bluuebunny/crossref_metadata_2025 huggingface dataset:
Le sophisme de la beauté chez Grégoire de Nysse
Authors: Fílová Lenka
Published: November 2023

In my article, I will discuss Gregory’s view of beauty from a theological-anthropological perspective, focusing on why beauty is deceptive and where the limits and boundaries lie between beauty as a theological category and beauty that becomes an idol and does not lead to God. The key question will be how beauty, whose source is God – the essential beauty – can be deceptive. I want to emphasise that although Gregory sometimes speaks about the deceptiveness of beauty, the ambiguity lies not in the beauty itself but in the ability or inability of the human being to discern the beautiful. Here I draw on the foundation of Gregory’s anthropology, namely the creation of human beings in the image and likeness of God. I will further analyse Gregory’s concept of the knowledge of beauty and its relationship to desire and passion in Gregory. I will conclude by reflecting on the moment when beauty becomes an idol that leads people away from the path of knowledge of the truly beautiful.
Reversed Hardy-Littlewood-Sobolev inequalities with weights on the Heisenberg group
Authors: Hu Yunyun
Published: November 2023

In this article, we establish some reverse weighted Hardy-Littlewood-Sobolev inequalities on the Heisenberg group. We then show the existence of extremal functions for the above inequalities by combining the subcritical approach and the renormalization method.
Numerical investigation of liquid mass fraction and condensation shock of wet-steam flow through convergence-divergence nozzle using strategic water droplets injection
Authors: Xu Yijun , Zhang Xuan , Bai Yuxing , Li Xin
Published: November 2023

Spontaneous condensation occurs due to high steam speeds, leading to droplets in the stream that not only decrease performance but also hazard the security of the nozzle. This study aims to predict the position and size of suitable injected water droplets due to reduced losses due to liquid mass fraction. Firstly, the model of steam flow has been confirmed by experimental data using the Eulerian–Eulerian approach in Moore’s nozzle B. Then, the flow turbulence caused by phase change is modelled by k–w sst model. Then, the injection has applied in three sizes (coarse, medium, and fine) at four different positions of the nozzle and has analysed, which according to the findings of fine droplet size, has led to an enhancement in Mach number and on the other hand, injection in nucleation zone has resulted in a 7 % and 3 % reduction in wetness losses for the radius of coarse and fine droplets, respectively. It is predicted that the nucleation rate will decrease the smaller the injected droplets are in the nucleation region. Injection with a number droplet of 1.015 × 1018 and a radius of 0.013 (μm) in the nucleation zone of 10 mm after the throat increased by 4.5 % of Mach number.
Cartier smoothness in prismatic cohomology
Authors: Bouis Tess Vincent
Published: November 2023

We introduce the notion of a 𝑝-Cartier smooth algebra.
It generalises that of a smooth algebra and includes valuation rings over a perfectoid base.
We give several characterisations of 𝑝-Cartier smoothness in terms of prismatic cohomology and deduce a comparison theorem between syntomic and étale cohomologies under this hypothesis.
The mediating roles of resilience and motivation in the relationship between students’ English learning burnout and engagement: a conservation-of-resources perspective
Authors: Liu Honggang , Zhong Yuchen , Chen Huaruo , Wang Ying
Published: November 2023

Language learning is a dynamic process involving fluctuating resources (e.g. resilience, motivation, and engagement) and stressors (e.g. burnout). With the guidance of Hobfoll’s Conservation of Resources Theory, the current study explored the mediating roles of resilience and motivation between burnout and engagement among 640 Chinese senior high school students. The results show that English learning burnout as a psychological stressor significantly and negatively predicted the psychological resources of engagement; resilience and motivation both mediated the relationship between burnout and engagement; and resilience and motivation jointly mediated the chain between burnout and engagement. Indeed, the mediating process could be deemed a process by which students’ psychological resources fluctuate. In this mediating process, students suffering from stress rely on their resource caravans and employ the resources they possess to avoid the psychological stressor’s consequences and replenish what has been lost.
Determination of unknown shear force in transverse dynamic force microscopy from measured final data
Authors: Baysal Onur , Hasanov Alemdar , Kumarasamy Sakthivel
Published: November 2023

In this paper, we present a new methodology, based on the inverse problem approach, for the determination of an unknown shear force acting on the inaccessible tip of the microcantilever, which is a key component of transverse dynamic force microscopy (TDFM). The mathematical modelling of this phenomenon leads to the inverse problem of determining the shear force

g
⁢

(
t
)

{g(t)}

acting on the inaccessible boundary

x
=
ℓ

{x=\ell}

in a system governed by the variable coefficient Euler–Bernoulli equation

ρ
A

⁢

(
x
)

⁢

u

t
⁢
t

+

μ
⁢

(
x
)

⁢

u
t

+

(

r
⁢

(
x
)

⁢

u

x
⁢
x

+

κ
⁢

(
x
)

⁢

u

x
⁢
x
⁢
t

)

x
⁢
x

=
0

,

(
x
,
t
)

∈

(
0
,
ℓ
)

×

(
0
,
T
)

,

\rho_{A}(x)u_{tt}+\mu(x)u_{t}+(r(x)u_{xx}+\kappa(x)u_{xxt})_{xx}=0,\quad(x,t)%
\in(0,\ell)\times(0,T),

subject to the homogeneous initial conditions and the boundary conditions

u
⁢

(
0
,
t
)

=

u
0

⁢

(
t
)

,

u
x

⁢

(
0
,
t
)

=
0

,

(

u

x
⁢
x

⁢

(
x
,
t
)

+

κ
⁢

(
x
)

⁢

u

x
⁢
x
⁢
t

)

x
=
ℓ

=
0

,

(

-

(

r
⁢

(
x
)

