małżeństwa. Zastosowana metoda krytycznej analizy literatury przedmiotu pozwoliła na wyciągnięcie następujących wniosków: zakochanie, przeżywane zarówno w okresie narzeczeństwa, jak i małżeństwa posiada swoje pozytywne i negatywne strony. Dzieje się tak, ponieważ odczuwane przez człowieka uczucia mogą być skierowane nie tylko do narzeczonego, małżonka czy członków najbliższej rodziny, ale również do osób trzecich. Wnioski z przeprowadzonych badań wskazują na to, że zakochanie stanowi istotny element budowania relacji w okresie narzeczeństwa, niemniej może również stanowić sytuację zagrażającą stabilności małżeństwa.
Grypsy Łukasza Cieplińskiego pisane w celi śmierci jako forma komunikacji rodzinnej w czasach stalinowskich
Authors: Juroszek Weronika
Published: January 2025

Problematyka tekstu ogniskuje się wokół biografii Żołnierzy Niezłomnych jako źródeł inspiracji w wychowaniu do wartości. Jak dotąd w literaturze psychopedagogicznej istnieje niewiele opracowań poświęconych Żołnierzom Niezłomnym. Zamierzeniem autora jest ożywienie naukowego dyskursu w zakresie tej tematyki.Celem artykułu jest udzielenie odpowiedzi na następujące pytanie badawcze: Jaką rolę w komunikacji z najbliższą rodziną pełniły grypsy pisane przez Łukasza Cieplińskiego w celi śmierci?Wykorzystano metodę biografii historyczno-pedagogicznej. Poddano analizie fragment życia Łukasza Cieplińskiego, przypadający na lata stalinowskie w powojennej Polsce. Skoncentrowano się przede wszystkim na ostatnich miesiącach życia Łukasza Cieplińskiego, spędzonych w celi śmierci.W artykule odwołano się do opracowań biograficzno-historycznych oraz treści grypsów, napisanych w celi śmierci do żony i jedynego dziecka, kilkuletniego Andrzeja. W analizie komunikacyjnej roli grypsów odwołano się do czteropoziomowego modelu komunikacji, zgodnie z którym wypowiedź nadawcy można analizować na następujących poziomach: rzeczowym (informacji), ujawniania siebie, relacji i apelu.Wyniki: Za pomocą grypsów, które pełniły rolę komunikacyjną, Łukasz Ciepliński: dzielił się ze swoimi najbliższymi najważniejszymi informacjami dotyczącymi walki o wolną Polskę i obronę najwyższych wartości; ujawniał siebie (w tym przede wszystkim wyznawaną hierarchię wartości zawartą w haśle: Bóg, Honor, Ojczyzna). Na poziomie relacji wyrażał swoje uczucia tęsknoty i miłości do najbliższej rodziny oraz troski o nią. Na poziomie apelowym prosił najbliższych o wypełnienie zadań, których nie dane mu było dokończyć oraz o kierowanie się w życiu najwyższymi wartościami. Szczególny apel wybrzmiał w stosunku do syna, którego dodatkowo Łukasz Ciepliński prosił o rzetelną i wszechstronną edukację dla dobra ojczyzny i o opiekę nad matką.Wnioski: Grypsy Łukasza Cieplińskiego są dla nas wszystkich wskazówkami, drogowskazami sformułowanymi przez świetnie wykształconego i oddanego Polsce żołnierza, kochającego ojca i męża, kandydata na ołtarze – jak urzeczywistniać wartości zawarte w haśle: Bóg, Honor, Ojczyzna.
W cieniu manipulacji matki narcystycznej
Authors: Smolik Magdalena , Strzelczyk Daniel
Published: January 2025

