bluuebunny/crossref_metadata_2025 huggingface dataset:
Territorios y subjetividades en movimiento:
Authors: Franco Silva Adriana
Published: April 2023

Desde el establecimiento de la colonialidad, los territorios y subjetividades han sido pensados como categorías cerradas que garantizan el control de los sujetos que se benefician de la hegemonía capitalista. La jerarquización de los cuerpos, territorios, sentires y pensares han producido ejes de dominación anclados al sentido de mundo de la modernidad capitalista colonial. Bajo esa organización, el Estado ha sido una de las instituciones que reproduce las aristas de opresión para mantener la estructura reificada. En ese ordenamiento, las poblaciones migrantes han sido representadas como una otredad que amenaza la seguridad y bienestar del Estado. Frente a esta exclusión, las y los migrantes han reconfigurado territorios y subjetividades para sobrevivir a la abyección. En el contexto neoliberal, los hombres han recreado sus masculinidades para hacer frente a las desigualdades y violencias estructurales. Por esa razón, en este artículo se identificará la manera en la que se ha relacionado la masculinidad hegemonizante con las diferentes subjetividades, y se analizarán las formas en las que se rearticulan las masculinidades en el contexto de la crisis civilizatoria. Debido a que las masculinidades son cambiantes, en este texto se recuperarán particularmente los casos del Sahara y el Sahel, y de Sudáfrica.
Eco-friendly and Sustainable Method to Produce Versatile Utilities from Post-Consumer Waste Paper and Thin Plastics
Authors: trivedi Love , Shukla Gaurika
Published: April 2023

This article discusses a sustainable method of producing versatile utilities from post-consumer waste paper and thin plastics. The authors suggest that schools and workplaces can establish waste management systems to recycle paper and plastics. The process involves shredding plastic and paper resources to create briquettes that can be used for various applications. The briquettes are formed by compressing flammable components such as paper shreds, sawdust, and starch, resulting in a more concentrated form of utility. The authors suggest that the optimal mix ratio for producing high-quality and long-lasting paper board is 70% paper and 30% sawdust. The briquettes can be used as fuel for industrial furnaces, for landfilling, in construction, and as hard/soft boards for various applications. The authors note that using paper bricks as a substitute for conventional firewood eases the burden on forests and wood harvesting. The process is a green technique for recycling ordinary utilities and turning them into useful substitutes. The article concludes that there is a huge potential for producing these briquettes using various materials such as flax, newspaper, straw, roughage, cotton, and linen fibers. The article provides practical applications for using these briquettes and suggests that the process is simple to incorporate into daily lives.
amnésicos
Authors: Gontijo Roberta Puccini
Published: April 2023

Neste trabalho, focalizam-se duas amnésias tipicamente brasileiras – a primeira apegada a uma postura cética quanto à possibilidade de quaisquer progressos sociais e a segunda, à crença desarrazoada em um passado quase idílico.  Entrelaçando-as à vulgarização do texto constitucional, busca-se compreender a maneira pela qual o espectro dos primeiros amnésicos favorece o comportamento dos segundos, bem como a maneira pela qual ambos relacionam-se à aparição, no plano concreto, do risco à desnaturação constitucional-democrática. Para tanto, este trabalho observa como se dá o salto da descrença na efetividade normativa à indiferença política, terreno do qual falsários da história – mistificadores do passado e complotistas – irão se aproveitar e também perscruta as artimanhas utilizadas pelos segundos amnésicos para colocar em prática seus anseios. Ao fim deste projeto, vê-se que, embora permanente, a crise brasileira ganha novas feições quando a disputa pelo poder alcança o campo digital, espaço amplificador de fanatismos, de retóricas inverossímeis e de polarizações. Se se pretende compreender a democracia brasileira em seu estágio atual, pensa-se ser necessário, antes de tudo, analisar as mentalidades que a favoreceram; daí o desejo de investigar a potência das vozes amnésicas no cenário político brasileiro. É nesse sentido que se concebe a metáfora da nau dos amnésicos, com a qual o presente trabalho se inicia. Adentrando-a, verifica-se que é a partir do silêncio, da inércia, que a democracia se desnatura.
Abordaje del capital intelectual y la sostenibilidad. Hacia una contabilidad multidimensional e integrada
Authors: Sader Bello Gustavo , Ficco Pansaraza Cecilia , García Cardegna Gabriela
Published: April 2023

La investigación contable actual, al incorporar las problemáticas del capital intelectual y de la sostenibilidad, abre la discusión de la extensión del campo epistemológico de la disciplina y de la respuesta de la profesión a los requerimientos sobre la información a revelar.
La concepción actual de contabilidad social y ambiental (CS&A) relacionada con la de Responsabilidad Social Corporativa (RSC), incluye la gestión y revelación de un triple impacto, el económico, el social y el ambiental, e involucra, además, tanto al gobierno corporativo como a la gestión responsable de la inversión y de los recursos humanos. En ese campo, se percibe a la sostenibilidad como un objetivo estratégico cuyo logro requiere, necesariamente, gestionar y revelar recursos y acciones relacionados con el capital intelectual. Sin embargo, los aportes doctrinarios y profesionales presentan algunas diferencias que requieren de amplia discusión. Esta problemática, surge de un desarrollo incipiente y poco articulado de estas concepciones que ha dado lugar a su aplicación, en la práctica profesional, de un modo desorganizado y no estructurado.
En orden a la problemática planteada, se persigue el objetivo de abordar las posiciones doctrinarias desde dos enfoques: el pragmático y el epistemológico y consecuentemente, proponer un abordaje epistemológico- metodológico coherente con las problemáticas de los nuevos campos de la contabilidad.
Para lograr el objetivo planteado, se efectúa una revisión bibliográfica con el fin de mostrar las tensiones entre ambos enfoques, en términos de evidenciar la distancia entre las pretensiones de la investigación y la implementación de la información de triple impacto en la praxis. Este recorrido, culmina en una propuesta de abordaje metodológico-epistemológico de una contabilidad multidimensional en su tratamiento, e integrada en la manera de presentar la información.
Valoración de competencias genéricas relevantes en contadores graduados de una universidad argentina.
Authors: Ribas Fabiana , Sánchez Abrego Darío , Girardelli Rivoir Alina , Hiadalgo García María Victoria
Published: April 2023