⁢

u

x
⁢
x

+

κ
⁢

(
x
)

⁢

u

x
⁢
x
⁢
t

)

x

)

x
=
ℓ

=

g
⁢

(
t
)

,

u(0,t)=u_{0}(t),\quad u_{x}(0,t)=0,\quad(u_{xx}(x,t)+\kappa(x)u_{xxt})_{x=\ell%
}=0,\quad\bigl{(}-(r(x)u_{xx}+\kappa(x)u_{xxt})_{x}\bigr{)}_{x=\ell}=g(t),

from the final time measured output (displacement)

u
T

⁢

(
x
)

:=

u
⁢

(
x
,
T
)

{u_{T}(x):=u(x,T)}

. We introduce the input-output map

(

Φ
⁢
g

)

⁢

(
x
)

:=

u
⁢

(
x
,
T
;
g
)

{(\Phi g)(x):=u(x,T;g)}

,

g
∈
𝒢

{g\in\mathcal{G}}

, and prove that it is a compact and Lipschitz continuous linear operator. Then we introduce the Tikhonov functional

J
⁢

(
F
)

=

1
2

⁢

∥

Φ
⁢
g

-

u
T

∥

L
2

⁢

(
0
,
ℓ
)

2

J(F)=\frac{1}{2}\lVert\Phi g-u_{T}\rVert_{L^{2}(0,\ell)}^{2}

and prove the existence of a quasi-solution of the inverse problem. We derive a gradient formula for the Fréchet gradient of the Tikhonov functional through the corresponding adjoint problem solution and prove that it is a Lipschitz continuous functional. The results of the numerical experiments clearly illustrate the effectiveness and feasibility of the proposed approach.
Transcendental entire solutions of several complex product-type nonlinear partial differential equations in ℂ2
Authors: Xu Yi Hui , Li Yan Fang , Liu Xiao Lan , Xu Hong Yan
Published: November 2023

Our purpose in this article is to describe the solutions of several product-type nonlinear partial differential equations (PDEs)

(

a

1

u
+

b

1

u

z

1

+

c

1

u

z

2

)

(

a

2

u
+

b

2

u

z

1

+

c

2

u

z

2

)

=
1
,

\left({a}_{1}u+{b}_{1}{u}_{{z}_{1}}+{c}_{1}{u}_{{z}_{2}})\left({a}_{2}u+{b}_{2}{u}_{{z}_{1}}+{c}_{2}{u}_{{z}_{2}})=1,

and

(

a

1

u
+

b

1

u

z

1

+

c

1

u

z

2

)

(

a

2

u
+

b

2

u

z

1

+

c

2

u

z

2

)

=

e

g

,

\left({a}_{1}u+{b}_{1}{u}_{{z}_{1}}+{c}_{1}{u}_{{z}_{2}})\left({a}_{2}u+{b}_{2}{u}_{{z}_{1}}+{c}_{2}{u}_{{z}_{2}})={e}^{g},

where

g

(

z

)

g\left(z)

is a nonconstant polynomial and

a

j

,

b

j

{a}_{j},{b}_{j}

, and

c

j

(

j
=
1
,
2

)

{c}_{j}\left(j=1,2)

are constants in

C

{\mathbb{C}}

. The finite-order transcendental entire solution

u

u

of the first equation is of the following forms:

u

(

z

1

,

z

2

)

=
±

1

a

1

a

2

+

η

0

e

1

D

[

(

a

2

c

1

−

a

1

c

2

)

z

1

+

(

a

1

b

2

−

a

2

b

1

)

z

2

]

,

u\left({z}_{1},{z}_{2})=\pm \frac{1}{\sqrt{{a}_{1}{a}_{2}}}+{\eta }_{0}{e}^{\tfrac{1}{D}{[}\left({a}_{2}{c}_{1}-{a}_{1}{c}_{2}){z}_{1}+\left({a}_{1}{b}_{2}-{a}_{2}{b}_{1}){z}_{2}]},

or

u

(

z

1

,

z

2

)

=

1

2

a

1

e

Q

(

z

1

,

z

2

)

+

1

2

a

2

e

−
Q

(

z

1

,

z

2

)

+

η

0

e

1

D

[

(

a

2

c

1

−

a

1

c

2

)

z

1

+

(

a

1

b

2

−

a

2

b

1

)

z

2

]

,

u\left({z}_{1},{z}_{2})=\frac{1}{2{a}_{1}}{e}^{Q\left({z}_{1},{z}_{2})}+\frac{1}{2{a}_{2}}{e}^{-Q\left({z}_{1},{z}_{2})}+{\eta }_{0}{e}^{\tfrac{1}{D}{[}\left({a}_{2}{c}_{1}-{a}_{1}{c}_{2}){z}_{1}+\left({a}_{1}{b}_{2}-{a}_{2}{b}_{1}){z}_{2}]},

where

D
=

b

1

c

2

−

b

2

c

1

D={b}_{1}{c}_{2}-{b}_{2}{c}_{1}

,

η

0

∈
C
−

{

0

}

{\eta }_{0}\in {\mathbb{C}}-\left\{0\right\}

, and

Q

(

z

1

,

z

2

)

=
−

1

D

[

(

a

1

c

2

+

a

2

c

1

)

z

1

−

(

a

1

b

2

+

a

2

b

1

)

z

2

]

+

η

1

,

η

1

∈
C
.

Q\left({z}_{1},{z}_{2})=-\frac{1}{D}\left[\left({a}_{1}{c}_{2}+{a}_{2}{c}_{1}){z}_{1}-\left({a}_{1}{b}_{2}+{a}_{2}{b}_{1}){z}_{2}]+{\eta }_{1},\hspace{1em}{\eta }_{1}\in {\mathbb{C}}.

