bluuebunny/crossref_metadata_2025 huggingface dataset:
Systematic Review Using Neutrosophic Torgerson and Neutrosophic Vader to Determine the Impact of Mobile Applications in the Labor Integration of Disabled People
Authors:   Autonomous University of Peru, Lima, Peru, Cruzado Javier Gamboa ,   Autonomous University of Peru, Lima, Peru,   Autonomous University of Peru, Lima, Peru,   National University of Cajamarca, Cajamarca, Peru,   Autonomous University of Peru, Lima, Peru, Parraga Julio Canales , Benites Santiago M. , Morales María León , Rodríguez-Baca Liset S. Rodríguez
Published: April 2023

People with a disability are the most likely to end up unemployed. Knowing and finding new ways to integrate them into society is urgent in an increasingly dynamic and versatile world. The systematic Review of the literature (SRL) was developed covering the issue of labor integration of people with disabilities.. The main objective of the research was to determine the state of the art of research on Mobile Applications and their impact on the Labor Integration of People with Disabilities. The use of relationship coefficients between two neutrosophic numbers, through the Torgerson method, Allowed the evaluation of the applications by the experts. The results obtained highlight the importance of mobile technology in the process of ensuring that people with disabilities find the desired job, in addition, accessibility must be met for the correct development of the application for the various existing disabilities. By utilizing Neutro-VADER and Neutrosophy, the precision and efficiency of sentiment analysis are enhanced, especially when handling uncertain or unclear text and consulting with experts. By implementing a more intricate and refined sentiment analysis method, these tools can generate more practical and valuable perspectives regarding the sentiment of written or spoken language.
A MODERN LOOK AT THE PROBLEM OF ERYTHEMATOUS FACIAL CONDITIONS IN ROSACEA
Authors: Zapolskyi M. E. , Lebediuk M. M. , Prokofieva N. B. , Tepliuk Yu. V. , Zapolska D. M.
Published: April 2023

The etiological factors of erythema of the face in rosacea are analyzed in the article. The role of vasoactive peptides, inflammatory mediators and ticks of the genus Demodex in the pathogenesis of the disease has been determined. The main methods of treatment of the disease are considered, including phototherapy with narrowband pulsed radiation and platelet autologous plasma (TAP). Current data indicate the acceleration of natural mechanisms of skin regeneration due to the presence of platelet-derived growth factors and modulation of endothelial reparative function, so the introduction of platelet autologous plasma is a promising method of treating patients with this dermatosis.

Key words: rosacea, platelet autologous plasma, facial erythema, platelet growth factors.
Total Ankle Arthroplasty for Posttraumatic Fracture Versus Primary Osteoarthritis: An Analysis of Complications, Revisions, and Prosthesis Survival
Authors: Megerian Mark F. , Harlow Ethan R. , LaTulip Scott M. , Zhao Chenya , Ina Jason G. , Sattar Abdus , Feighan John E.
Published: April 2023

Background:

Most outcome studies of total ankle arthroplasty (TAA) do not discriminate by arthritis etiology. The primary purpose of this study was to compare the complications of TAA between posttraumatic fracture osteoarthritis (fracture PTOA) and primary osteoarthritis (POA).

Methods:

Ninety-nine patients who underwent TAA were retrospectively evaluated with a mean follow-up of 3.2 years (range 2 to 7.6 years). 44 patients (44%) had a diagnosis of POA while 55 patients (56%) had a diagnosis of fracture PTOA (40 malleolar fractures [73%], 14 pilon fractures[26%], and 1 talar fracture [1%]). Patient demographics, preoperative coronal plane alignment, postoperative complications, and revision surgery data were collected. Categorical variables were compared with chi square and Fisher exact tests and means with the Student t-test. Survival was assessed with Kaplan-Meier and log-rank analyses.

Results:

A higher overall complication rate was associated with fracture PTOA (53%) compared with POA (30%) (P = 0.04). No difference was observed in rates of any specific complication by etiology. Survival, defined as revision surgery with TAA prosthesis retention, was comparable between POA (91%) and fracture PTOA (87%) (P = 0.54). When defined as failure requiring prosthesis explant, POA demonstrated significantly greater survival (100%) as compared with fracture PTOA (89%) (P = 0.03). A higher rate of talar implant subsidence and loosening was noted in TAA with prior pilon (29%) as compared to malleolar fractures (8%) that was not statistically significant (P = 0.07). Fracture PTOA was associated with preoperative valgus deformity (P = 0.04). Compared with varus and normal alignment, preoperative valgus deformity was associated with the need for any revision surgery (P = 0.01) and prosthesis explant (P = 0.02).

