bluuebunny/crossref_metadata_2025 huggingface dataset:
Fournier’s Gangrene: A Novel Approach and Pushing the Envelope to a Case of Abdominoperineal Necrotizing Soft Tissue Infection in Peripheral Hospital Setup and Review of Literature
Authors: Singh Thokchom-Bishwajit , Kumar Ranjan , Behera Mahesh , Ushakiran Singh Sanasam
Published: September 2022

Introduction: Fournier’s gangrene is a rapidly progressive necrotizing soft tissue infection with very high mortality and is due to evolving synergistic polymicrobial infections of aerobes and anaerobes in perineum and genital area. Multiple predisposing factors include diabetes mellitus, alcoholism, immunosuppression, renal and hepatic disease. In the vast majority of cases, scrotum is most commonly affected. Case Presentation: The prognosis of the disease is not limited to the patient’s age, disease extent, and comorbidities. Treating such cases is always challenging for a surgeon and requires high expertise and quick decision. Conclusions: The aim of this report is to share our experience of a multimodal and multidisciplinary approach to this disease in peripheral hospital with resource constraints.
Divine Glory: Responding to Another Euthyphro Problem
Authors: Hinchie Joshua ,   Philosophy Documentation Center
Published: September 2022

An oft-neglected issue in Plato’s Euthyphro is the problem of how human beings can reciprocate the gods’ gifts if nothing we do can benefit them. This problem is relevant to a Christian faith that proposes to “serve” God in some way, while also maintaining that God is perfect and in need of nothing from human beings. In this paper I propose a solution to this problem using the concept of divine glory as suggested by several texts of St. Thomas Aquinas. I believe that Aquinas’s claim that God seeks not profit but glory from human acts explains how human beings can reciprocate God’s gifts without detracting from his perfection and self-sufficiency.
Milla’s Dandelion
Authors: Jaros Arthur ,   After Dinner Conversation
Published: September 2022

How do you know what’s wrong with a relationship? In this work of fantasy and ethics fiction, Alchemilla is in a poor marriage with her Kestral. Alchemilla collects and sells flowers for a living. Kestral, and their doctor, think she is pregnant. While out on a flower picking expedition she meets peaceful, but fantastical human like animal creature with horns. He cannot speak, but they becomes friends and she names him Dandelion. She tries to tell her husband out Dandelion, but he doesn’t believe her. Later, he finds them together and attacks Dandelion. Alchemilla stands up to her husband and kills him.
The Heaven — The Earth
Authors: De Voe M. M. ,   After Dinner Conversation
Published: September 2022

What causes a person to feel empty inside? How do they get to that point in their life, and how do they get out of it? In this symbolic and absurd work of philosophical short story fiction, Morton is at work when he realizes a hole is growing in his belly. It doesn’t hurt, and it’s not bleeding, but it is definitely there. He excuses himself from work to head home, worried that he will catch his wife cheating on him. However the house is empty. He opts to take off his clothes, exposing the growing hole, to do martial arts movements. He is out of shape and older now, and quickly gets winded. Suddenly a bird flies in his window, then another, and another, until is home is full of birds. He tries to protect his growing hole until, eventually, he decided to let a bird into it. He quickly shoves the bird into the hole and traps it in his stomach. No telling how long he can keep it there. His phone rings, it’s his wife calling to make dinner plans. For the first time, he feels purpose.
French Connection
Authors: Giordano Joe ,   After Dinner Conversation
Published: September 2022

Is the honestly lived life always the best? What if it leads to a life of hardship and poverty? In this work of philosophical short story fiction, the narrator is transported to 1940’s Paris and is invited to have coffee with Simone de Beauvoir, Jean Paul Sartre, and Albert Camus. They discuss with her over coffee their ideas on the meaning and purpose of life, consistent with the opinions of the historical figures. Each comment they make ties into the decision the narrator is struggling with in her own time, if she should choose the college major she wants, disappointing her parents and creating a potential life of struggle, or should she attempt to construct a life of personal meaning and value? After a few minutes, she realizes the decision she must make.
Reflections On Mr. Twain
Authors: Collings Robert ,   After Dinner Conversation
Published: September 2022

Is it okay to lie when the only thing you are hurting is a corporation? If lying is an understood part of the game, is it dishonest to lie? In this work of philosophical short story fiction about an insurance claim, the narrator finds his car in the shop. As such, he spends several weeks getting a ride to work from his chatting friend, Sandy. On the fateful day of the story, they also pick up an additional person who gets a ride to work and sits in the back of the car. The way to work, while at the gas station, an elderly woman slowly backs into their car. The blinker light glass breaks but the car, and the occupants, are otherwise uninjured. A few days later Sandy starts acting strange and work. Eventually, he is put on permanent disability leave at 80% pay. Life goes on until, almost two years later, the narrator is contacted by Mr. Salamon, the claims adjusted for the elderly woman’s insurance company. In short, Sandy is asking the insurance company to pay him $10 million, but he will settle for $7 million. The narrator in the backseat, amazed by this, finds out the back seat passenger settled for $50,000 for his “injuries.” The narrator has a change of heart, and suddenly feels “injured.”
Survival and neurologic recovery after out-of-hospital cardiac arrest
Authors: Jaraković Milana , Aleksić Vesna , Bjelica Snežana , Dimić Sonja , Kovačević Mila , Petrović Milovan , Keča Stevan , Maletin Srđan , Ivanišević Dragan
Published: September 2022

