bluuebunny/crossref_metadata_2025 huggingface dataset:
The Role of Affective Labour in Expertise: Bringing Emotions Back into Expert Practices
Authors: Egher Claudia , Carboni Chiara , Wehrens Rik
Published: October 2024

In recent years, a lot of scholarly attention has been devoted to how practices of digitalisation and datafication require medical professionals to work together with different stakeholders, and to how such collaborations shape expertise (Stevens, Wehrens, and de Bont 2020; Carboni et al. 2024). STS scholars have generally approached expertise as an epistemic and social endeavor, but they have tended to neglect the role affects and emotions play in its development and performance.  In this paper, we provide a theoretical reflection on the relation between affective labour and expertise building upon Egher’s (2023) conceptualisation of expertise as a practical achievement realised through coordination and affective labour. Based on ethnographic fieldwork conducted in various medical settings, including digital pathology, psychiatry, and datafication in intensive care, we explore what types of affective labour are conducted in digital healthcare, by whom, and with what consequences. We show how affective labour mediates both epistemic and relational practices. We argue that different affects and emotions are mobilised in these practices, which impacts the development and effective performance of expertise.
The Essential Crowd: Service Workers and Social Death in Pandemic Times
Authors: Bloodsworth-Lugo Mary K. , Lugo-Lugo Carmen R.
Published: October 2024

During the spring of 2020, public messaging in the United States regarding COVID-19 conveyed the idea that pandemics and viral infections strike people from ‘all walks of life’ and that ‘diseases know no borders’. Corporations and media outlets disseminated the message that ‘we are all in this together’. While there might be some truth in these messages, they have also been challenged as existing social inequalities have been exposed by the impacts of COVID-19. The slogan ‘we are all in this together’—which apportions risk equally—is undermined when we consider the ‘social apparatus’ that informs people’s everyday lives. While people from some walks of life have been afforded the opportunity to telework, for instance, others have been required to report physically to workplaces. Given the tag ‘essential workers’, these people often work in places that carry greater risk of infection, partly because these spaces are some of the few remaining in which crowds continue to gather during the global pandemic. We use Lisa Marie Cacho’s (2012) formulation of the concept of ‘social death’ to offer a working theoretical model of essential workers during the COVID-19 pandemic. We engage with Cacho’s model of ‘social death’ to highlight the blurred lines, in times of crisis, between those rendered valuable and valueless (or disposable).
Határok közt: kizárás és bennfoglalás dinamikája a dualizmus kori Magyarországon
Authors: Kereszty Orsolya
Published: October 2024

A dualizmus kori magyar nemzet sajátos középosztálybeli konstrukció volt, mely egy kétszülős heteroszexuális családmodell metaforáján alapult. Ez azt jelentette, hogy ebben a nemzetkonstrukcióban mind a két nemnek „természetes” szerepeiknek megfelelően meghatározott társadalmi feladataik voltak. Az állam kezdettől fogva ezt a nemzetkonstrukciót tartotta szem előtt a középfokú nőnevelés szervezésénél, sőt fokozatosan alakította a nemzetkonstrukciót úgy, hogy a magyar nemzetépítés érdekeinek megfeleljen.
Effects of expressive writing and self-distancing on electrodermal activity during writing
Authors: Fadaei Setareh , Jacques Teresa , Alves Rui Alexander
Published: October 2024

Writing about traumas can influence mood and bodily changes. In three studies we researched the influence of writing on affective and physiological changes by measuring electrodermal activity (EDA) during expressive writing sessions and manipulating self-distancing. In Study 1, we randomly assigned 57 participants to write about control or expressive topics using a first-person perspective (I). In Study 2, we assigned 55 participants to write about control or expressive topics using a third-person perspective (She/He). And in Study 3, we compared the effects of perspective (first or third-person) in the data collected in the preceding studies. Across Study 1 and 2 results showed that EDA consistently rose at the beginning of the writing session, reached a plateau, and then rose again upon completing the writing task, irrespective of the writing topic or perspective. While the initial EDA increase seems related to the start of a demanding task, the post-writing increase might signal reward-seeking behavior upon task completion. Results of Study 3 confirmed that EDA increases in the beginning and upon writing completion are magnified by adopting a third-person perspective. These results show that expressive writing and self-distancing have measurable impacts on writers’ electrodermal activity.
Corrigendum: “Validation of syntaxa names of the class Quercetea mongolicae – temperate mainland broadleaved and mixed forests of the Far East”
Authors:   Botanical Garden Institute FEB RAS, Krestov Pavel V. , Dzizyurova Violetta D. ,   Botanical Garden Institute FEB RAS,   Lomonosov Moscow State University, Korznikov Kirill A. ,   Botanical Garden Institute FEB RAS,   Institute of Botany CAS
Published: October 2024