La rapidez del cambio en los contenidos de las ocupaciones, y así como la necesidad de profundizar en nuevas habilidades, han facilitado el nacimiento de una nueva concepción de la formación profesional orientada hacia el desarrollo de competencias laborales identificando que el desempeño exitoso de las profesiones, requiere el desarrollo de competencias genéricas, además de las competencias específicas de cada ocupación. El presente trabajo aborda la medición de la percepción que tienen los graduados de la carrera de Contador Público sobre la importancia de las competencias transversales en el ejercicio de su profesión, y sobre el desarrollo que, de esas competencias, tuvieron durante su formación universitaria. Para la realización del trabajo se utilizó un diseño no experimental transeccional descriptivo. Se circunscribió el relevamiento a los graduados de los últimos 10 años de la carrera, contactándolos vía correo electrónico y recolectando los datos a través de un cuestionario en línea. En coincidencia con otros estudios se encontró que surge como competencia transversal central para los encuestados, la capacidad de aprender y actualizarse permanentemente coincidiendo con una muy buena valoración en cuanto a la realización, lo que implica que no sólo es valorada como importante, sino que, además, es una competencia que se desarrolla en la universidad. Palabras claves: competencias transversales, contador público, educación contable.
Consideraciones respecto a la gestión de costos medioambientales
Authors: Vega Ricardo , Gutiérrez Vásquez Glenda
Published: April 2023

Una adecuada gestión de costos es fundamental en toda entidad, siendo el ámbito de costos medioambientales un tema si bien en varias ocasiones desarrollado, no ha sido profundizado adecuadamente, por lo cual cada ensayo al respecto es un aporte a considerar. Los costos ambientales comprenden tanto los costos internos como los externos y se relacionan con todos los costos ocurridos en relación con el daño y la protección ambiental y tienen a la vez un impacto no tan sólo en la estructura total del costo de producción o servicios, sino que a la vez en la gestión y los resultados de esta. En su desarrollo se presentan los conceptos asociados, oportunidades de aplicación y reflexiones que debe considerar el administrador de costos en su labor.
Percepciones de los controllers sobre los sistemas de control de gestión de empresas peruanas
Authors: Hernández-Pajares Julio , Vivanco Ruidías Gino
Published: April 2023

Las empresas han presentado una evolución en los sistemas de control de gestión aplicados, los cuales les permiten definir objetivos estratégicos y gestionar información a través de herramientas más avanzadas, tales como analítica de datos y Enterprise Resource Planning (ERP). Este estudio, tiene como objetivo conocer el perfil tanto de los controllers responsables de control de gestión como de las empresas peruanas que cuentan con tales sistemas, y describir los sistemas y herramientas de control aplicados, así como conocer la percepción de los controllers sobre su importancia y sus factores.
Esta investigación cuantitativa de alcance explicativo se realizó mediante una encuesta a controllers de empresas peruanas, la que permitió un análisis descriptivo de los sistemas de control aplicados, así como, un análisis de factores de dichas percepciones.
Los resultados señalan que los controllers mantienen la aplicación de sistemas de control tradicionales como análisis financiero, de costos y presupuestos en mayor medida que los sistemas basados en aspectos estratégicos como el Balanced Scorecard (BSC). La implementación de analítica de datos y ERP, no es una práctica muy desarrollada y es un aspecto de mejora. Las empresas con mayor facturación, con departamentos de control de gestión, planeamiento estratégico, y con mayor experiencia presentan una mayor valoración hacia la importancia del control de gestión.
KINEZITERAPIJOS VANDENYJE POVEIKIS DARBINGO AMŽIAUS ASMENŲ JUOSMENINĖS STUBURO DALIES FUNKCINEI VEIKLAI, ESANT APATINĖS NUGAROS DALIES SKAUSMUI
Authors: Šidlauskienė Aurelija , Striokaitė Neda , Dadelienė Rūta , Belickienė Vaida , Aukštikalnis Tomas , Raistenskis Juozas
Published: April 2023

Naujausi epidemiologiniai tyrimai rodo, kad apie 80 proc. suaugusiųjų patiria nugaros skausmus, kurie neigiamai paveikia asmenų funkcinius gebėjimus kasdieniame gyvenime ir darbe, blogina bendrąją sveikatos būklę ir gyvenimo kokybę. Tyrimai pateikia duomenų, kad ge­riausias neinvazinis apatinės nugaros dalies skausmo gydymas yra kineziterapijos pratimai, o atliekami vande­nyje, gali būti pranašesni už atliekamus sausumoje. Dar nėra tiksliai žinoma, kokia kineziterapijos forma galėtų būti veiksmingiausia, gydant šį sutrikimą.

Sisteminės apžvalgos tikslas – įvertinti kineziterapijos vandenyje poveikį darbingo amžiaus asmenų juosmeni­nės stuburo dalies paslankumui, jėgai ir skausmo maži­nimui, esant apatinės nugaros dalies skausmui. Litera­tūros paieška atlikta 2021 m. rugsėjo – 2022 m. vasario mėnesį PubMed duomenų bazėje pagal PIKO metodiką. Straipsniai atrinkti remiantis PRISMA metodologija.