Introduction/Objective: Survival and neurologic recovery after out-of-hospital cardiac arrest remain poor despite significant advances in the therapeutic approach. The study aimed to evaluate predictors of intrahospital survival and neurologic outcome among patients after outof-hospital cardiac arrest as well as to evaluate the influence of mild therapeutic hypothermia introduction on intrahospital survival and neurologic outcome among comatose patients after out-of-hospital cardiac arrest. Methods The research was conducted as a retrospective observational study among patients hospitalized at the Cardiac Intensive Care Unit of the Institute for Cardiovascular Diseases of Vojvodina from January 2007 until November 2019 as a result of an out-of-hospital cardiac arrest. Results. The research included 506 survivors of OHCA. Multivariate regression analysis showed that initial shockable rhythm, cardiopulmonary resuscitation efforts lasting no longer than 20 minutes and a Glasgow Coma Score above 8 at admission, were predictors of intrahospital survival and good neurological outcome. Introduction of mild therapeutic hypothermia improved intrahospital survival (54.1% vs. 24.4%; p < 0.0005) and neurological outcome (42.9% vs. 18.3%; p < 0.0005) in comatose patients with initial shockable rhythm. Conclusion. In our study group of out-of-hospital cardiac arrest patients, initial shockable rhythm, cardiopulmonary resuscitation efforts lasting no longer than 20min and a Glasgow Coma Score above 8 at admission were predictors of intrahospital survival and favourable neurological outcome. The introduction of mild therapeutic hypothermia significantly improved survival and neurological outcomes in comatose patients with initial shockable rhythms.
Clinico-etiological profile of neonatal sepsis at a tertiary care hospital in South India
Authors: Kumar Kamalakannan
Published: September 2022

Introduction/Objective Neonatal sepsis is the leading cause of morbidity and mortality among neonates. Neonates are at risk of sepsis due to several immaturities that they possess inherently. Sepsis is classified as early-onset or late-onset neonatal sepsis. Pathogenesis is different in both types. This study aims to determine the pattern of microorganisms causing sepsis and the clinical presentation of neonates admitted with suspicion of sepsis to the Government Kilpauk Medical College Hospital, a tertiary medical care centre. Methods Descriptive cross-sectional study performed in Government Kilpauk Medical College and Hospital, India. Results Out of 207 neonates admitted with suspected sepsis, 112 were male and 97 were female. Male to female ratio was 54.1% : 45.9 % (1.2 : 1). On categorizing the newborns based on birth weight, 11 newborns were of very low birth weight, 107 were of low birth weight, 88 had normal birth weight, and one baby weighed more than 4,000 grams. Blood culture was positive in 88 out of the 207 cases (42.51%). Klebsiella was the commonest microorganism causing sepsis (45%) in our Neonatal Intensive Care Unit. Other Gram-negative isolates included Escherichia Coli (31%), Pseudomonas (6%), Enterobacter (1%) and Acinetobacter (2%). The Gram-positive organisms grown were coagulase-positive and coagulase-negative Staphylococci (8%), Group B Beta Hemolytic Streptococcus (5%) and Enterococcus (2%). Late-onset sepsis cases were found to be 1.5 times more common than early-onset sepsis. The best overall sensitivity among Gram-negative isolates was to Imipenem (92%), followed by Amikacin (82.66%) and the best sensitivity among Gram-positive isolates was to Vancomycin (84.61%), followed by Cloxacillin and Ampicillin (61.53%). Out of 88 positive cultures, 6 were multi-drug resistant (6.8%). Conclusion Acquiring knowledge about the microorganisms causing sepsis in neonates helps prevent morbidity, mortality and the development of antibiotic resistance.
Analysis of the efficiency of work of communal police when providing assistance: Case report of the City of Zajecar
Authors: Manić Aleksandar , Karabašević Darjan , Novaković Srđan
Published: September 2022

The task of the communal police is primarily reflected in the provision of assistance and services that have their own specifics. When it comes to the communal police in the Republic of Serbia, in that case the duties are reflected in the performance of supervision and control in accordance with the legal authorizations of the city regulations. Accordingly, the communal police, by performing tasks within their jurisdiction, ensures the performance of tasks within the jurisdiction of the City of Zajecar, in the areas of communal activities, environmental protection, people and goods, protection and maintenance of order in the use of land, space, local roads, streets and other public facilities, as well as the unhindered performance of certain tasks within the jurisdiction of the city, and so forth. Having in mind the specifics of the communal police, the aim of the research is to show the efficiency of the work of the Communal Police when providing assistance (2014-2019) through a systematic approach to the processing of data from archival materials, on the example of the service provided to the city authorities, which refers to providing assistance to PC Parking Service Zajecar.
Challenges of targeted formation of financial reports in modern business conditions
Authors: Savić Bojan , Milojević Ivan
Published: September 2022

