bluuebunny/crossref_metadata_2025 huggingface dataset:
Peran Santri dalam Pelestarian Lingkungan
Authors: Aprilia Wenny Kania , Anwar Saeful , Herdiana Dedi
Published: June 2023

The purpose of this study was to find out more about the role of students in environmental preservation especially students in the Qira’atussab’ah Islamic Boarding School of the Kudang to know the processes of activities that take place in preserving the environment and the results obtained by the students of the cottage Qira’atussab’ah Islamic Boarding School of the Kudang. The research method used is descriptive method with a qualitative approach. The results of the study revealed that the pondok pesantren environmental preservation program’s main objective is to realize students who have awareness in behaving environmentally friendly so that ecosystem sustainability is maintained. Concrete steps taken by students in preserving the environment with activities that have become students habits include cleaning kobong, cleaning kyai houses environment of boarding school. The results obtained are increased awareness of students in preserving the environment.
Hypertension in peri- and postmenopausal women — pathophysiological mechanisms and approaches to treatment
Authors: Baranova E. I. , Katsap A. A. , Kolesnik O. S. , Lebedeva E. V.
Published: June 2023

This review presents epidemiological data on the effect of sex hormones and reproductive status on the level of blood pressure (BP) and the incidence of es­sential hypertension (EHT) in women. The role of estrogen deprivation and hyper­androgenism in the development of EHT in peri- and postmenopause is discussed. The main mechanisms of EHT in periand postmenopausal women: sympathetic and renin-angiotensin-aldosterone system hyperactivity, salt-sensitivity, high prevalence of abdominal obesity, metabolic syndrome, left ventricular hypertrophy, left atrial dilatation and high risk of atrial fibrillation, stroke and heart failure with preserved left ventricle ejection fraction. Data on the efficacy and tolerability of the main classes of antihypertensive drugs in women is presented. We discussed the mechanisms of selective I1-imidazoline receptor agonists and the results of cohort studies of moxonidine monotherapy and its combination with other antihypertensive drugs and hormonal menopausal therapy in peri- and post­menopausal women. Moxonidine reduces high blood pressure in peri- and postmenopausal women and has a beneficial effect on metabolic syndrome components, but is also effective in patients with hypertensive crises, especially with sympathetic hyperactivity.
Disorders of lipid metabolism. Clinical Guidelines 2023
Authors: Ezhov M. V. , Kukharchuk V. V. , Sergienko I. V. , Alieva A. S. , Antsiferov M. B. , Ansheles A. A. , Arabidze G. G. , Aronov D. M. , Arutyunov G. P. , Akhmedzhanov N. M. , Balakhonova T. V. , Barbarash O. L. , Boytsov S. A. , Bubnova M. G. , Voevoda M. I. , Galstyan G. R. , Galyavich A. S. , Gornyakova N. B. , Gurevich V. S. , Dedov I. I. , Drapkina O. M. , Duplyakov D. V. , Eregin S. Ya. , Ershova A. I. , Irtyuga O. B. , Karpov R. S. , Karpov Yu. A. , Kachkovsky M. A. , Kobalava Zh. D. , Koziolova N. A. , Konovalov G. A. , Konstantinov V. O. , Kosmacheva E. D. , Kotovskaya Yu. V. , Martynov A. I. , Meshkov A. N. , Nebieridze D. V. , Nedogoda S. V. , Obrezan A. G. , Oleinikov V. E. , Pokrovsky S. N. , Ragino Yu. I. , Rotar O. P. , Skibitsky V. V. , Smolenskaya O. G. , Sokolov A. A. , Sumarokov A. B. , Filippov E. , Halimov Yu. Sh. , Chazova I. E. , Shaposhnik I. I. , Shestakova M. V. , Yakushin S. S. , Shlyakhto E. V.
Published: June 2023

The Russian Society of Cardiology (RKO)

With the participation of: The National Society for the Study of Atherosclerosis (NOA), the Russian Association of Endocrinologists (RAE), the Russian Society of Cardiosomatic Rehabilitation and Secondary Prevention (RosOKR), the Russian Scientific Medical Society of Therapists (RNMOT), the Eurasian Association of Cardiologists, the Eurasian Association of Therapists (EAT), the Russian Association of Gerontologists and Geriatricians
Stackelberg Security Games with Contagious Attacks on a Network: Reallocation to the Rescue
Authors: Bai Rufan , Lin Haoxing , Yang Xinyu , Wu Xiaowei , Li Minming , Jia Weijia
Published: June 2023

In the classic network security games, the defender distributes defending resources to the nodes of the network, and the attacker attacks a node, with the objective of maximizing the damage caused. In this paper, we consider the network defending problem against contagious attacks, e.g., the attack at a node u spreads to the neighbors of u and can cause damage at multiple nodes. Existing works that study shared resources assume that the resource allocated to a node can be shared or duplicated between neighboring nodes. However, in the real world, sharing resource naturally leads to a decrease in defending power of the source node, especially when defending against contagious attacks. Therefore, we study the model in which resources allocated to a node can only be transferred to its neighboring nodes, which we refer to as a reallocation process. We show that the problem of computing optimal defending strategy is NP-hard even for some very special cases. For positive results, we give a mixed integer linear program formulation for the problem and a bi-criteria approximation algorithm. Our experimental results demonstrate that the allocation and reallocation strategies our algorithm computes perform well in terms of minimizing the damage due to contagious attacks.
The ceRNA Mechanism of lncRNA MEG3/miR-21-5p/SPRY2 in Cell Proliferation and Apoptosis in Bladder Cancer
Authors: Hong Yangchun , Li Zhen , Su Yixin , Pu Hexian , Zhang Xiuxiu
Published: June 2023