Artykuł zawiera teoretyczne rozważania i prezentuje analizę zjawiska manipulacji ze strony toksycznej matki w kontekście jej wpływu na relacje rodzinne oraz rozwój osobisty dorosłych dzieci. Została dokonana definicja matki narcystycznej oraz zjawiska manipulacji. Ukazano także manipulację matczynną z uwzględnieniem jej podstawowych cech, mechanizmów oraz przejawów w kontekście relacji rodzinnych. W dalszej kolejności przedstawiono jak wychowywanie przez narcystyczną matkę wpływa na dorosłe życie. Dodatkowo, artykuł zawiera rekomendację dla dorosłych dzieci matek narcystycznych pozwalające odzyskać zdrowie emocjonalne na wskutek doznanej traumy.
Application of Clinician Support Tools to Improve Wound Healing Outcomes and Simplify Treatment Selection for Effective Exudate Management
Authors: Loney Amanda , Butt Britney , Berry Sophie
Published: January 2025

Background. Achievement of moisture balance can be a critical factor affecting time to closure of nonhealing wounds, and dry wounds can take much longer to heal than those with high exudate levels. Whether the goal of management is to donate moisture to the wound or control excessive fluid until the cause has been identified and addressed, choice of dressing and other wound management products can affect nursing resources, clinical outcomes, concordance, and quality of life for the patient. Case Reports. The cases discussed illustrate differences in management approaches for dry and wet wounds and show how clinician support tools (eg, tissue type, infection/inflammation, moisture imbalance, epithelial edge advancement [TIME] clinical decision support tool) can facilitate treatment decisions. Dressing selection in particular can be challenging given the range of wound types, increasing demands on wound care practitioner time and the requirements necessitated by individualized patient treatment goals. Development of wound management decision tools can help to simplify product selection, and use of patient discussion guides can help to identify patients and caregivers who have the confidence to help implement their wound management plan. Conclusion. Adopting wound management decision tools has the potential to ease the increasing burden of wound care to health care systems, patients, and society.
Effect of Introduction of Elastic Compression Bandages on Quality of Life in Patients With Lower Extremity Vascular Skin Ulcers: A Prospective Study Correlating WOUND-Q Patient-Reported Outcome Measures and Evidence-Based Medicine
Authors: Gratteri Marco , Marangi Giovanni , Mirra Carlo , Cogliandro Annalisa , Cagli Barbara , Segreto Francesco , Parodi Pier , Scarabosio Anna , Savani Luca , Persichetti Paolo
Published: January 2025

Background. Evidence-based medicine and patient-reported outcome measures (PROMs) are helpful tools in the wound care field, but few studies correlating quality of life (QoL) changes with objective changes exist. Objective. To investigate the QoL changes following the shift from primary dressings alone to elastic compression bandages in patients with a new diagnosis of vascular skin ulcer, and to evaluate a possible correlation between objective and subjective changes. Materials and Methods. This study included 122 patients with a new diagnosis of vascular skin ulcer, who had previously used only primary dressings alone. The WOUND-Q was administered at time 0, and after 1 month, 6 months, and 12 months of appropriate compression bandage use. Standardized photographs were taken at the first visit. Group 1 consisted of 51 patients (vascular ulcers of mixed origin), group 2 had 31 patients (arterial origin), and group 3 had 40 patients (venous origin). Software was used for statistical analysis. Results. The ulcer areas decreased by a mean (standard deviation [SD]) of 4.47 (1.76) cm2, 4.06 (0.73) cm2, and 5.04 (0.34) cm2 for groups 1, 2, and 3, respectively, to a mean (SD) area of 3.19 (2.94) cm2, 2.23 (1.78) cm2, and 4.79 (2.56) cm2, respectively, at 12 months. Almost all WOUND-Q values tended to improve over time for the drainage, smell, and life impact scales. The Spearman correlation coefficient r value was 0.3430 for group 1, 0.5893 for group 2, and 0.3959 for group 3 for correlation between the delta of areas and the delta of the life impact. Conclusion. Introducing compression bandages improved QoL of patients with vascular skin ulcers. Drainage and smell tended to improve over a 1-year period following the switch. A correlation was found between improvements in ulcer area reduction and improvement in life impact scale data.
Wounds Resulting From Intradermal Injection of Sodium Hypochlorite: A Case Report
Authors: Cedirian Stephano , Natale Alessio , Merli Yuri , Misciali Cosimo , Piraccini Bianca , Starace Michela
Published: January 2025