When compiling financial statements in accordance with IFRS, it is possible to apply several procedures and methods to capture the effects of certain events and transactions. The fact that the quality of accounting information is directly conditioned by the choice of accounting policies, the assessments made during the preparation of financial statements, as well as the professional judgment of the compiler of financial statements, there is an emphasized need to consider the scope of the target design of financial statements, since based on the information presented, the primary users of financial statements make decisions in the field of capital allocation. The aim of the work is to shed light on the area of conception and selection of accounting policies and thereby contribute to a better understanding of the presented financial information as a significant prerequisite for efficient decision-making by investors and the functioning of the capital market.
Application of information technologies and the internet in modern business
Authors: Stevanović Ana , Mitrović Slavka , Rajković Aleksandar
Published: September 2022

The constant pursuit of business improvement and the provision of the highest quality service to consumers requires the monitoring and introduction of modern market communications into the business process. Ensuring quality and more precise communications a big is advantage and basis he succeeded of business. These modern systems are primarily in the function of consumers or to the user service, then communication becomes basic agent For providing information, influence on the growth profit and provides se succeeded business position. Timely and organized channels communication se provides realization placed goals company.
The impact of security management in the detection of money laundering with consequences on the economy
Authors: Životić Ilija , Ristić Kristijan , Mirković Zoran
Published: September 2022

The term "money laundering" is often used in the modern economy, as an activity that aims to legalize assets obtained through illegal actions, in order to conceal the true source. Capital acquired in this way represents a danger for every economy, because it enables its entry into legal flows. In this regard, the largest number of countries are trying to use various measures to oppose the spread of this phenomenon and its legalization. The aim of this paper is to point out the measures and actions taken in the area of money laundering prevention and comparison with the countries of the European Union.
The influence of the quality of logistics services on user satisfaction in Serbia
Authors: Dašić Miloš
Published: September 2022

The research was created as an attempt to discover the role of service quality in user satisfaction with the aim of a faster and more efficient response of logistics companies to their changing needs. In particular, before the research, the question was asked whether it is possible to predict their satisfaction on the basis of users' attitudes regarding the perceived quality of logistics services. In the research, a convenient sample of 234 respondents was used, which included users who used the services of freight forwarding companies from Serbia in recent years. The regression analysis technique was used to process the collected responses of respondents. The research results confirm a significant positive correlation between the quality of logistics services and customer satisfaction. The quality of logistics services is identified as a significant predictor of user satisfaction in Serbia. It was also shown that the greatest impact on user satisfaction is achieved by responsibility as an indicator of service quality according to the SERVPERF model. Other characteristics of service quality - reliability and tangible elements show medium, while security and empathy show less significant positive correlation with user satisfaction.
Phenotypic evaluation of ten sugarcane (Saccharum officinarum L.) genotypes at Finchaa Sugar Estate, Ethiopia
Authors: Mekonnen Shitahun , Azene Tesfaw
Published: September 2022

The aim of the study was to evaluate ten introduced sugarcane genotypes for yield and juice quality in three successive crop cycles at Finchaa Sugar Estate, Ethiopia. Eight sugarcane genotypes were grown from December 2016 to May 2020 laid in a CRBD with three replications. Data were collected for number of internodes, millable stalk, plant height, stalk girth, single cane weight, cane yield, brix percent juice, pol percent, and sugar recovery percentage and sugar yield. The collected data was subjected to analysis of variance with the help of statistical analysis system software and treatment means were separated using least significance difference method at 5% level of significance. Analysis of variance for the three crop cycles indicated the existence of variation between genotypes in all quantitative traits. In the mean comparisons of traits for the three crop cycles, the genotype CP 96 12 52 had the highest number of millable stalks and VMC 96 273 and MPT 96 035 produced the highest cane thickness and single stalk weights. Considering sugar yield the best sugarcane genotypes were N 14, CP 96 1252, CPCL 02 926 and VMC 96 89 respectively. N 14 was the highest performed variety in cane and sugar yield, but its sugar recovery percent performance was very low (10.32%). However, CP 96 1252, CPCL 02 926 and VMC 96 89 had the highest sugar recovery percentage 12.93%, 14% and 12.15% respectively and had been recommended for timely seed increase for verification in large plots at Finchaa Sugar Estate.
Agroclimatic conditions for cabbage production
Authors: Červenski Janko , Vlajić Slobodan , Ignjatov Maja , Tamindžić Gordana , Zec Srđan
Published: September 2022

Cabbage is one of the most commonly produced vegetable crops worldwide due to its ability to adapt to a range of climatic conditions and soil types. As an intensive vegetable crop, cabbage can be produced all year round. Regarding the fact that cabbage needs optimum agroclimatic conditions during growing period for better yielding results, the paper aims to clarify and define the specific agroclimatic requirements, such as temperature, water, light and soil, suitable for cabbage production. Cabbage production should take place on a seasonal basis, as an early, summer, autumn, or winter production. Production goals should take into consideration whether the cabbage is intended for fresh consumption, pickling, storage or another specific method of consumption or processing. Growing the same cultivar in two different temperatures during one year should be avoided. The combination of suitable production conditions, intensive cultivation practices and mechanisation, can boost the genetic potential of the cabbage cultivars. Local climate conditions greatly affect cabbage production, primarily plant growth, occurrence and development of diseases, harmful insects, and weeds. Production planning must take into consideration both the regional (mean annual temperatures and precipitation) and the local climate conditions (frost occurrence). Cabbage is currently produced in the open field throughout the year, but we may be forced to change the course of cabbage production due to the increase of extreme local climate change. For this reason, the aim of this paper was to give recommendations of agricultural practices that could minimize the detrimental effects of climate change in cabbage production.
Occurrence of root-knot nematode Meloidogyne arenaria in the potato field in Serbia
Authors: Bačić Jasmina , Bosnić Dragana , Samardžić Jelena , Avdalović Radmila , Mickovski-Stefanović Violeta , Kušić-Tišma Jelena
Published: September 2022