The incorrect syntaxon names were mentioned in the original article (Krestov et al. 2023). The association "Athyrio–Pinetum koraiensis (validated in this paper)" was indicated as a typical element for the alliance Tilio amurensis– Pinion koraiensis. However, this association was described under a different name: Diplazio sibirici–Pinetum koraiensis Kim ex Krestov, Dzizyurova et Korznikov 2023. Here, we validate the alliance Tilio amurensis–Pinion koraiensis all. nov., holotypus hoc loco – Diplazio sibirici–Pinetum koraiensis Kim ex Krestov, Dzizyurova et Korznikov 2023 (Krestov et al. 2023), the full diagnosis is on page 121 in Krestov et al. (2006). We also validate the order Tilio amurensis–Pinetalia koraiensis ord. nov., holotypus hoc loco – Tilio amurensis–Pinion koraiensis (validated above); the full diagnosis is on pages 117–118 in Krestov et al. (2006). We apologise for any confusion caused.
Broad-leaved and mixed cooltemperate forests from the class Fagetea crenatae Miyawaki, Ohba et Murase 1964 on Kunashir Island (the Kurils archipelago)
Authors:   Botanical Garden-Institute FEB RAS, Korznikov Kirill A. ,   Institute of Botany CAS, Dzizyurova Violetta D. ,   Botanical Garden-Institute FEB RAS,   Lomonosov Moscow State University, Petrenko Tatyana Ya. ,   Botanical Garden-Institute FEB RAS
Published: October 2024

This study presents the classification and description of three new associations of cool-temperate zonal forests of the vegetation class Fagetea crenatae Miyawaki, Ohba et Murase 1964 on Kunashir and Hokkaido islands. The Filipendulo camtschaticae–Aceretum mayrii ass. nov. encompasses broad-leaved forests in eutrophic moist ecotopes dominated by Acer mono subsp. mayrii. The Abieti sachalinensis–Quercetum crispulae ass. nov. represents zonal mixed forests dominated by Quercus mongolica var. crispula with an admixture of coniferous tree species Abies sachalinensis, Taxus cuspidata, and Picea jezoensis (the latter only on Kunashir Island, in forests of the subass. piceetosum jezoensis). The Hydrangeo paniculatae–Quercetum crispulae ass. nov. includes secondary species-poor forests dominated by Q. mongolica var. crispula, Betula ermanii, or B. pendula subsp. mandshurica. All associations feature a dense understory of dwarf bamboo species Sasa spp., with the densest tickets found in Hydrangeo paniculatae–Quercetum crispulae forests. We also validated the union Carpino cordatae–Quercion crispulae Takeda, Uemura et Nakanishi ex Korznikov, Dzizyurova et Petrenko all. nov. which represents the zonal cool-temperate broad-leaved and mixed forests in Hokkaido, Sakhalin, Iturup and Kunashir. Broad-leaved forests of Kunashir exhibit lower species diversity compared to Hokkaido, missing typical temperate tree species such as Acer palmatum, Carpinus cordata, and Tilia japonica.
Ultrasculptura of carpopodium surface in species of the Astereae tribe (Asteraceae)
Authors:   G.B. Elyаkov Pacific Institute of Bioorganic Chemistry FEB RAS, Boyko Elvira V. , Novozhilova Elena V. ,   G.B. Elyаkov Pacific Institute of Bioorganic Chemistry FEB RAS, Gorovoy Petr G. ,   G.B. Elyаkov Pacific Institute of Bioorganic Chemistry FEB RAS
Published: October 2024

The study discusses the ultrastructural characteristics of the carpopodium surface of cypselas in 81 species from 34 genera within 16 subtribes of the Astereae tribe (Asteraceae) observed using a scanning electron microscope. These species exhibit well-developed carpopodia categorized into three types: poorly advanced, moderately advanced, and highly advanced. The carpopodia in the species analyzed vary in type (symmetrical, asymmetric, interrupted), the number of cell rows, cell shape, cell orientation, and outer periclinal wall shape. Most species have symmetrical carpopodia with cells forming a complete ring consisting of different numbers of rows (ranging from 1 to 22), although asymmetric or interrupted carpopodia are also present but less common. Different types of carpopodia may exist within a subtribe or genus, and the structural characteristics of the carpopodium serve as a taxonomic criterion at the species level.
In vitro propagation of the rare fern Polystichum craspedosorum (Maxim.) Diels. via green globular bodies
Authors:   Amur Branch of the Botanical Garden-Institute FEB RAS, Shelikhan Lyudmila A.
Published: October 2024

Polystichum craspedosorum (Maxim.) Diels. is a rare species of fern listed in the Red Data Book of the Amur Region. Cultivation of ferns in vitro via green globular bodies (GGBs) is a promising direction for the conservation and reproduction of ferns. The objective of the study was to estimate the efficiency of different media on GGB propagation and sporophyte regeneration of P. craspedosorum. Two media options were effective for GGB propagation and sporophyte regeneration: 1/2MS without ammonium nitrate, vitamins and plant growth regulators (variant 1) and 1/2MS without plant growth regulators (variant 2), both of which were also supplemented with 2 % sucrose and 0.8 % agar, and adjusted to pH 5.8. At the same time, media containing a single cytokinin (0.5 mg/l 6-benzylaminopurine) and a single auxin (0.5 mg/l indolylbutyric acid) were less effective for GGB propagation and sporophyte regeneration. The total number of initiated GGBs was 313.4 and 275.8 as a mean per explant after two months in vitro culture for variant 1 and 2, respectively. The number of GGBs with developed sporophytes was 187.1 and 158.4, the sporophyte regeneration rate was 59.7 % and 57.4 %. The sporophytes survival rate was 85 %.under ex vitro conditions.
METHODS AND MEANS OF CONTROL OF NUCLEAR MATERIALS AND STATUS OF PROTECTIVE BARRIERS AT NPP IN WARTIME CONDITIONS
Authors:   State University of Intellectual Technologies and Сommunication, Odesa, Ukraine, Banzak O.V. , Lienkov S.V. ,   Taras Shevchenko National University of Kyiv, Kyiv, Ukraine, Sieliukov O.V. ,   Sichuan Normal University, China, Gaber A.A. ,   State University of Intellectual Technologies and Сommunication, Odesa, Ukraine
Published: October 2024