Į sisteminę literatūros apžvalgą įtraukta 10 publikacijų. Nustatyta, kad juosmens paslankumui didžiausią efektą turi 8 savaites, 3 k./sav., 55- 60 min. trukmės kinezite­rapijos vandenyje programa. Juosmens jėgai didžiausią poveikį turi 8 savaites, 2-5 k./sav., 55- 60 min. trukmės kineziterapijos vandenyje programa bei kojos atitraukimo ir tiesimo, lenkimosi į priekį, laikant vandens pasiprie­šinimą suteikiančią medžiagą, liemens rotacijos, pritū­pimo ir rankų judesiai. Apatinės nugaros dalies skausmo mažinimui didžiausią poveikį turi ta pati programa kaip jėgai bei 15 sav. 3 k./sav. sudėtinė fizinės terapijos pro­grama: 20 min. kineziterapija vandenyje, 60 min. mobi­lumo, motorikos ir pasipriešinimo pratimai, edukacija ir manualinė terapija.

Išvada. Kineziterapija vandenyje reikšmingai padidina juosmeninės stuburo dalies paslankumą ir jėgą, sumažina apatinės nugaros dalies skausmą, tačiau nėra efektyvesnis metodas už kineziterapiją sausumoje.
IŠPLĖSTINĖS PRAKTIKOS SLAUGYTOJŲ PROFESINĖS MOTYVACIJOS IR PASITENKINIMO DARBU ANALIZĖ
Authors: Stundžienė Rasa , Gaupšienė Alma , Tereško Liudmila
Published: April 2023

Išplėstinės praktikos slaugytojų dalyvavimas komandi­niame darbe leidžia racionaliai planuoti darbo krūvius, gerina paslaugų kokybę. Tik gerai motyvuotas ir darbu patenkintas slaugytojas gali užtikrinti visapusiškai ko­kybišką slaugą.

Tyrimo tikslas − išanalizuoti išplėstinės praktikos slau­gytojų profesinę motyvaciją ir pasitenkinimą darbu.

Tyrimo metodika. Atliktas kiekybinis tyrimas, taikant anoniminę anketinę apklausą, kuri vyko 2022 m. sau­sio-kovo mėnesiais. Naudotas klausimynas sudarytas iš trijų dalių: sociodemografiniai klausimai, standartizuoti doc. dr. B. Puzinavičiaus (2005) „Profesinės veiklos mo­tyvacijos“ bei P. E. Spector (1994) pasitenkinimo darbu klausimynai. Tyrime dalyvavo 40 Lietuvoje licencijuotų išplėstinės praktikos slaugytojų.

Tyrimo rezultatai ir išvados. Išplėstinės praktikos slaugy­tojų profesinė motyvacija dažniausiai reiškėsi profesinio meistriškumo (30,8 proc.), mažiausiai − darbo socialinio reikšmingumo motyvais (19,8 proc.). Tai rodo, kad pro­fesionalumas, profesinė kompetencija ir darbo kokybė svarbiausi respondentų profesinės motyvacijos veiksniai. Tiriamieji prieštaringai vertino pasitenkinimą darbu. La­biausiai jie buvo patenkinti paaukštinimo galimybėmis, vadovavimo kokybe, darbo organizavimu, mažiausiai patenkinti – pripažinimu bei darbo užmokesčiu. Statis­tiškai reikšmingai dažniau efektyvūs darbo organizavimo principai lėmė aukštesnę asmeninio įnašo į darbą moty­vaciją, darbo pobūdis lėmė aukštesnius profesinio meis­triškumo motyvus. Komandinio darbo principų įgyven­dinimas dažniau didino darbo socialinio reikšmingumo bei asmenybės įsitvirtinimo darbe motyvus. Tai parodo, kad respondentams labai svarbus socialinis darbo ryšys su bendradarbiais.
OPERACINĖS SLAUGYTOJO VEIKLA STERILIOJE IR NESTERILIOJE APLINKOJE
Authors: Marcinkevičienė Lina , Kutkauskienė Jelena , Istomina Natalja
Published: April 2023

Operacinės slaugytojo vaidmuo svarbus chirurginės ope­racijos procese. Operacinė slauga chirurginiu aspektu aprėpia operacinės slaugytojų (OS) darbą sterilioje aplinkoje (slaugant pacientą) ir operacinės slaugytojų tarpininkavimą tarp sterilios ir nesterilios aplinkos. Tar­pininkaujantis operacinės slaugytojas (angl. circulating nurse, COS) užtikrina pacientų saugą operacijos metu.

Tyrimo tikslas − išanalizuoti tarpininkaujančio tarp ste­rilios ir nesterilios aplinkos operacinės slaugytojo (COS) veiklos svarbą.

Metodai. Buvo atlikta mokslinės literatūros apžvalga ir analizė PubMed, Scopus, ScienceDirect internetinėse duomenų bazėse, naudojant raktažodžius: operacinės slaugytojas, operacinės slaugytojo vaidmuo (angl. scrub nurse, circulating nurse). Iš 2216 mokslinės literatūros šaltinių, paskelbtų 2018-2022 metais, buvo atrinktos 24 santraukos anglų kalba, kuriose buvo abu raktažodžiai. Keturios santraukos sutapo, liko 20. Patikrinus, ar yra prieinami tų santraukų viso teksto straipsniai ir juos per­skaičius, liko 3 straipsniai, kuriuose buvo analizuojama sterilioje aplinkoje dirbančio operacinės slaugytojo, ar tarpininkaujančio tarp sterilios ir nesterilios aplinkos operacinės slaugytojo (COS) veikla.

Tyrimų rezultatai. Operacinės slaugytojo funkcinę vei­klą galima suskirstyti į penkias kategorijas: lyderystė, situacijos suvokimas, užduočių valdymas, bendravimas, komandinis darbas.