Root-knot nematodes can cause significant losses in potato yield in warm and cool regions. Six Meloidogyne species can attack potato. Species Meloidogyne chitwoodi, M. fallax, M. hapla, are present in cool regions, while M. arenaria, M. incognita and M. javanica are common in warm regions and considered to belong to the Meloidogyne tropical group. Meloidogyne arenaria is present in regions with continental climate in glasshouses attacking a large number of host-plants. In October 2018, potato crop var. Balathon Rose with galls on 70% of all tubers was noticed during quarantine nematode species Meloidogyne chitwoodi and M. fallax survey in the locality Horgoš, municipality of Kanjiža, Vojvodina Province. Symptoms of stunted and wilted plants were detected as well. Females were used for morphological and molecular identification. Morphological identification of species based on females' perineal patterns indicated the sample as M. arenaria. Species identification was confirmed by molecular analyses using group-specific primers in the rDNA region and species-specific SCAR primers for M. arenaria species identification. To our knowledge, this is the first record of highly damaged potato crop caused by M. arenaria in the field in Serbia. The severity of the damage M. arenaria can cause to potato in the open field has not been observed in the part of Balkan peninsula with continental climate before. This tropical Meloidogyne species may become an emerging phytosanitary problem within Europe in the future due global warming and climate change.
Socioeconomic determinants of gender differences in self-reported health status among older population
Authors: Ilić Slađana , Radević Svetlana , Janićijević Katarina , Miljanović Ana , Andrić Dragana , Iković Majda , Pantović Milica
Published: September 2022

Introduction: Self-reported health status is considered one of the highly significant indicators of general health and overall quality of life. Aim: to examine whether there are gender differences in self-reported health status among the older population depending on the socioeconomic determinants. Methods: The analysis was carried out based on the data collected from the fourth National Health Survey of the population of Serbia, which was designed as a cross-sectional study. The research was conducted in accordance with the methodological guidelines and research instruments of the European Health Interview Survey. Results: A statistically significant correlation was observed between gender and the self-reported health status of the respondents. Women were significantly more likely to report poor self-rated health (27.8%), whereas men reported better self-rated health (21.3%). The results of the multivariate logistic regression analysis showed that poor self-rated health status among women was more likely to be affected by age, educational level, and region, whereas age and economic status were significant factors associated with poor self-rated health status among men. Conclusion: Taking into consideration the fact that the advantages of increased life expectancy will achieved only if these extra years of life gained through increased longevity are spent in good health, the importance of conducting additional research on gender differences is more than evident, particularly in terms of providing meaningful insight into the development of action plans devised to deal with gender differences in health status, simultaneously promoting healthy and active aging for both men and women.
Patient satisfaction with anaesthesia services at the tertiary care hospital, a cross-sectional study patient satisfaction and anesthesia services
Authors: Garaniya Roopal , Mehta Pancham , Shiyal Kishan , Mehta Kamla
Published: September 2022

Introduction: Patient satisfaction is an integral part of the quality of healthcare processes. The survey performed by the ASA Committee on Performance and Outcomes Measurement (CPOM) in 2013 states that the assessment of patient satisfaction is a reality of practice today. Thus, this study aimed to assess patient satisfaction with perioperative anaesthesia services and determine the factors influencing patient satisfaction in our hospital. Methods: We performed the cross-sectional study at our tertiary care institute after getting institutional review board approval. This study included 200 patients who underwent elective or emergency surgeries under anesthesia from April 2019 to June 2019. The long-form questionnaire was prepared based on various references and validated in our department. Results: Out of 200 patients, 76.5% (n = 153) were satisfied with anaesthesia services. Male gender [87.03% (n = 94/108)], younger [86.66% (78/90)] and literate patients [ 88.52% (108 pts/122)] were more satisfied. Better satisfaction was recorded in patients who had regional anaesthesia [85.18% (92/108)] and no complain of post-operative pain [83.58% (112/134)] or postoperative nausea and vomiting (PONV) [87.90% (109/124)]. Patients with intraoperative awareness were less satisfied. Conclusion: In our study group, type of anaesthesia, postoperative pain, PONV, and intraoperative awareness were factors that affected patient satisfaction.
Our experience with radiological methods and characteristics of radiological findings in COVID-19: Part two: Radiological findings in COVID-19
Authors: Sekulić Danijela , Stević Ruža , Gligorić Tamara , Nikolić Marija , Mašulović Dragan , Stojadinović Milica
Published: September 2022