The level of development and application radiations technologies is largely determined by the state of nuclear instrumentation. In a relatively short period of time, this industry went through several stages of development, and each them was marked by the appearance of various devices that register and measure the parameters of ionizing radiation nuclear materials: gas discharge counters, scintillators, semiconductor detectors, and others. The appearance of modern semiconductor radiation sensors for the first time connected nuclear instrumentation and electronics into a single complex - a semiconductor detector. It combines a semiconductor primary converter of ionizing radiation (sensor), a secondary converter of information from the sensor (electronics) and software for processing this information, which are interconnected by the problem to be solved and parameters. However, the development of atomic energy, spread of nuclear technologies in various industries has put forward new requirements for the control
METHODOLOGY FOR DETERMINING THE REMOTE LANDING OF A PARACHUTE-JET SYSTEM
Authors:   Odesa Military Academy, Odesa, Ukraine, Adamov Yu. , Zavalniuk V. ,   Odesa Military Academy, Odesa, Ukraine
Published: October 2024

The article discusses certain issues and possible ways to partially solve the problem of remote landing, which may be useful in planning airborne operations to improve the safety of traditional parachute landing, as well as in further research and development of remote landing methods for airborne vehicles. Based on the results of the research, a method of remote landing of heavy equipment using a parachute-jet system is proposed, which allows to identify the weakest properties of the system, assess its overall level, characterised by a set of natural and climatic indicators, in particular wind speeds at different altitudes, and develop measures to improve the efficiency of the system's intended use. The results of the study demonstrate the ability of the WFD to move horizontally to the landing site at a considerable distance from the point of discharge by increasing the height of the release. However, it is much more difficult to calculate the specific amount of displacement without current knowledge of the many parameters that influence the wind drift rate. These parameters mainly include the air currents encountered by the WTG, which can help or hinder horizontal movement. Modern technology has made it possible to implement many innovative methods of cargo discharge. In order to reduce the impact of uneven airflows on drop accuracy, HARP (high-altitude release point) systems are now being used to improve the accuracy of high-altitude drops, which take into account airflow dynamics, system ballistics and aircraft speed.The ballistic table (based on the average ballistic characteristics of this parachute system) determines the drop point of the combat vehicle and calculates the free fall trajectory for a high altitude drop, taking into account the typical airflow profiles between the drop point and the landing site. To significantly improve the accuracy of high altitude drops, it is also possible to use an infrared Doppler laser locator to measure airspeed at different altitudes and create real-time 3D wind maps in the area between the aircraft and the landing site surface. Such systems are capable of making measurements with a typical error of less than one metre per second. The application of the research results in practice will increase the operational capabilities of the Airborne Assault Forces of the Armed Forces of Ukraine, namely, to ensure rapid deployment in threatened areas to deter the enemy by remotely landing heavy equipment, which in turn will significantly increase the combat potential of combat units in the operational and tactical depth of the enemy's defence.
Enhancing Dexterous Grasping and Manipulation through Linkage-Driven Underactuated Five- Fingered Robotic Hand: A Computational Approach
Authors: Biswal Deepak R. , Parida Pramod K. , Biswal Alok R.
Published: October 2024

This research aims to enhance dexterous grasping and manipulation capabilities through a computational approach involving a novel design of a linkage-driven, underactuated, five-fingered robotic hand. Leveraging underactuated mechanisms, the study addresses the complexity associated with individually actuated joints, offering a streamlined and efficient solution for replicating human-like hand movements. The proposed hand comprises 12 actuators and 21° of freedom, emphasizing the need for enhanced adaptability and reduced complexity in replicating human hand movements. Utilizing SolidWorks for mechanical design, Automated Dynamic Analysis of Mechanical Systems (ADAMS) is employed for dynamic simulations, enabling a comprehensive evaluation of the robotic hand’s performance in realistic scenarios. MATLAB is utilized for the required algorithm, and Analysis System (ANSYS) for structural analysis, ensuring the robustness and reliability of the robotic hand under different loading conditions. This approach integrates mechanical engineering principles with advanced simulation tools. The abstract concludes by presenting comprehensive research results, featuring general quantitative data from the entire research process, underscoring the efficacy and applicability of the computational approach in advancing robotic manipulation capabilities.
Diagnostic accuracy of sputum gene xpert MTB /RIF and stool gene xpert-ultra in children with pulmonary tuberculosis in a resource constraint country
Authors: Bhadra Shima , Rahman Atiar , Alam Rubaiyat , Mahbuba Sharmin
Published: October 2024

