bluuebunny/crossref_metadata_2025 huggingface dataset:
Hubungan antara Indeks Massa Tubuh dan Lingkar Pinggang dengan Kejadian Hipertensi Sistolik Terisolasi pada Lansia
Authors: Saraswati Hakim Yasinta , Setyoko Setyoko , Tursinawati Yanurita
Published: January 2023

Latar BelakangSecara global diperkirakan 15% lansia menderita hipertensi sistolik terisolasi (ISH). ISH pada lansia dapat terjadi karena proses menua atau faktor lainnya, seperti obesitas. Obesitas dibagi menjadi obesitas total yang diketahui dari nilai indeks massa tubuh (IMT) dan obesitas abdominal yang diketahui dari nilai lingkar pinggang (WC). Perbedaan parameter pengukuran tersebut menjadikan penelitian ini bertujuan untuk mengetahui hubungan antara IMT dan WC dengan kejadian ISH pada lansia.
Metode Rancangan penelitian adalah observasional analitik metode potong lintang dan teknik sampling consecutive sampling dengan sampel penelitian merupakan lansia umur ≥ 60 tahun yang menderita ISH. Penelitian berupa pengukuran tekanan darah, berat badan, tinggi badan, dan lingkar pinggang. Analisis data menggunakan uji korelasi Rank Spearman untuk hubungan IMT dengan kejadian ISH dan uji Chi-Square untuk hubungan lingkar pinggang dengan kejadian ISH dengan nilai α kedua uji adalah 0,05.
HasilJumlah responden penelitian adalah 110 sampel lansia dengan kriteria sampel terbanyak adalah lansia muda (60%), jenis kelamin wanita (67,3%), bekerja sebagai buruh tani/petani (41,8%), menderita ISH derajat I (66,4%), mengalami obesitas (36,4%), dan mengalami obesitas abdominal (54,5%). Hasil penelitian menunjukkan tidak adanya hubungan antara IMT dengan kejadian ISH pada lansia (p= 0,827) dan adanya hubungan antara lingkar pinggang dengan kejadian ISH pada lansia (p= 0,001).
KesimpulanIMT sebagai indikator obesitas total tidak berhubungan dengan kejadian ISH pada lansia namun lingkar pinggang sebagai indikator obesitas abdominal menunjukkan adanya hubungan dengan kejadian ISH pada lansia.
FIELD TRIP GUIDE TO THE SERIDÓ PEGMATITE PROVINCE
Authors: De Souza Sebastião Rodrigo Cortez , Da Silva Marcelo Reis Rodrigues , De Moura Odúlio José Marensi , Beurlen Hartmut
Published: January 2023

The pegmatites of the Seridó Pegmatite Province show a granitic bulk mineralogical composition, composed of K-feldspar, albite, quartz, muscovite and occasionally biotite. Detailed mineralogical studies of the major minerals are scarce. There is, on the other hand, a relatively larger number of published contributions concerning pegmatite accessory minerals. This field trip guide focus on the mainly occurrence locations of these last minerals, which are group here by their most frequently recovered rare metals and gems: (1) Ta-Nb: Tantalite-columbite is the main mineral group, even though other rare varieties may occasionally be recovered as microlite, tapiolite, strueverite, simpsonite, ixiolite, among others. Their grain size varies from the centimeter to decimeter scale. The mineralization is disseminated (less frequently), in pockets, or as aggregates of crystals, usually associated with "replacement bodies" at the contact between Zone III and the quartz core. They also occur sporadically in Zone II and occasionally in homogeneous pegmatites, as crystals in subcentimeter to centimeter scale, frequently disseminated in the quartz-feldspar-muscovite groundmass. In this case, they display lamellar habit and normally lower Ta concentration. (2) Be: Beryl is the main Be-mineral present. Its grain size varies from centimeter to meter, it is normally prismatic and shows diverse colors (white, green, blue, pink, yellow), with green and white prevailing. It occurs in Zones II, III and IV (quartz core), as well as in association with the "replacement bodies". In homogeneous pegmatites, it occurs as centimetric crystals, disseminated in the groundmass. Some pseudoconical forms are also observed, and contain muscovite and quartz inclusions. The gem varieties (aquamarine, morganite, heliodor) are scarce. Beryl and the Ta-Nb minerals, are the main ores exploited in these pegmatites. (3) Li: Li-minerals recovered from the pegmatites are spodumene, lepidolite and amblygonite. The spodumene prevails over amblygonite and lepidolite, although the reserves of Li are still not completely known. Spodumene occurs in individual crystals or aggregates in decimeter to meter dimensions, rarely forming individualized zones. Lepidolite occurs mainly in albitized pegmatites associated with deep blue tourmalines (named Paraíba Tourmaline). Amblygonite occurs in pockets of decimeter to meter width and may be associated with other phosphates such as lithiophilite, triphylite, siclerite, tavoríte, among others. (4) Sn: Cassiterite is the main Sn-ore, although Sn is also present in the crystallographic structure of Ta-Nb minerals. It is found disseminated in centimeter grain size in the "replacement bodies" or in Zone I of heterogeneous pegmatites, and occurs occasionally in some homogeneous pegmatites. Cu (e.g. djurleite), U (e.g. uraninite) and REE (e.g. xenotime) minerals are considered important resources exploted or as potential for further exploration.
A study of predictors of outcome in paediatric intensive care unit with special reference to SOFA score
Authors: Sucheta S. Munshi  , Shaishav J. Patel  , Neha A. Vaghela  , Mugdha M. Shah
Published: January 2023