One year after the first reported case of SARS-CoV-2 infection, the pandemic is still active. Considering non-specific clinical manifestations, tests' insufficient sensitivity, and restricted availability of PCR testing, radiological methods are often used for making a preliminary diagnosis. Additionally, chest X-rays and computerized tomography (CT) help discover previously existing cardiopulmonary conditions, follow the disease progression in moderately and severely ill patients, and detect complications. On a CT scan, we can see four stages of pneumonia: early (initial), progressive, peak, and resolution (absorption) phase. Considering that various imaging studies are being used among large populations of different ages and the necessity of repeated imaging in moderately and severely ill patients, special focus must be paid on lowering the radiation dose while maintaining optimal image quality.
Use of corticosteroids in the sepsis in pediatric patients updates (sepsis in children)
Authors: Marinković Marija , Petrov-Bojičić Ivana , Božić-Cvijan Bojana , Stević Marija , Simić Dušica
Published: September 2022

The specific characteristics of the pediatric population, the lack of evidence, as well as the small number of studies made treatment of septic shock in children one of the biggest challenges in intensive care units. The Surviving Sepsis Campaign issued in 2020 new guidelines for the management of septic shock and sepsis-associated organ dysfunction in children. The first guide on this topic was published in 2004, and has been reviewed every four years since. Sepsis is a leading cause of healthcare utilization for children worldwide, and early recognition and appropriate management of children with sepsis and sepsis-associated organic dysfunction are crucial for the outcome. Although the new guidelines covered publications up to May 2017, this review also included some recently published studies. Following the innovations in this area, practical application and implementation of guidelines are important for the management of septic shock and sepsis-associated organ dysfunction in children.
Comparison between lignocaine nebulization and airway nerve blocks for awake fiberoptic nasotracheal intubation in oral cancer surgery patients: Running title: Airway management in oral cancer patients
Authors: Nilesh Solanki , Mahendra Thakkar
Published: September 2022

Intro duction: Awake fiberoptic bronchoscope-guided intubation is the preferred airway management strategy in a patient with a difficult airway and limited mouth opening. The aim is to compare the efficacy of nebulization and airway nerve block using lignocaine to provide airway anesthesia in awake patients using fiberoptic bronchoscope for nasal intubation to make the patient comfortable, cooperative, and agreeable. Methods: In this randomized, prospective, single-blinded study, sixty adult patients scheduled for oral cancer surgeries were divided into two equal groups. Nebulization with 4% lignocaine (10 ml) was performed in Group N, and superior bilateral laryngeal and trans-laryngeal recurrent laryngeal nerve blocks used 2% lignocaine (2 ml) were given in Group B. Nasotracheal intubation using fiberoptic bronchoscope were performed. Intravenous midazolam and fentanyl were used for sedation and analgesia. We recorded the ease of intubation, coughing episodes, vocal cord status, hemodynamic variables, patient recall, and lignocaine toxicity. Student's t-test and Chi-square tests were used for appropriate data. Statistical significance was considered for P < 0.05 (SPSS Version 20, IBM, USA). Results: The intubation time was shorter with better intubating conditions in Group B (120.3 ± 42.6 s) than Group N (200.4 ± 60.3 s) (P < 0.001). Cough severity and patient recall for untoward effects were lower in Group B. Intubation were done successfully in all patients. Conclusion: Airway nerve blocks provided better airway anesthesia characterized by easier fiberoptic intubation and patient comfort than lignocaine nebulization. Nebulization can be considered a suitable alternative when nerve blocks are not feasible due to distorted neck anatomy.
Urgent ultrasonographic diagnostics in acute nontraumatic abdominal conditions (emergency abdominal ultrasound)
Authors: Vasin Dragan , Pavlović Aleksandar , Stojadinović Milica , Mijović Ksenija , Maričić Bojana , Jovandić Biljana , Mašulović Dragan
Published: September 2022

Ultrasound is an essential and often initial visualization diagnostic procedure in all algorithms for urgent care of acute abdominal conditions. Ultrasound is a fast, accessible, non-invasive diagnostic examination method that does not involve ionizing radiation and can be repeated. It is vital in detecting free fluid in the abdominal cavity, acute pathological conditions of parenchymal and hollow organs, and assessing volemic status. Ultrasound efficiently and accurately diagnoses acute pathological conditions of the hepatobiliary and urogenital system. It certainly makes a significant contribution to the definitive diagnosis of pathological conditions of the gastrointestinal and vascular systems and can help detect pneumoperitoneum as an indication for urgent surgical treatment.
Malpositioned umbilical venous catheter after thoracoscopic repair of diaphragmatic eventration
Authors: Manjit George , Koruth Samuel , Linby Chacko , Joicy Jojo
Published: September 2022

Diaphragmatic hernia and eventration of the diaphragm as congenital defects have similar clinical and radiological presentations. The umbilical venous catheter is successfully used for venous access in a neonatal age group with minimal complications. We present a case of a two-day-old neonate, initially scheduled for thoracoscopic repair of right diaphragmatic hernia. But, the intraoperative evaluation revealed the right diaphragmatic eventration. After initial ventilation and optimization in the neonatal intensive care unit, the baby was taken up for thoracoscopic repair under general anesthesia. The postoperative abdominal radiograph showed migration of umbilical vein catheter into the portal vein cephalad. The possible explanation is liver reposition to standard anatomical localization upon surgical correction. The catheter was uneventfully pulled back to its optimal position.
The influence of augmented renal clearance on vancomycin blood concentrations in patients with traumatic brain injury: Case report
Authors: Miljković Milijana , Dragojević-Simić Viktorija , Kovačević Aleksandra , Stamenković Dušica , Đurasinović Tatjana , Kostić Dejan , Rančić Nemanja
Published: September 2022