The description of the forms of the solutions for these PDEs demonstrates that our results are some improvements of the previous results given by Liu, Cao, and Xu [L. Xu and T. B. Cao, Solutions of complex Fermat-type partial difference and differential-difference equations, Mediterr. J. Math. 15 (2018), 227], and [K. Liu and T. B. Cao, Entire solutions of Fermat type difference differential equations, Electron. J. Diff. Equ. 2013 (2013), No. 59, 1–10.]. Meantime, we list some examples to explain that the forms of solutions of our theorems are precise to some extent.
Latin verbal morphology and the diachronic development of its thematic and athematic constructions
Authors: Calabrese Andrea
Published: November 2023

This paper investigates the verbal morphology of Latin in terms of the theoretical framework of Distributed Morphology (DM). In addition to providing a synchronic analysis of the verbal system of Latin, this paper discusses the development of the thematic vowel system and of athematic perfect forms in this language from their reconstructed Proto-Indo-European (PIE) antecedents and demonstrates the role of morpho-syntactic structure in constraining the historic analyses, and specifically the role that morpho-syntactic locality played in this historical development. It will be shown that despite radical changes in the exponence, the morpho-syntax and the semantics, of the verbal forms, the (local) structural relation between roots as the repositories of idiosyncratic morphological information and aspectual morphemes displaying special (irregular) exponents was consistently preserved across the millennia.
A perspective on data-driven screening and discovery of polymer membranes for gas separation, from the molecular structure to the industrial performance
Authors: Ricci Eleonora , De Angelis Maria Grazia
Published: November 2023

In the portfolio of technologies available for net zero-enabling solutions, such as carbon capture and low-carbon production of hydrogen, membrane-based gas separation is a sustainable alternative to energy-intensive processes, such as solvent-based absorption or cryogenic distillation. Detailed knowledge of membrane materials performance in wide operative ranges is a necessary prerequisite for the design of efficient membrane processes. With the increasing popularization of data-driven methods in natural sciences and engineering, the investigation of their potential to support materials and process design for gas separation with membranes has received increasing attention, as it can help compact the lab-to-market cycle. In this work we review several machine learning (ML) strategies for the estimation of the gas separation performance of polymer membranes. New hybrid modelling strategies, in which ML complements physics-based models and simulation methods, are also discussed. Such strategies can enable the fast screening of large databases of existing materials for a specific separation, as well as assist in de-novo materials design. We conclude by highlighting the challenges and future directions envisioned for the ML-assisted design and optimization of membrane materials and processes for traditional, as well as new, membrane separations.
Prediction of LDL in hypertriglyceridemic subjects using an innovative ensemble machine learning technique
Authors: Demirci Ferhat , Emec Murat , Gursoy Doruk Ozlem , Ormen Murat , Akan Pınar , Hilal Ozcanhan Mehmet
Published: November 2023

Objectives

Determining low-density lipoprotein (LDL) is a costly and time-consuming operation, but triglyceride value above 400 (TG>400) always requires LDL measurement. Obtaining a fast LDL forecast by accurate prediction can be valuable to experts. However, if a high error margin exists, LDL prediction can be critical and unusable. Our objective is LDL value and level prediction with an error less than low total acceptable error rate (% TEa).

Methods

Our present work used 6392 lab records to predict the patient LDL value using state-of-the-art Artificial Intelligence methods. The designed model, p-LDL-M, predicts LDL value and class with an overall average test score of 98.70 %, using custom, hyper-parameter-tuned Ensemble Machine Learning algorithm.

Results

The results show that using our innovative p-LDL-M is advisable for subjects with critical TG>400. Analysis proved that our model is positively affected by the Hopkins and Friedewald equations normally used for (TG≤400). The conclusion follows that the test score performance of p-LDL-M using only (TG>400) is 7.72 % inferior to the same p-LDL-M, using Hopkins and Friedewald supported data. In addition, the test score performance of the NIH-Equ-2 for (TG>400) is much inferior to p-LDL-M prediction results.

Conclusions

In conclusion, obtaining an accurate and fast LDL value and level forecast for people with (TG>400) using our innovative p-LDL-M is highly recommendable.
Unternehmen werden durch dasselbe EU-Recht in den Mitgliedstaaten sehr unterschiedlich belastet – hier am Beispiel des Transparenzregisters
Authors: Kirchdörfer Rainer , Meister-Scheufelen Gisela
Published: November 2023

In order to prevent money laundering and terrorist financing, the European Union has issued the so-called Anti-Money Laundering Directive, on the basis of which a transparency register has been set up in every EU member state. This register is identifying the beneficial owners of legal entities. This article is looking into the costs and bureaucratic burdens associated with registration for company requirements in France, Italy, Austria and Germany and the reasons for the sometimes considerable differences.
Teaching Nutrient Cycling and Climate Change Concepts Using Excretion Experiments with Common Fish
Authors: Sharitt Carrie Ann , Vanni Michael J.
Published: November 2023

Many high school students learn about nutrient cycling during biology, environmental science, and agriculture classes. These lessons often focus on soil and plants, and nutrient cycling is usually taught independently from climate change. Scientists know that animals, including fish, can have strong effects on nutrient cycling (i.e., nitrogen and phosphorus) in ecosystems. Additionally, research has shown that nitrogen and phosphorus excretion rates of animals increase with water temperatures. We worked with high school students to design and conduct nutrient excretion experiments using common fish (zebrafish) to explore the impact of climate change on nutrient cycling. This allowed students to have hands-on laboratory experience. In 2021, we worked with students participating in a residential summer program in Georgia. Meanwhile, in 2022, students enrolled in the local high school visited the university campus on two occasions to participate in the experiments, and we once again worked with students in Georgia. Students from all three groups showed an increased understanding of the role of animals in nutrient cycling and ways climate change may impact these processes, despite variable results from the excretion experiments. Students also showed increased understanding of science processes and were more likely to feel like part of the science community. We believe that these experiments can be done in high school classrooms to expand students’ understanding of the scientific process, nutrient cycling, and climate change.
The Colors of Kernels
Authors: De Jesús Daniel J. , Clough Michael P.
Published: November 2023