Conclusions:

Compared with POA, fracture PTOA was associated with a markedly higher complication rate after TAA and was at higher risk of failure requiring prosthesis explant. Fracture PTOA was markedly associated with preoperative valgus malalignment, an identified risk factor in this series for revision surgery and prosthesis explant. Pilon fractures may represent a group at risk of complications related to talar implant subsidence and loosening compared with malleolar fractures and thus warrants additional investigation.

Level of Evidence:

III
Dampak Pariwisata Terhadap Perubahan Profesi Masyarakat di Danau Toba (Studi Kasus di Desa Tigaras, Kabupaten Simalungun, Provinsi Sumatera Utara
Authors: Nainggolan Mai Fernando , Saragi Cyprianus PH.
Published: April 2023

Danau Toba adalah Danau terbesar yang ada di Indonesia yang memiliki panorama alam yang sangat indah sehingga Danau Toba sangat cocok untuk dikembangkan sebagai lokasi pariwisata Internasional. Penelitian ini dilakukan untuk menganalisa 1) profil dan perkembangan wisata Danau Toba, 2) keadaan masyarakat dan pemilik KJA setelah perkembangan pariwisata,3) perkembangan usaha masyarakat Danau Toba. dan 4) perubahan profesi yang terjadi pada masyarakat. Metode penelitian yang digunakan adalah deskriptif dengan kualitatif. Jumlah sample yang digunakan adalah 20 responden dengan teknik purposive sampling. Metode pengumpulan data menggunakan wawancara, dan dokumentasi. Metode analisis data menggunakan analisis deskriptif. Hasil penelitian menunjukkan bahwa telah terjadi perubahan profesi pada masyarakat di Desa Tigaras karena adanya pengembangan pariwisata di Danau Toba. adapun perubahan profesi yang terjadi yaitu dari pemilik usaha KJA beralih pekerjaan kebidang pariwisata.
Kepentingan dan Kepuasan Petani Padi Sawah Terhadap Kinerja Penyuluh Pertanian
Authors: Deras Stefanus , Gultom Widya
Published: April 2023

Penelitian bertujuan untuk mengetahui tingkat kepuasan petani terhadap kinerja penyuluh pertanian. Hasil penelitiann: (1) Kepuasan petani terhadap kinerja penyuluh tergolong puas. (2) Kepentingan petani ter-hadap kinerja penyuluh pertanian tergo-long penting. (3) Penerapan inovasi sistem tanam jajar legowo 4:1  belum semua petani mene-rapkan sesuai anjuran penyuluh.
Bitartekotza interlinguistikoa ELE eskolan: itzulpen pedagogikoaren erabilerak
Authors: Sanchez Cuadrado Adolfo
Published: April 2023

Itzulpena ez da urte luzeetan begi onez ikusi hizkuntzen ikaskuntzan, baina ageriago edo ezkutuago, erabilia izan da eskolan. Hau honela, egungo testuinguruan Itzulpen Pedagogikoak (itzulpena hizkuntzak ikasteko, alegia) duen edota izan dezakeen egitekoa eta erabilera pedagogikoa ari dira berraztertzen sakon. Adibide gisa, 2001eko Europako Erreferentzia Marko Bateratuan sartu ziren jada bitartekotza-jarduera eta estrategiak (ahozko interpretaritza, idatzizko itzulpena, hizkuntza berean egindako laburpena eta parafrasia, besteak beste). Azken finean, XXI. mendeko hizkuntza-ikasleak gaitasun komunikatiboa garatzea izan behar du itzulpen pedagogikoaren (eta, hedaduraz, bitartekotza interlinguistikoaren) benetako funtzioak.
Oncogenic driver mutations in Vietnamese patients with lung adenocarcinoma
Authors: Vuong Linh , Nguyen Quang
Published: April 2023