Background: Multi-organ dysfunction syndrome (MODS) is the leading cause of morbidity and mortality for patients admitted in Pediatric Intensive care unit. The Sequential organ failure assessment (SOFA) score is an objective score that allows for calculation of both the number and the severity of organ dysfunction in six organ systems. It is a six-organ dysfunction score measuring multiple organ failure daily. Each organ is graded from 0 (normal) to 4 (the most abnormal). This scoring system guides the efficient utilization of hospital resources, especially in a resource starved setting and useful to evaluate the prognostication, to counsel the guardians and to decide therapeutic interventions. The score can also be a useful in clinical research tool to evaluate various therapeutic interventions in MODS. The aim of the study was to predict outcome in pediatric intensive care unit with special reference to SOFA score in patients admitted to civil hospital, Ahmedabad.
Methods: We have randomly selected 120 patients who were admitted in pediatric intensive care unit of tertiary care hospital and full-filing inclusion and exclusion criteria included in our study.
Results: There are multiple factors responsible for predicting the outcome in critically ill patients admitted in pediatric intensive care unit. Patients with complete immunization status have better outcome as compared to patients with incomplete immunization and unimmunized status. Patients with higher socioeconomic class have slightly better outcome as compared to patients with lower socioeconomic class.
Conclusions: SOFA score is a good objective score as a predictor of mortality in critically ill patients. But, if SOFA is calculated at the time of admission, then it has poor diagnostic accuracy in prediction of outcome. So, SOFA score at 72 hours of admission (T72) and delta SOFA (T72-T0) are better predictors of poor outcome as compared to SOFA score at admission (T0).
Neonatal polycythemia: incidence and associated factors
Authors: Ashaben Ranchhodbhai Chaudhari  , Aabha Mohan Phalak  , Priyanka Girishchandra Chauhan  , Ankit Narbherambhai Goriya  , Baldev S. Prajapati
Published: January 2023

Background: The chief concern in neonatal polycythemia (NPC) is the development of complications due to hyper viscosity. We aimed to study risk factors, clinical features, laboratory investigations, management and outcome of neonates with polycythemia at our set up.
Methods: A prospective study was conducted in the frame of January 2021 to January 2022 at tertiary care institute in Ahmedabad, all neonates with gestational age ≥34 weeks were evaluated and those with venous hematocrit more than 65% or hemoglobin exceeding 22 mg/dl were included in the study. The clinical features and laboratory parameters were noted. Asymptomatic neonates or neonates with mild polycythemia were observed for rising hematocrit or development of symptoms whereas symptomatic neonates or neonates with moderate and severe polycythemia were subjected to interventions as needed.
Results: Incidence of polycythemia in this study was 11.18 per 100 neonates. The most common symptoms observed were jaundice in 68 (43.3%) neonates, followed by lethargy in 33 (21%). Other symptoms observed were refusal to feed (18.4%), respiratory distress (11.4%), jitteriness (6.3%), decrees urine output (2.5%), and cyanosis (1.2%). The noted laboratory abnormalities were hyperbilirubinemia (43.3%) followed by thrombocytopenia (40.1%), hypoglycemia (28%) and hypocalcemia (4.4%). The 35.6% neonates require hydration and 22.5% of neonates required partial exchange transfusion, rest were managed conservatively.
Conclusions: the study suggested that polycythemia is a frequent problem among neonates. More than one third of them can be asymptomatic indicating the importance of assessing the associates’ risk factors.
Pediatric penile biometry guides the surgical outcome following tubularised incised plate urethroplasty for hypospadias: a single centre study
Authors: Das Debjani , Ghosh Arindam , Sinhababu Aloke Kumar , Pal Sujay , Patra Rishavdeb , Sasmal Debojyoti
Published: January 2023

Background: In hypospadias urethral meatus opens onto the ventral surface of the penis proximal to tip of glans and its surgery is challenging. Recent focus of hypospadias surgery is on reduction of postoperative complications and objective assessment of penile anthropometry which can affect outcome. Aim of study was to assess the surgical outcome of tubularised incised plate urethroplasty on penile biometric parameters among children with coronal, distal penile and mid penile hypospadias.
Methods: Study was conducted in the department of pediatric surgery in IPGMER and SSKM Hospital in Kolkata during November 2019 to October 2021.
Results: Among 42 boys mean urethral plate length is 4.286 (coronal), 7.643 (distal penile) and 8.846 (mid penile), mean urethral plate width is 3.321 (coronal), 5.786 (distal penile) and 5.923 (mid penile), mean diameter at mid glans level is 4 (coronal), 5.071 (distal penile) and 5.923 (mid penile), mean diameter at coronal level is 5.75 (coronal), 6.429 (distal penile) and 6.769 (mid penile), mean stretched penile length is 39.2143 (coronal), 41.857 (distal penile) and 40.308 (mid penile) hypospadias respectively. P value is less than 0.05 for all except urethral plate depth which has a non-significant p value.
Conclusions: Urethral plate length, urethral plate width, mid glans diameter, glans diameter at coronal sulcus level and stretched penile length affect the outcome of the surgical process TIP urethroplasty in coronal, distal penile and mid penile type hypospadias but urethral plate depth does not.
Neurodevelopmental outcome of children with severe acute malnutrition
Authors: Irfan B. Bhat  , Muzafar Jan  , Abdus S. Bhat
Published: January 2023