Traumatic brain injury is a severe condition frequently complicated with infections, hypermetabolism, and augmented renal clearance (ARC). The ARC is a phenomenon characterized by increased creatinine clearance above 130 mL/min/1.73m2. This phenomenon has been associated with decreased blood concentrations of selected antibiotics, like vancomycin, probably causing treatment failure. Despite ARC's possible fatal consequences in our local medical community, it is rarely assessed. Patient with traumatic brain injury accompanied with secondary infection and augmented renal clearance accompanied with subtherapeutic vancomycin concentrations in the time of treatment is presented. Since concentrations of antibiotics are not routinely measured in Serbian hospitals, clinical practice adjustment and widely accepted method of antibiotics blood concentration measurement which is particularly important in critically ill patients is suggested. The clinical pharmacologist is a significant team member for the treatment of critically ill patients due to his/her expert knowledge of pharmacokinetics and drug interactions, especially important in this category of patients, contributing to positive clinical outcomes.
Well-being, life satisfaction and burnout in employees of anesthesiology and intensive care departments in Russia
Authors: Sinbukhova Elena , Protsenko Denis , Petrikov Sergey , Afukov Ivan , Sinbukhova Nadezhda , Shabanov Aslan , Plotnikov Georgiy , Lubnin Andrey
Published: September 2022

Background: Happiness appears to be a protective factor for morbidity and mortality. Nowadays, medical staff faces different psychological stressors, and it necessitates constant monitoring and strong well-being support. Depression is common in medical professionals, and it is closely related to suicide, and it may be a marker of suicide risk. The study focuses on satisfaction with life, psychological well-being, and burnout in anesthesiology and intensive care departments. Methods: This was an anonymous and name-blinded multi-center studysurvey. Paper and electronic questionnaires were sent to the different hospitals in Russia. The study included anesthesiology and intensive care departments employees who voluntarily took part. The primary outcomes were satisfaction with Life Scale (SWLS), Scale of Positive and Negative Experience (SPANE), Brief Inventory of Thriving (BIT), Maslach Burnout Inventory (MBI); the study also included questions about suicidal thoughts and reasons to live. Results: 420 anesthesiology and intensive care department employees participated anonymously in the study. Median SWLS were as follows: anesthesiologists -19 points; intensivists -17; nurses -14. The median life satisfaction score was slightly below average. The suicidal thoughts question revealed that 57.9% of employees never thought about suicide. According to MBI: E.E., 51% of anesthesiologists had high scores, 35.8% intensivists, and 50% nurses. DP high scores were present in 31.25% of anesthesiologists, 19.17% of intensivists, 35.9% of nurses. High levels of P.A. were found in 65% of anesthesiologists, 47.5% of intensivists, 25% of nurses. Conclusion: Physicians are exposed to high levels of stress at their work, and at the stage of burnout, this could have far-reaching implications on patients and the healthcare system increase of medical errors. Organizational measures are vital to support the staff's mental health and address burnout through social support and psychological support (psychotherapy). The lack of happiness is a potential contributor to disease risk. The lowest median of satisfaction with life in our study was found among nurses. According to the correlation analysis, we reject the hypothesis about the lack of correlation between life satisfaction and burnout.
Differences in attitudes of fourth grade and seventh grade female students toward physical education classes
Authors: Vučeraković Milica
Published: September 2022

The main aim of this research was to determine the differences in the attitudes of female students of fourth and seventh grade of elementary school toward Physical Education classes. The research has the transversal character and it was conducted at the elementary school "Oktoih" in Podgorica. The sample consisted of 50 students from the mentioned elementary school. Students were divided into two subdivisions, according to the age criteria and the grade they attended. The first sub-sample was composed of 25 female fourth grade students and the second was composed of 25 female seventh grade students. Anonymous standardized questionnaire survey, adapted to the needs of this research, was used. Questionnaire surveys were given to the girls who were explained how to fill them in. The questionnaires were observed and the received results were processed in a descriptive way and shown in a tabular way. Chi-squared test (p< 0.05) was used to determine statistically meaningful differences between fourth grade and seventh grade female students' answers. The results have shown the existence of statistically significant differences considering favorite places of conducting Physical Education classes and pleasure in terms of the quality of Physical Education classes.
Application of machine learning in corrosion inhibition study
Authors: Rajendran Dorothy , Sasilatha Thankappan , Rajendran Susai , Selvaraj Senthil , Lacnjevac Časlav , Santhana Prabha , Rathish Rajendran
Published: September 2022