Background. Caustic substances can inflict severe damage on tissues upon contact. Knowledge about skin damage caused by sodium hypochlorite is quite limited, with only a few reports available in the literature. Case Report. A 79-year-old female with severe cognitive decline presented with multiple skin ulcerations that were covered by a blackish-greyish eschar and surrounded by a purple erythematous halo. During the medical examination, in a moment of clarity the patient confessed to self-inflicting the wounds through injections of bleach at night. Analysis of the liquid beneath the eschar from the ulcer swab and the histological examination confirmed the compatibility of lesions with the injection of sodium hypochlorite. Conclusion. Intradermal injection of sodium hypochlorite can cause severe damage to the skin tissue, with rapid formation of ulcerations covered by a blackish-greyish eschar. The surrounding skin may have an erythematous, swollen appearance and a purple-colored halo around it. Moreover, for a patient with a neuropsychiatric medical history, negative laboratory findings, or irregular skin lesions, self-induced ulcerations should always be considered in the differential diagnosis.
Bromelain-Based Enzymatic Debridement: Mechanism of Action in the Wound Environment. A Literature Review
Authors: Snyder Robert , Hoffmeister Timothy , Ead Joey , Nass Anwar , Klinger Ety , David-Zarbiv Keren , Kats-Levy Yael , Yaakov Aya
Published: January 2025

Background. Chronic hard-to-heal wounds, such as diabetic foot ulcers, venous leg ulcers, and pressure ulcers, present significant safety concerns, patient burdens, and challenges to health care systems globally. Objective. To review the mechanism of action and clinical function of bromelain-based enzymatic debridement (BBD) in the context of wound care, focusing on the mechanism of action of BBD and its formulation for chronic wounds in particular. Methods. A literature review was conducted to assess both bromelain’s mechanism of action as well as clinical and preclinical studies on the use of BBD, searching the PubMed and Google Scholar databases for articles published between November 1992 and July 2024. Results. The literature review shows that BBD, a mixture of proteolytic enzymes derived from the pineapple plant, demonstrates multifaceted actions beneficial to wound healing. It selectively targets devitalized tissue, inhibits bacterial biofilm formation, promotes granulation tissue formation, and maintains moisture balance, thus facilitating a conducive wound microenvironment. Clinical studies and in vivo experiments support the efficacy of BBD in expediting wound debridement, in the formation of granulation tissue, and in reducing bioburden. Conclusion. The mechanistic insights presented in this review underscore the potential of BBD as a novel standard in chronic wound care that warrants further exploration and clinical validation across diverse wound classifications.
АНАЛИЗ СИСТЕМЫ АВТОМАТИЗИРОВАННОГО УПРАВЛЕНИЯ НАСОСНОЙ СТАНЦИЕЙ
Authors: КИСЕЛЕВ И О. , МЕДВЕДЕВА Л И.
Published: January 2025

В статье рассмотрен процесс работы насосной станции оборотного цикла, различные системы ее регулирования. По результатам анализа работы насосной станции предложено установить ряд средств микропроцессорного управления для эффективной реализации системы автоматизированного управления рассматриваемым процессом.

The article describes the process of operation of a circulating cycle pumping station, various systems of its regulation. Based on the results of the analysis of the pumping station operation, it is proposed to install a number of microprocessor control tools for the effective implementation of an automated control system for the process under consideration.
СОВРЕМЕННЫЕ ДОСТИЖЕНИЯ В ИСПОЛЬЗОВАНИИ НЕЙРОННЫХ СЕТЕЙ ДЛЯ ПОВЫШЕНИЯ ЭФФЕКТИВНОСТИ МЕТОДОВ УПРАВЛЕНИЯ С ПРОГНОЗИРУЮЩЕЙ МОДЕЛЬЮ
Authors: КАФА  В , ГАВРИЛОВ Д А. , БУЗДИН В Э. , ТАТАРИНОВА Е А. , ФАТЕЕВ А С. , МЕРКЕЛОВ А А. , СИЧКАРЬ Д С. , ПОТКИН О А. , МУРХИЖ  Я
Published: January 2025