Background: Severe acute malnutrition is known to be a major risk factor for impaired motor, cognitive, and socio-emotional development. Not much work has been done to study the neuro development of these patients. The aim of this study was to assess the neurodevelopment and outcome of children between 1 and 30 months with diagnosis of SAM
Methods: The study was an observational prospective study conducted from November 2018 to April 2020. A total of 61 patients were enrolled in our study. Patients admitted in NRC with diagnosis of SAM were assessed for neurodevelopment after stabilization. Developmental assessment scale of Indian infants was used to calculate the motor developmental quotient and mental developmental quotient. Patients were followed till 6 months and after 6 months, they were again assessed by DASII to see the improvement in neurodevelopment status. Developmental quotient of less 70 was taken as delayed.
Results: Mean DMeQ after stabilization and at 6 months after discharge was 53.672 and 72.591 respectively. Mean DMoQ after stabilization and at 6 months after discharge was 50.50 and 68.23 respectively. Mean DQ after stabilization and at 6 months after discharge was 52.186 and 70.4105 respectively.
Conclusions: Severe acute malnutrition results in neurodevelopmental impairment in children but early and effective intervention results in significant improvement in neurodevelopment status.
When Guillain-Barre syndrome took a wrong path
Authors: Supriya K. Gowda  , S. Prashanth , M. R. Savitha
Published: January 2023

The pharyngeal cervical brachial (PCB) variant of Guillain-Barre-syndrome (GBS) is defined by rapidly progressive oropharyngeal and cervicobrachial weakness associated with areflexia in upper limbs. On nerve conduction study PCB represents a localized subtype of GBS characterized by axonal rather than demyelinating neuropathy. PCB is often misdiagnosed as brainstem stroke, myasthenia gravis or botulism. Herein we describe a case of symmetric descending type of acute flaccid paralysis with predominant upper limb involvement and also lower limb involvement diagnosed as a PCB- GBS overlap mainly based on nerve conduction study.
Intra-operative cardiac arrest from undiagnosed incretic placenta praevia precipitated haemorrhage reversed via external jugular access: a case report
Authors: Aggo Alfred Tamunoigbanibo , Olamuyiwa Samuel Bobola
Published: January 2023

A 32-year old obese multipara with undiagnosed incretic major degree placenta praevia was scheduled to have an elective repeat Caesarean for two previous caesarean. Under subarachnoid anaesthesia, placental severance and myometrial avulsion precipitated torrential haemorrhage occasioning intraoperative cardiac arrest which necessitated external jugular access for successful resuscitation. Following peripartum hysterectomy under general anaesthesia, she received intensive care and was discharged to the ward after 48 hours. This report highlights the necessity of accurate prenatal diagnosis of invasive placentation and the grave sequelae of a missed diagnosis, as well as the strategic significance of external jugular access in resuscitation post-cardiac arrest from massive haemorrhage.
Labium superius oris mucormycosis: an enigma
Authors: Varasala Praveena , Mallineni Ujjwala
Published: January 2023

Mucormycosis is an aggressive opportunistic fungal infection affecting immunocompromised patients. It has six manifestations: rhinocerebral, pulmonary, cutaneous, gastrointestinal, disseminated and localized infection. However, isolated mucormycosis of upper lip (labium superius oris) without any bony invasion has not been reported in literature to the best of our knowledge. Hence this poses a diagnostic challenge. A 50-year-old male came with left sided nasal pain and left sided nasal obstruction associated with very mild uniform swelling of upper lip of 24 months duration. He underwent FESS in a local hospital and was misdiagnosed as granulomatous origin probably Tuberculosis. Even on ATT the symptoms didn’t subside and hence presented to our hospital. On incisional biopsy deep fungal infection probably mucor was reported and he was put on tab Posaconazole 300 mg OD. On recurrent upper lip swelling, excision biopsy was done. HPE was reported as fibrocollagenous stroma interspersed by multiple non-caseating epitheloid granulomas with plenty of foreign body type of giant cells. PAS showed broad aseptate acute angled hyphal forms suggestive of mucor. The follow up clinical presentation of the patient was very satisfactory with complete regression of upper lip swelling and no damage to surrounding structures. The case report highlights the existence of localized form of mucormycosis without bony necrosis in immunocompetent patients which require minimal surgical intervention along with oral medical therapy rather than extensive debridement.
The first generation and second generation antipsychotic drugs and their pharmacology in treatment of schizophrenia
Authors: Shaikh Afroj A. , Pawar Jaydeep B. , Anbhule Sachin J.
Published: January 2023

