bluuebunny/crossref_metadata_2025 huggingface dataset:
Assessment of ear barofunction by tympanometry method
Authors: Klenkov Ilyas R. , Zverev Dmitry P. , Myasnikov Alexey A. , Shitov Arseny Yu.
Published: October 2023

BACKGROUND: When selecting divers, pilots and caisson workers to determine ear barofunction, the subjects tolerance to compression or decompression in the hyperbaric chamber and the condition of the eardrums after leaving the chamber are evaluated. This approach to selection and annual examination is quite informative, although there are isolated cases of unreliable assessments due to concealment of complaints by the examinees, due to the desire to work in the profession. In the course of daily professional activities of these specialists, the diving or aviation doctor needs to detect timely barofunction changes caused by acute respiratory diseases, mechanical injuries, allergic reactions, vasomotor edema of nasal mucosa, etc.
AIM: To investigate the possibility of using the tympanometry method for examination and dynamic control of ear barofunction among divers.
MATERIALS AND METHODS: The study involved 42 people who were immersed in a flow-decompression chamber to determine barofunction. After 20 days, the subjects were re-examined by tympanometry method at normal atmospheric pressure using the Valsalva technique.
RESULTS: The tympanometric indexes of the subjects with the I degree of barofunction had statistically insignificant changes, with IIIII degrees of barofunction there was an increase of peak pressure index and narrowing of peak curve width after diving in a hyperbaric chamber. Among persons with low barofunction (IIIII degrees), the tympanometry method revealed an increase in peak pressure index.
CONCLUSION: The conducted research has shown promising use of tympanometry among specialists working in conditions of varying barometric pressure.
Disability of the population in mental disorders
Authors: Shapovalova Marina A. , Levin Mikhail E. , Boyko Yuriy P. , Abdullaeva Aliya S.
Published: October 2023

RELEVANCE: The original article analyzes the disability of the population with mental disorders. Disability due to mental and behavioral disorders in the Russian Federation in the period 20042021 was studied. The mental health of the population reflects the level of public health, being an indicator of social well-being. Currently, every 10th inhabitant of the planet suffers from mental disorders, and every fourth will meet with them at one time or another period of life.
THE PURPOSE OF THE STUDY: was to analyze the trends in disability in mental disorders in four groups: 1, 2, 3 and children.
RESULTS: In a retrospective analysis, there was a first-time identified disability of the population with behavioral syndromes associated with physiological disorders and physical factors in group 1 was not encountered, in the second group it occurred in 2011, in 2012, in 2014, in group 3 in 2016, in 2021, in children in 2011, 2016, 2018, 2019, 2020, in 2021. It was established that the greatest disability was provided by mental retardation with a pronounced upward trend in general disability for the first group, newly diagnosed disability for the first, third and children. In the demographic structure of mental retardation, men predominated, children ranked second, women third.
CONCLUSION: There is a need to develop programs of medical and social assistance for disabled people with mental disorders. It is necessary to form medical and psychological measures for primary prevention, as well as to improve the quality of public education on mental health issues.
Surgical aspects of peritoneal dialysis
Authors: Ilyin Ilya A. , Belskikh Andrey N. , Gurevich Konstantin Ya. , Zakharov Mikhail V. , Pyatchenkov Mikhail O.
Published: October 2023

Modern replacement kidney therapy belongs to a life-saving type of medical aid and includes dialysis and kidney transplantation. In the worlds nephrological practice integrated approach is preferable: the treatment starts with peritoneal dialysis as the most physiological method and later kidney transplantation or hemodialysis. Well-functioning peritoneal access is a key factor of successful peritoneal dialysis. Studies have shown that peritoneal dialysis, compared with hemodialysis, especially when performed in a dialysis center (not at home), has some clinical advantages. In particular, this treatment better preserves residual kidney function, better corrects anemia, avoids the need for vascular access, which in turn reduces the risk of access-related infectious complications, which in turn are the main cause of hospitalization and mortality among patients with end-stage renal disease. This review is focused on catheters for peritoneal dialysis access and methods of their placement. Malpractice of implantation technique can lead to unwanted consequences ranging from cuff extrusion and catheter migration to total loss of the latter. Following implantation technique by surgeons helps to avoid malpractice and improve the results. Implantation of a peritoneal catheter is an important component of peritoneal dialysis, which determines the quality of treatment, the development of non-infectious and infectious complications of peritoneal dialysis, and the duration of peritoneal dialysis therapy. A number of methods for implanting peritoneal catheters have been proposed in the world. All of them have the right to exist, each has its own advantages and disadvantages. When choosing a method, the surgeon is guided by the objective data of the patient, the patients ability to endure more invasive interventions (duration, anesthesia, volume of surgery), the capabilities of the surgical department, experience and qualifications. Expansion of indications for the use of the peritoneal dialysis technique, its complications, as well as concomitant diseases should determine the optimal method for implanting a peritoneal dialysis catheter for a given patient. It should be noted that to date, sufficient data have not been obtained on the effect of the method of peritoneal catheter implantation on the expansion of indications for peritoneal dialysis, the incidence of complications, and the need for additional surgical interventions.
Ceasefires as a Part of War, Peace Process, or a “No Peace, No War” Format
Authors: Stepanova E.
Published: October 2023