Išvados. Tikslinga vienoje operacinėje dirbti dviem ope­racinės slaugytojams (vienam sterilioje, kitam − nesteri­lioje aplinkoje). Tarpininkaujantis tarp sterilios ir neste­rilios aplinkos operacinės slaugytojas sumažina darbo krūvį, padeda taupyti operacinės laiką. Esant didelės ap­imties ir ilgai trunkančioms operacijoms, tikslinga dirbti 2 ar 3 operacinės slaugytojams, kuriems keičiant veiklą sterilioje ir nesterilioje aplinkoje, lengviau užtikrinti pa­ciento saugą operacinėje, nes nesterilioje aplinkoje dir­bantis operacinės slaugytojas, taip pat, kaip ir dirbantis sterilioje operacinės aplinkoje, stebi operacijos eigą ir žino visus operacijos niuansus. Vienas iš pagrindinių ope­racinės slaugytojo uždavinių − instrumentavimas chirur­ginės operacijos metu. Kitų užduočių vykdymas blaško dėmesį ir neužtikrina geros instrumentavimo kokybės. Ypač tai jaučiama, kai operacinės komandoje slaugytojo padėjėjui, neturinčiam tinkamos kompetencijos, tenka atlikti kai kurias tarpininkaujančio operacinės slaugy­tojo pareigas.
MĖLYNĄ ŠVIESĄ BLOKUOJANČIOS AKINIŲ LĘŠIŲ DANGOS IR JŲ EFEKTYVUMAS
Authors: Ramaškevičiūtė Auksė , Galgauskas Saulius
Published: April 2023

Mokslui žinoma, jog mėlyna regimojo šviesos spektro dalis dalyvauja žmogaus cirkadinio ritmo reguliavime ir gali pažeisti akies tinklainę. Didėjant mėlynos šviesos kiekiui iš dirbtinių šaltinių (elektroninių prietaisų ekranų, apšvietimo lempučių), populiarėja mėlyną šviesą blokuo­jantys akinių lęšiai, kurie atspindėdami arba sugerdami mėlyną šviesą, turėtų apsaugoti nuo jos žalingo povei­kio. Literatūros apžvalgoje pateikiama naujausia infor­macija apie mėlyną šviesą blokuojančius akinių lęšius, jų efektyvumą saugant nuo amžinės geltonosios dėmės degeneracijos progresavimo, įtaką cirkadinio ritmo regu­liavimui bei miego kokybei ir galimus matymo pokyčius, nešiojant tokius akinius.
SLAUGYTOJŲ PROFESINIO GYVENIMO KOKYBĖ IR SU JA SUSIJĘ VEIKSNIAI
Authors: Dmitrijeva Anastasija , Jakavonytė-Akstinienė Agnė
Published: April 2023

Pastaraisiais dešimtmečiais slaugytojų profesinio gyve­nimo kokybės (PGK) užtikrinimas tapo aktualia problema daugelyje pasaulio šalių. Lietuvoje tai dar naujas ir mažai nagrinėtas reiškinys. Nors slaugytojai sudaro didžiausią sveikatos priežiūros specialistų grupę, jų trūkumas vis dar labai didelis. Manoma, kad prasta PGK yra viena iš esminių priežasčių, dėl kurios slaugytojai keičia darbą ir profesiją. Mokslininkai teigia, kad prasta slaugytojų PGK susijusi su prastesne slaugytojų sveikata (savi­jauta), daro neigiamą poveikį teikiamų sveikatos prie­žiūros paslaugų kokybei.

Tyrimo tikslas – išanalizuoti mokslinę literatūrą, kurioje nagrinėjama slaugytojų profesinio gyvenimo kokybė ir su ja susiję veiksniai.

Atlikta sisteminė mokslinės literatūros apžvalga. Paieška buvo atlikta PubMed, Google Scholar duomenų bazėse, naudojant raktažodžius ir jų derinius: slaugytojų profe­sinio gyvenimo kokybė (angl. Quality of nursing work life), profesinio gyvenimo kokybė ir slaugytojai (angl. Quality of work life AND nurse). Iš viso atrinkta ir iša­nalizuota 13 publikacijų nagrinėjama tema.

Rezultatai parodė, kad slaugytojų PGK yra daugiamatis reiškinys ir svarbus rodiklis, atspindintis ne tik asmeni­nius darbuotojo interesus, bet ir nurodantis stipriąsias ir silpnąsias darbo aplinkos puses. Dažniausiai slaugytojų PGK įvertinti naudojamas B. Brooks slaugytojų profesi­nio gyvenimo kokybės klausimynas. Dauguma nagrinėtų tyrimų rodo, kad slaugytojų PGK yra vidutinio arba žemo lygio, o įtakos jai turi tiek darbo aplinkos, tiek sociode­mografiniai veiksniai. PGK sietina su darbuotojo sveikata ir savijauta. Slaugytojų sveikatos būklė yra prastesnė, palyginti su bendra dirbančių žmonių populiacija, o pras­tas sveikatos vertinimas yra susijęs su slaugytojų darbu ir darbo aplinka. Prasta PGK – reikšmingas veiksnys, darantis įtaką slaugytojų ketinimui keisti darbą. Svarbu gerinti ir palaikyti aukštą slaugytojų PGK, siekiant pri­traukti ne tik naujus slaugytojus, bet ir išlaikyti esamus, patyrusius sveikatos priežiūros specialistus.
A CASE OF INCOMPLETE DISTAL RENAL TUBULAR ACIDOSIS WITH HYPOKALEMIC PERIODIC PARALYSIS
Authors: U Deka , R R Gogoi , R P Das
Published: April 2023

Renal tubular acidosis (RTA) represents a group of disease occurs
when kidneys are unable to maintain normal acid base homeostasis
because of tubular defects in acid excretion or bicarbonate ion
reabsorption.There are four types of renal tubular acidosis (RTA)-type
1 RTA (distal), type 2 RTA( proximal), type 3 (mixture of type RTA 1
or 2), type 4 RTA (hyperkalemic).In all the types of RTA , whether
proximal or distal there are some extra-renal manifestations which
provide important diagnostic clues as to the underlying etiology
A CROSS SECTIONAL STUDY ON KNOWLEDGE, ATTITUDES AND PRACTICES ABOUT PREMENOPAUSALAND MENOPAUSAL CHANGES AMONG RURAL WOMEN (40-45 YEARS) OF WESTERN MAHARASHTRA.
Authors: Kale Prashant , Khadbade Balasaheb , Mane Swapnil , Anup Kharde
Published: April 2023