In this review report, an attempt made to present an overview of schizophrenia & those drugs which are used in treatment of psychiatric disorders as well as some treatments for psychosis. In 1908, the schizophrenia word was coined by Eugen Bleuler (Swiss psychiatrist). The use antipsychotics as medication began from 1933 in France. Laborit and Huguenard administrated the aliphatic Phenothiazine, Chlorpromazine during surgery due to its potential anesthetic effect, in 1951. Thereafter, Hamon and Delay extended the use of this treatment in psychiatric patients. Due to abnormal brain structure & functioning occurs schizophrenia as well as psychotic disorders. Schizophrenia a condition in people unable to differentiate between real & imaginary world. In this article we all know about Schizophrenia & Antipsychotics drugs. In that include symptoms & their types, cause, risk factor, antipsychotics classification & their pharmacology etc. In that there are three types of symptoms namely positive, Negative, Cognitive. Exact causes of schizophrenia are unknown. In the treatment of Schizophrenia or psychotics disorders the physicians commonly used antipsychotic medicines or drugs to treat their symptoms. Antipsychotic drugs further divided into two major classes namely Typical & Atypical antipsychotics. Chlorpromazine is the first medicine or drug which is used to treat symptoms of schizophrenia and schizoaffective disorders. Clozapine is most effective or potent antipsychotics drug. Which is belongs to the atypical antipsychotics which are reducing the risk of schizoaffective patients. Physicians recommend a combination of antipsychotics along with psychotherapy. In this article we have covered Brahmyadiyoga is an Ayurvedic remedies.
Case report -Cesarean scar ectopic pregnancy
Authors: Gaur Yashodhara , Jain Renu , Gurjar Seema
Published: January 2023

Cesarean scar ectopic pregnancy is one of the rarest of all ectopic pregnancy increase in number of cesarean section leads to increase in number of cesarean scar ectopic pregnancy. Early diagnosis and prompt management help in reducing mortality and morbidity occuring due to scar ectopic pregnancy. We are reporting a rare case of cesarean scar ectopic pregnancy G5P3L3D1 with period of gestation 7 weeks 3 days with previous all 4 deliveries by cesarean section. Cesarean scar ectopic pregnancy are life threatening as they pose a great risk of maternal hemorrhage as the patient vital are the stable patient managed medically with injection Methotrexate.
Nuevos aportes a la historia social y cultural de México, siglos XVIII-XX
Authors: Cruz Álvarez César
Published: January 2023

Julio César Espinosa Hernández y Julio César Pacheco González (coords.), Nue-vos aportes a la historia social y cultural de México, siglos XVIII-XX, México, Ediciones del Lirio, 2020, 215 pp. ISBN: 978-607-8785-33-9.
Information technology in the activity of a deputy: experience and prospects
Authors: Budaev A. M. , Nadin A. N.
Published: January 2023

This article discusses the topic of the need to use social networks in the activities of a deputy of a representative body of power. The coverage by a deputy of his professional activities, proposed legislative initiatives and, in general, his own position on a set of pressing life problems in various social networks and instant messengers helps to increase the political and legal culture of citizens, their involvement in the processes of organization and functioning of bodies and mechanisms for the implementation of public power. The fact that the subject distributing information on the official page (channel) in the social network (messenger) has a special public law status of a deputy of a representative body of power imposes on him both general obligations stipulated by the legislation on information, information technologies and information protection, as well as special prohibitions and restrictions arising from the requirements of the conscientious implementation of public interests. It is proposed to establish the obligation to maintain official pages and channels in social networks for deputies of representative bodies of the federal and regional levels of public authority, carrying out parliamentary activities on a permanent professional basis.
Forceful counteraction to juvenile delinquency: overcoming taboos
Authors: Milyukov S. F. , Nikulenko A. V.
Published: January 2023

According to the official statistics, juvenile delinquency continues to decline steadily, which, of course, raises reasonable doubts both among scientists involved in the issue under consideration and some citizens. In their socially dangerous manifestations, they are becoming more and more daring and aggressive, the share of violent crimes in the overall structure of juvenile delinquency is only increasing. Fundamental approaches to the analysis and reassessment of the situation have not changed for a long time, creating the illusion of positive dynamics and sufficiency of measures taken to prevent juvenile delinquency. At the same time, countering socially dangerous manifestations of minors is left to the mercy of citizens who are directly confronted with such manifestations of gross uncontrolled aggression, teenagers who feel their impunity perfectly, most often acting in a group. In front of them even law enforcement officers often look powerless. However, recently more and more attention has been paid to the capabilities of citizens and law enforcement officers to legally resist criminal expansion. The authors do not call for strengthening the criminal responsibility of minors, given the already punitive beginnings of modern Russian criminal legislation, but it is still necessary to act decisively. It is advisable to tighten administrative legislation, which to some extent will reduce the feeling of impunity among adolescents and will obviously contribute to the prevention of socially dangerous manifestations on their part in the future. At the same time, it is necessary to change the attitude of both the legislator and the law enforcement officer to persons who show civil initiative in forcibly (by causing harm) countering socially dangerous acts, including those committed by minors or with their participation.
Unjustified tax benefit: from the judicial doctrine to the anti-avoidance rule
Authors: Demin A. V. , Molina A. Yu.
Published: January 2023

The article analyzes the concept of judicial doctrine. The characteristic features of this legal phenomenon, which is a source of judicial discretion in tax law enforcement, are highlighted and described. The authors state the fact that there is no legal definition that reveals the concept of judicial doctrine. There is a continuing trend towards the active introduction of various doctrines into law enforcement practice, including the field of taxation. The article pays special attention to the doctrine of unjustified tax benefit, specially developed to identify cases of circumvention of the tax law and was (before the appearance of Article 54.1 in the Tax Code of the Russian Federation in 2017) the general anti-avoidance rule (GAAR) in Russia. Based on the study of relevant judicial practice, the article concludes that arbitration courts do not consider the anti-avoidance rule set out in Article 54.1 of the Tax Code of the Russian Federation, as something new, radically different from the doctrine of unjustified tax benefits, as well as about the emergence of serious difficulties for law enforcement officers in the process of filling the anti-avoidance rule (Article 54.1 of the Tax Code of the Russian Federation) with specific content. The authors pay special attention to the problem of the admissibility of tax reconstruction when applying Article 54.1 of the Tax Code of the Russian Federation, concluding in the end that the courts consider it necessary to apply and apply in practice such a tool as tax reconstruction.
«Disrespect for religious people’s feelings» as the aim of offences against freedom of religion (Article 148 of the Criminal Code of the Russian Federation): problems of legislative technique
Authors: Ivanchin A. V. , Silantev S. A.
Published: January 2023