Background: Diagnosis of tuberculosis in children remains a challenge especially in resource limited settings. This study aimed to determine the diagnostic accuracy of sputum Gene Xpert MTB/RIF and stool Xpert-Ultra for the diagnosis of PTB.
Methods: This retrospective study was conducted in paediatric pulmonology ward of Bangabandhu Sheikh Mujib Medical University from March 2022 to December 2023.Consecuative 85 children aged 0-14 years with presumptive pulmonary tuberculosis (PTB) who provided both sputum and stool sample for GeneXpert and Xpert-Ultra respectively were included in the study. Diagnosis of PTB was confirmed by clinical, radiological, bacteriological or molecular evidence and taken as reference.
Result: A total 119 children were enrolled; 85 of whom complete microbiological examination. PTB was diagnosed in 25 children. Of these 18(18/25) children was found positive in stool Xpert -Ultra and 6 children were tested positive by sputum /GA Gene Xpert MTB/RIF. All 6 positive sputum/GA samples were also positive on stool testing. The rate of concordance between stool and sputum was moderate with a kappa value of 0.441 (p<0.001). Overall sputum GeneXpert and stool Gene Xpert-Ultra showed Sensitivity of 24% and 72%, specificity of 100% and 100%, positive predicted value of 100% and 100%, negative predicted value of 75.95% and 89.55% and accuracy of 77.65% and 91.76% respectively.
Conclusion: Stool gene xpert-ultra and sputum Gene Xpert both tests are highly specific for diagnosis of PTB. But sensitivity of stool Xpert-Ultra is more than the sputum Gene Xpert.
Association of autism spectrum disorder with epilepsy and abnormal electroencephalogram in children
Authors: Rashid Farzana Binta , Sumi Sufia Khatun , Parvin Jobaida , Mistry Banita , Ara Begum Mosammat Shameem , Islam Ariful , Saha Narayan
Published: October 2024

Background: Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by various brain abnormalities, although its exact cause remains unknown. Epilepsy is commonly associated with ASD, and children with ASD often exhibit paroxysmal EEG abnormalities, even without clinical seizures. Both ASD and epilepsy have a significant impact on a child's well-being and contribute to the burden on the family. This study aimed to assess the association of autism spectrum disorder with epilepsy and abnormal electroencephalogram in children.
Methods: This comparative cross-sectional study was conducted in the outpatient Department of Pediatric Neurology, National Institute of Neurosciences (NINS), Dhaka, Bangladesh from January 2021 to July 2022. The study included a total of 60 children aged 31 months to 14 years diagnosed with autism spectrum disorder (ASD) at the pediatric outpatient department (OPD) in NINS, selected purposively. Data analysis was performed using the SPSS version 25.0 program.
Results: In the ASD with epilepsy group, 50% of children had moderate ASD, and 50% had high ASD. In the ASD with abnormal EEG group, 66.67% had high ASD, and 33.33% had moderate ASD. In the ASD-only group, 81.25% had moderate ASD, 12.5% had high ASD, and 6.25% had low ASD. When comparing these groups with their corresponding comparison groups, the ASD with abnormal EEG group exhibited significantly more severe autism than children with ASD and normal EEG (p<0.001). Conversely, the ASD-only group had less severe autism than children with ASD and epilepsy/abnormal EEG (p<0.001).
Conclusion: Children with ASD and abnormal EEG had a higher severity of autism, with 66.67% categorized as high severity. In contrast, children with ASD only experienced less severe autism, with 81.25% categorized as moderate. This indicates that ASD-only children tend to have a milder presentation of autism compared to those with ASD and comorbid epilepsy or abnormal EEG.
Feasibility of three window point of care ultrasound in endotracheal tube positioning in the level III pediatric intensive care unit
Authors: Channawar Kanchan S. , Harsha K. Sri , Kiranmayee Penubolu
Published: October 2024

Background: Proper placement of an endotracheal tube (ETT) is an important and very crucial step in airway management. Unrecognized esophageal intubation leads to catastrophic consequences. The standard elements of confirmation have significant limitations. There is no universally accepted gold standard. Recent literature has shown that point of care ultrasound (POCUS) may be helpful in confirming the correct ETT placement and positioning.
Methods: We enrolled a prospective, convenience sample from all intubated patients in our pediatric ICU. As part of standard care unit protocol all patients had X-ray to confirm ETT position. Airway ultrasonography was performed immediately after intubation once ETT is secured and patient is connected to ventilator. Patient stability was insured before performing USG. The position of ETT will be confirmed by five-point ultrasonography window one at trachea, bilateral lung sliding and bilateral diaphragmatic movements. Tracheal ultrasonography will be perform using a SonoSite M-turbo linear and curvilinear probe (13-6 and 2-5 MHz).
Results: The paediatric patients enrolled in the study were 40 in number. Most of the paediatric population i.e. 47.50% were in between 1-5 years of age The three‑window POCUS method correctly identified the ETT to be either in the trachea or oesophageal in all 40 instances, (Correct or incorrect or bronchial) sensitivity of 100.0% (95% confidence interval [CI] 88.3-100.0%) when compared to X-ray chest. There were no adverse events during ultrasound. The mean time required for three-window POCUS was 69.9±27.01 seconds as compared to X-ray 3337.5±1374.24 seconds which was statistically highly significant (p<0.0000001).
Conclusions: POCUS is a very good bedside tool for detection and monitoring of ETT position in children in emergency setups. POCUS has very good sensitivity in detecting ETT position when compared to CXR. The time consumed to carry out POCUS is statistically significantly less than CXR and hence an effective lifesaving tool.
Clinico-epidemiological profile and outcomes of respiratory distress in newborns prospective observational study in a tertiary care
Authors: Maryam Innama , Ali Syed Manazir , Firdaus Uzma
Published: October 2024