This article presents a modified version of a “cookbook” laboratory activity that uses colored corn kernels to address the fundamental ideas in classical genetics. The purposeful sequencing of concrete experiences with corn plant structures along with teacher questioning promotes mental engagement and scaffolds students to a deeper and more robust understanding of inheritance, zygosity, genotype and phenotype, and calculating probabilities of inherited alleles using the Punnett Square.
Market under the Radar
Authors: Ivanov Denis , Aisin Anton
Published: November 2023

In this article, we study the long-run effect of the Soviet shadow economy on attitudes toward the market economy and competition in Georgia—a former Soviet republic known for the high prevalence of the shadow economy. We use the density of Soviet-era organized crime as a proxy for the local prevalence of shadow economy and instrument it with agroclimatic suitability for citrus fruits, exploiting the fact that citrus and other subtropical agricultural products were an object of shortage and illicit trade during the Soviet era. We show that the citrus-suitable parts of Georgia have a higher density of Soviet-era thieves-in-law and that survey respondents living in these areas are more likely to report lower preference toward state ownership of businesses and higher appreciation of competition. Higher social legitimacy of private entrepreneurship is likely to be behind these findings: employed respondents in citrus-producing areas rate fairness of their compensation higher than in the rest of Georgia when they have their own business and rate it lower when they work in the public sector.
New-onset primary adrenal insufficiency in pregnancy associated with a unilateral adrenal infarction: a case report
Authors: Menon Lakshmi , Edem Dinesh , Maradana Jhansi , Sharma Pranjali , Tamhane Shrikant
Published: November 2023

New-onset primary adrenal insufficiency is rare in pregnancy. The symptoms of adrenal insufficiency such as nausea, vomiting and dizziness may be attributed to the pregnancy itself, which can lead to a delay in the diagnosis. The presence of hypotension, hypoglycemia or hyperkalemia should raise the suspicion for adrenal insufficiency. We report the case of a 25-year-old woman who presented with tachycardia, left flank pain and vomiting at 36 weeks’ gestation. She was found to have primary adrenal insufficiency and started on hydrocortisone and fludrocortisone with resolution of the vomiting and tachycardia. MRI of the abdomen revealed an acute nonhemorrhagic infarct of the left adrenal gland. The contralateral adrenal gland was normal. Autoimmune and infectious etiologies of primary adrenal insufficiency were ruled out and the adrenal insufficiency was attributed to the unilateral adrenal infarction. Adrenal insufficiency persisted after delivery and then resolved at approximately 16 months post partum. This case highlights the need to test women with unilateral adrenal infarction in pregnancy for the presence of primary adrenal insufficiency.

Learning points

Adrenal insufficiency should be considered when a pregnant woman develops nausea, vomiting and dizziness in association with hypotension or hypoglycemia. Hypovolemic hyponatremia related to vomiting can occur in pregnancy, but the failure to correct hyponatremia despite adequate IV hydration should raise the suspicion for adrenal insufficiency.

Adrenal infarction should be in the differential diagnosis for unilateral flank pain in pregnancy. Other common etiologies for flank pain in pregnancy include nephrolithiasis, pyelonephritis and acute cholecystitis.

Unilateral adrenal infarction in pregnancy can lead to the development of primary adrenal insufficiency. Following delivery, these patients need to be monitored for the resolution of the adrenal insufficiency.
Statistical Analysis of COD and BOD Removal from Dairy Waste Water
Authors: Mishra Suman , Bindhani Santosh Kumar , Jena Haramohan
Published: November 2023

One of most water polluted industry is Dairy industry. It produces various milk products like milk powder, butter milk, curd, cheese, pasteurized milk etc. More amount of fresh water is used for different purposes i.e., cooling/heating, sanitary, processing, utilities and service section during milk processing and production of different milk products. It is observed from a report that for processing 1L of milk, the Dairy industries produce 2.5 to 10L of waste water. Major pollutants found in dairy waste water are Organic components like dissolved sugars, carbohydrates, proteins and fat are found as the major pollutants in the Dairy waste water. Apart from organic compound some inorganic compounds like Sulfur, Phosphorous and Nitrogen are also found. Hence, the dairy wastewater is having large amount of organic matter that can be measured in term of BOD and COD.  As it is having pungent odor and is responsible for fly generation, it should be treated properly before disposal. In this present work, the synthetic dairy waste water was prepared and was treated with activated carbon prepared from coconut shell collected from temple side. The activated carbon prepared from Coconut shell CGAC could be able to remove COD and BOD of the used water up to satisfactory level at different bed height and contact time. This paper shows the statistical analysis of COD and BOD using the activated carbon. In the experiment, the standard deviation of maximum removal efficiency of COD and BOD from the dairy wastewater was found as 0.59 and 0.49, respectively.
Heterotopic Ossification in the Abdomen of an Elderly Patient, as an Incidental Finding During Elective Surgery: A Case Report
Authors: Bozhinovska-Beaka Gordana , Prgova Veljanova Biljana , Troik Tatjan , Stojanovski Ivica , Kalamaras Patricija , Bozhinovska-Dimova Nadica
Published: November 2023