Ceasefires are increasingly relevant for contemporary conflicts and conflict management. During the first two decades of the 21st century, ceasefires also became the most widespread form of outcome for conflicts with any conclusive outcome. Half of all ceasefires, however, either had not yet been part of a political negotiated process to address key incompatibilities contested in an armed conflict, or had no relation to any peace process at all. A ceasefire in its traditional interpretation – as a technical stage on the way to peace – increasingly becomes a ceasefire in the absence of peace and a pragmatic alternative to a stalled peace process. What are the goals and functions of ceasefires at different conflict stages, including, but not limited to, a peace process? What are the main types of ceasefire based on its key function in conflict and on underlying goals and motivations of its parties? The article explores these questions at the theoretical/conceptual and empirical levels, on the basis of analysis of available statistical data and drawing upon concrete examples in various contexts, with special attention to conflicts in Syria and Donbass. It offers an original functional-motivational typology of ceasefires classified into three types: ceasefires as part of hostilities; ceasefires ‘for the sake of peace’ that aim at supporting and preparing conditions for peace negotiations; and ceasefires as a format of an intermediate state of ‘neither peace, nor war’, including as a means of structuring this semi-frozen state to achieve a degree of stabilization. In practical terms, this typology helps clarify (а) the issue of effectiveness – success of failure – of a ceasefire that should not be expected to advance or deliver one type of outcome if one or all of its parties deliberately seek to use it to achieve another type of outcome; (b) the role of the factor of armed violence at the stage of a ceasefire that may achieve its main, underlying goals even if it does not lead to lasting cessation of hostilities.
Communication disorders in the correctional system: a systematic review
Authors: de França Iure , Monteiro Larissa , Rodrigues Bernardo , Melo Ailton
Published: October 2023

Objectives: Good communication is essential for resolving social conflicts, especially in closed communities such as prisons. When communication is interrupted by factors such as hearing loss or difficulties in coordination, voice, language, fluency, or disruption of any of the biological systems required to communicate, Human Communication Disorders can appear. This review aimed to identify the most prevalent communication disorders amongst prison inmates. Material and method: Systematic review through databases of studies that analyze individual inmates with communication disorders over the last 38 years. After reading the titles and abstracts and applying the eligibility criteria, 25 articles were selected and included in the final review. Results: A sample of 2,188 individuals was evaluated, two studies were conducted with a female population only, while twelve studied exclusively males, and 11 articles had a mixed population. All the studies included evaluated language and communication disorders in general, with language impairment being more prevalent There are no English language studies evaluating language and communication disorders in incarcerated individuals from African countries, Latin America or Asia. Discussion: Inmates have a high prevalence of language and communication disorders, and thus end up being more vulnerable within the prison system. Speech therapists are important members of the legal workforce and improve the health, well-being and participation of people in contact with or at risk of contact with the judicial system through the prevention, early detection, assessment and treatment of communication disorders.
LAS SERPIENTES DEL GÉNERO ATRACTUS WAGLER, 1828 (COLUBRIDAE, XENODONTINAE) EN LA AMAZONIA COLOMBIANA
Authors: Silva Haad Juan J.
Published: October 2023

Se presenta un estudio biológico y ecológico del género Atractus Wagler, 1828, en la región amazónica colombiana. Un total de 113 especímenes fueron obtenidos mediante un muestreo realizado en 40 puestos de captura ubicados en las diferentes regiones naturales. Se describen las características de los hábitats y biotopos donde se hallaron las diferentes especies. Tras el análisis de la muestra se identificaron cuatro taxones ya registrados para Colombia [A. elaps (Günther, 1868); A. latifrons (Günther, 1868); A. major Boulenger, 1894; A. occipitoalbus (Jan, 1862)]. Dos especies constituyen nuevos registros [A. snethlagae Cunha & Nascimento, 1983; A. zidoki Gasc & Rodríguez, 1979]. Se describen siete nuevas especies [A. charitoae. sp. nov., A. emersoni. sp. nov., A. davidhardi. sp. nov., A. helibelluomin. sp. nov., A. emersoni. sp. nov., A. janethae. sp. nov. y A. lucilae sp. nov.]. Se analizan los aspectos reproductivos, alimenticios y las características de los diferentes hábitats.
ECOLOGÍA TRÓFICA DE LA CARRURA BAIRDIELLA RONCHUS (PISCES: SCIAENIDAE) EN LA CIÉNAGA GRANDE DE SANTA MARTA, CARIBE COLOMBIANO
Authors: Torres Castro Liliana , Acero Arturo , Santos-Martínez Adriana
Published: October 2023

El trabajo se realizó en la Ciénaga Grande de Santa Marta en cuatro estaciones de muestreo en el período de febrero 1993 a enero 1994. Se capturaron en total 890 individuos de Bairdiella ronchus (Cuvier), en su gran mayoría con atarraya mediante el método de corral. Los rangos de tallas variaron entre 66 y 231 mm de longitud total y 3.5 a 156.2 g de peso total. Esta especie es típica estuarina, se distribuye en salinidades comprendidas entre 7.3 y 37.3 y se caracteriza como carnívora, y consumidor de tercer orden, pues se alimenta principalmente de peces y crustáceos (decápodos). De acuerdo con el índice de importancia relativa los peces son el alimento principal y los crustáceos el alimento secundario; durante la época seca consume principalmente peces y en época de lluvia crustáceos. Los juveniles y adultos se alimentan tanto de peces como de crustáceos.
ESTUDIOS EN LAS APOCYNACEAE NEOTROPICALES XXI
Authors: Morales J. Francisco
Published: October 2023