В настоящем обзоре рассматривается роль нейронных сетей, основанных на методах управления с прогнозирующей моделью (MPC), в различных областях управления, подчеркивается их эффективность в оптимизации сложных систем при одновременном признании существующих проблем. Исследуется инновационная интеграция нейронных сетей с MPC, достижения в системном моделировании, оптимизации и надежности. Несмотря на существующие проблемы, в том числе аппаратные ограничения и требования к данным, комбинированное применение нейронных сетей предлагает многообещающие решения. Новые тенденции, включая усовершенствованные сетевые архитектуры и оптимизацию в реальном времени, предвещают на многообещающее будущее. Практические требования к внедрению подчеркивают необходимость целостного подхода, обеспечивающего адаптивность, безопасность и эффективность. Отмечено, что интеграция нейронных сетей с MPC продолжит формировать среду для систем управления.

This review delves into the pivotal role of Model Predictive Control (MPC) based neural networks across diverse control domains, highlighting its effectiveness in optimizing complex systems while acknowledging inherent challenges. While not delving into specific mathematical details, the review explores the innovative integration of neural networks with MPC, presenting advancements in system modelling, optimization, and robustness. Despite challenges such as hardware constraints and data requirements, the combined application of neural networks offers promising solutions. Emerging trends, including advanced network architectures and real-time optimization, signify a promising future. Practical considerations for implementation underscore the need for a holistic approach, ensuring adaptability, safety, and efficiency. As researchers address challenges and explore trends while committing to the practical considerations we highlighted, we believe that the integration of neural networks with MPC will continue to shape a promising landscape for control systems.
ИЗМЕРЕНИЯ НЕОДНОРОДНОСТЕЙ РАСПРЕДЕЛЕНИЯ ФОНА МЕТАНА ВОЛОКОННО-ОПТИЧЕСКИМ ЛИДАРОМ В ПРИГОРОДНОЙ ЗОНЕ МОСКОВСКОЙ ОБЛАСТИ
Authors: ГРИГОРЬЕВСКИЙ В И. , САДОВНИКОВ В П. , ТЕЗАДОВ Я А. , ЭЛБАКИДЗЕ А В.
Published: January 2025

С помощью созданного макета дистанционного лидара для измерения концентрации метана проведено исследование распределения метана вдоль трассы длиной ~2,25 км с целью локализации выбросов газа и контроля утечек в неблагоприятных зонах. Макет лидара, работающий на длине волны 1653 нм, включал в себя мощный рамановский усилитель и позволял измерять расстояние до точки отражения с точностью не хуже 50 метров. Лидар сканировал трассу, начиная с коротких дистанций и заканчивая измерения на всей измеряемой трассе. Трасса включала в себя ближнюю зону с современной многоэтажной застройкой без газовой инфраструктуры, среднюю зону с многоэтажной застройкой и газовой инфраструктурой, а также протяженный лесной массив, заканчивающийся оживленной трассой с интенсивным автомобильным движением. То есть, была возможность оценки вклада каждой зоны на фоновую концентрацию метана по трассе. Наблюдения велись в течение зимне весеннего периода и проводились в различное время суток при погодных условиях, которые фиксировались...