Bladder cancer (BC) is the second most common genitourinary malignancy. Long noncoding RNA (lncRNA) is implicated in BC progression. This study delved into the underlying mechanism of lncRNA MEG3 in BC. Bioinformatics analysis predicted the expression of lncRNA MEG3, its association with the survival of BC patients, its subcellular localization, and its binding sites with miR-21-5p. Differentially expressed genes (DEGs) in the GSE13507 chip were analyzed using GEOexplorer, downstream targets of miR-21-5p were predicted from databases, and the overlapping genes were analyzed by the website Venny2.1 (https://bioinfogp.cnb.csic.es/tools/venny/index.html); their impacts on patient survival were analyzed by the Starbase database. The expression of SPRY2 and TGFBI associated with patient survival was analyzed in TCGA. RT-qPCR and western blot were performed to detect levels of MEG3, miR-21-5p, and SPRY2 in BC/SV-HUC-1 cells. Malignant biological behaviors of BC cells were detected using CCK8, flow cytometry, and Transwell assays. RNA pull-down and dual-luciferase assays were employed to verify the binding relationship of miR-21-5p with MEG3 and SPRY2. MEG3 was found to be lowly expressed in BC cells and mainly distributed in the cytoplasm. Over-expression of MEG3 was found to inhibit BC cell activity, promote apoptosis, and reduce invasion and migration. miR-21-5p was found to be highly expressed in BC cells, and its down-regulation was found to inhibit the malignant behavior of BC cells. Over-expression of miR-21-5p was found to reverse the effect of pcDNA3.1-MEG3 on BC cells. MEG3 was found to competitively bind to miR-21-5p as a ceRNA to promote SPRY2 levels. LncRNA MEG3 promotes SPRY2 expression by competitively binding to miR-21-5p, thereby inhibiting proliferation and promoting apoptosis of BC cells.
Buenas prácticas del proceso de gestión de talento humano
Authors:   Universidad Cooperativa de Colombia, Robayo Botiva Olga Liliana
Published: June 2023

Esta nota de clase se diseñó para los estudiantes de Gestión del Talento Humano y propone crear una reflexión sobre cómo abordar el proceso de gestión del talento humano desde el análisis de las etapas que se ven involucrados los futuros administradores de personal dentro de una organización. Este documento sugiere una conceptualización y reflexión teórica a través de una serie de preguntas caso para guiar el desarrollo de la competencia. Involucra, también, un papel más activo del estudiante con acompañamiento del docente como orientador.
Navigating Work-Life Integration, Legal Issues, Patient Safety: Lessons for Work-Life Wellness in Academic Medicine: Part 1 of 3
Authors: Hartwell Jennifer , Barach Paul , Gunter Tracy , Reed Kyra , Kelker Heather , Welch Julie , Olson Kristine , Harry Elizabeth , Meltzer-Brody Samantha , Quinn Mariah , Ferrand Jennifer , Kiely Sharon , Hartsock Jane , Holmes Emily , Schroeder Kristen , Ahmed Rami
Published: June 2023

In this series of three manuscripts, we will explore real-life scenarios encountered by clinicians, learners, and researchers in healthcare, which challenge our assumptions and our understanding of how to navigate issues as diverse as mental health, racial diversity, gender discrimination, imposter syndrome, and substance use disorder.
Navigating Minority & Gender Discrimination, Substance Use Disorder, Financial Distress & Workplace Politics: Lessons For Work-Life Wellness in Academic Medicine: Part 2 of 3
Authors: Ahmed Rami , Hartwell Jennifer , Farley Heather , MacRae Julia , Rogers David , Lawrence Elizabeth , Brazeau Chantal , Park Eliza , Cassidy Anna , Hartsock Jane , Holmes Emily , Schroeder Kristen , Barach Paul
Published: June 2023

In this second of three manuscripts addressing a range of complex work and personal issues, the authors explore case scenarios with characters who work in the fields of general surgery, orthopedic surgery, anesthesiology, neurology, radiology, and otolaryngology. The medical specialty identifiers help inform some baseline understanding of the demands of that particular profession but are less pertinent than the specifics of each case. In this manuscript, the authors dive into the topics of navigating a lawsuit and professional burnout, personal finances, substance use disorder, demands of clinical work and workplace politics, diversity and inclusion, and dealing with major personal illness. The authors provide practical steps to help the readers deal with similar situations and provide insight to support persons on how to improve support structures.
Home ranges of Ornate Box Turtles in remnant prairies in north-central Illinois
Authors: Struecker Brock , Muñoz Andrés , Warcholek Stanislaw , Harden Leigh Anne , Milanovich Joseph
Published: June 2023

Habitat loss has been a primary driver of biodiversity declines throughout the United States. Native prairie ecosystems represent some of the most significant losses in land cover, and subsequently, prairie-dependent species are some of the most imperiled. Therefore, understanding the ecology of species remaining in remnant portions of these ecosystems is important to help manage their populations. Using radio-telemetry, we examined minimum convex polygon (MCP) and 95% kernel density (KD) home ranges of 20 (5 females, 15 males) Ornate Box Turtles (Terrapene ornata) inhabiting two remnant prairies in north-central Illinois across two years and six seasons. Results showed that MCP and 95% KD home range estimates were comparable but smaller than other published studies, differed between years, across seasons, and among individual turtles within sites. These results provide valuable data to quantify the ecology of this threatened species in a remnant prairie habitat.
Diseño de movimiento. La práctica de animación como generadora de conocimiento
Authors:   Universidad EAFIT, Guzmán Ramírez Jesús Alejandro
Published: June 2023