Background: Respiratory distress in neonates is common and can be a serious neonatal emergency. Globally prevalence of respiratory distress in newborns ranges from 0.64 to 88.4%. There are many risk factors predisposing neonates to respiratory distress. Respiratory distress syndrome (RDS) has high incidence in preterm neonates, while in late preterm and term neonates’ transient tachypnea of newborn (TTN) is common. In-hospital mortality due to respiratory distress varies between 0.21 to 57.3% world-wide.
Methods: Prospective observational study was conducted in neonatal section, JNMCH, AMU, Aligarh, U. P., India over a period of 2 years which included 200 neonates with respiratory distress out of 2806 neonates born on enrolment days. Various causes of respiratory distress, risk factors, immediate outcomes and prevalence of respiratory distress was observed and analysed.
Results: Prevalence of respiratory distress in newborns was 7.12% on enrollment days in our study with RDS as the leading cause of neonatal respiratory distress (n=71; 35.5%). Approximately 60% of study recruits were males (n=123) in which RDS (n=43) was commonest cause of respiratory distress. Out of 200 enrolled candidates in our study 167 (83.5%) were discharged and 33 (16.50%) expired with RDS (70%) being the major cause of mortality.
Conclusions: Neonatal respiratory distress is one of the common causes of NICU (Neonatal intensive care unit) admission. RDS was the most common cause of respiratory distress with maximum mortality in study recruits. Various fetal and maternal factors predisposed to neonatal respiratory distress and also influenced their immediate clinical outcomes.
Carbamazepine triggered Stevens-Johnson syndrome with gastrointestinal and renal system involvement: a case report
Authors: Salwa Zeena , Tazmin Tanha
Published: October 2024

Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) is a rare but life-threatening condition characterized by severe skin and mucosal involvement. Recently, we encountered four cases of Stevens-Johnson syndrome (SJS), three of which were associated with carbamazepine use. This report focuses on one of these cases to highlight the risks associated with this medication. Carbamazepine (CBZ) is recognized as one of its common triggers. This report discusses one of these cases involving an eight-year-old boy weighing 23.3 kg, with a one-year history of epilepsy initially managed with oral sodium valproate, experienced frequent seizures. Consequently, sodium valproate was discontinued, and carbamazepine was started at a dose of 150 mg twice daily. After one week, the dosage was increased to 150 mg in the morning and 300 mg at night. Forty-two days post-initiation of carbamazepine, the patient exhibited fever, cough, and malaise, followed by skin rashes affecting the oral mucosa and eyes three days later. He then developed profuse oral secretions, bloody diarrhea, microscopic hematuria, and albuminuria. The administration of carbamazepine was immediately halted, and the patient was managed in the Pediatric Intensive Care Unit (PICU) by a multidisciplinary team. He achieved full recovery after 35 days. The objective of this case report is to raise awareness of carbamazepine as a potential trigger for SJS, differentiate between Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN), and discuss the risk factors, differential diagnosis, and management of SJS/TEN, which often requires a multidisciplinary approach in a pediatric intensive care unit (PICU).
Assessing cilnidipine and its combination usage in Indian settings: a knowledge, attitude, and practice survey
Authors: Shete Mukesh , Saxena Ashish , Nakrani Akshay , Shah Chirag , Bhojwani Heena , Jiwane Dinesh
Published: October 2024

Background: Hypertension, affecting 31% of the Indian population, is a major risk factor for cardiovascular diseases. Cilnidipine is used in its management, alone or in combination with ARB. The objective of the current KAP survey was to assess the knowledge of healthcare professionals (HCPs) regarding hypertension management, their attitudes toward its treatment, and the application of this knowledge in clinical practice.
Method: A pan-India cross-sectional KAP survey was conducted from April 2022 to March 2023. The survey utilized a specially designed questionnaire focusing on various aspects of using cilnidipine and its combination with Telmisartan in hypertension management. A total of 1,254 HCPs with recognized qualifications participated. Descriptive statistics were employed for data analysis.
Results: Around 56% of HCPs initiated monotherapy of an antihypertensive drug at an SBP level of 140 mmHg, while 57% initiated combination therapy at an SBP>160 mmHg. Nearly 43% reported initiating combination therapy in 20-30% of patients as initial treatment. Cilnidipine was preferred over amlodipine mainly due to decreased pedal edema. Cilnidipine monotherapy benefits young hypertensive patients (46%) and those with chronic kidney disease (CKD, 44%). Cilnidipine and telmisartan combination benefits patients with uncontrolled hypertension (46%), diabetes (43%), and CKD (41%). Advantages of this combination include less fluid retention, better compliance and tolerability, and less pedal edema.
Conclusion: This KAP survey highlights current practices in hypertension management, emphasizing the use of cilnidipine and its combination, attributed to their favorable tolerability and suitability for diverse patient profiles.
Negative pressure pulmonary edema and angioedema: a fatal correlation
Authors: Das Ananya , Kumar Sahil , Pilania Jaideep , G. Jithesh , Bairwa Mukesh
Published: October 2024