The article concerns the topic of rightness of the lawmaker regarding disrespect for religious peoples feelings as the aim of offences against freedom of religion. As research material the provisions of Article 148, 282 of the Criminal Code of the Russian Federation were used applying which causes corresponding problems. The chosen topic relevance is explained by the questions as to application of Article 148 of the Criminal Code of the Russian Federation provoked by its change in 2013. Science novelty is attributed to lack of theoretical research of the juridical-technique drafting and application features of provisions concerning offences against freedom of religion. The research purpose is to analyse the aim factor of disrespect for religious peoples feelings as regards fulfilment of the quality requirements of the law, principles of justice and equal treatment under the law. Based on regulations of the criminal-law science the problems of legislative technique relating to the aim of disrespect for religious peoples feelings are demonstrated. The creators have expressed the opinion that non-standard use of the term disrespect to describe mens rea, not actus reus and also generic nature of the religious peoples feeling criterion are not defects. Particular recommendations were proposed that allow defining whether it was attempted to defile religious values. It was concluded that the most important shortcoming of the current legislative definition of the disrespect for religious peoples feelings aim is that it causes unreasonable inequality of religious people and atheists, religious and other socially vital feelings under the criminal law.
Торговые обычаи в праве международной купли-продажи товаров
Authors: Jovičić K. A.
Published: January 2023

В данной статье рассматривается применение торговых обычаев, одного из наиболее важных источников автономного права международной купли-продажи (так называемого lex mercatoria), которое трейдеры создают в соответствии со своими потребностями. Чтобы понять особенности применения торговых обычаев, необходимо определить их положение в иерархии источников права. В качестве отдельного вопроса в статье анализируются субъективные и объективные основания применения торговых обычаев, каковы возможные способы регулирования данного вопроса в правовых текстах. Указано, что торговые обычаи имеют нормативную и интерпретационную роль в договоре международной купли-продажи товаров. Их применение было бы невозможно, если бы закон не позволял этого. В статье показано, как этот вопрос регулируется в характерных правовых системах, как национальных, так и международных. Делается вывод о важной роли торговых обычаев в праве международной купли-продажи товаров. Это подтверждается тем, что для осуществления торговой практики достаточно торгового обычая. Это решение оправдано, учитывая, что от торговцев ожидается знание не только профессиональных правил, но и обычаев и согласование своих действий с торговыми обычаями, а не с правовыми нормами.
Concept, origin and development of diplomacy
Authors: Krivokapić B. D.
Published: January 2023

The article deals with the problems of origin and the first stage of development of diplomacy. Mentioning various approaches, the author identifies 8 possible definitions of diplomacy, noting that how it will be understood depends on the context. Then interesting points are presented related to the emergence and development of diplomacy in the distant past, with a special overview of special diplomatic missions, diplomatic correspondence, the first permanent diplomatic missions, other forms of diplomatic and quasi-diplomatic relations, laws (internal legal acts of the countries of the Ancient World), diplomatic privileges and immunities. This is followed by a brief overview of the further development of diplomacy and diplomatic law. The author believes that today there is much evidence that profound changes are coming both in the existing concept of diplomacy and in international diplomatic law. Some of the reasons are that the processes of globalization, regionalization and integration are increasingly active on the international scene; the sovereignty of states is weakening; the range of types of international cooperation is expanding, which is carried out in other ways, and not through states; the role of international organizations is being strengthened; the importance of permanent diplomatic missions is also decreasing because many issues, especially the most important ones, are resolved in other ways, since the development of means of transport and technology has allowed heads of state to quickly meet at summits, as well as to increasingly use bilateral and multilateral meetings via Internet video communications; the number and importance of non-state actors in international relations and international law, in particular such as transnational companies, is constantly increasing; etc.
Judicial defense of fathers’ rights
Authors: Ochkina A. A.
Published: January 2023

This article is devoted to one of the most relevant topics in modern Russian law, namely the legal judicial protection of the institution of paternity. The relevance of the article is primarily due to the presence of legal problems in the field of protecting the rights and interests of fathers. The author focuses on the fact that at present the number of family cases considered by the courts is growing rapidly, as evidenced by official statistics. However, there are a large number of violations of the rights and interests of fathers, including in the framework of legal proceedings. The purpose of the article is to identify and explore the problems associated with the protection of paternal rights in court proceedings. The author analyzes a number of legal positions of the Constitutional Court of the Russian Federation. Based on the analysis of law enforcement practice, the author concludes that there are emerging trends in the field of reforming the current Russian legislation, in addition, the importance and expediency of such reform is emphasized. The author used general scientific (dialectical, methods of analysis, synthesis) and private scientific methods (formal legal). The article concludes that certain provisions of domestic legislation in the field of protecting the rights and interests of fathers need to be improved. The author suggests his own ways of improving the current legislation in the area under consideration. It is possible to apply this scientific research in practice in order to change the legislation governing aspects of relations for the protection of paternal rights. The findings of this study will be of interest to specialists in the field of civil and family law.
The Role of Crafts in the Development of Women’s Entrepreneurship in Rural Areas
Authors: Bondyra Krzysztof , Dziekanowska Małgorzata , Herudziński Tomasz
Published: January 2023