Las reflexiones de este libro nacen de la preocupación sobre las dificultades y limitaciones en la producción y en las posibilidades e intenciones de desarrollo que se presentan en Colombia en el campo de la animación durante los últimos años, evidenciadas y experimentadas de manera directa a través del ejercicio inmersivo que el autor ha tenido como animador y docente del área; asimismo, de la certeza acerca de la animación como insumo de un proceso de diseño capaz de conformar y consolidar conocimiento. Los acercamientos a las oportunidades de capacitación, producción y enseñanza en el campo suscitan, en este texto, profundos cuestionamientos sobre las dinámicas que se emplean en las empresas y estudios del país, en relación con los productos generados versus las intenciones iniciales de los realizadores. Por eso, se propone una mirada reflexiva de la animación como un campo interdisciplinario derivado del movimiento, en el que la práctica va más allá de la experticia técnica y el hacer es una manera de construir cultura y conocimiento en sí mismo.
Social Media Influencers’ Role in Shaping Political Opinions and Actions of Young Audiences
Authors: Peter Christina , Muth Luisa
Published: June 2023

Social media influencers have become an indispensable part of social media, informing audiences, especially young ones, about various topics, such as beauty, lifestyle, or food. Recently more political influencers have emerged, and regular influencers have increasingly taken positions on political and societally relevant topics, including climate justice and gender equality. Yet, empirical evidence on how both types of influencers are perceived by their audiences and how they might impact young audiences regarding political action is scarce. Hence, the present study set out to investigate adolescents’ and young adults’ use and perception of social media influencers in the context of political information dissemination, opinion formation, and mobilization. With the help of qualitative interviews of young people in Germany (16–22 years), we show that while the mainstream media seems to still be the primary source of political information, influencers focused on politics are increasingly used to make sense of this information. The presumed impact ranges from amplifying the effects of existing opinions to opinion formation and changes in voting intentions based on the assessment provided by the influencer. Regular influencers who talk about political topics occasionally are not perceived as reliable sources of political information.
Contradictions Within the Swedish Welfare System: Social Services’ Homelessness Strategies Under Housing Inequality
Authors: Sandberg Matilda , Listerborn Carina
Published: June 2023

Sweden has seen a rise in homelessness alongside its strained housing market. References are increasingly being made to structural problems with housing provision, rather than individual issues. Housing has been organized through the local social services, which are responsible for supporting homeless people. With a foundation in housing studies, this article analyzes the Swedish social services’ challenges and actions in a time in which affordable housing is in shortage, and housing inequality a reality, through the lens of social services. The focus is on the intersection between the regular housing market and housing provision (primary welfare system), the social services needs‐tested support (secondary welfare system), and the non‐profit and for‐profit organizations (tertiary welfare system), with emphasis on the first two. The article is based on interviews with people working for the City of Malmö and illustrates how the housing shortage problem is moved around within the welfare system whilst also showing that social services’ support for homeless individuals appears insufficient. Social services act as a “first line” gatekeeper for those who have been excluded from the regular housing market. Moreover, recently implemented restrictions aim to make sure that the social services do not act as a “housing agency,” resulting in further exclusion from the housing market. The article highlights how the policies of the two welfare systems interact with and counteract each other and finally illustrates how homeless individuals fall between them. It highlights the need to link housing and homelessness in both research and practice to gain a deeper understanding of the complexities of housing markets and how homelessness is sustained.
Models of Inclusive Education in Selected Educational Institutions in Czechia – Inclusive Education and Organization Culture
Authors: Farnicka Marzanna , Kosiková Verá
Published: June 2023

Employees and managers of educational institutions have been dealing with numerous challenges related to changes in nowadays world for years. The idea of striving for “excellence in teaching” based on Fullan’s paradigm of school culture transformation has become a reason for deeper reflection in this area. Using the comparative analysis method, a picture of work models in educational institutions within the same system guidelines has been obtained. In order to make comparisons, strategies focused on providing the most effective support for pupils with special educational needs and the process of evaluating activities were taken into account. Based on three experiences of implementing the idea of inclusive education, some strategies for coping with required changes were shown. The presented case studies showed that while the strategies of each educational institution varied, they aimed to offer functional and effective counseling services which enhanced the personal and social development of children. The differences between them are related to specific practices: whether they are occasional or systematic, focused on teachers or problems, communication or action, part of the school daily work routine or applied to deal with emerging problems. The research results present a certain type of narrative related to eliminating resistance to change and monitoring its effects in a positive way according to the specific culture of organization.
A Preliminary Study on the Characteristics of Stamped-design Pottery of Unified Silla in Seoul and Gyeonggi Province
Authors:   Korean Ancient Historical Society, Kim Hyunwoo
Published: June 2023

While stamped-design pottery is considered to represent the Unified Silla period, examples from the Hwagok-ri site in Gyeongju, a large-scale pottery production site, demonstrate that plain pottery, in addition to stamped-design pottery, was also produced and consumed in various forms. Furthermore, given that stamping tended to be limited to small tableware such as bowls and lids, it is likely that stamped-design pottery was not widely used as a daily vessel during the Unified Silla period, but rather served some specific function or held certain characteristics or value. Based on this recognition, this study attempts to infer the characteristics of stamped-design pottery by comparing the context of stamped-design pottery and plain pottery from the sites of Unified Silla in Seoul and Gyeonggi province.
The analysis confirms that stamped-design pottery was produced in a small number of workshops in the Seoul and Gyeonggi regions and was mainly consumed in fortresses.
Considering the widely distributed stamped-design pottery in the Yeongnam region, the function and characteristics of stamped-design pottery in the Seoul and Gyeonggi province need to be understood in terms of the relationship between the function of the fortress and the Yeongnam region at the time. It is presumed that the stamped-design pottery at the fortress, which was a regional military and administrative center, may have been a daily ware for local officials dispatched from the central government, a serving vessel for administrative and diplomatic receptions, and a vessel used for rituals held at the fortress.
Due to this characteristic of stamped-design pottery, production and distribution of stamped-design pottery in this region would have been institutionally restricted or not preferred as daily ware for commoners in settlements.
Mahan’s Ritual Sites and Archaeological Significance of Youngdeung-dong’s Multiple Round Ditchs
Authors:   Korean Ancient Historical Society, Lee Jongcheol
Published: June 2023