Mutation profiles of oncogenes play essential roles in cancer therapy, but data on the prevalence of lung cancer oncogenic driver mutations in Vietnamese patients are limited. This study aims to evaluate the mutation status of EGFR, ALK, ROS1, RET and MET and analyze the association of gene mutations with clinicopathological characteristics of lung adenocarcinoma. Of the 179 lung adenocarcinoma tissues, EGFR, ALK, ROS1, RET and MET mutation frequencies were 44.6; 7.9; 3.0; 3.0 and 2.0 percent, respectively. EGFR, ALK, ROS1 and RET alterations tended to be higher in females. Moreover, rearrangements of ALK, ROS and RET were more prevalent in younger lung adenocarcinoma, but skipping at exon 14 MET was more frequent in male and older patients. Stages III and IV seem to accumulate more ALK, RET and MET abnormalities. These findings identified the variation of frequencies of Vietnamese lung adenocarcinoma with different clinicopathological characteristics and established the pioneer data for oncogenic diver mutation of lung cancer in Vietnam.
Frequency of Screen Time Exposure During COVID-19 Pandemic and its Impact on patients wellbeing in Saudi Arabia: A Questionnaire-Based Study
Authors: Almutairi Nehal , Albdaya Norah , Alanazi Samar , Alanazi Najd , Almutairi Rahaf , Alshalan Lina , Moazin Othillah , Algarni Saleh
Published: April 2023

Background and Aims:
Ever since the declaration of COVID-19 pandemic, the usage of digital devices has increased, whether in the educational field, entertainment or for communication and social purposes. In our study, we aim to investigate the influence of digital devices usage in health-related problems during COVID-19 and its correlation to headache.
Methods:
This questionnaire-based cross-sectional study was conducted from August 2021 to December 2021at of Imam Mohammad Ibn Saud Islamic University in Riyadh city, Kingdom of Saudi Arabia. An electronic self-administered questionnaire distributed via student’s emails to assess the characteristics of headache.
Results:
384 students were recruited; the most common age group was 18-21 years old. Most of the students reported increased use of digital devices during the pandemic. Additionally, it revealed that 71% of the students reported experiencing a headache for the last year during lockdown period, and more than half (52.2%) of them reported an increase in the frequency of headaches which usually lasted for hours (71%) with a medium severity (75.4%). The commonest associated headache triggers were loud noises (61%), followed by difficulty concentrating (58.8%).
Conclusions:
The pandemic had a general negative impact on patients’ health, and an increase in frequency of headaches due to increased exposure to screen time. Several risk factors for these negative results have been distinguished. It is therefore critical to establish long-term strategies to reduce severity and frequency of headache in order to improve the quality of life of patients.
The General Perceptions of Career Choice of Nursing and Related Factors among Secondary School Students
Authors: khadher Mugahed , Musa Amna , Enzy Aisha
Published: April 2023

Background and Aims:
Positive perceptions towards the nursing profession among high school students contribute to an increase in the attractiveness of the nursing profession. The purpose of this study was to explore the perceptions and factors influencing high school students toward choosing the nursing profession.
Methods:
This is a descriptive cross-sectional study conducted in secondary schools in Najran city, Saudi Arabia with 340 students participating in the study.
Results:
Overall, 340 students participated in the research; 117 (34.4%) of the respondents chose nursing as a career, 195 (57.4%) were females, and 145 (42.6%) were males. Some factors influence the choice of university specialist: 188 (55.92%) were influenced by self-future ambition. The cohort was less influenced by parents 33 (9.7%) and school lessons 2 (0.6%). In general, the results showed positive perceptions of nursing. Here, 205 subjects (60.3%) consider nursing as a profession that helps others. Also, 261 (76.8%) think that nursing is an attractive job and has good discipline. In addition, 229 (67.4%) believe that nursing is a profession of good income, while 271 (79.7%) think that nurses are respected and appreciated by society.
Conclusions:
The perceptions toward the nursing profession were positive and are influenced by many factors.
Assessment of Knowledge, Attitude and Practice Regarding Insulin Use and its Adverse Effects in Adult Diabetic Population in a Tertiary Care Hospital
Authors: Das Alak , Sannigrahi Prithwish , Mukherjee Mayukh , Maity Animesh , Ghosh Jinia
Published: April 2023