Using a prototype of a remote lidar created in the laboratory for measuring methane concentration, a study of the distribution of methane along a route ~2,25 km long was carried out in order to localize gas emissions and control leaks in unfavorable areas. The lidar prototype, operating at a wavelength of1653 nm, included a powerful Raman amplifier and made it possible to measure the distance to the reflection point with an accuracy of no worse than 50 meters. The lidar scanned the track, starting from short distances and ending with measurements along the entire measured track. The route included a near zone with modern multi-storey buildings without gas infrastructure, a middle zone with multi-storey buildings and gas infrastructure, as well as an extended forest area ending with a busy highway with heavy traffic. That is, it was possible to assess the contribution of each zone to the background methane concentration along the route. Observations were carried out during the winter-spring period and were carried out at different times of the day under weather conditions that were recorded...
ПРИМЕНЕНИЕ НОВОЙ ИНФОРМАЦИОННОЙ ТЕХНОЛОГИИ, МОДЕЛЕЙ И АЛГОРИТМОВ ДЛЯ ДИАГНОСТИКИ СОСТОЯНИЯ АРКТИКИ
Authors: МКРТЧЯН Ф А. , СОЛДАТОВ В Ю. , МКРТЧЯН М А.
Published: January 2025

В работе рассматривается пространственная имитационная модель динамики загрязнения Арктического бассейна (ИМД-ЗАБ), пригодной для оценки распределений загрязнителей по акваториям арктических морей. Разработанная модель динамики загрязнителей в Арктическом бассейне позволяет оценит распределения загрязнителей в акваториях арктических морей в максимальных границах, в том числе в Норвежском и Беринговом морях. Модель принята для изучения динамики тяжелых металлов, нефтяных углеводородов, фосфатов и других загрязняющих веществ. Модель описывает взаимодействия загрязняющих веществ с компонентами арктических экосистем. Показано, что фрагментарные и эпизодические измерения совместно с разработанной моделью обеспечивают реконструкцию распределения тяжелых металлов и нефтяных углеводородов во всех акваториях Арктического бассейна.

The paper examines a spatial simulation model of pollution dynamics in the Arctic Basin (IPDPA), suitable for assessing the distribution of pollutants across the Arctic seas. The developed model of the dynamics of pollutants in the Arctic basin makes it possible to assess the distribution of pollutants in the waters of the Arctic seas within the maximum limits, including in the Norwegian and Bering Seas. The model is adopted to study the dynamics of heavy metals, petroleum hydrocarbons, phosphates and other pollutants. The model describes the interactions of pollutants with components of Arctic ecosystems. It is shown that fragmentary and episodic measurements together with the developed model provide a reconstruction of the distribution of heavy metals and petroleum hydrocarbons in all waters of the Arctic basin.
СИНТЕЗ ТЕПЛОВИЗИОННОГО ОБЪЕКТИВА С ИЗМЕНЯЕМЫМ ФОКУСНЫМ РАССТОЯНИЕМ
Authors: БЕЗДИДЬКО С Н.
Published: January 2025

В статье «Синтез оптических систем с минимальными углами падения лучей на поверхности» [1] был изложен новый подход по построению исходной оптической системы, удовлетворяющей заданным требованиям технического задания. Использование указанного подхода показало свою эффективность при построении различных типов оптических систем, поэтому в предлагаемой статье мы покажем использование указанного подхода при построении исходной схемы тепловизионного объектива с изменяемым фокусным расстоянием. Следует сразу же отметить важнейшую особенность указанного подхода - построенные системы обладают минимальными аберрациями высших порядков. Это обеспечивает более простую процедуру дальнейшей оптимизации этих систем, так как при малых аберрациях высших порядков (малые углы падения лучей на поверхности) программы оптимизации обладают меньшей локальной ограниченностью, определяемой величиной аберраций высших порядков [2].

The article "Synthesis of optical systems with minimal angles of incidence of rays on a surface" [1] outlined a new approach to constructing an initial optical system that satisfies the specified requirements of the technical specifications. The use of this approach has proven its effectiveness in the construction of various types of optical systems, therefore in the proposed article we will show the use of this approach in the construction of the initial scheme of a thermal imaging lens with a variable focal length. It should be immediately noted the most important feature of this approach -the constructed systems have minimal higher-order aberrations. This ensures a simpler procedure for further optimization of these systems, since with small higher-order aberrations, optimization programs have less local limitation determined by the magnitude of higher-order aberrations [2].
ПОЛУЧЕНИЕ НАНОДИСПЕРСНОГО КАТАЛИЗАТОРА В ПОРАХ СИЛИКАГЕЛЯ
Authors: НОВАКОВА А А. , ЧЕРНАВСКИЙ П А. , ПАНФИЛОВ С И. , ПЕТРОВСКАЯ Г А.
Published: January 2025