The aim of the article is to indicate the need for a diagnosis of socio-cultural conditions of running a craft business by women. Local handicraft, culinary traditions, etc. are also an important resource for the development of women’s entrepreneurship with a craft profile. The problems of the article include the ‘common set’ of two research areas: crafts and women’s entrepreneurship in rural areas. The focus of the paper will be on the issue of the functioning of crafts in rural areas based on an empirical analysis of the scale of functioning of craft enterprises run by women. Concurrently, the subject outlined in this way is related to other issues, such as counteracting depopulation of rural areas based on the activation of local entrepreneurship. The potential of women’s entrepreneurship development in rural areas should also be indicated, among others, by tightening cooperation between Country Housewives’ Associations (koła gospodyń wiejskich, KGWs) and crafts organisations.

The social effects of cooperation between crafts and KGWs will result in stimulation of entrepreneurship (especially female entrepreneurship) in rural areas, which will then contribute to rural development. These effects support the creation of new forms of small and medium entrepreneurship corresponding to social economy, which are defined as an element of creative economy. This will trigger the process of creating new jobs and may constitute an important mode of support for vocational education, increasing the chance for the local youth to smoothly enter the labour market. Likewise, the generation of local human and social capital resources cannot be overestimated. By mobilising and integrating key actors in the area, it will contribute to better management of local resources.
Saving of Coke Oven Gas by Reduction of Smoke Pushing of Recovery Type Coke Plant
Authors: Mahato Niranjan , Agarwal Himanshu , Jain Jainendra
Published: January 2023

For stable oven operation and prolongation of the coke oven life, it is important to remove excess carbon formation on the coke oven wall. It is considered that the carbon formation rate is influenced by the gas components generated during carbonation, the gas velocity and oven wall temperature are not uniformly maintained, as a result of smoke pushing. The smoke pushing is not favourable for the good health of the coke oven battery. In this paper, the smoke pushing can be rectified by proper maintenance of the gas path. Energy consumption and economic growth are interwoven, and rising energy levels always represent rising energy consumption. Coke is a reducing agent and a load-handling tool in blast furnaces. By this rectification, the coke oven gas flow was reduced from 17600Nm3/hrs to 17300Nm3/hrs without any extra manpower cost. The experimental set-up implementation of this modern proposal in a coke plant will make coke more extra energy efficient with no other extra costs.
Genetically Associated Hypertrophic Cardiomyopathy Combined with Persistent Left Superior Vena Cava
Authors: Georgiev Antonio , Grueva Elena , Mitevski Goran , Nikolovski Robert , Janusevski Filip , Risteski Dejan
Published: January 2023

Background: Hypertrophic cardiomyopathy (HCM) is the most common inherited cardiomyopathy. An implantable cardioverter defibrillator (ICD) is an efficient way of preventing sudden cardiac death in these patients.

Aim: Diagnosis and treatment of genetically associated hypertrophic cardiomyopathy.

Case Report: We present a 28-year patient with a history of tachycardia, dizziness, transient chest pains, and anamnestic information on episodes of short-term loss of consciousness and fatigue. She has a positive family history of HCM and her uncle died young from sudden cardiac death (SCD). The electrocardiogram showed hypertrophy, which was confirmed with echocardiography and MRI. Genetic testing confirms PRKAG2 gene mutation. Holter24-hour ECG monitoring showed domination of sinus bradycardia after which it was recommended implantation of ICD. On implantation, persistent left superior vena cava (PLSVC) was discovered and the implantation side was changed. A bipolar Implantable Cardioverter Defibrillator was implanted.

Conclusion: When HCM is confirmed at a young age, genetically associated HCM should always be considered. Early recognition of hereditary hypertrophic cardiomyopathy can facilitate better disease management and follow-up even before symptoms appear.

Keywords: hypertrophic cardiomyopathy, PRKAG2 gene mutation, PLSVC, SCD, ICD.
An unusual lupus like malar rash pattern with hepatosplenomegaly as a presentation of gamma delta t cell lymphoma
Authors: Bani-Mustafa Ala’a Abdullah Hussein , Yousef Mustafa Magableh Ahmad , Bawa'neh Hisham Subhi Hussin , Alrosan Zaid Nu’man Abdel Latif
Published: January 2023

About 12% of all lymphoid tumors worldwide are peripheral t cell lymphomas, which are uncommon subtypes of non-hodgkin lymphoma. they have a poor prognosis and are more common in populations and countries in asia. T cell lymphomas with gamma delta t cell receptors expressed in them are very rare (less than 1% of lymphoid neoplasms) and extremely aggressive; they originate from gamma delta t cells; a small subset of peripheral t cells with direct antigen recognition capability acting at the interface between innate and adaptive immunity .

Lymphoid tissue, skin, gastrointestinal tract, and the red pulp of the spleen are where gamma delta t lymphocytes tend to cocentrate, representing only 1-5% of the total circulating lymphocytes, but accounting for up to 30% of the entire t cell population.