Background and Aims:
A proper assessment and understanding of knowledge, attitude and practice factors among patients is helpful in diabetes, for which prevention and control necessitate a lifelong adoption of healthy lifestyles. This study aims to assess the knowledge, attitude and practice regarding insulin use and its adverse effects among the diabetic population.
Methods:
A cross-sectional, observational, questionnaire-based study was conducted over a period of three months on patients of both type 1 and type 2 diabetes mellitus on insulin therapy for more than three months and attending medicine/diabetes outpatient department in a tertiary care hospital. A pretested structured questionnaire comprising of 27 items was administered through a face-to-face interview.
Results:
Responses from 295 subjects were analyzed. Most of the subjects were unaware of different types of insulin (65.8%), believed that insulin could be stopped once blood glucose levels normalize (63.1%) and did not keep a readily available source of blood glucose when went out (53.9%). Males were more knowledgeable regarding insulin use and adverse effects compared to female (p =0.0063). Higher education was associated with good practice regarding insulin use (p=0.0287). Longer duration of diabetes was associated with better knowledge (p=0.0004). Longer duration of insulin use was associated with better knowledge (p=0.0001) and practice (p=0.0155).
Conclusions:
A proper educational intervention is needed that may create awareness among insulin users on the aspect of knowledge that would rather improve their attitude and practice.
Assessment of Medical Students’ Knowledge of Migraine Headaches in the Western Region of Saudi Arabia: A Cross-Sectional Study
Authors: Babateen Omar , Algahwaji Eyad , Alshareef Abdulaziz , Alhazmi Ayman , Algahwaji Mohammed , Alraddadi Hossam
Published: April 2023

Background and Aims:
Migraine is a common neurological disease with frequent episodes that may impact the social, mental, and physical dimensions. This study aims to determine medical students’ knowledge of migraines in the western region of Saudi Arabia, which may help decrease misdiagnosis and referral to secondary healthcare facilities.
Methods:
A descriptive cross-sectional study was conducted using an electronic questionnaire. A total of 628 medical students in Makkah, Jeddah, Al-Taif, and Medina were involved in the investigation in November 2021. The questionnaire addressed their knowledge of diagnosis and treatment options.
Results:
More than half of the participants were men (60.5%). The academic level was approximately equal among the participants (61.5% were in their pre-clinical years). Only 20.4% of the students had a good knowledge of migraine diagnosis and 20.1% had good knowledge of headache treatment. A good knowledge level was detected among 33.8% of the students aged 24 years or more compared with 4.7% of those aged 18–19 years (P-value: .001). In addition, students in their clinical years had better knowledge compared with those in their pre-clinical years (P-value: 0.001). Students exposed to any patients with migraines at medical school had a good knowledge level compared with those who did not. A good knowledge level was detected among 40.1% of the students who participated in any course on migraine headaches compared with 11.9% of those who had never participated.
Conclusions:
Medical students in the western region of Saudi Arabia have low knowledge of migraines. We recommend students be exposed to high-quality sources of information.
Knowledge and Attitudes of Healthcare Professionals in the Central Region of Saudi Arabia Concerning Hand Cleanliness and the Identification of Multidrug-Resistant Bacteria
Authors: Banawas Saeed
Published: April 2023

Background and Aims:
The hand, an ideal habitat for microbes, can be easily contaminated with pathogenic bacteria, especially among health workers who are in frequent contact with patients. Owing to the increasing prevalence of multidrug-resistant nosocomial microbes, investigating their modes of transmission is required to establish efficient preventive measures. In this study, we aimed to investigate the levels of bacterial contamination on healthcare workers’ hands in three Saudi Arabian hospitals and determine the frequency and nature of antibiotic resistance in the isolated bacteria.
Methods:
We administered a questionnaire among 216 healthcare professionals in three hospitals in the central region of Riyadh, Saudi Arabia and collected data on their knowledge about hand hygiene at the workplace, commitment to wearing gloves while performing tasks, and awareness on hands as a source of infection. Bacterial isolates were collected and screened using the Vitek 2 Compact system.
Results:
Out of the 64 hand swabs obtained from the three hospitals, 42 were positive for culture. The frequencies of positive cultures varied among the three hospitals, with hospitals A, B, and C showing contamination rates of 87.5% (21/24), 59% (13/22) and, 44.44% (8/18), respectively. The identified bacteria included Staphylococcus aureus, Staphylococcus hominis, Kocuria kristinae, Pseudomonas oryzihabitans, Pantoea agglomerans, and others. Antimicrobial susceptibility testing showed that majority of the coagulase-negative and coagulase-positive staphylococci were resistant to clindamycin, benzylpenicillin, and fosfomycin.
Conclusions:
The present study may help public health experts raise issues concerning infection control and increase awareness among healthcare personnel on the importance of hand hygiene.
An observational study on the effectiveness of tolvaptan in patients with euvolemic and hypervolemic hyponatremia admitted to a tertiary care center
Authors: Thomas Scaria , Parvathi Udayamma , Sushama Jitha
Published: April 2023

Background: Hyponatremia is a common electrolyte abnormality encountered in hospital wards. Even mild hyponatremia can result in significant morbidity and mortality especially in elderly. Treatment of the condition depends on the volume status of the patient, duration and severity of hyponatremia, and clinical condition of the patient.