Negative pressure pulmonary edema (NPPE), a non-cardiogenic pulmonary edema resulting from acute or chronic upper airway obstruction, remains a significant challenge in critical care settings due to the morbidity and mortality associated with undiagnosed cases. The most accepted pathophysiology involves the high inspiratory pressure required to counteract the upper airway obstruction, which leads to progressive negative intrapleural pressure. This results in increased pulmonary microvascular pressure, causing alveolar flooding. Among reported cases, laryngospasm in the postoperative period is the most common cause of NPPE. Management involves securing the airway and providing positive pressure ventilation. However, prevention and treatment remain subjects of further research.
Essential Guide of Anaesthesia - For Anaesthesia Technicians and Residents (Volume 2)
Authors: Jain Dr. Amit Kumar , Tripathi Dr. Sonali , Singh Dr. Puja
Published: October 2024

The book “Essential Guide of Anaesthesia-For Anaesthesia Technicians and Residents (Volume-2)” is divided into chapters that systematically address topics such as Anaesthetic Pharmacology, Perioperative monitoring and management, Postoperative Care, Anesthesia Instruments and Special attention has been paid to key concepts like patient safety, anesthesia pharmacology, and the practical aspects oaf anaesthesia concepts to bridge the gap between theoretical knowledge and clinical application.

The most special thing about this book which makes it different from others is that a full coloured atlas has been included in it, which is providing vivid illustrations that enhance understanding and retention.. In writing this book, we have drawn on our collective experiences in the field, hoping to pass on practical insights that will aid in the decision-making process of anaesthesia practice.

We hope this guide will not only enhance your understanding but also inspire you to pursue deeper knowledge and mastery in the fascinating world of anaesthesia.
Brain fungus: A case report of the journey from diagnosis to recovery
Authors: Kumar Singh Rakesh , Mala Mani , Jha Shruti , Sinha Richi , Kumar Amit
Published: October 2024

Brain fungus or temporal meningoencephalocele is a rare condition in otology. It results due to the defect in tegmen tympani or tegmen antri formed most commonly after mastoidectomy. As it could be a harbinger to serious complications like meningitis, hence it needs a prompt diagnosis and an urgent surgical intervention. we present a case of 27-year-old lady with a 2.4×1.2 cm sized defect in the tegmen tympani formed as a result of modified radical mastoidectomy which was managed surgically via trans mastoid approach and a complete closure was confirmed by HRCT scan after 6 months of surgery. we concluded the importance of early diagnosis and management of this disease along with a special emphasis over the surgical lessons learnt from our experience in this case.
Atitudes sobre Treinamento à Distância: Consistência da E-ATAD e Análise de Comportamentos Receptivos, Favoráveis e de Resistência
Authors: Martins Natália Gabriela de Macedo , Costa Silas Dias Mendes , Viveiros Isabella da Silva
Published: October 2024

O artigo visa analisar a consistência interna da Escala de Atitudes Sobre Treinamento à Distância (E-ATAD) e os comportamentos receptivos, favoráveis e de resistência a esta modalidade tendo como participantes estudantes universitários de uma Instituição do Ensino Superior de Minas Gerais. Para tanto, realizou-se uma coleta de dados por meio da aplicação E-ATAD, validada por Pompeu et al. (2015), contabilizando 120 participantes. As análises foram feitas com o auxílio do software Statistical Package for Social Sciences (SPSS). Os resultados revelam uma estrutura unifatorial para a escala de medida com índices psicométricos superiores aos obtidos no estudo de validação utilizado com referência. A maioria dos participantes (52,5%) possui atitude medianamente favorável aos treinamentos à distância, podendo percebê-los como positivos ou benéficos, enquanto 18,3% apresentam resistência a esta modalidade e 29,2% uma atitude receptiva. Essas atitudes podem ser justificadas por alguns fatores como a falta de domínio, ou até mesmo aptidão às ferramentas e uso das tecnologias, falta de interação direta entre os envolvidos, e, no caso de alguns cursos, a falta de desenvolvimento de habilidades práticas. Para a parcela de participantes que possuem uma atitude receptiva aos treinamentos à distância, subentende-se que esses detêm maior facilidade com as tecnologias e entendimento acerca dos benefícios que essa modalidade possibilita. 
 
Palavras-chave: E-ATAD. Treinamento. EaD. Estrutura fatorial.
Interaction between roadway and sewer/water pipes
Authors: Hrapović Kerim
Published: October 2024

Sewage pipes and drinking water pipes as well as all other pipes such as gas, district heating, electricity, internet, telephone, cable TV, etc. in densely populated areas are located in the road space. Over time, the traffic loads as well as the road structure can change. In addition, the materials of the pipelines are subject to ageing processes. The consequences of leaking drinking water and wastewater pipes that lie in the body of the road can have extremely negative effects. Firstly, the wastewater contains harmful substances that must not be allowed to enter the groundwater under any circumstances. Secondly, the leaking drinking water pipes, especially a water pipe burst, cause the soil mechanical changes in the subsoil and the traffic surface pavements and can cause immense damage in the road surface or in the road body itself.
Statement of Work in a Consumer Work Agreement In the Conditions of Professional Activity of the Self-Employed
Authors:   Head of the Department of Organization of Judicial, Prosecution and Investigation Activities of the Orenburg State University, Zhurkina Olga V.
Published: October 2024