Introduction. Heterotopic ossification (HO) is a rare diverse pathologic process, with broad spectrum. Case report. This is a case report of a 73 years old patient who had ventral hernia at the medial line on the anterior abdominal wall, and underwent a routine surgery. During the surgery an incidental finding of HO was discovered. Discussion. HO is well documented to occur at increased frequency with certain predisposing conditions, including orthopedic surgery, most commonly hip arthroplasty. Non-genetic HO can occur nearly anywhere in the body, but is often designated by the tissue type it involves, such as myositis ossificans when involving skeletal muscle, or fasciitis ossificans when involving fascia.
Naujojo konstruktyvizmo erdvė: nauja konstruktyvizmo teorija, ar seniai pamirštų klasikinio konstruktyvizmo prieigų rinkinys?elations theory. Bristol: Bristol University Press, 2022.
Authors: Pilitauskas Ovidijus
Published: November 2023

McCourt, David M. The New Constructivism in International Relations Theory. Bristol: Bristol University Press, 2022
A Multidimensional Concept of Meaningful Work: Theoretical Framework
Authors: Iždonaitė-Medžiūnienė Inga , Batuchina Aleksandra
Published: November 2023

The article focuses on the multidimensional concept of meaningful work and the concept of its theoretical framework. Scientific literature presents meaningful work models related to several areas as multi-dimensional or even one area as uni-dimensional. Uni-dimensional models as presented in earlier research allow revealing experiences without specifying them, rather to help capture people’s global judgment of the extent to which their work is meaningful. We argue that multidimensional models covering a wide range of areas are purposeful in order to comprehensively study meaningful work and identify significant specific experiences. The completed scientific research analysis allowed us to highlight the core dimensions of a meaningful work concept and form a theoretical framework for further testing. Such multidimensional composition of meaningful work shows a holistic approach and provides a universal instrument for the evaluation of meaningful work at any organizational level and field.
Principles of resource-process modeling of territorial communities combined energy supply in the climate change prevention context
Authors:   National University of Life and Environmental Sciences of Ukraine, 15, Heroiv Oborony St., Kyiv, 03041, Ukraine, Kaplun Viktor
Published: November 2023

The research is devoted to the theoretical and practical substantiation of the principles of formation of systems of combined energy supply with heterogeneous sources to increase the energy efficiency of territorial communities in the conditions of climate change resistance. New approaches and structural models for the formation of local microenergy systems are proposed, which will encourage territorial communities to a new type of activity related to their own energy generation based on the use of local types of fuels and renewable energy sources. The principles of building such local energy supply systems, in general, consist in the rational distribution of resources (renewable sources, sources of combined energy generation using biofuels, energy from external networks) and coordination of the processes of generation, transmission, accumulation, distribution and consumption of energy within the boundaries of a separate territorial community by creating its own high-tech infrastructure assets. The formation of the energy balance in the medium and long term is proposed to be carried out on the basis of a resource-process analysis of the operation of local networks by finding the optimal use of local types of biofuels and renewable sources in the combined generation of electricity and heat, taking into account their current value. The cost of energy for the end consumer is determined by differentiated tariffs of energy supply companies and the use of several heterogeneous sources that participate in the process of decentralized energy production. Mathematical relations are obtained for calculating the values of the time intervals of the execution of a set of parallel processes that arise during the interaction of competing sources of distributed generation with end consumers and establishing the regularities of the formation of the energy balance a micro energy system. The proposed method can be a tool for finding optimal energy efficiency management scenarios of facilities with local energy supply, using operational redistribution of energy flows in the system of combined energy generation and forecasting current costs for energy supply in calculation periods. Such a concept can be a theoretical basis for the formation of principles of energy independence of territorial communities. Keywords: territorial community, combined-heat-and-power-system, renewable energy sources, biofuel, energy balances.
Epidemiology, Clinical Characteristics and Cause-specific Outcomes in Heart Failure with Preserved Ejection Fraction
Authors: Kapelios Chris J , Shahim Bahira , Lund Lars H , Savarese Gianluigi
Published: November 2023

Heart failure (HF) is a global pandemic affecting 64 million people worldwide. HF with preserved ejection fraction (HFpEF) has traditionally received less attention than its main counterpart, HF with reduced ejection fraction (HFrEF). The incidence and prevalence of HFpEF show geographic variation and are increasing over time, soon expected to surpass those of HFrEF. Morbidity and mortality rates of HFpEF are considerable, albeit lower than those of HFrEF. This review focuses on the burden of HFpEF, providing contemporary data on epidemiology, clinical characteristics and comorbidities, cause-specific outcomes, costs and pharmacotherapy.
Логіка розвитку цивілізації: від інформаційного до інтелектуального суспільства
Authors: Кіпенський А. В. , Смоляга М. В.
Published: November 2023

Стаття присвячена аналізу сучасного цивілізаційного розвитку, виявленню найважливіших пріоритетів, які мають сприяти успішній трансформації до планетарно-космічного рівня цивілізаційного устрою, подоланню сучасної цивілізаційної кризи та можливої загибелі суспільства. Метою написання статті є визначення певної моделі цивілізаційного розвитку, яка має відповідати майбутньому. У дослідженні використовуються методи порівняльного аналізу сущого та належного, проєктування з майбутнього. У процесі дослідження сучасного інформаційного суспільства виявляються його суперечності, аналізуються критичні зауваження його концептуальних засад з позицій Ф. Вебстра, Т. Роззака, К. Мея, Д. Тапскоппа, Ф. Махлупа, М. Пората, Е. Масуди, О. Тоффлера. Аналізується головний критерій інформаційного суспільства, згідно з яким «інформація стає головним ресурсом суспільного прогресу в усіх сферах життя». У процесі дослідження автори доходять висновку, що в сучасних умовах дійсно відбувається зростання потоків інформації, але потрібно враховувати, що насамперед збільшення обсягів інформації пов’язано зі зростанням наукового знання, що інформаційне суспільство лише створює передумови формування цивілізації інтелектуального творення, яка є необхідним етапом її трансформації до планетарно-космічного рівня.
Development of Precast Girder Transport Vehicle Stability Analysis Parameters
Authors: Sun C. Shawn , Sevenker Adam D. , Abo El-Khier Mostafa
Published: November 2023