Aims and Objectives: Tolvaptan is an oral vasopressin receptor antagonist approved for use in euvolemic and hypervolemic hyponatremia. The present study aimed to assess the effectiveness and safety of tolvaptan 15 mg daily for 3 days in patients with euvolemic and hypervolemic hyponatremia.

Materials and Methods: This study was a prospective observational study conducted on 82 patients with euvolemic and hypervolemic hyponatremia in whom tolvaptan was given in the Department of General Medicine in a tertiary care teaching hospital in south India. History, clinical examination findings, and baseline laboratory values were recorded in the structured proforma. Serum sodium levels were done daily along with other laboratory parameters such as renal function test, serum electrolytes, liver function tests, and random blood sugar. The rise in serum sodium level and the occurrence of overcorrection was noted. Adverse effects developing during treatment were recorded.

Results: By day 3, 27% of patients achieved normonatremia and hence tolvaptan was stopped after 2 doses. By day 4, 84% of patients who took tolvaptan achieved normonatremia. Overly rapid correction of hyponatremia was observed in 9.8% of patients. There was a significant correlation between day 1 sodium and day 4 sodium as well as day 1 sodium and total correction. The mean increase in serum sodium with 3 doses of tolvaptan was 18.24 mEq/L with a P < 0.0001. The adverse events during the study period were mild and included increased thirst, dry mouth, and polyuria. There was no significant change in transaminase levels during treatment.

Conclusion: Tolvaptan is highly effective in increasing serum sodium level in hyponatremia with minimal adverse effects. The risk of an overly rapid correction is present with its use and is more in severe hyponatremia. This can be minimized by frequent monitoring of sodium level and ensuring adequate fluid intake.
Management of common bile duct stones in a tertiary care hospital
Authors: Khan Miraj , Barman Amalesh , Chakraborty Purbarun , Bera Subhayan
Published: April 2023

Background: Common bile duct (CBD) stone is a relatively frequent disorder in our clinical practice. Early diagnosis and prompt treatment are the most important for managing CBD stones. The various modalities of treatments in bile duct stones include open, endoscopic, and laparoscopic approaches.

Aim and Objectives: CBD stones are one of the common diseases faced by both surgeons and gastroenterologists. Many patients remain asymptomatic and show mild-to-moderate dyspeptic symptoms. However, symptomatic patients are frequently associated with complications that cause a lot of suffering to the patients. At present, open, endoscopic, and laparoscopic approaches are available for the management of bile duct stones with surgical methods slowly giving a way to other two newer modalities. However, treatment modalities should be individualized. The objectives of the study are various modalities of treatments in bile duct stones and the efficacy of these modalities in terms of outcomes, morbidity, and mortality.

Materials and Methods: This was a prospective study of 68 patients who were admitted to Peerless Hospital and B.K. Roy Research Center between October 2014 and December 2015.

Results: In this study, CBD stones were common in females between 55 and 64 years of age group. The presentation of the disease ranged from asymptomatic to symptomatic with features of complications in the form of acute biliary pancreatitis and cholangitis. Pain was the leading symptom, followed by jaundice and fever. Transabdominal USG revealed stones in bile ducts in 41.2% of cases, and the diagnosis was suspected in 26.4% of cases by only seeing proximal dilated bile ducts. All patients underwent endoscopic retrograde cholangiopancreatography (ERCP) stone extraction procedure, and in cases where the endoscopic procedure failed, open CBD exploration was done. The success rate of open surgery is marginally high than that of endoscopic intervention. Choledochoduodenostomy was performed in one patient where the open procedure failed to extract all the stones from the bile ducts. Complications seen in ERCP are pancreatitis (4.4%), hemorrhage (2.9%), cholangitis (1.5%), and death in 1 (1.5%) patient, following a severe attack of pancreatitis.