The article examines the legal regulation of the professional activities of the self-employed. The presented article discusses the issues of the correlation between the professional activities of the self-employed and entrepreneurial activity, the problems of performing work and providing services to this category of persons. The article focuses on the fact that these categories of persons often conclude contracts by correspondence on social networks and messengers, without agreeing on the terms of reference in detail, which in some cases leads to a conflict between the customer and the contractor. This is due to many reasons, including a low level of legal literacy, the peculiarities of providing a particular type of service or work, the unwillingness of the parties to complicate (as it seems to them) the order approval process, the peculiarities of communication between the customer and the contractor (including the widespread use of electronic resources). The form of agreement chosen by the parties deprives them of the opportunity to properly regulate their legal relations and protect their rights.
Dispositive and Imperative Methods of Legal Regulation: Philosophical and Legal Genesis and Interdisciplinary Extrapolation
Authors:   ostgraduate Student of the Department of Entrepreneurial, Labor and Corporate Law of the Law Faculty of M.M. Speransky, Kabanov Nikolay S.
Published: October 2024

In this article, the concepts of “dispositivity” and “imperative” are considered as methods of legal regulation from philosophical and legal positions. The author draws parallels with the presence of free will in the individual in the philosophical paradigm, identifying this state of affairs with the dispositive principle in law, and, on the contrary, reflects on determinism as a kind of orderliness inherent in the imperative method. The author's view on the correlation of the use of the previously mentioned methods in the current reality, from the point of view of their essential features, seems to be the most curious. Additionally, the question of the viability of one method in the absence of another is raised, similar to such philosophical trends as compatibilism and incompatibilism in relation to human freedom of expression.
On Referring an Agreement for Research and Development Services to Aleatory Transactions
Authors:   Postgraduate Student of the Department of Civil Law and Procedure and Private International Law, Tsander Yana M.
Published: October 2024

The article is devoted to the question of whether an R&D contract can be classified as an aleatory transaction. The purpose of the study is to analyze, in relation to an R&D agreement, the signs of an aleatory transaction, such as: the presence of a random event of a nature beyond the control of the participants, on which the legal consequences of the transaction depend; absence of an exchange element; risk as a fundamental element of this transaction; Features of legal regulation regarding restrictions on the right to judicial protection. Based on the results of the study, the author comes to the conclusion that the R&D agreement is a risky contractual structure, but cannot be qualified as an aleatory transaction.
Constitutional Modernization in the CIS Countries: Contemporary Tendencies
Authors:   Associate Professor of the Department of Constitutional Law of the Law Faculty of the Belarusian State University, Maslovskaya Tatyana S.
Published: October 2024

The article analyzes the general features and some features of constitutional modernization in the CIS countries over the past five years. Attention is drawn to new principles, norms, and institutions introduced into constitutional texts. The conclusion is made about the strengthening of the national component in constitutional texts. A promising emerging trend is identified - the strengthening of collectivist aspirations and unifying principles in the constitutions of the CIS states.
Some Issues of Constitutional and Political Development of the State in the Contemporary Reality: Reforms or Counter-Reforms?
Authors:   Judge Emeritus of the Constitutional Court of the Republic of Armenia, Khachatryan Ashot G.
Published: October 2024

The article considers the problems associated with ensuring coninstitutional and political development of the state and society in Armenia, especially in the context of changes and amendments to the Constitution in 2015 and 2020, and the constitutional legislation resulting from these changes. Based on the results of the study, certain conclusions were drawn regarding the consequences of inappropriate politicization of constitutional law and the effective development of constitutional policy.
Relentless Indisputability of Reception: Has the Russian Presidency Institution Been Borrowed?
Authors:   Postgraduate Student of the Department of Constitutional and Municipal Law of the Law Faculty of the Lomonosov Moscow State University, Brikulsky Ivan A.
Published: October 2024

The article raises the problem of reception of the presidency institution in Russia. The author addresses the problems of borrowing of legal institutions and the institutional theory that stipulates rather strict conditions for borrowing of any institutions. Ignoring such conditions (e.g., clear choice of the institution to be borrowed, creation of institutional conditions, strategy, accounting for the cultural factor, etc.) means that the borrowed institution will be dysfunctional or will negatively affect all other institutions. The author uses files of the Constitutional Conference of 1993 to illustrate the initial problems of borrowing of the presidency institution. Justifying the role of the president in the system of separation of powers, the participants of the Constitutional Conference addressed the monarchical culture and Russian traditions ignoring a number of important institutional arguments. Later on, an institutionally strong president has been able to overcome one of the most important characteristics of presidency that distinguishes it from the monarchical institution, which is limitation of the term of office (cadence). The author concludes that overcoming of such important institutional characteristics (fundamentals of presidency) and subsequent concentration of power by the president are the result of mistakes made at borrowing.
Unbiased Thoughts in View of Introduction of a Bill of the Federal Constitutional Law on the Constitutional Assembly to the State Duma on May 22, 2024
Authors:   Chairman of the Commission on Development of Constitutional Legal Consciousness of the Association of Lawyers of Russia, Rumyantsev Oleg G.
Published: October 2024