Echites assimilis K. Schum. es excluida de la sinonimia de Mandevilla riparia (Kunth) Woodson y una nueva combinación, M. assimilis (K. Schum.) J. F. Morales, es propuesta, incluyendo una descripción completa, ilustraciones y una clave para las especies relacionadas. Se designan lectotipos para E. assimilis K. Schum. y M. loeseneriana K. Schum. y se propone un neotipo para M. montana var. peruviana Markgr.
Reterminology as a Forming Way Terms in the Language of Modern Didactic Studies
Authors:   Saratov State University, Zhelezovskay G.I.
Published: October 2023

The article gives us the characteristics of reterminology as a forming way of didactic terms.
The Social Functions of Intellectual Elites
Authors:   Saratov State University, Orlov M.I.
Published: October 2023

Intellectual elites (intellectuals) are essential element of the social life making certain social functions: function of innovation; function of critics and selection of cultural resources; function of saving of tradition. The reproduction of the existing samples of behavior is an important mechanism of social development, the multiplication of those gives the pledge of the viability of the society. The mechanism of circulation of the intellectual elites is a reproduction through the system of post-graduated school.
The Social Nature of Dominating Elite of the Society
Authors:   Saratov State University, Zarova O.D.
Published: October 2023

Article is devoted the analysis of the conceptual bases of dominating elite. Definition of dominating elite as creative subject of development of society roots in its social nature. The functional features of modern dominating elite caused by intellectual resources, allow characterizing it as the optimal and effective subject of development of a new formed society.
The Force and Power of Technology: Too Much or Not Enough?
Authors:   Samara State University, Solovyova S.V.
Published: October 2023

This article dwells upon a question of power and force aspects of technology as far as the existence of human is concerned. Problematization of the point of connection of equipment and human life will help research neither the political nor the institutional but the existential meaning of power.
The Problem of Estimate in Philosophy and Science in XX Century
Authors:   Institute of Social Education (branch) of the Russian State Social University, Sutuzhko V.V.
Published: October 2023

The subject of analytical research in this article (problem of estimate) in philosophy in XX century appears indissolubly connected with category «value» (the basic criterion at removal of estimated judgments). In estimate as in phenomenon the unity of value and the personal sense, world social and individual values reveals. By means of estimation acts the knowledge, representation consciousness of essence of values (as things) valuable life is carried out. An estimation − one of the ways of actualization of value actually. Estimation is impossible outside of the subject because it represents display of that valuable concreteness which became a subject of estimated activity. At the same time the estimation bears the information on this valuable concreteness, that is reflects the specific parties of social being.
The Peculiarities of Fear Among Hearing-Impaired Children of Primary School Age
Authors:   Povolzhye State Social and Humanitarian Academy, Akopyan L.S.
Published: October 2023

The content of fears among hearing-impaired children of younger school age is analyzed in the article, the results of the comparative analysis of fears among hearing-impaired children with the content of fears among normal children are revealed. As a research toolkit the structural questionnaire of children's fears developed by the author (SQCF) and a projective technique «Draw the fear» is used. Quantitative and qualitative differences in the content of fears are revealed; the fears inherent in children hard of hearing are allocated and described.
The Features of the Overcoming Behavior of Cadets of the Military Institution in the Professional Socialization
Authors:   Saratov Military Order of Zhukov Red Bannerorder Institute of National Guard Troops of the Russian Federation, Sozonnik A.V.
Published: October 2023

The article presents the results of studying the dynamics of strategies for overcoming behavior of students from the higher military educational institution in terms of professional socialization. Analysis of data, obtained in the course of the study, allows the author to reach their own vision of the problems, and also the analysis are needed in the future to determine the socio-psychological determinants of strategies for overcoming behavior.
Acquiring the First Words by Persian Toddlers: A Longitudinal Study Using the MacAuthor-Bates Inventory
Authors: Ebtedaei Asma , Paknazar Fatemeh , Ghorbani Raheb , Salmani Masoomeh
Published: October 2023

Introduction: A robust vocabulary improves all areas of communication. Vocabulary is critical to a child’s success to think and learn about the world. Expanding a child’s knowledge of words provides unlimited access to new information. This study describes the early development of comprehension and production vocabularies in a group of Persian-speaking toddlers.
Materials and Methods: The mothers of 33 typical, Persian-speaking toddlers during 6 months (from 12-14 months to 19-21 months) completed the Persian McArthur-Bates communicative development inventories 7 times per month. The collected data were analyzed via the SPSS software, version 21, through non-parametric tests.
Results: The results indicated that the only significant increase for both vocabularies was between 15 and 16 months (P comprehension=0.045 and P production=0.027). The development of phrase comprehension showed significant increases during six months (P<0.001). Further analysis of production vocabulary growth demonstrated the word spurt in each child (in different months and with different word levels). According to the figures, the composition of vocabulary production was different during the selected 6 months. Nouns were the largest group during the 50-, 100-, and 200-word stages; however, verbs presented a faster rate of development. Both genders showed significant changes during follow-ups (P<0.001) and there were no significant differences between the vocabularies of different genders (P>0.05).
Conclusion: Persian-speaking children follow commonalities of lexical development reported for different languages; however, few differences could be traced between these children and their peers from other languages.
Investigating the Effects of Dry Needling on Hamstring Muscles Flexibility: A Randomized Controlled Trial
Authors: Fakhari Parisa , Shadmehr Azadeh , Khanmohammadi Roya , Hadian Mohammad Reza , Kazemi Motlagh Amir Hooman
Published: October 2023