The goal of this project is to quantify transport vehicle stability analysis parameters more clearly, most importantly rotational stiffness, and to define a protocol to specify and verify those parameters for contracting. This project consists of three major tasks: literature review and online surveys, field measurements, and protocol development. This report summarizes the research activities and findings on various tasks.
The musical heritage of Sárospatak in the 17th–18th centuries
Authors: Kelemen Judit
Published: November 2023

Originally a small market town in Northern Hungary, Sárospatak (Patak) deserves attention for more than just the role it played in a series of historical events that were to define the future of this country throughout the 17th–18th centuries. The cultural, educational and musical legacy of the period is also outstanding, and the functioning of the Patak College (Pataki Kollégium), which soon gained considerable prestige, played a key part in this. The aim of this paper is to present the musical aspects of this most valuable set of interconnected cultural assets.
The voice of the child and the implementation of the child's right to be heard in parental responsibility matters and cases
Authors: Szeibert Orsolya
Published: November 2023

The article deals with a very up-to-date issue, the ‘voice of the child’, i.e. the implementation of the child's right to be heard in parental responsibility matters and cases. My aim is to find an answer to the question of how the Hungarian codification, judiciary and academic legal literature have changed over the last decade and how they have adapted to the modern child-focused standards. The significance of the topic emerges from the fact that both the exercise and the rendering of parental responsibilities is somehow problematic in many families and this difficulty is burdened by the requirements of child-friendly justice. The issues dealt with in this paper concern the significance of the child's right to be heard, the necessity of the child's hearing, the connection between the child's protection and child's hearing, the difficulty of determination whether the child is capable of forming his or her own views, the direct and indirect hearing of the child and the difference between the child's hearing and the child's voice.
The value of formally undefined norms in the national legislation approximation to EU labour standards: The case of Ukraine
Authors: Rym Olena , Kosovych Vitaliy
Published: November 2023

This paper aims to show the importance of a correct understanding of formally undefined EU labour law norms for the successful European integration of Ukraine. The analysis focuses on legal acts of the European Union. The drawbacks of the inequality of approaches to determining the content of norms with evaluative concepts are highlighted, as is the need to use doctrinal recommendations for the application of evaluative provisions with the purpose of preventing the misconception that evaluative concepts can be interpreted as, and to whom, it pleases. This article thus demonstrates the necessity of the analysis of the case-law of the Court of Justice of the EU, which is rich in the interpretation of evaluative concepts and is considered to help clarify the meaning of many terms of labour law, which, due to their undefined formulation, may cause difficulties in implementing them in the legal system of Ukraine.
Altered stakes: Identifying gaps in the informed consent process for psychedelic-assisted therapy trials
Authors: Harrison Tahlia R.
Published: November 2023

Background and aims

Psychedelic-assisted therapy (P-AT) has been shown to reduce post-traumatic stress disorder (PTSD), depression, and anxiety symptoms, and is likely to be approved in the United States (US) in the coming years. However, concerns about participant safety in these early trials have surfaced, including allegations of sexual misconduct. This paper aims to illuminate how potential risks have been communicated to P-AT participants via informed consent documents and to suggest how existing policy might be modified given the unique risks involved in P-AT trials.

Methods

Publicly available informed consent forms (ICFs) were gathered by searching clinicaltrials.gov. Queries were applied to filter trials involving the use of a classical psychedelic (psilocybin, LSD) or psychedelic-adjacent substance (MDMA, ketamine) in tandem with psychotherapeutic intervention and those with a status of “completed,” “recruiting,” or “active.”

Results

Nineteen ICFs met inclusion criteria and were reviewed to determine what risks, benefits, and safety protocols were communicated to participants in their respective trials. The primary finding from this review of ICFs from P-AT trials revealed that studies were in compliance with federal regulation. However, there were missing elements related to the vulnerability experienced while under the effects of psychedelics that warrant inclusion in future ICFs in P-AT trials.

Conclusion

Although the ICFs for P-AT trials examined in this study covered several important areas related to risk, benefits, safety, and accountability as required by federal regulations in the US, future research should consider ways to expand this content in order to assure that consent is truly informed prior to enrolling subjects.
Necrotizing fasciitis: sebuah tinjauan pustaka
Authors: Mahariski Pande Agung , Karna Ni Luh Putu Ratih Vibriyanti , Rusyati Luh Made Mas , Aditya Permana  , Nukana Ratih Purnamasari , Pande Tiara Maharani
Published: November 2023

Necrotizing fasciitis (NF) is an infection of the skin to subcutaneous tissue characterized by necrosis of the muscle fascia and subcutaneous tissue. The typical clinical signs and symptoms of NF begin with pain, followed by an inflammatory response. Necrotizing fasciitis is generally caused by infection with immune disorders, old age, peripheral vascular disease, and obesity have been reported to be associated with the incidence of NF. Cases of NF have symptoms similar to those of cellulitis or abscesses. Surgery is currently the gold standard of therapy if NF is suspected or diagnosed. Surgical exploration and debridement of the affected tissue should be performed immediately. Improving knowledge of NF and immediate treatment are needed due to serious, life-threatening infections with a mortality rate exceeding 30%.
 