Artificial intelligence is a branch of science concerned with teaching machines to think and act like humans. Machine learning is concerned with enabling computers to perform tasks without the need for explicit programming. Machine Learning enables computers to learn without the need for explicit programming. Machine Learning is a broad field that encompasses a wide range of machine learning operations such as clustering, classification, and the development of predictive models. Machine Learning (ML) and Deep Learning (DL) research is now finding a home in both industry and academia. Machine Learning technologies are increasingly being used in medical imaging. To detect tumours and other malignant growths in the human body. Deep Learning is making significant contributions to the advancement of industrial robotics. Machine learning algorithms are used in the self-driving car industry to guide the vehicle to its destination. Deep Learning and Machine Learning are also used in corrosion science and engineering. They are used to choose the inhibitor molecules from a large pool of available molecules.
Application of artificial neural network in determining the fabric weave pattern
Authors: Das Subrata , Shanmugaraja Keerthana
Published: September 2022

The weave pattern (texture) of woven fabric is considered to be an important factor of the design and production of high-quality fabric. Traditionally, the recognition of woven fabric has a lot of challenges due to its manual visual inspection. The approaches based on early machine learning algorithms directly depend on handcrafted features, which are time-consuming and occurs more errors. Hence, an automated system is needed for classification of woven fabric to improve productivity. Along with the rapid development of computer vision, the automatic and efficient methods for woven fabric classification are desperately needed. The prediction of fabric weave pattern Fabric is done by acquiring the high-quality images of the fabric. Then the acquired images are subjected to weave classification algorithm. The output of the processed image is used as an input to the Artificial Neural Network (ANN) which uses back propagation algorithm to calculate the weighted factors and generates the desired classification of weave patterns as an output. In this review paper discussed about the study on the various neural network that are used for prediction of fabric weave pattern.
A review of amino acids used as corrosion inhibitors on iron metal/alloys in aggressive environments
Authors: Ekeke Ifeyinwa , Efe Steve , Nwadire Felix
Published: September 2022

Research into the use of safe and environmentally friendly corrosion inhibitors can pave the way for an understanding of their inhibition mechanisms in metallic alloy materials. This review seeks to present and discuss the research work reported in the literature on the use of amino acids and their derivatives as corrosion inhibitors for iron and its alloys in different aggressive solutions. This non-toxic, biodegradable and relatively cheap corrosion inhibitor has shown to be efficient as an inhibitor for metals/alloys in acidic, alkaline and neutral solutions depending on experimental conditions. Electrochemical and surface techniques were among the most often used techniques to evaluate the corrosion inhibition efficiency of amino acids. Highest values of inhibition efficiency can be obtained in the presence of ions as Iand Br. This review presents and discusses most of the contributions made in literature on the use of amino acids and their derivatives as corrosion inhibitors for iron and its alloys.
Influence of urea and glucose on corrosion resistance of Gold 21K alloy in the presence of artificial sweat
Authors: Umamathi Thangarajan , Parimalam Ramachandran , Prathipa Venkatachalam , Vanitha Antony , Muneeswari Kalimuthu , Mahalakshmi Babu , Rajendran Susai , Nilavan Anitha
Published: September 2022

Corrosion resistance of Gold 21K alloy immersed in artificial sweat in the absence and presence of 100 ppm of urea and also 100 ppm of D-Glucose has been investigated by polarization study and AC impedance spectra. It is observed that Corrosion resistance of Gold 21K alloy immersed in artificial sweat in the presence of 100 ppm of urea / D-Glucose increases. Hence it is concluded that people wearing ornaments made of Gold 21K alloy need not worry about the excess of urea / D-Glucose in their sweat. When Gold 21K alloy is immersed in artificial sweat in the presence of 100 ppm of urea, Linear Polarisation Resistance value increases from 103389Ohmcm2 to 123437Ohmcm2 ; corrosion current decreases from 4.036 x10-7A/cm2 to 3.308 x10-7A/cm2 ; charge transfer resistance value increases from 10490 Ohmcm2 to 14070 Ohmcm2 ; impedance value increases from 4.253 to 4.324; double layer capacitance decreases from 4.862x10-10 F/cm2 to 3.625x10-10 F/cm2 , and phase angle increases from 38.91 to 70.14. When Gold 21K alloy is immersed in artificial sweat in the presence of 100 ppm of D-Glucose, Linear Polarisation Resistance value increases from 103389Ohmcm2 to 4817257Ohmcm2 ; corrosion current decreases from 4.036 x10-7A/cm2 to 0.161x10-7A/cm2 ; charge transfer resistance increases from 10490Ohmcm2 to 33300Ohmcm2 ; impedance value increases from 4.253 to 4.977; double layer capacitance decreases from 4.862x10-10 F/cm2 to 1.5315x10-10 F/cm2 , and phase angle increases from 38.91° to 79.74°.
Afbureaukratisering af det børnesociale arbejde i tre frikommuner – en casebaseret analyse og diskussion
Authors: Jensen Hanne Louise Søgaard , Strandby Martin Williams
Published: September 2022