The proposed article discusses various scientific and legal, as well as practical and political aspects of the problem of legislative regulation of the convening of the Constitutional Assembly as the last constitutional body prescribed in the Constitution, but not yet activated, which has exclusive powers to decide on the issue of preserving the invariability of the current Constitution, drafting a new Constitution and its adoption or its submission to a national vote. The paper considers the significance and status of this institution, offers a historical excursion — previous attempts to adopt the law, substantiates the strategic nature of the Constitutional Assembly, the problem of election of its members and the popular vote on the draft of the new Constitution, analyses the correlation between the Constitutional Assembly and the State Duma, makes a proposal on how to update the Constitution of 1993, makes specific comments on the draft law submitted to the State Duma on 22 May 2024, raises the question of the possibility of an integrated approach to the drafting of the new Constitution. The article is oriented towards continuing the discussion on this issue in scientific and practical terms.
National Constitutional Values as a Guarantee of Protection of National Interests of the State in the Conditions of the Contemporary Globalization Transformation
Authors:   Associate Professor of the Department of State and Administrative Law of the Kemerovo State University, Balayan Ellada Yu.
Published: October 2024

The scientific article is devoted to the analysis of the influence of globalization processes on the constitutional and political development of Russia in the modern era. The author notes that globalization is a complex planetary process that, one way or another, affects all modern states of the world, including Russia. Under the influence of globalization processes, any state is transformed, which affects the state and content of its basic constitutional values and features: sovereignty, public authority, human rights, freedoms and responsibilities, territory, financial system and others. As a result of the study, the author comes to the conclusion that many modern states in the context of globalization create an unfriendly situation for the implementation and observance of human rights, do not demonstrate a diplomatic and compromise policy, and aggravate existing contradictions.
A High-Quality Constitution and Operating Constitutionalism: Mutual Understanding and Mutual Influence. Experience of Kazakhstan
Authors:   Head of the Eurasian Center for Economic and Legal Studies of the Narxoz University, PhD (Law), Professor, Imashev Berik M. , Malinovsky Viktor A. ,   Chief Expert of the Eurasian Center for Economic and Legal Studies of the Narxoz University, LL.D., Professor
Published: October 2024

The 30th anniversary of the Constitution of the Russian Federation of 1993 has become a good reason for assessment of results of development of this Fundamental Law and analysis of experience of constitutional building in the neighboring republics including Kazakhstan.
Digital Ruble in the Financial and Legal Space
Authors:   Leading Research Scientist of the Institute of Legislation and Comparative Law under the Government of the Russian Federation, Ledneva Yulia V.
Published: October 2024

Currently, the issues of financial and legal regulation of relations on the issue and circulation of the digital ruble are becoming particularly relevant. This is due to the need for the Russian Federation to resist sanctions that apply to the sphere of international settlements and make them difficult. The study of the financial and legal nature of the digital ruble, the financial and legal mechanisms used in regulating relations, the subject of which is the digital ruble, will contribute to solving the problem of legal support for international settlements in the context of increased sanctions pressure and the possibility of using the digital ruble for these purposes. The conclusion is formulated that Russia currently has prerequisites for further implementation of the digital ruble, including the sphere of international settlements, as well as technological capabilities. This process will require an audit of Russian legislative acts regulating settlement and payment relations, including cross-border ones, and making comprehensive changes to related legislation: currency, budget, tax, AML/FT legislation and the national payment system.
The Role and Meaning of Legal Restrictions in the Civil Service in the Conditions of the Hostile Policy of Foreign States
Authors:   Associate Professor of the Department of State and Administrative Law of the Law Institute of the National Research Ogarev Mordovia State University, Larkina Anna P. , Artemova Oksana E. ,   Associate Professor of the Department of State and Legal Disciplines of the Faculty of Higher Education of the Middle-Volga Institute (Branch), Sveshnikova Larisa N. ,   Senior Lecturer of the Department of State and Legal Disciplines of the Faculty of Law and Management of the Saransk Cooperative Institute (Branch)
Published: October 2024

The study of restrictions and prohibitions in the civil service in ensuring internal and external security, protecting the interests and sovereignty of the Russian Federation in the context of the unfriendly policies of foreign states is of particular relevance. The authors substantiate the expediency of establishing special legal restrictions in the civil service, the strict implementation (compliance) of which by civil servants can serve as a guarantee of ensuring the protection of the interests and state sovereignty of the Russian Federation, especially in the current conditions of the unfriendly policies of some foreign states.
The Concept and Essence of the Award System of a Constituent Entity of the Russian Federation
Authors:   Associate Professor of the Department of Constitutional and Administrative Law of the Law Faculty of the Kazan Federal University, Nigmetzyanov Almaz A.
Published: October 2024

Based on the analysis of regional legislation, the article conducts a study of state incentives in the Subjects of the Russian Federation. Due to the fact that state encouragement is carried out in various forms, including material and moral incentives, the specifics of the award system of the Subject of the Russian Federation as a subject of regulation of award Law are established. It is concluded that the award system of the Subject of the Russian Federation includes precisely the awards of the Subject as objects of the material world, as well as the award Law of the Subject of the Russian Federation regulating the establishment, assignment, awarding and deprivation of awards in the Subjects of the Russian Federation.