Introduction: Flexibility or the ability of a muscle to increase in length is an integral part of musculoskeletal characteristics and is essential in preventing musculoskeletal injuries and increasing functional levels. Hamstring muscles rupture is a common injury. One of the important factors in the occurrence of this injury is poor hamstring muscle flexibility, which because of its stiffened structure, has less ability to quickly increase in length. Some researchers have recently suggested that the dry needling technique could reduce the number of treatment sessions for hamstring muscle tightness and bring faster and more effective results. Accordingly, this study aims to investigate the effect of the application of dry needling through an acupuncture technique on hamstring muscle flexibility.
Materials and Methods: The present study is a single-blinded randomized controlled trial in which 16 individuals with bilateral hamstring muscle shortness were randomly allocated into dry-needling and sham-needling groups. The sampling method was non-probability convenience. The outcome measures were the right and left active knee extension range of motion, assessed before and after the first, third, and fifth sessions of intervention. A 2-factor mixed analysis of variance was applied to determine the differences between and within the two groups.
Results: Except for the group main effect, time main effect and interaction effect were statistically significant for the right and left active knee extension range of motion (P<0.001). There were differences in behavioral patterns in groups; accordingly, in the real dry-needling group, a significant difference was detected across times. However, in the sham dry-needling group, no significant difference was observed.
Conclusion: The application of dry needling into motor points of hamstring muscles in individuals with bilateral hamstring muscles shortness could improve flexibility and increase the range of knee extension after 3 and 5 sessions of intervention because of the therapeutic effects of the dry needling technique in improving the muscle flexibility.
Investigating the Prevalence of Dysphagia and Dysphonia in Patients with COVID-19 in the Intensive Care Unit
Authors: Banari Akbar , Aghaz Alireza , Shahriyari Arash , Noori Saeed , Pourmohammadi Mahsa
Published: October 2023

Introduction: The world has been suffering from COVID-19 since 2020 and the disease continues up to now. COVID-19 patients are at high risk of dysphagia and dysphonia. Accordingly, this study aims to determine the prevalence of dysphonia and dysphagia and identify correlated factors to develop dysphagia and dysphonia in COVID-19 patients admitted to intensive care units (ICU).
Materials and Methods: A total of 70 patients with COVID-19 (Mean±SD age of 63.1±18.6; males=39) hospitalized in ICUs were evaluated by an expert on speech and language. The patients were evaluated for swallowing disorder via the Mann assessment of swallowing ability and the Persian version of the functional oral intake scale. The consensus auditoryperceptual evaluation of voice was also used to evaluate voice disorders.
Results: Overall, 58.6% of patients presented dysphagia and 74.3% of patients had dysphonia. Meanwhile, 34.3% of the patients were on mechanical ventilation. A correlation was detected between dysphagia severity and the number of mechanical ventilation days, the length of stay, and age (P<0.05). Dyspnea impacts the prevalence of dysphonia and dysphagia in COVID-19 patients (P<0.05). Vomiting has been effective on only the prevalence of dysphagia (P<0.05). Furthermore, a significant correlation was found between dysphagia and dysphonia (P<0.01).
Conclusion: A high prevalence rate of dysphagia and dysphonia exists in patients with COVID-19 admitted to ICUs. An early evaluation by a speech and language pathologist is essential to identify the suspected patients and provide early intervention to prevent further complications and improve their quality of life.
Complete Right Bundle Branch Block in Acute Coronary Syndrome with ST Segment Elevation: Epidemiological Features
Authors: ZOUZOU Hanane
Published: October 2023

Background: Complete right bundle branch in acute coronary syndrome with ST segment elevation is common and may predict a poor clinical prognosis.
Its incidence has been the subject of several international studies, as well as, its related mortality, but its epidemiological data is lacking in Algeria.
Aims: The main objective of our study is the determination of the frequency of complete right bundle branch block in acute coronary syndrome with ST segment elevation, the secondary objective was the analysis of its predictive factors and related mortality.
Methods and materials:  In this prospective study, conducted in the cardiology department of Hussein Dey hospital (Algiers-Algeria), 467 patients with acute coronary syndrome with elevated ST segment (87 women and 380 men) were enrolled between 28 February 2014 and 16 July 2015. The average age is 60 ± 13 years; at admission, a Holter recorder was attached for continuous ECG monitoring during 48 hours.
Kruskal’s ANNOVA or H tests were used for comparison of quantitative variables, χ2 test or Fisher’s exact test, were used for qualitative variables, all tests were performed with 1st species risk of 5%.
Results:  The frequency of complete right bundle brunch block is 10.9 % (51 patients), CI 95%: [8.1%-13.7%], multivariate analysis identified the following independent predictors: anterior acute coronary syndrome, persistence of chest pain after thrombolysis, and diabetes type 2.
The risk of mortality expressed by Hazard Ration (HR) is 3.4, CI95%: [1.07-11.35], p = 0.037; persistence of ST segment elevation after thrombolysis is the only predictive factor of mortality, identified in our study.
Conclusion: Complete right bundle brunch block is frequent in acute coronary syndrome with elevated ST segment, its predictive factors according to our study are: anterior acute coronary syndrome, persistence of chest pain after thrombolysis, and type 2 diabetes.
Its occurrence increases the risk of in-hospital mortality, and the predictor of this latter is the failure of thrombolysis.
Kearifan Sosiokultural: Hulu Moderasi Beragama Pesantren Bersama Masyarakat Adat Di Kalimantan Timur
Authors: Mubarak Mubarak , Yuspa Anida
Published: October 2023