Some of the rituals in ancient Korean society exist as records. Younggo of Buyeo, Dongmaeng of Goguryeo, and Mucheon of Ye are representative. However, the name of Mahan's ritual is unknown even though the contents are recorded. The purpose of this article is to present the nature and archaeological significance of the Multiple Round Ditchs investigated at Youngdeung-dong, Iksan, through the remains of ancestral rituals during the Mahan period. Eight tentative conclusions could be presented through the practice of Mahan rituals shown in the record and the ritual attributes of the Multiple Round Ditchs in Youngdeung-dong. First, it is possible that Youngdeung-dong site was Mahan's ritual site consisting of the Multiple Round Ditchs Ritual, the Big Tree Ritual, and the Shattering Ritual. Second, the discovery of a tree pit at Youngdeung-dong site not only serves as a criterion for restoring the size and shape of the Multiple Round Ditchs, but also increases the possibility that the Multiple Round Ditchs in Myeongcheon-dong, Boryeong, can be viewed as the Big Tree Ritual. Third, the Multiple Round Ditchs can be seen as a much stronger representation of the priest's right. Fourth, it is possible that Youngdeung-dong site was Sodo(蘇塗) of a powerful country in the Mangyeonggang River basin. Fifth, it is possible that the ritual of Sodo was a farming ritual to pray for the prosperity and well-being of the country and a ritual for dedication to Heaven and ghosts. Sixth, it is possible that the priest's right and the growth of the sanctuary were actively used as a strategy to strengthen the royal authority of the political rulers of the country and to gain an upper hand among various countries. Seventh, it breaks away from t he stereotype that t he existence of b ells a nd d rums can only fall in the Iron Age through the Big Tree Ritual that existed in Youngdeung-dong site during the 2nd~3rd centuries. Eighth, Youngdeung-dong site deserve to be used as a sample of Mahan Sodo in the 3rd century.
Towards a Diversification of Research on Burials: Application of Network Visualization and the Concept of ‘Assemblage’
Authors:   Korean Ancient Historical Society, Ko Ilhong
Published: June 2023

Research on burials in archaeology has mainly involved the identification of tomb type and the classification of the material. Although such an arrangement of the data is necessary prior to analysis, the method of ‘grouping based on similarities or differences’, which has been commonly used to organize archaeological data, is not without its problems. This is because the existing method of classification cannot handle ‘outlier’ tombs that deviate from the general trend; it is also difficult to highlight the differences that exist between tombs grouped together based on similarity, or, conversely, the similarities between the tombs divided into different groups. In this paper, ‘network visualization’ was presented a san alternative method of organizing data to compensate for such problems. First of all, a theoretical review of ‘categorization’ and ‘classification’ was conducted in order to suggest how ‘network visualization’ could provide an alternative method of categorization. This possibility was demonstrated using the case study of the burials of the Sangwoon-ri site, in Wanju. In addition, Deleuze and Guattari’s concept of Assemblage was introduced, as a means of supporting a break away from essentialism in categorization. As a result, a new perspective on archaeological style, form, and type was proposed and it was argued, using the example of the Nangnang (Lelang) tombs, that the ‘sub-types’ of the tombs could be viewed as ‘events’ that appear in the ‘creation process of types’, rather than as fixed entities. Finally, visualization methods of multivariate statistical analysis results were also examined to confirm whether the methodological and epistemological possibilities of network visualization presented in this paper are unique to it. By presenting the archaeological usefulness of the concept of network visualization and Assemblage, the paper aims to stimulate further critical thought on the possibility of alternative methods of categorization that can consider similarities and differences together, or indeed the fluidity of styles, forms, and types.
Construction Process and Fortification Technology of Wolseong Wall in Silla
Authors:   Korean Ancient Historical Society, Jang Kimyeong
Published: June 2023

In this article, the construction process was analyzed by dividing Wolseong, a royal castle of Silla, by construction section. By comparing Dodangsan Fortress and Namsan Fortress, it was intended to reveal the construction technology of Silla Wanggyeong. In addition, in order to see if the construction technology of the Wanggyeong Fortress was confirmed in other buildings, the exchange of fortification technology was reviewed by comparing tombs and embankments. Wolseong was analyzed by dividing it into a moat section, a west wall section, and a north wall section, and the preliminary survey of Japanese colonial era and the 2011 excavation survey were used as supplementary data. In view of the section of the west wall and the section of the north wall, it is believed that the built-up wall will be completed after the formation of the base → the central frame → three to four times of extending construction. The basic construction process was the same overall, but the three sections show the construction of the wall using different construction techniques and materials according to the base conditions. In addition, in the moat section and the west wall section, traces of repairs were found two to three times after the wall was built, and the outer wall or inner wall was partially supplemented according to the maintenance situation. As Dodangsan Fortress and Namsan Fortress were built in a way that made hills → built slopes, a different construction technology from Wolseong Fortress was identified. Both fortresses were constructed with a construction method suitable for small-scale earthen fortifications, and as it is estimated to be a political space and a government building, it can be seen that they were efficiently built according to the purpose of construction. On the other hand, although Silla’s stone-mounded wooden chamber was built at the same time, the similarity of fortification technology was captured only in the Hoseok structure, where the functional sector was emphasized, and various construction techniques were shared for each construction process in the embankment.
Diferencias en el diagnóstico del desarrollo, comparación de las escalas de Bayley II y III
Authors: Corral Guillé Ismene , Rivera Gonzalez Rolando
Published: June 2023