Introduction: Menopause is an unspoken, unattended, reality of life, the cause of which is still un-deciphered completely by man. Every woman
uniquely experiences menopause and it has been given little attention hence gaps exist concerning women's knowledge, attitude and practices.
Objective: To determine knowledge, attitudes and practices about premenopausal and menopausal changes among rural women (40-45 Years) of
western Maharashtra. Material and Methods: Present descriptive cross sectional study was conducted on rural women of 40-45 years of old. Total
200 women were included as per inclusion and exclusion criteria using simple random method. A pilot study was done for validation, practicality
and applicability of questionnaire. It was carried out using predesigned questionnaire. Results: Maximum participants (39%) were in the age group
of 46 to 50 years of age and 88.5% were married. Around 98% of the participants had correct knowledge about the meaning of menopause, on
attitude 44% of people believe that menopause has affected their body or daily work and 78% of people believe that menopause means loss of
youth. Observation on practices of women showed that around 88% consulted with doctors on the onset of peri-menopausal and menopausal
symptoms. Conclusion: It is imperative to intensify efforts to increase knowledge, attitudes and practices related to perimenopause and
menopausal changes.
EFFECT OF TWO DRUG COMBINATIONS PROPOFOL-KETAMINE AND PROPOFOL-FENTANYL ON HEMODYNAMIC PARAMETERS AND RECOVERY FROM ANAESTHESIA IN TIVA-A COMPARATIVE STUDY
Authors: Dutta Choudhury Avishek , Paul Sudipa , Sengupta Chiradeep , Hazarika Anjana
Published: April 2023

Introduction- Total Intravenous anaesthesia(TIVA) is widely used procedure. We compared the effect of propofol-ketamine combination with
propofol-fentanyl combination on hemodynamic parameters and recovery of patients undergoing TIVA. T Aims and Objective- o compare the
effect of combination of propofol and ketamine and combination of propofol and fentanyl for TIVA, on hemodynamic parameters and recovery
from anaesthesia. Patients aged 20- to 60-year-old, ASA-PS I and II, undergoing elect Material and Method- ive surgeries were selected for the
study and were divided into two groups (1 and 2) of 90 each. TIVA was administered in the two groups as- Group-1 Induction- Propofol
1.0mg/kg+Ketamine 1.0mg/kg, iv boluses. Maintenance- Propofol 2.0 mg/kg/h and Ketamine 2.0 mg/kg/h, iv infusion. Group-2 InductionPropofol 1.0mg/kg+Fentanyl 2.0µg/kg, iv boluses. Maintenance- Propofol 2.0mg/kg/h and Ketamine 2.0µg/kg/h, iv infusion. All the patients were
mechanically ventilated with 100% oxygen. Neuromuscular blockade achieved with Vecuronium-bromide. Vital-parameters were recorded at
regular intervals and DJ Steward recovery score was calculated. Following i Result- nduction, heart rate (HR) increased in Group-1 and decreased
in Group-2 and mean blood pressure (systolic and diastolic) increased in Group-1 while it decreased in Group-2. HR and blood pressure(BP)
returned towards baseline during maintenance in both the groups. HR and BP increased in both the groups following extubation but gradually
returned to baseline. Group-1 scored higher on ventilation, whereas Group-2 scored higher on wakefulness and movement. Though the difference
became insignicant post 10 minutes. Both propofol-ketamine and propofol-fentanyl combinations Summary- can be utilized in TIVA for short
elective procedures because they offer effective surgical anaesthesia with little strain on hemodynamic parameters, which helps to preserve
stability and speed up recovery
THE EFFECTIVENESS OF THE HAIR APPOSITION TECHNIQUE IN COMPARISON TO THE TRADITIONAL SUTURING AND STAPLING FOR SCALP LACERATIONSAN OBSERVATIONAL STUDY AT A TEACHING HOSPITAL IN RURAL INDIA
Authors: sudina Yashashwini , Surya Diviti Vamshi , saripalli Ananth , S Vikram
Published: April 2023

Aim: Scalp lacerations are commonly found in patients presenting with road trafc accidents to the casualty. These lacerations can be repaired with
suturing, stapling, adhesive tapes, or tissue adhesives. In this study, we tried to compare the effectiveness of suturing, stapling, and hair apposition
techniques in repairing scalp lacerations of patients who presented to casualty. Materials and Methods: After obtaining approval from the
institutional ethics committee, we examined the effects of the techniques in repairing scalp lacerations on wound healing, complication rate, and
patient satisfaction by recording data. Results: Out of the 150 patients observed in our study, there was a signicant difference between the scalp
repair technique on the 7th and 15th-day patient satisfaction rates in favour of the hair apposition technique (p<0.05). There was a signicant
difference between the scalp repair technique and cosmetic problems after 15 days (p<0.05). Cosmetic problems 15 days after the procedure were
signicantly lower in the hair apposition technique. Conclusion: In patients presenting to emergency departments with linear scalp laceration,
suturing, stapling, and hair apposition techniques can be safely applied. However, the hair apposition technique has the advantages of being more
satisfying and having lower cosmetic problems and complication rates than other techniques
ABDOMINAL SCAR ENDOMETRIOSIS AS A RARE AND LATE COMPLICATION OF CESAREAN SECTION- CASE REPORTS WITH REVIEW OF LITERATURE.
Authors: Manjari Hota Basanta , Sravani Munugala , Anjali Vadapalli , Devisri Yallamandala
Published: April 2023