Предложен новый метод получения нанокатализатора с использованием пористого силикагеля. Все стадии синтеза изучены с помощью дифракции рентгеновских лучей и мессбауэровской спектроскопии. Для изучения восстановления гематита, осажденного на силикагель, происходящего в процессе термолиза глюкозы использовалась магнитометрия in situ. Показано, что как размер частиц оксида, так и фазовый состав существенно зависят от пористой структуры силикагеля. В частности, на поверхности наночастиц оксида железа формируется оболочка толщиной 2 нм из гетита, допированного кремнием, образуя a-FeOOH(Si). Конечным результатом синтеза является образование в порах силикагеля разделенных стабильных наночастиц только у-FejO. Размеры получаемых наночастиц ограничены размером пор. Таким образом, был получен нанокатализатор y-Fe2O/Q-10.

A new method for obtaining nanocatalyst using porous silica gel is proposed. All the stages of synthesis were studied usingXray diffraction and Mossbauer spectroscopy. In situ magnetometry was used to study the reduction of hematite deposited on silica gel during the thermolysis of glucose. It was shown that both the size of the oxide particles and the phase composition significantly depended on the porous structure of the silica gel. In particular, 2 nm thick shell of goethite doped with silicon is formed on the surface of iron oxide nanoparticles, forming a-FeOOH(Si). The synthesis results in the formation of separated stable nanoparticles of only y-Fe2O3 in the silica gel pores. The sizes of the resulting nanoparticles were limited by the pore size. So y-Fe2O/Q-10 nanocatalyst was obtained.
ОПТИМИЗАЦИЯ СТРУКТУРЫ И СВОЙСТВ СТАЛИ 45 С ИСПОЛЬЗОВАНИЕМ КОМБИНИРОВАННОЙ ЭЛЕКТРОВЗРЫВНОЙ И ЭЛЕКТРОННО-ПУЧКОВОЙ ОБРАБОТКИ
Authors: ИОНИНА А В. , БУДОВСКИХ Е А.
Published: January 2025

С использованием методов световой и электронной сканирующей микроскопии были проведены исследования для изучения состояния поверхности и изменений в структуре образцов стали 45, которые были подвергнуты процессу электровзрывного алитирования, а затем обработаны импульсным электронным пучком. В результате исследований был выявлен оптимальный режим воздействия электронного пучка, который привел к значительному увеличению микротвердости стали в поверхностном слое толщиной до 50-55 мкм. Этот режим позволил увеличить микротвердость материала в указанной области в 3-3,5 раза, что свидетельствует о повышении его прочностных характеристик и устойчивости к износу.

Using the methods of light and electron scanning microscopy, studies were conducted to study the surface condition and changes in the structure of steel 45 samples that were subjected to the process of electroexplosive altering, and then processed with a pulsed electron beam. As a result of the research, the optimal mode of exposure to the electron beam was revealed, which led to a significant increase in the microhardness of steel in the surface layer with a thickness of up to 50-55 microns. This mode made it possible to increase the microhardness of the material in this area by 3-3.5 times, which indicates an increase in its strength characteristics and resistance to wear.
ПРОТИВОРЕЧИЯ МАТЕМАТИЧЕСКИХ МОДЕЛЕЙ АТОМОВ ГЕЛИЯ И ПОЗИТРОНИЯ
Authors: ПАВЛОВ В Д.
Published: January 2025

Показано, что квантование момента импульса двухчастичных квантовых систем в атоме гелия и позитрония выполнено существенно по-разному. Установлено, что для гелия оно выполнено корректно, а для позитрония - нет.

It is shown that the quantization of the angular momentum of two-particle quantum systems in a helium andpositronium atom is carried out significantly differently. It has been established that for helium it is carried out correctly, but for positronium it is not.