ANTECEDENTES: Las escalas Bayley son una herramienta ampliamente reportada para la evaluación del desarrollo en los primeros años de vida. Estudios que comparan la segunda edición (BSID-II) y la tercera (B III), informan puntuaciones más altas de lo esperado usando B-III, otros asumen que el BSID-II presenta mayores exigencias a las de varias poblaciones. No existen reportes en población hispanohablante.

OBJETIVO: Comparar puntuaciones y clasificación de ambas versiones en niños con antecedentes de riesgo perinatal.

MATERIALES Y MÉTODOS: Estudio transversal descriptivo en 671 niños de 0 a 42 meses, con antecedentes de riesgo perinatal. Se utilizaron las escalas BSID-II y B-III. Cada participante fue evaluado en una sola sesión. Para la comparación entre ambas pruebas, se calculó la media de las puntuaciones del B-III de las escalas cognitiva y de lenguaje, denominado Puntaje Compuesto Lenguaje-Cognitivo (PC-LC).

RESULTADOS: La media del PC-LC del B-III fue 14.04 puntos mayor a la del Índice de Desarrollo (ID) Mental BSID-II, y el Puntaje Compuesto Motor (PC-Motora del B-III) 17.87 puntos más alta que el ID Motor BSID-II. Las regresiones lineales para estimar los ID Mental BSID-II a partir del B-III mostraron valores de r2 = 0.55 y por rango de edad con r2 de 0.52 a 0.84 y para el ID Motor BSID-II con r2 de 0.58 en general, y para los 7 rangos con r2 entre 0.51 a 0.75

CONCLUSIONES. Con el BSID-II se observa mayor presencia de alteraciones en ambas subescalas. El BSID-II subestima el desarrollo del niño respecto al B-III.
Manejo toracoscópico sin pleurodesis en neumotórax espontáneo primario
Authors: Brenes Guzman Sofia , Valdéz García Izchel , Jean Aurelus Pierre , González Chávez José Luis
Published: June 2023

ANTECEDENTES: La acumulación de aire en la cavidad pleural sin una patología aparente se denomina Neumotórax Espontáneo Primario (NEP), su causa principal es ruptura de bulas subpleurales (BS). Se presenta sobre todo en adolescentes, pero tiene baja incidencia de 3.4:100,000, por lo que el tratamiento se basa en guías con recomendaciones internacionales en adultos, series de casos o revisiones sistemáticas.
OBJETIVO: Describir el manejo, experiencia quirúrgica, evolución y estancia hospitalaria en los pacientes con NEP por bulas en nuestro centro.
CASO CLÍNICO: Se describe el manejo en 7 pacientes pediátricos, con edad promedio entre los 12 y 16 años, quienes presentaron neumotórax mayores. Se realizó manejo conservador con drenaje pleural con persistencia de fuga a las 48-72 horas, por lo que se decidió realizar resección de BS con engrapadora lineal por toracoscopia video-asistida (TVA), no se realizó pleurodesis mecánica o química por el riesgo de las complicaciones propias. A las 48 horas postquirúrgicas se retiró el drenaje pleural con remisión de la enfermedad y los pacientes se egresaron a las 72 horas postquirúrgicas. A los 8 meses de evolución persisten sin recaída.
CONCLUSIÓN: El uso de manejo conservador en pacientes pediátricos sin importar el tamaño del neumotórax, no debe sobrepasar las 24-48 horas para el manejo quirúrgico, con ello se disminuye el tiempo de estancia hospitalaria y comorbilidades asociadas, además la resección de BS con engrapadora lineal mecánica sin pleurodesis es un tratamiento seguro hasta el momento sin datos de recidiva, como se comprueba en esta serie de casos.
PALABRAS CLAVE: Neumotórax espontáneo primario, bulas subpleurales, toracoscopía video asistida
Rosyjsko-ukraiński konflikt zbrojny w percepcji polskiego społeczeństwa
Authors: Dojwa-Turczyńska Katarzyn
Published: June 2023

Celem artykułu jest nakreślenie stosunku społeczeństwa polskiego do rosyjsko-ukraińskiego konfliktu zbrojnego zapoczątkowanego agresją Rosji w dniu 24 lutego 2022 roku. Głównym problemem badawczym jest próba udzielenia odpowiedzi na pytanie o percepcję Polaków wydarzeń rozgrywających się na terenie Ukrainy. Tłem rozważań są relacje Polski z Ukrainą i Rosją oraz wydarzenia 2014 roku. Praca opiera się na badaniach niereaktywnych.