Denne artikel analyserer og diskuterer en case, hvor afbureaukratisering lykkes – et frikommuneforsøg på det specialiserede børnesociale område, hvor tre danske kommuner fra 2017-2020 har erstattet procesregler i serviceloven med nyudviklede socialfaglige arbejdsgange. Analysen tager udgangspunkt i regelfritagelser, medarbejdermotivation samt ledelsesfokus og viser, på baggrund af kvantitative spørgeskemadata og kvalitative interviewdata, hvordan de tre forhold hver især er kommet til udtryk i denne ”afbureaukratiseringssucces”. Endvidere diskuterer vi forholdet mellem disse tre komponenter og argumenterer for, at regelfritagelserne er en væsentlig katalysator for en forandringsproces, hvor kommunerne via motiverede medarbejdere og et solidt ledelsesfokus nytænker deres arbejdsgange, men at regelfritagelserne ikke i sig selv skaber forandrede arbejdsgange. De største afbureaukratiserende forandringer sker via lokale forandringsprocesser initieret af de lovmæssige undtagelser, og især ledelsesfokus ser ud til at spille en afgørende rolle.
Embedding of public sector innovation labs
Authors: Krogh Andreas Hagedorn
Published: September 2022

Public sector innovation labs are becoming an increasingly popular tool for developing new and more meaningful forms of governance in the public sector. Due to weak organizational embedding, however, they rarely generate more than local and transient ideas for new solutions. This article examines how public sector innovation labs become embedded in public bureaucracies. It develops a theoretical perspective on the characteristics of public sector innovation labs, their specific form of value creation, and their inherent “embedment paradox”. Through an explorative case study of three municipal innovation labs, it induces four distinct forms of organizational embedding: plan, process, platform, and person embedment. The article contributes with a novel analytical perspective on the relation between public bureaucracies and public sector innovation labs. It may serve as a point of reference for designers and facilitators of public sector innovation labs aiming to enhance the value of labs through organizational embedding.
COVID-19 som kriseinduceret styringslaboratorium
Authors: Torfing Jacob , Bentzen Tina Øllgaard , Jensen Didde Cramer
Published: September 2022

På en tragisk baggrund viser dette studie, at COVID-19-pandemien har været katalysator for innovationer i både velfærdsløsninger og den danske offentlige sektors maskinrum. På baggrund af såvel kvantitative som kvalitative data beskriver artiklen dels de nye velfærdsløsningers karakter og oplevede effekt i forhold til udsatte borgere, dels en række forudgående organisatoriske innovationer i forhold til tillidsbaseret ledelse og tværgående samarbejde. På denne baggrund genereres og diskuteres en hypotese om en mulig sammenhæng mellem kriseinduceret organisatorisk innovation og velfærdsinnovation.
Leituras e releituras românticas: José de Espronceda e Álvares de Azevedo
Authors: Pandolfi Maira Angélica
Published: September 2022

Este livro trata da obra de dois escritores: o espanhol José de Espronceda y Delgado (1808-1842) e o brasileiro Manuel Antônio Álvares de Azevedo (1831-1852), ambos considerados expoentes de uma corrente noturna do Romantismo. A análise comparativa mostra o apreço que nutriram por obras, temas, arquétipos e outros elementos comuns em voga no romantismo europeu. Personagens que retomam o arquétipo do herói byroniano e sua problemática psique, a vaidade fáustica, a sedução donjuanesca, a bela e a fera habitando o mesmo ser, a loucura, o amor, a morte e uma profusão de imagens que simbolizam a complexa teia de sentimentos díspares, ambíguos e violentos que emergem do inconsciente. A forma com que cada escritor relê esses elementos deixa entrever motivações de cunho estético e/ou político e acabam produzindo obras que remetem, por meio de um sistema simbólico transnacional, uma revisão das polêmicas locais. O florescimento do espírito revolucionário romântico impulsionou a leitura e a releitura de velhos mitos renascentistas para fazê-los ressurgir sob uma nova roupagem.
Energy transfer characteristics of single-particle NaYF4 core-shell structure
Authors: Gao Wei , Zhang Jing-Jing , Han Shan-Shan , Xing Yu , Shao Lin , Chen Bin-Hui , Han Qing-Yan , Yan Xue-Wen , Zhang Cheng-Yun , Dong Jun ,   School of Electronic Engineering, Xi’an University of Posts & Telecommunications, Xi’an 710121, China
Published: September 2022

The rare-earth doped micro/nano core-shell structure not only is beneficial to enhancing the upconversion emission intensity, but also can realize the fine control of luminescence color through the spatial separation of ions. In this work, a series of NaYF4@NaYF4 core-shell (CS) microcrystals doped with different ion concentrations is constructed by using the epitaxial growth technology. The structure and morphology for each of the prepared microcrystals are characterized by X-ray diffractometer (XRD) and scanning electron microscope (SEM). The experimental results show that the prepared CS structures each have a pure hexagonal-phase crystal structure, and exhibit a disk-like shape. Under the excitation of 980 nm laser, the energy transfer characteristics of doped ions in single CS microcrystal are carefully studied by using a confocal microscope spectroscopy test system and changing the excitation position. The study shows that the ions doped in different regions of the CS microdisks exhibit different spectral characteristics when the excitation position is changed, which is mainly due to the different directions of excitation energy transfer in the CS structure. Based on the emission spectra of different positions and power variation spectra, it is proved that the excitation energy of the micron CS is mainly transmitted from outside to inside. Meanwhile, the colorful emission pattern of the CS microdisk is revealed by the corresponding optical waveguide model, which is mainly due to the optical waveguide effect. Therefore, by constructing different micron core-shell structures, the luminescence characteristics of microcrystals can be controlled and adjusted, which can provide important experimental reference for the applications of microcrystals in optoelectronic devices, optical coding and multicolor display.