Abdominal scar endometriosis is the commonest extra pelvic site of the pathology, which follows the surgery on the uterus and fallopian tubes.
Cesarean section is the commonest such procedure. Very low incidence may be explained by the recently found pathogenesis of genetic, epigenetic,
molecular, and immunological changes. Reporting is important for statistical records and varied presentations. The usual presentation of this
chronic gynecological pathology is pain and swelling at the abdominal scar site. Its diagnosis is clinical, complimented with Ultrasound and
management is surgical excision. We present two post-cesarean cases with localized swelling and pain in the abdominal scar. Both were treated
with wide excision of the lesion; the diagnosis was conrmed and malignancy was excluded by histopathology. No recurrence was noted on follow
up. This chronic, progressive pain full condition needs prompt diagnosis and management. Patient counseling is mandatory as recurrence and the
chance of malignancy are there in recurrent cases. We present here two such rare cases with the aim of statistical record as the reported incidence is
<1%, and its unusual presentation
EFFICACY OF INJECTION 3% POLIDOCANOL IN TREATMENT OF 1STAND 2ND DEGREE INTERNAL HEMORRHOIDS
Authors: H Sahana , C T Kailas , T Basavaraj J
Published: April 2023

Internal Haemorrhoids has been the most common condition since ages and wide variety of treatment modalities are available to make it an equally
enigmatic disease to approach. Polidocanol is the recent sclerosants in the surgeon's armamentarium for its treatment. This prospective study
included 80 patients with rst or second degree internal haemorrhoids. Internal haemorrhoids had sexual predilection towards males in our study in
the ratio of approximately 2:1 with a age range of 25-60 yrs. Fifty ve of 80 patients had rst degree haemorrhoids and the rest 25 had second degree
haemorrhoids. Bleeding Per rectum was the most common complaint followed by constipation, perianal discomfort and perianal itching. Response
to rst dose of 3% polidocanol was seen in 60% of patients, 27.50% patient responded to second dose and 12.50% patients responded to the third
dose of sclerotherapy. Sclerotherapy with inj 3% polidocanol has been an effective agent in the treatment of rst and second degree haemorrhoids in
this study.
KNEE ALIGNMENT COMPARISON IN SINGLE VS DOUBLE LEG WEIGHTBEARING X-RAY
Authors: N T Mathai , P Haemanath , Babu M B Sathik , S Ganashree
Published: April 2023

Background: One of the leading causes of disability in elders is osteoarthritis of knee. The functional outcome of surgical procedures depends on
proper alignment assessment. Our study aims to access the knee alignment parameters is x-rays taken in double standing and single standing weight
bearing x-rays. One hundred patients who visited Chettinad hospital and research inst Methods: itute, Chennai, with knee pain and knee deformity
were selected for the study. All patients were subjected to single and double-leg standing Anteroposterior (AP) full-limb radiographs to access the
varus or valgus deformity. Radiology technicians followed a standard protocol to obtain these radiographs. All X-rays were uploaded to the
hospital picture archiving and communicating system and Hip-Knee-Ankle Angle (HKAA), Medial-Proximal-Tibial Angle (MPTA), LateralDistal-Femoral Angle (LDFA) and Joint-Line-Convergence Angle (JLCA) measured. The data was analysed using, MedCalc v18.2.1 The Results:
mean age was 56.2 years (range 45- 68 years) mean BMI was 27.1 kg/m2. We were able to nd a signicant difference in JLCA and HKAA between
double and single-leg standing x-rays. HKAA and JLCA were affected by the patie Conclusion: nt's position. In single-leg weight-bearing, the
force line shifts medial to the knee joint centre, therefore the compressive stress is increased in the medial aspect. Followed by this change the
angles are higher while the patient is standing on a single leg and varus deformity is augmented in this position
A CASE OF SYSTEMIC LUPUS ERYTHEMATOSUS FOR CAESEREAN SECTION
Authors: Ramesh G , Nageswara rao P
Published: April 2023

Introduction : Systemic Lupus Erythematosus is a chronic multisystem disorder characterized by formation of autoantibodies against nuclear ,
cytoplasmic and cell membrane antigens . Most common in women of child bearing age group . Disease exacerbation , neonatal lupus , fetal loss
and increased incidence of pre-eclampsia are major challenges. Case Report : A 26 year old woman G3P1L0A1D1 with 39 weeks amenorrhea
with known history of SLE since 2 years scheduled for elective LSCS . She has bad obstetric history and on medication with Tab.Azathioprine
50mg OD , Tab.Hydroxychloroquine 200mg OD and Tab.Prednisolone 5mg BD. ANA antibodies were found to be positive but antiphospholipid
antibodies were negative. Regional anaesthesia preferred over general anaesthesia because of anticipated difcult airway. Subarachnoid block
performed using 2ml of 0.5% bupivacaine heavy . Surgery uneventful with minimum blood loss. Discussion ;The peak incidence of SLE occurs
between the ages of 15 and 40 years, with an estimated female-to-male incidence of 9:1. It is characterized by autoantibody production and
dysfunctional immune system resulting in organ inammation andconsequent damageSLE may be associated with secondary APS which is a
multisystem disorder characterized by recurrent systemic arterial and venous thrombosis, recurrent abortion, thrombocytopenia and neurological
disorders Musculoskeletal manifestations and mucocutaneous symptoms occur frequently. Anaesthetic management of pregnant patients with
SLE depends on the multisystem nature of the disease, the severity of the organ involvement and adverse effects of drugs used in treatment.
Conclusion : Anaesthetic management of SLE requires thorough pre anaesthetic evaluation regarding organ involvement , disease activity and
drug history . Pharmacological interactions between anaesthetic drugs and immunosuppressants taken into consideration
The role of growth regulators in the ontogenesis of plants of potato cancer differentiators in vitro culture
Authors: Skoreyko A. , Andriychuk T. , Bilyk R. , Safronova T.
Published: April 2023

Goal. To study impact of growing regulators on morphometric indexes and potato cultivar-differentiators productivity in culture in vitro.