Conclusion: From the above study, it is clear that open surgery is more successful than endoscopic procedure. ERCP failed due to multiple large stones and its impaction at the lower end of CBD. Hence, the patients should be categorized properly after a pre-operative workup. Facilities for the procedure and availability of experienced doctors are also crucial in making the decision.
A nagy technológiai cégek versenyellenes gyakorlatai és hatalmuk visszaszorításának alternatívai
Authors: Barnóczki Dávid
Published: April 2023

A digitális piacokon működő nagy technológiai cégek olyan mértékű hatalomra tettek szert, amellyel nem csak a versenyt, hanem már az egyéb alapvető szabadságjogokat is veszélyeztethetik. A tanulmány a digitális piacok jellemzőit, és az ott erőfölényben jelenlévő vállalkozások, így pl. a Google, Facebook, Amazon jogellenes gyakorlatait mutatja be, elsősorban EU-s szinten. E magatartások feltárása következtében láthatóvá válik, hogy milyen problémák rejlenek bennük. A hatalmuk megtörésére többféle megoldás is létezhet, ilyen lehet pl. kevesebb fúzió engedélyezése, egyes tevékenységek tiltása, és a társadalmi nyomásgyakorlás is. Tanulmányomban ezeket a körülményeket fogom feltárni, és megoldási javaslatokat is adok.
A novel intrusion detection system for IIoT using inception convolutional neural network
Authors:   Department of Computer science, Federal School of Surveying Oyo, Oyo State, Nigeria, Emmanuel Izuchukwu Ofoegbunam , Paul Amalu Chigbo ,   Department of Physics, Ajayi Crowther University, Oyo State, Nigeria, Saheed Ajao ,   Department of Computer science, Federal School of Surveying Oyo, Oyo State, Nigeria
Published: April 2023

The purpose of this study is to compare the accuracy of several deep-learning models for the identification of rice weed. In this study, 1500 datasets of local rice and 1000 datasets of weed were resized and applied to the input size of the network, respectively. A total of 70% of the data were used for training, and the remaining 30% were used for validation. MATLAB R2018a was used to construct the AlexNet pre-trained model using a transfer learning strategy, and by changing the AlexNet model, RiceWeedNet, a convolutional neural network, was created. Metrics such as network accuracy, recognition accuracy, precision, and recall were used to assess both models’ performances. While the test set’s identification accuracy is 97.713415%, its precision is 0.9776, and its recall value is 0.9803. The RiceWeedNet model achieved a network accuracy of 100%. A network accuracy of 90% and a recognition accuracy of 73.780488% were reported by the AlexNet model, respectively. The created model may be used instead of conventional weed detectors.
A personalized nomogram for predicting 3-year overall survival of patients with uterine carcinosarcoma in a tertiary care hospital in Southern Thailand
Authors: Nanthamongkolkul Kulisara , Taweerat Pacharadol , Jiamset Ingporn
Published: April 2023

Objective To develop a nomogram for predicting 3-year overall survival (OS) and outcomes of surgically staged patients with uterine carcinosarcomas (UCS).Methods This retrospective study analyzed the clinicopathological characteristics, treatment data, and oncological outcomes of 69 patients diagnosed with UCS between January 2002 and September 2018. Significant prognostic factors for OS were identified and integrated to develop a nomogram. Concordance probability (CP) was used as a precision measure. The model was internally validated using bootstrapping samples to correct overfitting.Results The median follow-up time was 19.4 months (range, 0.77-106.13 months). The 3-year OS was 41.8% (95% confidence interval [CI], 29.9-58.3%). The International Federation of Gynecology and Obstetrics (FIGO) stage and adjuvant chemotherapy were independent factors for OS. The CP of the nomogram integrating with body mass index (BMI), FIGO stage, and adjuvant chemotherapy was 0.72 (95% CI, 0.70-0.75). In addition, the calibration curves for the probability of 3-year OS demonstrated good agreement between the nomogram-predicted and observed data.Conclusion The established nomogram using BMI, FIGO stage, and adjuvant chemotherapy accurately predicted the 3-year OS of patients with UCS. The nomogram was useful for patient counselling and deciding on follow-up strategies.
Роль військових облігацій у фінансуванні державного бюджету у воєнний період
Authors: Чубка О. М. , Скоропад І. С.
Published: April 2023