Necrotizing fasciitis (NF) infeksi pada kulit hingga jaringan dibawah kulit dengan karakteristik adanya nekrosis pada fasia otot dan jaringan subkutan. Gejala dan tanda klinis khas dari NF diawali dengan nyeri kemudian diikuti respons inflamasi.  Necrotizing fasciitis umumnya disebabkan oleh adanya infeksi dengan gangguan kekebalan, usia tua, penyakit pembuluh darah perifer, dan obesitas telah dilaporkan berkaitan dengan kejadian NF. Kasus-kasus NF memiliki gejala yang mirip dengan selulitis atau abses. Saat ini pembedahan merupakan terapi gold standard ketika dicurigai atau didiagnosis dengan NF. Pada Eksplorasi bedah dan debridemen jaringan yang terkena harus segera dilakukan. Diperlukan peningkatan pemahaman NF dan penanganan segera karena NF merupakan infeksi serius yang mengancam jiwa dengan angka kematian melebihi 30%.
Diagnosing TB-HIV co-infection: a case report in resource-limited setting
Authors: Praptika Ni Luh Parameswari , Suryana Ketut
Published: November 2023

Introduction: Human immunodeficiency virus (HIV) and tuberculosis (TB) often occur together with each exacerbating the other. In order to eradicate TB, TB/HIV co-infection must be addressed especially in resource-limited setting as this is becoming challenging at such area.
Case presentation: This article reports a 22 years old female with shortness of breath, cough, fever, and swelling int the neck area. Physical examination showed tachypnoea, hypoxaemia, oral candidiasis, and chest retraction. Chest X-ray showed miliary TB, anti-HIV antibody tests turned out reactive. FNAB result for lump on the neck show cytomorphological features suggest suppurative chronic inflammation, suggesting TB lymphadenitis. The patient was treated with antibiotics and anti-tuberculosis category I medications along with symptomatic treatment such as antifungal, blood transfusion, mucolytic agent, proton pump inhibitor, and steroid. ARV was given 2 weeks after the adaptation of anti-Tuberculosis regiments side effects and showed clinical remission.
Conclusion: TB-HIV constitutes a serious diagnostic and therapeutic challenge. In particular, this phenomenon weighs heavily on developing countries with strained health care budgets. In resource-limited settings, screening modalities focus more on clinical assessment rather than supporting diagnostics.
Pelayanan kesehatan terkait infeksi menular seksual pada lesbian, gay, biseksual, dan transgender
Authors: Elis Indira I Gusti Ayu Agung , Indah Jayanthi Anak Agung , Primasari Putu Yunita
Published: November 2023

Penyakit infeksi menular seksual (IMS) dan Human Immunodeficiency Virus (HIV) banyak diderita oleh kelompok LGBT, namun orang-orang LGBT yang mengalami masalah kesehatan masih mengalami kesenjangan dalam perawatan kesehatan. Masyarakat Indonesia, memandang kelompok lesbian, gay, biseksual, dan transgender (LGBT) sebagai suatu bentuk penyimpangan terhadap budaya, norma sosial, dan agama. Meski demikian populasinya kian meningkat disetiap tahunnya. Secara keseluruhan pernah terjadi peningkatan jumlah waria secara bermakna antara tahun 2002 dan 2009, namun dari tahun 2009 dan 2012 peningkatan tidak sebanyak periode sebelumnya. Sayangnya, jumlah populasi LGBT di Indonesia tidak diketahui secara pasti, namun mengacu data populasi rawan terdampak HIV pada waria diperkirakan mencapai 597.000 orang. Hingga kini kelompok LGBT masih dipandang negatif oleh masyarakat sehingga hal tersebut berdampak pada populasi tersebut. Gay yang menggunakan layanan kesehatan akan cenderung menyembunyikan seksualitas mereka karena takut mendapatkan stigma sehingga menyembunyikan orientasi seksual merupakan solusi terbaik mengobati penyakit yang dideritanya. Pada akhirnya, hal tersebut akan menurunkan kualitas hidup mereka. Selain HIV, tidak menutup kemungkinan seorang gay mengalami infeksi menular seksual lainnya seperti infeksi klamidia, gonore, treponema pallidum, herpes simpleks, dan kondiloma. Untuk itu konseling pada kelompok LGBT saat dilakukan skrining untuk IMS harus selalu dilakukan bersamaan dengan konseling pencegahan IMS. Secara umum, yang terbaik adalah memberikan konseling kesehatan seksual dalam konteks kesehatan preventif yang positif daripada berfokus pada pesan-pesan yang berbasis pada rasa takut, yang mungkin menstigmatisasi. Kelompok LGBT harus diberi konseling tentang cara menggunakan kondom lateks saat berhubungan seks oral, anal, dan vagina, yang bertujuan untuk mengurangi risiko penularan HIV dan IMS.
The effect of hypertonic dextrose prolotherapy on knee osteoarthritis outpatients in Dr. Ramelan Navy Hospital Surabaya: case series
Authors: Zivanna Avissia , Poerwanto Eka
Published: November 2023