Methods. The studies conducted in the Laboratory of Biotechnology for Agricultural Crops of Ukrainian Plant Quarantine Research Station Institute of Plant Protection of NAAS. Murashige-Skoog (MS) nutrient medium was used with the addition of different concentrations of Epin-maxi growth regulators (MS — control; MS + Epin-maxi r., (2,4-epibrassinolide, 0.012 g/l); MS + Epin-maxi, 0.025 g/l) and Poteitin (MS — control; MS + Poteitin w.s., (2,6-dimethylpyridine-1-oxide with succinic acid, 0.15 mg/l); MS + Poteitin, 0.3 mg/l) on different varieties of potato cancer of different ripeness groups (Schedryk — early, Slovyanka — medium-ripe). Plants grew in terms of cultivation room during 16-hour photoperiod a light intensity of 2000—2500 lux, temperature 22—25°C and humidity of 60—80%. The grafting conducted in quantity 25 plants with three times experiment repeating.

Results. The morphogenesis optimal indexes received during their put into the nutritious medium MS + Epin-maxi 0.025 g/l and MS + Poteytin 0.3 mg/l. The plants’ height of variety Schedryk increased on 21st day of growing on 4.9—25.2 mm, in control (65.2 mm) and internodes number increased 0.4—0.9 pcs in control (5.2 pcs.). The plant’s height increased of variety Slovyanka in variants with stimulators was more than on 12.1—28.4 mm and the internodes number increased 0.5—1.1 pcs. The root-forming increase determined in all experiments variants: roots quantity — on 2.6—3.4 pcs., their length was 25.6—29.8 mm, the average microtubers weight was in 1.4—1.6 times higher, the mictotubers weight increase on 1 plant in 1.6—1.9 times, the quantity of microtubers on one plants in 1.6—1.8 times in comparison with control.

Conclusions. The optimal indexes of morphometric parameters and potato cultivar-differentiators productivity on culture in vitro received in variants of research with Epin-maxi 0.025 g/l and Poteytin 0.3 mg/l. These stimulators, when added to the nutrient medium, contributed to an increase in plant height, the number of internodes, root formation (number of roots and their length), average mass of microtubers, mass and number of microtubers per plant.
Efficiency of the application of biological BT preparations in the protection of potatoes from harmful organisms in the western Forest Steppe of Ukraine
Authors: Solomiychuk M. , Pikovskyi M.
Published: April 2023

Goal. To study the possibility of using biological preparations of ITI Biotechnca sowing of nightshade crops and to determine their effectiveness against harmful organisms.

Methods. Laboratory (identification of pathogens) and field (analysis of vegetation indicators) research methods. The study of the effectiveness of biological preparations was carried out on the basis of the Ukrainian Research Plant Quarantine Station of the Institute of Plant Protection against a natural infectious background. During the growing season, three foliar treatments with drugs were carried out.

Results. The research results showed that the use of ITI Biotechnik insecticides provided a better effect on larvae of the Colorado potato beetle of 1—2 ages. The effectiveness of drugs against the Colorado beetle for the drug Bitoxybacillin BT was 71.5%, for Actofit BT — 49.5%, Boverin BT — 80.4%, Metarizin BT — 65.2%. The use of insecticides of biological origin contributed to an increase in vegetation indicators, as well as an increase in the yield of potatoes compared to the control. The use of drugs of a fungicidal and stimulating nature contributed to the growth of yield and higher marketability of potatoes. The highest yield was formed in the Podolyanka variety when treated with BioGibervit BT and was 21.3 t/ha. The best protection against potato diseases was obtained with the use of Bactophyt BT, where the effectiveness against Alternaria was 66.8%, and against late blight — 89.8%. Stimulating drugs provided an immunoprotective effect of 65—70% against phytophthora and 40—47% against Alternaria.

Conclusions. The use of a number of individual biopreparations produced by ITI Biotechnika during the growing season makes it possible to control pests, reduce the damage to plants by diseases, and increase the yield of potatoes. Biological drugs and growth stimulants that have shown the best effectiveness can be recommended for the formation of a potato protection system based on BT drugs.
Innovations on scientific support of plant breeding for resistance against diseases and pests
Authors: Krut M.
Published: April 2023

Goal. Database formation of innovations in the scientific support of plant breeding for resistance against pathogens and pests — grounds for creating sustainable varieties.

Methods. Analysis of innovative development of the Institute of Plant Protection of the National Academy of Agrarian Sciences of Ukraine and other institutions of the Scientific and Methodological Center «Protection of Plants» for 2006—2020. Isolation of those relating to the problem of plants’ resistance against pests and pathogens.

Results. Methods of plant selection for resistance against the main pathogens and methods of evaluation of resistance of winter wheat, potatoes, clover and alfalfa to pests to create complex resistant varieties have been developed. Donors of potato resistance to canker, alternariosis, phomosis and cyst-forming nematodes were identified. Methods for determining the resistance of cereals to high and low temperatures have been developed. A collection of samples of wild relative of wheat Aegilops biuncilais L. — sources of new genes for plant resistance to diseases and pests. Genes of resistance of soft winter wheat to diseases by DNA markers have been identified. A set of varieties of winter wheat with group and complex resistance against diseases and pests has been formed. Physiological and biochemical mechanisms of resistance of sunflower, soybean, flax oil against pathogens have been established. Collections of sunflower lines based on complex resistance to sunflower broomrape, dry rot, powdery mildew and soybean lines based on complex resistance to white rot and anthracnose have been created. The resistance of forage lupines against the most important pathogens has been studied. Varieties and selection numbers of spring barley, oats, rape, oilseed flax, resistant to major diseases, as well as rice varieties resistant against pathogens and pests were identified. The resistance of modern genotypes of sown hemp, fiber flax and oilseed flax to the main phytophagous insects was evaluated. A method for estimating the selection value of the source material of the main vegetable plants on the basis of disease resistance has been developed. Resistance to viral diseases has been found in cucumber and barley plants.

Conclusions. The established innovations can be widely used by breeding centers and other scientific institutions of the agrarian profile when creating sustainable grain, oilseed, vegetable, fodder and leguminous grain crops. In this case, the timing of the selection process can be accelerated by 40—60%.
Potato protection from fungi spread diseases with biological preparations usage
Authors: Andriychuk T. , Skoreiko A.
Published: April 2023

Goal. To study possibility of biological preparations and their compositions with microelements against fusarium-fomos rot.