In contrast to alpha beta t cells, gamma delta t lymphocytes develop from cd4/cd8 thymic precursors in the bone marrow and usually lack the major histocompatibility complex restriction.

These lymphocytes conduct as cytotoxic cells similar to natural killer cells in their activity as early effectors of innate, non-specific immune response and are capable of t cell receptor rearrangement as well as phagocytosis.

Hepatosplenic t cell lymphoma and primary cutanous gamma delta cell lymphoma are recognized as two different gamma delta t cell lymphoma entities.

A well characterized extranodal lymphoma, hepatosplenic t cell lymphoma has a disguised onset, secondary to intrasinusoidal infiltrationn of the spleen, liver, and bone marrow, has a rapidly progressive course, is poorly responsive to chemotherapy.

A panniculitis-like clinical picture with prominent epidermal involvement can be a presentation of primary cutaneous gamma delta t cell lymphoma.

 In this case study , the authors will discuss a case of 19 year old male patient present with a lupus like malar rash and hepatosplenomegaly  and who had been diagnosed with gamma delta t cell lymphoma.
Polski Ład z perspektywy sektora finansów publicznych
Authors: Łożykowski Aleksander
Published: January 2023

Polish Deal – budgetary perspective. Purpose: The purpose of the article is to present the scope and importance of Polish Deal on the public finance sector. Design/methodology/approach: The disponible data on Polish Deal impact assessment will be analysed in terms of the impact on public finance sector. Findings: Polish Deal is one of the most important changes in the Polish tax and contribution system with an impact of PLN 26 688 million. Set of changes constituting a Polish Deal impacted most heavily on local governments budgets, less on central budget while the National Health Fund benefited the most. However, this does not involve clear impact on the spendings for health system in Poland. An informal and formal legislative procedure had a greatest impact on the configuration and cost of Polish Deal. One of the most important consequences of Polish Deal in terms of public finance sector was also the total change of the income tax expenditures.
Polski Ład z perspektywy progresji podatkowej i rozwiązań prorodzinnych
Authors: Małecka-Ziembińska Edyta
Published: January 2023

Polish Deal from the perspective of tax progression and pro-family solutions. Purpose: The aim of the research is to identify, structure and evaluate changes affecting the progressivity and family-friendly nature of personal income tax in Poland, introduced in 2022 as part of the Polish Deal socio-economic program. The analysis takes into account the legal status as of January 1, 2022 (Polish Deal) and changes introduced from July 1, 2022 or January 1, 2023 (Polish Deal 2.0). Design/methodology/approach: The chapter is dominated by a normative approach, but not limited to textual-dogmatic analyses. The aim was to identify the systemic significance of the introduced changes, and the creation of tax law was also analysed. The chapter consists of three points. In the first point, the most important changes to the Polish Deal and its adjustments under the Polish Deal 2.0, which affect the progression and family-oriented nature of personal income tax, were identified and grouped in the table. In the second point, both the nature and the method of implementation of changes in the progressivity of the tax under consideration were assessed. In turn, in the third point, an analogous assessment was made with regard to changes in the pro-family elements of this tax. Findings: The changes introduced to the personal income tax under the Polish Deal and the Polish Deal 2.0 lowered the burden of this tax not only for people with the lowest income, but also for those with medium and high income. These changes, however, have to be considered together with the burden resulting from the health insurance contribution, which until the end of 2021, in part of 7.75% of the contribution base, was tax deductible. As a result, only the lowest-earned taxpayers benefit from the combined changes, for some of them the reduction in income tax becomes neutral, and for high-earned taxpayers – it does not compensate for the additional burden of health insurance, thus exacerbating the tax and contribution progression. Inevitably, the reduction of personal income tax results in lower revenues to the state budget, and moreover, increases the pressure on its expenses in order to compensate local government units for the loss of income due to the percentage share in this tax. In the face of the chronic budget deficit, in the conditions of historically high public debt and rising costs of its servicing, and the accompanying rising inflation, a natural question arises as to how this loss of budget revenues will be compensated. Knowledge of the answer to this question will allow to estimate the full redistributive effect of changes in the socio-economic program of the Polish Deal.
SİSPLATİNE BAĞLI OTOTOKSİSİTEDE DARBEPOETİNİN KORUYUCU ROLÜ
Authors: BAYRAK Asuman Feda , OLGUN Yuksel , EVİN ESKİCİOĞLU Hande , KUM ÖZŞENGEZER Selen , SERİNAN Efe Özgür , KOLATAN Hatice Efsun , ÇETİNAYAK Hasan Oğuz , KIRKIM Günay , AKTAŞ Safiye , YILMAZ Osman , OLGUN Nur , ALTUN Zekiye
Published: January 2023