AbstractPesantren is a social resource is a cultural maintenance in the community. The linkage of pesantren in the role of society gives birth to ideological and historical continuity with the community. PPKP Ribathul Khail is the oldest Islamic boarding school in Tenggarong City, Kutai Kartanegara Regency, East Kalimantan Province, which lives with the indigenous people of Kutai Kraton, which is identical with the dimensions of belief, traditional rituals, and cultural expression. In its religious reality, PPKP Ribathul Khail is faced with the choice of sowing moderate religious values, tolerance within the framework of pluralism, and being at the forefront of improving the quality of life of the community through Islamic education activities carried out. His acceptance of the Kutai Kraton Ethnic in traditional rituals manifests his tolerance and moderation attitude that is present because of the view of sociocultural wisdom. This paper is the result of field research that attempts to present data on the sociocultural wisdom of pesantren as the upstream of religious moderation and its various dynamics to create a sustainable relationship with the indigenous people of Kutai Kraton in East Kalimantan.Keywords: Sociocultural Wisdom, Religious Moderation, Indigenous Peoples of Kutai Kraton AbstrakPesantren sebagai sumberdaya sosial menjadi pemelihara budaya di masyarakat. Keterkaitan pesantren dalam peranan kemasyarakatan melahirkan kesinambungan ideologi dan historis bersama masyarakat. PPKP Ribathul Khail adalah pesantren tertua di Kota Tenggarong, Kabupaten Kutai Kartanegara, Provinsi Kalimantan Timur, yang hidup bersama masyarakat adat Kutai Kraton, yang identik dengan dimensi kepercayaan, ritual adat, dan ekspresi berbudaya. Dalam realitas keberagamaannya, PPKP Ribathul Khail dihadapkan dengan pilihan mampu menyemai nilai-nilai keberagamaan yang moderat, bertoleransi dalam bingkai kemajemukan, serta menjadi garda terdepan dalam meningkatkan kualitas hidup masyarakat melalui kegiatan pendidikan Islam yang dilakukan. Penerimaannya terhadap Etnis Kutai Kraton dalam ritual adat, merupakan perwujudan sikap toleransi dan moderatnya yang hadir karena pandangan kearifan sosiokutural. Tulisan ini adalah hasil penelitian lapangan yang berupaya memaparkan data tentang kearifan sosiokultural pesantren sebagai hulu moderasi beragama, dan berbagai dinamikanya untuk menciptakan kesinambungan relasinya dengan masyarakat adat Kutai Kraton di Kalimantan Timur.Kata Kunci: Kearifan Sosiokultural, Moderasi Beragama, Masyarakat Adat Kutai Kraton
BLOKZİNCİRİ TEKNOLOJİSİ VE DENİZ YOLU TAŞIMACILIĞI: TÜRKİYE’DEKİ LİMANLAR ÜZERİNE BİR DEĞERLENDİRME
Authors: DURSUN Elifcan , GÜNGÖR Şule
Published: October 2023

Teknolojinin günden güne gelişmesi ile son yıllarda dijitalleşme kavramı ön plana çıkmaktadır. Üretilen veri miktarının büyümesi dijitalleşme gerekliliğini gözler önüne sermekte ve bulut teknolojilerinin yaygınlaşması, nesnelerin interneti gibi teknolojik gelişmeler ile dijitalleşme adına önemli adımlar atılmaktadır. Blokzinciri teknolojisi süreçlerin şeffaflaşması, daha hızlı ve etkin hale gelmesi ve maliyetlerin düşürülmesi adına bahse konu önemli bir dijitalleşme adımıdır. Blokzinciri teknolojisinden birçok farklı sektörde yararlanılmaktadır. Lojistik sektöründe özellikle belge süreçlerinin hızlandırılması, maliyetlerin azaltılması ve tedarik zinciri boyunca şeffaflığın sağlanması bakımından çeşitli taşıma modları blokzinciri teknolojisini desteklemektedir. Bu kapsamda, blokzinciri teknolojisi ele alınarak deniz yolu taşımacılığının önemli parçalarından biri olan limanlarda söz konusu teknolojinin uygulanması üzerine araştırma yapılmıştır. Çalışma, blokzinciri teknolojisinin Türkiye’deki limanlardaki durumunu araştırarak literatür ve sektöre katkı sunmaktadır. Çalışmada yer alan örnek limanlar ile gerçekleştirilen saha analizi aracılığı ile Türkiye’deki limanların blokzinciri teknolojisi altyapısı ve gelişimi değerlendirilmiş, konuya dair öneriler sunulmuştur. İlgili limanlarda blokzinciri altyapısı olmamasına rağmen hazırlık çalışmalarına başlanmıştır. Kullanılması önerilen modele yönelik limanlardan alınan değerlendirmeler arasında büyük farklar bulunmamaktadır. Yeni teknolojilerin operasyonel süreçlere faydası olduğu konusunda hemfikirlerdir. Blokzinciri teknolojisine yönelik şüphelere rağmen limanlar bu teknolojiden faydalanmak istemektedirler.
Optical System for the Earth Remote Sensing Small-Sized Spacecraft of the CubeSat Format
Authors: Zavarzin V.I. , Zaytsev I.M. , Yakubovskiy S.V.
Published: October 2023