Methods. Laboratory (pathogens identification) and field (analysis, tubers materials treating) techniques of researches. The biological preparations researches efficiency conducted separately and in complex with microelements conducted on the base of Ukrainian science-research plant quarantine station Institute of Plant Protection NAAS on natural infectious background during 2021—2022. The tubers put into the biological preparations suspension: Biospectre BT (1.5 l/t); Glocladyn BT (2 l/t); Trychopsyn (2.5 l/t) and then joined them with microelements complexes — microfertillizer Urozhay TK (2 l/t) before planting. Two rootless feeding conducted by the same preparations during the growing period.

Results. The researches results showed that the potato treating of variety Sante by biopreparations and in combination with microelements before planting and during growing favored the plant increase on 4.4—13.7%, stems quantity increase in bush on 5.3—13.2, yield increase on 9.5—15.5% and ill tubers quantity decrease in 2.5—3.7 times in comparison with control variant. The biological preparations efficiency in combination with complex of microelements consisted of for variety Sante 72.0—73.2% to the most spread disease fusarium-phomos rot. The analogeous resulys received for variety Virineya. The potatoes biological preparations treating before planting and during growing favored the plants’ growth on 7.8—16.3%. The quantity of ill tubers decreased in 2.0—3.1 times. The composition biological preparations with microelements efficiency against fusarium-phomos rot consisted of 49.5—68.0%.

Conclusions. The following biological preparations usage Biospectre BT (1.5 l/t); Gliocladyn BT (2 l/t); Trychopsin (2.5 l/t) before tubers planting and during growing separately and in complex with microfertillizer Urozhay TK allowed to decrease tubers defeating in 2.0—3.7 times and to receive additional 9.5—16.3% of potato yield.
The effectiveness of treaters against sucking pests in winter wheat agrocenosis
Authors: Grytsiuk N.
Published: April 2023

Goal. The assesment of the technological and economic efficiency of the insecticidal treaters of different chemical groups against autumn pests entomocomplex.

Methods. Standard entomological methods were used to determine the number of insect pests in winter wheat agrocenosis. The leafhoppers and Schizaphis graminum count was carried out during autumn period (phase ВВСН 21—30) on the 7th, 14th day after germination. The leafhoppers were counted by using the method of accounting plots, and the Schizaphis graminum were counted by using the method of plant tests.

Results. The phytophagous insects control by means of plant protection products is an effective method, but the result depends on the choice of the insecticides among a wide range of preparations. The results of the effects of treating on the dynamics of leafhoppers and Schizaphis graminum count in winter wheat agrocenosis have been presented. Entomological monitoring of the wheat field in the minds of the first-last-last field established that the biggest threat to winter wheat crops was cicadas and grasshoppers. The results of studying of modern insecticidal disinfactants against sucking pest density in a phase of ВВСН 21—30 have been presented.

Conclusions. It has been established that the preparations Gaucho Plus 466 FS, TH, 0.5 l/t, Comando Grand, TH, 0.3 l/t and Cruizer 350 FS, 0.4 l/t were the most effective for the control of sucking phytophages of seedlings. The toxicity of winter wheat plants with insecticides under treatment contributed to higher qualitative and quantitative indicators of wheat yield as compared with a control variant. Under modern technologies of control, the growth and development intensity of sucking pests on winter wheat depends on climatic factors as well as on special protective measures on pests control on the first stages of crop organogenesis. The phytophageous insects spread and the harm under autumn control depend on timely monitoring when using the models of forecasting the number of sucking pests of the seedlings.
Preparation of different origin impact on zoosporangium viability of potato wart causative agents Synchytrium endobioticum (Schilbersky) Percival
Authors: Zelya A. , Kuchnir O. , Zelya G. , Vovk M. , Makar T.
Published: April 2023

Goal. To determine the technical efficiency of chemical, biological and new synthesized drugs in controlling the causative agent of potato cancer.

Methods. For research, soil samples were used, taken from the foci of the causative agent of cancer before and after treatment with the following drugs: chemical — Emesto Quantum, 273.5 FS (clothianidin, 207 g/l + penflufen, 66.5 g/l), Consento 450 SC (phenamidon, 75 g/l, + propamocarb hydrochloride, 375 g/l); biological — Fitodoktor, p. (Bacillus subtilis bacteria, IMV B-7100 (26D), titer 5 ќ 10 9/g of the drug), Planryz, genus. (Pseudomonas fluorescens bacteria, piece AP 33, titer 3.0 ќ 10 9 cm3); synthesized — onium derivatives of 4-aryl-5-methoxycarbonyl-3.4-dihydropyrimidin-2-one. Soil samples for the detection of pathogens from one soil sample were taken by standard methods according to EPPO Standards PM 7/28 (2), with the geolocation of the sampling points recorded by the Garmin eTrex Legend GPS navigator. Zoosporangia of the causative agent of cancer were isolated by flotation in the «RUTA» device in sodium iodide solution. The viability of zoosporangia was determined using Coomassie blue G-250 solution. The effectiveness of the drugs was determined according to the methods of testing and application of pesticides (Trybel S. and others).

Results. For 2019—2021, the effect of chemical and biological preparations on the viability of zoosporangia of the causative agent of potato cancer was investigated. As a result of treatment with the synthesized chemical onium derivative 4-aryl-5-methoxycarbonyl-3.4-dihydropyrimidin-2-one, the efficiency was 71.4%; Emesto Quantum, 273.5 FS — 48.4%; Consento 450 SC — 82.3%. As a result of the action of the biological drug FitoDoctor, the effectiveness was 25.8%; Planriz, genus. — 32.3%.

Conclusions. To protect potatoes from the disease, it is recommended to use biological and onium derivatives of 4-aryl-5-methoxycarbonyl-3,4-dihydropyrimidin-2-one, which will allow to reduce the number of viable zoosporangia of the pathogen in the soil in 3—5 years and thereby reduce the pesticide press in potato growing and improve the ecological condition of the environment.