Amaç: Darbepoetin-alfa (DPO) uygulamasının sisplatine bağlı ototoksik etkiyi önleyici rolü olup olmadığının in-vivo olarak değerlendirilmesi amaçlandı.
Materyal metod: Çalışmada 28 adet wistar albino rat kullanılarak 4 grup oluşturuldu. Grup 1 (intraperitoneal) IP salin verilen kontrol grubu, Grup 2 sisplatin (16mg/kg IP tek doz), Grup 3 DPO (25 μg/kg IP), Grup 4 sisplatin verilmeden 24 saat önce ve verildikten yarım saat sonra 25 μg/kg tek doz IP DPO uygulanan grup. Ratlara ajan uygulamalarından önce ve deneyin 7. gününde distorsiyon ürünü otoakustik emisyon (DPOAE) ve işitsel uyarılmış beyin sapı potansiyelleri (ABR) yapıldı. İşitme ölçümleri sonrasında ratlar sakrifiye edildi. Apoptotik hücre ölümü kulak dokusunda kaspaz-3, -8, -9 ve Nrf2 ve Hem oksijenaz-1 (HO-1), NQQ1, Glutatyon (GST) gibi Nrf2 ilişkili antioksidan ve iNOS, nNOS ekspresyon düzeyleri immünohistokimyasal yöntemle çalışıldı. Serum glutatyon (GSH) ve anti-inflamatuar TNF-α ve IL-1 protein düzeyleri ELISA kitleri kullanılarak belirlendi.
Bulgular: Sisplatin uygulaması ile işitme ölçümlerinde kontrole göre ototoksik etkileri gösteren tüm frekanslarda işitme kaybı saptandı. İmmunohistokimyasal doku düzeyinde gerçekleştirilen incelemelerde sisplatin uygulanan grupta iç kulakta strüktürel değişiklikler, beyin ve sinir dokularında nekroz ve nekroptoz saptandı. Darbepoetinin sisplatinin ortaya çıkardığı iç kulak ve beyin hasarlarını önleyici etkileri hem apoptotik protein ekspresyonları hem de oksidatif stres ile ilişkili belirteçler olan Nrf-2 ve ilişkili HO-1, NQO1, iNOS ve nNOS, GST ve anti-inflamatuar proteinleri üzerinden saptandı.
Sonuç: Bu çalışmada sisplatinin oluşturduğu ototoksisitede DPO’in koruyucu etkileri apoptozun azaltılması, antioksidan Nrf-2 ve hedef proteinler ve glutatyon düzeylerinin artışı yanında anti-inflamatuar proteinler üzerinden geliştiği gösterilmiştir.
Are body mass index and the systemic immune-inflammation index risk factors for carpal tunnel syndrome?
Authors: KARACAN GÖLEN Meltem , YILMAZ OKUYAN Dilek
Published: January 2023

Objectives: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy of the upper extremity that affects activities of daily living. In our study, we aimed to reveal the relationship between CTS and BMI, and to evaluate symptom severity and functionality in these patients by using the Boston CTS questionnaire.
Methods: In this study, 300 patients with CTS and 100 healthy individuals without CTS whose EMG was performed in our neurology clinic electrophysiology laboratory between June 2021 and December 2021, were included. BMI, SII index, and Boston CTS questionnaire findings were compared between patients diagnosed as having mild, moderate, and severe CTS (according to electrophysiologic evaluations) and a control group consisting of healthy individuals.
Results: In our study, a statistically significant difference was observed between the CTS and control groups in terms of mean age (p < 0.001). When the increased BMI and SII parameters were compared, a statistically significant difference was observed between the control and CTS groups (p < 0.001 for both). In the multivariate logistic regression analysis, it was observed that the risk of CTS increased 1.566 times as BMI increased, and the risk of CTS increased 1.005 times as the SII index increased (p < 0.001 for both).
Conclusions: We observed that increased BMI and advanced age were risk factors for CTS. In our study, in which the relationship between the SII index and CTS was evaluated for the first time, according to our findings, inflammation was thought to play a role in the pathophysiology of CTS.
Roughness of Filters in Equality Algebras
Authors: Rezaei Gholam Reza , Borzooei Rajab Ali , Aaly Kologani Mona , Jun Young Bae
Published: January 2023

Rough set theory is an excellent mathematical tool for the analysis of a vague description of actions in decision problems. Now, in this paper by considering the notion of an equality algebra, the notion of the lower and the upper approximations are introduced and some properties of them are given. Moreover, it is proved that the lower and the upper approximations define an interior operator and a closure operator, respectively. Also, using D-lower and D-upper approximation, conditions for a nonempty subset to be definable are provided and investigated that under which condition D-lower and D-upper approximation can be filter.
Isolation and Characterization of Halophilic Plant Growth Promoting Rhizobacteria from Marine Sediment, Water and Coastal Sanddune Plant and It’s Screening for Plant Growth Regulators
Authors: Wahab Mugip Rahaman Abdul , Palaniyandi Thirunavukkarasu , Wyson John , Viswanathan Sandhiya , Baskar Gomathy
Published: January 2023

Background: Plant growth promoting rhizobacteria (PGPR) is beneficial bacteria that are colonizing in the plant root and enhance into the plant growth. The use of PGPR is steadily increasing in agriculture and offers an attractive way to replace chemical fertilizers and pesticides. In this present study, PGPR were isolated from marine sediment, marine water and coastal sand dune plants. From that, 480 different bacterial strains were isolated. Antimicrobial activity and screening of enzyme producing bacteria from the aquatic and terrestrial environments acted as plant growth inducer. Among 480 strains, the 14 strains of Pseudomonas spp exhibited the production of indole acetic acid (IAA), extracellular polysaccharides (EPS) and antimicrobial activity. This study concluded that PGPR from marine environment can be used as plant growth promoters in agricultural crops. Methods: Twenty two marine sediments, marine water, coastal sandune plant samples were collected from coastal area of Marakkanam slattern, (12.1899°N, 79.9249°E) Tamil Nadu, India at the depth of 10 cm. Result: These 14 selected strains from marine environment can be potentially used in therapeutic and plant growth applications.