Background: The high use and pressure on the knee cause osteoarthritis to occur frequently. Prolotherapy is a non-surgical injection therapy used to treat chronic pain in musculoskeletal conditions, including knee OA. This solution can create local irritation, inflammation, and tissue regeneration, thereby increasing the strength of damaged ligaments, tendons, and intra-articular structures. Therefore, the aim of this research is to assess the changes in VAS and WOMAC scores, as well as plain radiographs of knee OA patients after hypertonic dextrose prolotherapy.
Methods: This experimental case series was done at the Physical Medicine and Rehabilitation Polyclinic of dr. Ramelan Navy Hospital Surabaya from December 2021 to April 2022, by giving hypertonic dextrose prolotherapy injection intraarticularly to 3 knee OA subjects using a 22G or 23G needle. This procedure was performed 3 times on each subject, with an interval of 4 weeks each. The assessments were carried out with VAS and WOMAC scores, as well as plain radiographs of the knees before the procedure and 1 month after the third injection for evaluation.
Results: In all 3 subjects, the knee joint spaces were slightly widened on plain radiographs, as well as decreased VAS and WOMAC scores after injection.
Conclusion: Hypertonic dextrose prolotherapy here had minimal side effects, affordable prices, and a fast process. It also causes a reduction in pain and joint stiffness and causes functional improvement. Prolotherapy may be considered a therapy for knee OA patients.
Diagnosis dan tatalaksana massa di mediastinum anterior
Authors: Damayanti Ni Made Ayu , Dini Merlynda Ayu Rara
Published: November 2023

The mediastinum is an anatomical space between the lungs that houses the thymus, heart, great vessels, lymph nodes, nerves, and parts of the esophagus and trachea. One of the biggest problems of the mediastinal cavity is mediastinal tumors. Mediastinal tumors have a wide variety of clinical conditions. Difficulties in diagnosing masses in the anterior mediastinal caused by non-specific symptoms and various etiologies can make it difficult to determine the best management for patients. Some masses in the anterior mediastinum that need to be known are thymoma, lipoma, lymphangioma, carcinoma and adenoma. This article aims to describe the various etiologies of masses in the anterior mediastinum along with the management that can be done so that clinicians can provide better treatment.
 
Mediastinum merupakan sebuah ruang anatomi antara paru-paru yang menampung timus, jantung, pembuluh darah besar, kelenjar getah bening, saraf, dan bagian kerongkongan dan trakea. Salah satu masalah terbesar dari rongga mediastinum yaitu tumor mediastinum. Tumor mediastinum memiliki keragaman yang luas dari kondisi klinis penyakit. Kesulitan dalam mendiagnosis massa pada mediastinal anterior disebabkan oleh gejala yang tidak spesifik dan etiologi yang beragam dapat menjadi penyulit dalam menentukan tatalaksana terbaik bagi pasien. Beberapa massa di mediastinum anterior yang perlu diketahui ialah timoma, lipoma, limfangioma karsinoma dan adenoma. Artikel ini bertujuan untuk memaparkan berbagai etiologi dari massa di mediastinum anterior disertai tatalaksana yang dapat dilakukan sehingga klinisi dapat memberikan penanganan yang lebih baik.
Hubungan nilai APGAR dan sepsis neonatorum di RSUD Wangaya, Bali
Authors: Sutanto Vidya Dewi , Suryawan Wayan Bikin , Indrawan I Gde Doddy Kurnia
Published: November 2023

Backgrounds:  Sepsis is one of the causes of neonatal death which is affected by many factors. One of them is asphyxia, a condition lack of oxygen supply that can occure before, during and after birth. The APGAR score is a fastest way to assess wether a newborn has asphyxia. For this reason, this study aims to determine the relationship between APGAR score and the incidence of neonatal sepsis.
Methods: A cross-sectional observational analytic study was conducted by collecting data from the medical records of patients who met the inclution and exclution criterias with consecutive sampling techniques. The research samples were neonates aged 0-28 days who were treated in the Perinatology and NICU rooms at Wangaya General Hospital Bali in January 2018 until March 2022. After the datas were collected, the datas were processed using SPSS software and bivariate analysis by using the chi-square test. Confounder varibles will be controlled by design and by analysis.
Result: From 114 neonates that treated in January 2018 until March 2022, there are 52 (45,6%) of them experienced neonatal sepsis. Factors that have a corellation with the incidendences of neonatal sepsis are the 1st minute APGAR value (P = 0,000) and the 5th minute APGAR value (P= 0,000).
Conclusion: Neonates with APGAR scores < 7 are twice at risk of suffering from neonatal sepsis compared to babies with APGAR values 7 at 1 and 5 minutes.
 
Latar belakang: Sepsis merupakan salah satu penyebab kematian neonatus yang dipengaruhi banyak faktor. Salah satunya adalah asfiksia, kondisi kekurangan asupan oksigen yang dapat terjadi sebelum, sesaat dan setelah bayi lahir. Nilai APGAR merupakan salah satu cara cepat untuk menilai apakah bayi baru lahir mengalami asfiksia. Untuk itu penelitian ini bertujuan mengetahui hubungan nilai APGAR dengan kejadian sepsis neonatorum.
Metode: Penelitian analitik observasional potong lintang dilakukan dengan mengambil data rekam medis pasien yang memenuhi kriteria inklusi dan eksklusi dengan teknik consecutive sampling sampel. Sampel penelitian adalah neonatus berusia 0-28 hari yang dirawat diruang Perinatologi dan NICU RSUD Wangaya, Denpasar pada bulan Januari 2018 – Maret 2022. Setelah terkumpul, data diolah menggunakan software SPSS dan dianalisa secara bivariat menggunakan uji Chi-square. Variabel perancu akan dikendalikan by design dan by analysis.
Hasil: Dari 114 neonatus yang dirawat pada bulan Januari 2018 – Marat 2022, 52 (45,6%) bayi diantaranya mengalami sepsis neonatorum. Faktor yang memiliki hubungan dengan kejadian sepsis neonatorum adalah nilai APGAR menit ke 1 (P = 0,000) dan nilai APGAR menit ke 5 (P = 0,000).
Kesimpulan: Bayi dengan nilai APGAR < 7 beresiko > 2 kali menderita sepsis neonatorum dibanding bayi dengan nilai APGAR ≥ 7 pada menit ke 1 dan ke 5.