The paper considers relevance of creating the small-sized high-resolution optical systems for the small spacecraft. It describes the current state of domestic and foreign systems engaged in the Earth remote sensing of the CubeSat format that confirmed the need to develop domestic multi-component satellite constellations. Unlike the large-sized spacecraft, the CubeSat standard implies introduction of the micro-format satellites. In order to reduce overall dimensions of the system and minimize the chromatic aberrations effect on the image quality in selecting the optical scheme components, mirrors are preferred, as a rule. Among all possible design schemes, the Ritchey --- Chretien optical scheme is the most promising due to its simplicity, small overall dimensions and high optical performance in a wide spectral range for the CubeSat satellites. Main optical and technical parameters, as well as the optical system characteristics for a small spacecraft are provided. For typical systems, the paper proposes a calculation technique; and a simulation model was created making it possible to assess the optical system image quality. The root-mean-square value of the point scatter spot radius in the image plane was taken as the criterion in evaluating the image quality. It is shown that the Ritchey --- Chretien optical scheme and its elements are characterized by its relative easiness in implementation due to using the studied technologies of the lens and mirror elements manufacture and ensuring high image quality and required overall dimensions, which makes it possible to use them in creating a multi-component satellite constellation
Quarterlife Crisis: An Analysis Through the Movie Frances Ha
Authors: MORSÜNBÜL Ümit
Published: October 2023

Quarterlife crisis is a concept used to describe the difficulties and indecision faced by individuals in their early twenties and mid-thirties regarding their careers, financial arrangements, where to live and relationships. During the quarterlife crisis, individuals experience mental health disorders such as depression and anxiety. In this study, in order to understand characteristics of the quarterlife crisis the relationships between the discipline of psychology and the art of cinema have been acted upon. The aim of this study is to analyze the Frances Ha movie directed by Noah Baumbach in the context of the quarterlife crisis. Document analysis, which is one of the qualitative research methods, was used in the study. The results of the study revealed that Frances, the main character of the Frances ha movie, experienced many features of the quarterlife crisis. As a result, awareness of the quarterlife crisis by mental health professionals may enable them to intervene more accurately when working with clients who are experiencing difficulties during this crisis.
Mentorship Education for Advanced Practice Registered Nurses
Authors: Dunlap Eleanor , Fitzpatrick Suzanna
Published: October 2023

Background:Mentorship is a vital part of the nursing profession. The evidence suggests that competent mentors aid in facilitating role transitions, improving job satisfaction, enhancing patient care, and decreasing nursing turnover. Advanced Practice Registered Nurses (APRNs) have the skills and knowledge to provide safe, high-quality, patient-centered care; however, they may be lacking in mentorship abilities.Objective:Currently, there is no formal mentorship training in the organization, which may cause variability in the mentoring of new staff. The focus of this project was to create a staff educational intervention to improve the mentoring competency of surgical APRNs. The knowledge gap, lack of mentoring education given to APRNs acting as mentors to novice practitioners, was noted, and this project identified a staff educational intervention on mentorship training that was developed and implemented.Methods:The project practice-focused question asked if a formal APRN mentorship training program geared toward the six elements of mentoring (as measured by the Mentoring Competency Assessment [MCA]) increased the mentoring competency of APRNs serving in a mentorship role. Benner’s theory guided the planning and development of this project, while the MCA was used for the self-reflection survey. Following a pretest survey, participants experienced an educational intervention geared toward mentoring and mentoring competencies. Formal APRN mentorship training program with an educational intervention that addressed the six domains of mentoring competency geared toward increasing the mentoring competency of APRNs who serve in a mentorship role.Results:A total of 18 surgical APRNs (N= 18) with more than 2 years of experience participated in the staff educational intervention. There was a statistically significant difference in six of the 26 individual items and in the overall pretest mean scores and the posttest mean scores (z= −3.41,p< .01), indicating that the APRN mentorship training increased the mentoring competency of the APRNs.Conclusion:The results of this quality improvement project demonstrated how an educational intervention geared toward mentoring competencies can increase the knowledge among a group of APRNs. Educating APRNs in mentorship competencies may enhance mentorship abilities and result in positive patient and organizational outcomes.Implications for Nursing:Educating APRNs in mentorship competencies may enhance mentorship abilities and result in positive patient and organizational outcomes
Objective Financial Knowledge, Subjective Financial Knowledge, and Credit Card Mismanagement: Does Overconfidence Hurt?
Authors: Lu Yan , Kalenkoski Charlene M.
Published: October 2023