Przeprowadzone analizy pokazały silny wpływ wojny na poczucie bezpieczeństwa Polaków. „Antidotum” na obawy jest obecność w NATO oraz posiadanie nowoczesnych sił zbrojnych. Polacy jednoznacznie opowiadają się po stronie Ukrainy, w Rosji widząc agresora. Popierają udzielenie pomocy militarnej, politycznej i humanitarnej. Na tle innych społeczeństw Polacy deklarują stosunkowo silne wsparcie dla Ukrainy, choć z czasem pogorszenie się warunków życia rzutuje na ich postawy i opinie.
Resort obrony narodowej w systemie zarządzania kryzysowego
Authors: Szczurek Tadeusz
Published: June 2023

Celem badań było dookreślenie miejsca i roli jednostek organizacyjnych resortu obrony narodowej, w tym Sił Zbrojnych RP w systemie zarządzania kryzysowego państwa w związku z nowymi wyzwaniami w obszarze zagrożeń niemilitarnych i paramilitarnych. Główny problem badawczy ujęto w pytaniu: jakie nowe wyzwania stoją przed systemem zarządzania kryzysowego w państwie i w jakim zakresie Siły Zbrojne RP mogą być zaangażowane w proces przeciwdziałania zagrożeniom w kontekście ostatnich zmian organizacyjno-kompetencyjnych i formalnoprawnych w resorcie obrony narodowej? W procesie badawczym wykorzystano przede wszystkim metody empiryczne w postaci wywiadów eksperckich, obserwacji oraz analizy aktów prawnych i dokumentów organizacyjno-kompetencyjnych, przy czym – ze względu na jawny charakter publikacji – pominięto informacje o charakterze wrażliwym. Wyniki badań pokazały, iż z początkiem trzeciej dekady XXI wieku w środowisku bezpieczeństwa Polski nastąpiły istotne zmiany, wśród których dominują czynniki zewnętrzne, tj. kryzys migracyjny na granicy polsko-białoruskiej oraz wojna rosyjsko-ukraińska. Czynniki te w istotny sposób wpływają na sytuację wewnętrzną w Polsce i implikują nowe wyzwania wobec systemu zarządzania kryzysowego.
İbn Teymiyye’nin İman Anlayışının Din Psikolojisi Açısından Değerlendirilmesi: Kavramsal Bir Yaklaşım
Authors: BALCI ARVAS Fatma
Published: June 2023

Bu makalenin amacı kelâm ilmindeki tartışmalardan başlamak suretiyle iman kavramını psikolojik açıdan ele almak ve İbn Teymiyye’nin iman anlayışını din psikolojisinin yaklaşımıyla değerlendirmektir. Çalışma kavramsal bir yaklaşım olup konular ve kavramlar betimsel bir üslup ile ele alınacaktır. Makalede öncelikle kelâm ilminde yer alan imanın mahiyeti tartışmalarına değinilecektir. Burada kelâm ilmindeki tartışmalar İbn Teymiyye’nin de eserlerinde değindiği konular ile sınırlandırılacaktır. Bu minvalde kelâm ilmine göre imanın tasdik, ikrar, bilgi, İslâm ve amel ile ilişkisine değinilecektir. İkinci olarak imanın psikolojik yapısı ele alınacaktır. Burada bireyin bilişsel, duygusal, davranışsal yönleri dikkate alınarak kavramsal bir inceleme yapılacaktır. Makalenin ana amacına uygun olarak psikolojik açıdan imanın kabul/tasdik, bilgi, irade, duygu, teslimiyet/davranış boyutları ele alınacaktır. İbn Teymiyye’nin iman anlayışının daha iyi analiz edilebilmesi için hem klasik kelâmî anlayış ile karşılaştırılması hem de imanın boyutları ile ilgili açıklamalarının psikolojik açıdan değerlendirmesi yapılacaktır. İbn Teymiyye’nin iman anlayışında özellikle kalp amelleri olarak kavramlaştırdığı, imanın duygu boyutu merkeze alınarak karşılaştırma ve değerlendirmeler yapılacaktır. Kalp amelleri kavramının iman psikolojisi açısından önemi tartışılacaktır. Sonuç olarak İbn Teymiyye’nin kalp amelleri şeklinde kelâm literatürüne kazandırdığı kavramın din psikolojisinde imanın duygu boyutu bağlamında ele alınan Allah sevgisi, Allah’a güven gibi psikolojik olgularla benzerliği ortaya konulmuş olacaktır.
Effect of Replacing Cement with High-calcium Fly Ash on the Properties of Cementing Slurry
Authors: Dubrovin D.F. , Sharonova O.M. , Dobrosmislov S.S. , Anshits A.G.
Published: June 2023

The effect of replacing cement with high-calcium fly ash (HCFA), represented by 4 fractions (Fr1–Fr4) from 4 electrostatic precipitators of the ash collectors at the Krasnoyarsk TPP-2, on the properties of cementing slurry was studied. The parameters of flowability, thickening, and compressive strength of specimens containing Fr1–Fr4 fractions from 100 to 20% were determined. Optimal compositions of cement slurries containing Fr3 fraction from 20, 30 to 40% were proposed.
Common Polymorphisms Identified In Patients with Type 2 Diabetes Mellitus Revealed From Next-Generation Sequencing Analysis
Authors: Sefid Fateme , Azamirad Ghasem , Asadollahi Samira , Kalantar Seyed Mehdi , Khalilzade Saeed Hosein , Vahidi Mehrjardi Mohammad Yahya
Published: June 2023

Objective: Type 2 diabetes mellitus (T2DM) is a multifactorial genetic condition caused by the combination of genes and environmental factors. Several variations linked to T2DM have been discovered in recent genetic investigations, particularly genome-wide association studies (GWAS). This study aimed to investigate genes involved in T2DM, focusing on the NGS analysis and studying the genetic basis of T2DM to improve diagnosis, prevention, and treatment.
Materials and Methods: We selected 5 families based on the diagnosis of diabetes at the age of 30 years or earlier in at least 3 consecutive generations for NGS analyses.
Results: For each of the 5 participants tested thus far, a mean of 11 to 21 variants of clinical significance were detected. These variants were located in different genes, which indicate the association of these genes with susceptibility to diabetes. WFS1 and INS gene mutations were present in all five diabetic patients analyzed. Specifically, mutations in WFS1, KCNJ11, ABCC8, HNF1B, INS, GCKR, HNF1A and PCSK1N account for 25%, 13%, 8%, 7%, 7%, 6%, 6% and 6% of patients, respectively.
Conclusion: WFS1 is the most often altered gene in our participants with putative alterations, according to our findings (25%). WFS1 mutations were discovered in all of the probands.
The Satisfaction level with Insulin Treatment in Type 1 Diabetics - Yazd Diabetes Research Center 2019
Authors: Ghadiri-Anari Akram , Namiranian Nasim , Mahmoudi Kohani Hassan ali , Razavi Roghaye , Jam Ashkezari Saeedeh , Mozafari Zohre , Ordooei Mahtab
Published: June 2023