This article examines the association between objective and subjective financial knowledge and four types of credit card mismanagement as measured by making minimum payments only in some months, incurring late fees, being over the limit, and taking cash advances. The results of the probit regression models using data from 2018 to 2021 National Financial Capability Study reveal that the relationship between subjective financial knowledge and credit card mismanagement is generally convex instead of monotonic. This study contributes to the current literature by finding that subjective financial knowledge is positively associated with credit card mismanagement. The results also show that objective financial knowledge is negatively related to credit card mismanagement. Overconfidence about financial knowledge is positively associated with credit card mismanagement. Having fewer credit cards and setting aside a 3-month emergency fund lower the probability of mismanaging credit cards.
Access, Interest, and Barriers to Incorporation of Birth Doula Care in the United States
Authors: Mitchell Amanda W. , Sparks Joshua R. , Beyl Robbie A. , Altazan Abby D. , Barlow S. Ariel , Redman Leanne M.
Published: October 2023

Doula care improves maternal care, yet barriers exist to incorporating doula care. The purpose of this study was to evaluate interest and barriers to doula care. Overall, 508 women, 26–35 years of age (54.5%), White/Caucasian (89.8%), and married (88.6%), completed this study. Most reported ≥1 previous birth (97.6%). Respondents would “feel comfortable” (73.2%) and “more confident” (54.9%) with doula care at birth, and 57.9% reported their provider would be supportive of doula care. Only 39.0% expressed benefits to doula care during pregnancy compared to 72.6% at birth and 68.1% during postpartum. Most would hire a doula if health insurance covered some of the costs. Despite the recognized benefits and support of doula care, cost-associated barriers exist to the incorporation of doula care.
Pricing of health plans: An efficiency analysis of different calculation methodologies
Authors: Silva Fernanda Beatriz Junges da , Silveira Leonardo Baltazar da
Published: October 2023

Over the last 20 years, the Supplementary Health Market has seen a reduction in the number of Health Companies due to insolvency. There are several risks that can lead to this factor, and one of the main ones is the pricing risk. With this in mind, the present study sought to analyze the efficiency of different methods in calculating the pricing of supplementary health plans. To carry out the pricing, Monte Carlo simulation methods, Collective Risk Theory and Credibility Theory were used. The study found that the Credibility Theory showed the greatest efficiency for calculating the pricing of health plans, among the three methods analyzed, for the sample used.
The simplex regression model as a methodology of actuarial analysis
Authors: Cavalcante Jaime Phasquinel Lopes
Published: October 2023

The risk management business evolves rapidly, so actuaries are faced with the need for new analysis methodologies. However, the use of incorrect methodologies for actuarial modeling can have serious implications for strategic decision making. This study aims to introduce the simplex regression model as a suitable methodology for actuarial modeling of data whose values belong to the unit interval. Using a risk management data set, the linear model with normal distribution and the proposed regression model were compared. The evaluation of the models presented concluded by the quality of the modeling through simplex regression, indicating the quality of this method as a new analysis tool for the actuarial context.
Decision tree applied in classifying the occurrence of cyber claims in banking sector companies
Authors: Azevedo Alana Katielli Nogueira
Published: October 2023

The study aimed to predict cyber claims in companies in the banking sector using a decision tree. To this end, 683 cases of cyber losses were extracted from an operational risk database. The independent variables considered in the modeling were the region of domicile, the size of the company and, as main explanatory variable, revenue. The classification reached 89% of global hits. The modeling in question guarantees a good classification quality and better fit when compared to traditional GLM modeling. The results of this work are useful and can act in an innovative way as a tool to support the decision making of insurers, aiming at useful responses to the management of cyber risks.
Flexural strength and Vickers hardness of milled and 3D-printed resins for provisional dental restorations
Authors: Souza Ana Luiza Caetano , Cruvinel Filho Jorge Luiz de Oliveira , Rocha Sicknan Soares da
Published: October 2023

Various forms of temporary resins are offered on the market; however, the properties of temporary resins obtained by milling and 3D printing have not been fully examined. This study aimed to compare the flexural strength and Vickers hardness of milled and 3D-printed resins. Methods: Three resins were tested: Evolux PMMA (milled resin), Cosmos Temp (3D-printed resin), and Structur 2 SC (bis-acrylic resin, group control). Specimens were prepared with rectangular shapes (n = 12) for flexural strength measurements and disc shapes (n = 9) for Vickers hardness tests. Flexural strength tests were performed at a crosshead speed of 0.75 mm/min, and the Vickers hardness was measured under a load of 20 N for 10 s. The obtained data were subjected to the Kruskal–Wallis test. Results: A significant difference (p < 0.05) in flexural strength was observed among the three sample groups: Evolux PMMA (111.76 MPa), Structur 2 SC (87.34 MPa), and Cosmos Temp (56.83 MPa). No significant difference (p < 0.05) was observed between the Vickers hardness values of Structur 2 SC (33.37 VHN) and Evolux PMMA (29.11 VHN); however, both materials were statistically superior to Cosmos Temp (10.90 VHN). Conclusion: While the mechanical properties of the milled resin were superior or similar to those of the bisacrylic resin, the 3D-printed resin was statistically inferior to both the milled and bis-acrylic resins.
Fish-Based Complementary Feeding Practices Increasing Macro and Micro Nutrient Intake And Hemoglobin Levels in Anemia Toddlers
Authors: Bustami Bustami , Suryana Suryana , Junita Dini , Yunianto Andi Eka
Published: October 2023