Objective: Diabetes is a non-communicable disease. The patient satisfaction with treatment is a key point of patient’s compliance. Definitive treatment for patients with type 1 diabetes is lifelong insulin injections, but type 1 diabetic patients are commonly in poor glycemic state due to poor compliance. Therefore, it is necessary to check insulin treatment satisfaction in this population. Therefore, the main purpose of this study was to evaluate the satisfaction of insulin treatment in patients with type 1 diabetes in Yazd.
Materials and Methods: In this cross-sectional study, 114 patients with type 1 diabetes participated. Persian version of Insulin Treatment Satisfaction Questionnaire (ITSQ) used. All analyzes were performed by SPSS 22.
Results: The overall satisfaction mean score in this study was 49.72(± 8.88). Insulin treatment satisfaction score had a significant positive correlation with BMI (P: 0.00) and age (P: 0.04). Hypoglycemic control subscale showed a positive correlation with BMI (P: 0.01) and age (P: 0.01). Also, inconvenience of insulin therapy regimen sub-scale showed a significant positive correlation with age (P: 0.04). Overall satisfaction and sub-groups had no significant correlation with other variables.
Conclusion: The overall satisfaction in type 1 diabetics was unacceptable. Understanding the pathogenesis of this problem could guide health care providers for better and effective management of type 1 diabetes. Also, a more comprehensive approach with consider all potentially relevant variables is necessary.
Evaluation of Restless Leg Syndrome in Patients with Type 2 Diabetes Mellitus
Authors: Khalid Tayyaba , Afzal M Faheem , Amjad Aneela
Published: June 2023

Objective: To evaluate restless leg syndrome (RLS) in type 2 Diabetes Mellitus (T2DM) in Lahore.
Materials and Methods: A cross-sectional study design was recruited for this study. Non-probability purposive sampling technique was used to select the patients in the study. The data was collected from the Pakistan Society for the Rehabilitation of Disabled (PSRD) Hospital and Hameed Latif Hospital Lahore. Patients diagnosed with T2DM with a maximum of 10 years, ages between 35 to 65 years, and patients who suffer from minor complications of diabetes mellitus were in cluded in the study. The RLS rating scale was used to assess the severity of restlessness in participants.
Results: Out of 144 subjects, the frequency of the RLS was 71.5% and the majority was more in females as compared to male subjects. The female subjects have moderate severity of RLS while male subjects have mild severity of RLS.
Conclusion: The frequency of RLS was high in patients with T2DM and females were more prone to RLS as compared to male subjects.
Prediction of Women’s Marital Intimacy Based on Sexual Satisfaction and Health Literacy among Husbands with Diabetes in Ahvaz, 2021
Authors: Hellinia Ghazaleh , Homaei Rezvan
Published: June 2023

Objective: Health literacy improves self-regulation and management of diabetes through proper diets in diabetic men. As a result, they will gain more knowledge about the effects of this disease on marital life and sexual relationships. The present study aimed to investigate the relationship between women’s marital intimacy with sexual satisfaction and health literacy among husbands with diabetes.
Materials and Methods: The method of the present research was descriptive and correlational. The statistical population of the study included all male patients with diabetes and their wives in Ahvaz in 2021. Convenience sampling was done to select 140 diabetic men with their wives as the research sample. The research instruments included the Intimacy Questionnaire in Marital Relationships, the Index of Sexual Satisfaction, and Health Literacy for Iranian Adults. Pearson's correlation coefficient and simultaneous regression analysis were used for data analysis.
Results: According to the results, sexual satisfaction and health literacy in diabetic men had significant positive relationships with the women’s marital intimacy (P< 0.001). Furthermore, regression results indicated that sexual satisfaction and health literacy had significant multiple correlations with marital intimacy (P< 0.001).
Conclusion: The results highlighted the growing importance of paying attention to the roles of women’s sexual satisfaction and their diabetic husbands' health literacy in improving marital intimacy and strengthening both family and marital relationships
Improvement of Glucose Homeostasis in Response to Short-Term Aerobic Training in Middle-Aged Men with Abdominal Obesity
Authors: Naseri Rad Reza , Eizadi Mojtaba , Ghasemi Morteza
Published: June 2023