Iron deficiency anemia in toddlers can be prevented by introducing complementary foods alongside breastfeeding. Fish, rich in protein and iron, offers a valuable nutritional source for young children, but proper processing is crucial. This research investigated the impact of fish-based complementary food processing practices (known as MP-ASI in Indonesia) on the nutritional intake and hemoglobin levels of children under five in Tiro District, Pidie Regency. Using a quasi-experimental design, this study involved 40 toddlers from the stunting-prone area of Tiro District, Pidie Regency, along with their mothers as respondents. The toddlers, aged 12-36 months without severe illnesses, were included in the study. The intervention comprised educating and practicing complementary food processing. Before-and-after intervention comparisons showed significant improvements in energy, carbohydrate, protein, zinc, and iron intake levels. Additionally, there was a notable increase in the average hemoglobin (Hb) level, rising by 1.06 g/dl after one month of fish-based complementary food processing intervention. In summary, this intervention effectively enhanced the nutritional quality of children's intake and increased their hemoglobin levels, contributing to the prevention of iron deficiency anemia in toddlers.
Nutraceutical Potential of Encapsulated Purple Okra (Abelmoschus Esculentus L. Moench) Extract
Authors: Salsabila Dhea Marliana , Damayanthi Evy , Nasution Zuraidah
Published: October 2023

The accumulation of free radical production impacts on the development of degenerative diseases which are the highest cause of morbidity and mortality in the world. Biofortification of purple okra in the form of encapsulated extract has the potential as a nutraceutical through the role of antioxidants. This study aimed to analyze the potential of encapsulated purple okra extract as a nutraceutical by determining physical-chemical characteristics, microbial and heavy metals contamination, antioxidant capacity, total flavonoids, and quercetin. This was a laboratory experimental study on purple okra which was extracted using the maceration method. The results of physical-chemical characteristics showed that purple okra extract has the form of dry powder, greenish-brown color, odor characteristic of okra extract (caramel-like), and sour taste with yield of 4%, pH of 4.8, undetectable solvent residue, water content of 13.5%, total ash content of 10.4%, and disintegration time of 1.25 minutes. The results of microbial contamination showed a total plate count of 3.1 102 CFU g⁻¹, yeast and mold count, E. coli, S. aureus negative CFU g⁻¹, and Salmonella spp negative CFU 10g⁻¹. The results of heavy metal contamination showed that As, Pb, Cd, and Hg were not detected every mg Kg⁻¹. The results of antioxidant capacity, total flavonoids, and suspected quercetin derivatives showed a value of 84.88%, 81.32 mg QE g⁻¹, and 4.91 mg g⁻¹. These bioactive components act as free radical scavengers in helping to prevent chain reactions. Encapsulated purple okra extract has shown its potential as a nutraceutical that helps prevent degenerative diseases.
Establishment of head and neck squamous cell carcinoma mouse models for cetuximab resistance and sensitivity
Authors: Zaryouh Hannah , Pauw Ines De , Baysal Hasan , Melis Jöran , Bossche Valentin Van den , Hermans Christophe , Lau Ho Wa , Lambrechts Hilde , Merlin Céline , Corbet Cyril , Peeters Marc , Vermorken Jan Baptist , Waele Jorrit De , Lardon Filip , Wouters An
Published: October 2023

Aim: Acquired resistance to the targeted agent cetuximab poses a significant challenge in finding effective anti-cancer treatments for head and neck squamous cell carcinoma (HNSCC). To accurately study novel combination treatments, suitable preclinical mouse models for cetuximab resistance are key yet currently limited. This study aimed to optimize an acquired cetuximab-resistant mouse model, with preservation of the innate immunity, ensuring intact antibody-dependent cellular cytotoxicity (ADCC) functionality.

Methods: Cetuximab-sensitive and acquired-resistant HNSCC cell lines, generated in vitro , were subcutaneously engrafted in Rag2 knock-out (KO), BALB/c Nude and CB17 Scid mice with/without Matrigel or Geltrex. Once tumor growth was established, mice were intraperitoneally injected twice a week with cetuximab for a maximum of 3 weeks. In addition, immunohistochemistry was used to evaluate the tumor and its microenvironment.

Results: Despite several adjustments in cell number, cell lines and the addition of Matrigel, Rag2 KO and BALB/C Nude mice proved to be unsuitable for xenografting our HNSCC cell lines. Durable tumor growth of resistant SC263-R cells could be induced in CB17 Scid mice. However, these cells had lost their resistance phenotype in vivo . Immunohistochemistry revealed a high infiltration of macrophages in cetuximab-treated SC263-R tumors. FaDu-S and FaDu-R cells successfully engrafted into CB17 Scid mice and maintained their sensitivity/resistance to cetuximab.

Conclusion: We have established in vivo HNSCC mouse models with intact ADCC functionality for cetuximab resistance and sensitivity using the FaDu-R and FaDu-S cell lines, respectively. These models serve as valuable tools for investigating cetuximab resistance mechanisms and exploring novel drug combination strategies.