Objective: Overweight and obesity is associated with insulin resistance and is the most important risk factor of type 2 diabetes (T2DM). In present study, we assessed glycemic profile and insulin resistance response to a short term aerobic training in middle-aged men with abdominal obesity.
Materials and Methods: The subjects included 28 abdominally obese (waist circumference≥102cm) middle-aged men (39 ± 5 year) that were divided into exercise (n=14) or control (n=14) groups by randomly. Exercise subject were completed a short-term aerobic training at 55-70 % of maximal heart rate (6 weeks, 3 times / weekly) and control subjects remained no training. Pre-training and post-training of anthropometrical markers, fasting glucose, hemoglobin (HbA1C), insulin and insulin resistance were measured of 2 groups and compared by independent – paired t test (SPSS, Version 22.0).
Results: Aerobic exercise resulted in a significant decrease in glucose level (114 ± 13 versus 101 ± 11 mg/dL, P: 0.009) and HbA1C (6.14 ± 1.11 versus 4.91 ± 1.23, P: 0.021) in exercise group. But no significant changes were observed in insulin (8.31 ± 4.12 versus 8.29 ± 3.21, P: 0.119) and insulin resistance (2.34 ± 0.51 versus 2.07 ± 0.59, P: 0.073) in exercise groups.
Conclusion: Based on our finding, aerobic training independent of insulin function is associated with improved glucose in middle-aged obese men and this improvement can be attributed to other changes caused by exercise that requires further study in this area.
Relationship between Probiotics and Type 2 Diabetes Mellitus: A Review
Authors: Kheirkhah Amir Hossein , Forouzani-Moghaddam Mohammad Javad , Afkhami-Ardekani Mohammad
Published: June 2023

Objective: Diabetes is a chronic medical condition that can be caused by either inherited or acquired insufficiency insulin secretion, or the body's inability to effectively utilize the insulin it produces. There are three primary classifications of diabetes: type 1, type 2, and gestational diabetes. Type 2 diabetes mellitus (T2DM) is characterized by elevated levels of fasting blood glucose (FBG) and glycosylated hemoglobin (HbA1c), indicating a disturbance in glucose metabolism. The term "probiotics" refers to living microorganisms that provide beneficial effects on the host's health. The effects of probiotics on T2DM in humans have shown conflicting results. Some studies have demonstrated that probiotic treatment substantially reduces HbA1c, FBG, or insulin resistance (IR) in patients with T2DM. However, other studies have found no significant difference between probiotic-treated patients and those receiving a placebo.. The use of probiotics was found to enhance glucose metabolism and HbA1c levels in individuals with T2DM. These findings are in line with previous reviews conducted on this topic.
Identification of Diagnostic SNPs in Exon 28 of the Von Willebrand Factor Gene for Diagnosis of VWD Type 2B in Patients Referred to IBTO Coagulation Lab: In-silico Approach
Authors: Shamriz Roshanak , Atarodi Kamran , Ahmadinejad Minoo , Ghasemi Nasrin
Published: June 2023

Background and Aims: von Willebrand disease (VWD) is brought on by hereditary impairments in the von Willebrand factor (VWF). It has been determined that most of the molecular abnormalities are present in exon 28 of the VWF gene qualitative variations. In this regard, investigating mutations in exon 28 of the VWF coding gene can help identify the VWD type and can be used to manage patients by using appropriate strategies.
Materials and Methods: 10 suspected VWD type 2B patients were investigated for the genotype of exon 28. Routine coagulation tests were performed for the patients. Molecular sequencing was also used for the evaluation of mutations in exon 28. Determining the tertiary structure of VWF can aid in understanding its functional residues and interactions. The nsSNVs’ pathogenicity was examined utilizing potent bioinformatics methods. Step-by-step testing of the high-risk mutations was done using SIFT, PolyPhen-2, I-Mutant 2.0, PHD-SNPg, and SNPs&GO. Then, the secondary structure, amino acid conservation, and feature of amino acids were investigated via Protparam, Cofactor, Interprosurf, ConSurf, NetSurfP-2.0, and HOPE.
Results: N1231T, V1229G, V1316M, and P1266Q missense mutations in VWF were detected. 3D structure of VWF predicted and evaluated. Putative conserved domains were identified. P1266Q and V1316M amino acid substitutions are predicted as “Not tolerated substitution” damaging and Disease, while V1229G and N1231T amino acid substitutions are predicted as “tolerated substitution” benign and Neutral.
Conclusion: V1316M and P1266Q amino acid substitutions were determined as high-risk mutations using powerful bioinformatics tools in VWD patients.
Bone Marrow Karyotype, Flow Cytometry, and FISH Analysis: Essential Tests to Improve the Initial Diagnosis of Patients with Myeloid Malignancies
Authors: Naseri Farnoosh , Safari Fatemeh , Khoshnevis Hoda , Langroudi Maryam Pilechian , Hesami Sara , Taheri Nazanin , Farahani Abbas Shakoori
Published: June 2023

Background and Aims: Diagnosing hematologic malignancies requires implementing several tests. This study aims to evaluate the chromosomal changes in patients with myeloid disorders and compare the results of flow cytometry and cytogenetics with the initial diagnosis performed by the oncologist.
Materials and Methods: 115 patients with myeloid disorders, 57.2% males and 42.8% females with a mean age of 50.3 years, previously diagnosed by an oncologist based on the clinical features, complete blood count, and peripheral blood smear interpretations, were considered. Moreover, flow cytometry and cytogenetic analysis were implemented on the bone marrow samples.
Results: Cytogenetic results showed that 30% of patients with myeloid disorders had abnormal karyotypes. 77% of patients with myelodysplastic syndromes, 65% of acute myeloid leukemia, and 30.7% of chronic myeloid leukaemia indices showed normal karyotypes, and the others resulted in common and uncommon abnormalities, including the translocation (13;17), 92, XXYY, and del (4q). Considering the flow cytometry and karyotype results, the improved diagnoses were made for 41 patients who had not been diagnosed initially.
Conclusion: This study showed that, in some cases, an initial diagnosis is inconsistent with the flow cytometry and karyotype analysis results. Also, the flow cytometry results may differ from the karyotype depending on the case. Therefore, combining the results obtained by the cytogenetic investigation, flow cytometry, fluorescence in situ hybridization, and molecular testing is preferable to provide a comprehensive report for the appropriate disease diagnosis and prognosis.