Визначено найбільші джерела фінансування державного бюджету в період війни. Доведено, що основним покупцем військових облігацій у 2022р. виступав НБУ. Наведено динаміку щомісячного викупу військових облігацій НБУ у 2022р. Проведено аналіз дохідності за викупленими військовими облігаціями. Визначено позитивні та негативні сторони здійснення емісії гривні НБУ. Проведено детальний структурний аналіз інвесторів військових облігацій, розміщення облігацій за видом валют, за терміном погашення, за видом фондового ринку. Наведено порівняльну характеристику військових облігацій та депозитів за ознаками: оподаткування доходів, гарантування повернення вкладів, наявність довідки про походження коштів, відсотками, позичальниками, призначенням, ліквідністю. Доведено, що інвестиції у військові облігації мають низку переваг порівняно із депозитами. Наведено перелік  банків та фінансових компаній, у яких населення може придбати військові облігації. Спрогнозовані можливі сценарії продажу військових облігацій з портфеля НБУ.
DIGITALIZATION OF PUBLIC ADMINISTRATION AND VARIOUS SPHERES OF SOCIETY: SCIENTIFIC AND THEORETICAL APPROACHES
Authors: Sveta A.
Published: April 2023

This article analyzes the concept of “digitalization” by the author, its impact on public administration and various sectors of society, the role of the digitalization process in improving the efficiency of public administration. Also, as a result of comparative analysis of the views of scholars and legal norms, the interpretation, goals and objectives of digitalization in various fields have been developed.

Ушбу мақолада “рақамлаштириш” тушунчаси, унинг давлат бошқаруви ва жамиятнинг турли соҳаларига таъсири, давлат бошқаруви самарадорлигини оширишда рақамлаштириш жараёнининг тутган ўрни таҳлил қилинган. Шунингдек, олимларнинг назарий ёндашувлари ҳамда амалдаги қонунчилик нормаларини қиёсий таҳлил қилиш орқали турли соҳаларда рақамлаштиришдан фойдаланиш, бундан кўзланган мақсад ва истиқболдаги вазифалар тўғрисида хулоса чиқарилган.

В статье анализируется понятие «цифровизация», его влияние на государственное управление и различные сферы общества, роль процесса цифровизации в повышении эффективности государственного управления. В результате сравнительного анализа мнений ученых и содержания правовых норм выработано толкование и сформулированы цели и задачи цифровизации в различных сферах. Ключевые слова: государственное управление, общество, цифровизация, цифровые технологии, электронное правительство.
INTERNATIONAL HUMAN RIGHTS TREATIES AND THE REPUBLIC OF UZBEKISTAN: SUCCESSES AND CHALLENGES
Authors: Sherzod T.
Published: April 2023

Abstract. In recent years the law of treaties in Uzbekistan has evolved in different fields, including treatymaking practice in international human rights law. After the proclamation of independence the Reapublic of Uzbekistan paid a huge attention to the ratification/accession to core human rights treaties. However, only joining international conventions could not and cannot provide citizens and the government with full respect for and protection of core human rights. The Article discusses the notion of treaties in international law as a main source and an approach of the legal system of Uzbekistan to international treaties on the basis of the existing theories, illustrated with the comprehensive and reliable examples of the core international human rights treaties.

Сўнгги йилларда Ўзбекистонда шартномавий ҳуқуқ турли соҳаларда, жумладан халқаро инсон ҳуқуқлари соҳасида ҳам амалий жиҳатдан ривожланди. Ўзбекистон Республикаси давлат мустақиллигига эришганидан сўнг, мамлакатда инсон ҳуқуқлари бўйича асосий халқаро шартномаларни ратификация қилиш / уларга қўшилиш масаласига катта эътибор қаратилди. Шунга қарамай, жамиятда инсон ҳуқуқлари тўлиқ ҳурмат қилиниши ва ҳимояланишини таъминлаш учун халқаро конвенцияларга қўшилишнинг ўзигина етарли эмас. Мақолада халқаро ҳуқуқдаги шартномалар тушунчаси асосий манба сифатида ва Ўзбекистон ҳуқуқ тизимининг халқаро шартномаларга ёндашуви мавжуд назариялар асосида ўрганилган, Ўзбекистоннинг инсон ҳуқуқлари бўйича асосий халқаро шартномаларни ратификация қилиш / уларга қўшилиш борасидаги муваффақиятлари тўлиқ ва ишончли мисоллар асосида ёритилган.

В последние годы договорное право в Узбекистане развивалось в различных областях, включая договорную практику в международном праве прав человека. После обретения государственной независимости Республика Узбекистан уделяла огромное внимание ратификации/присоединению к основным договорам по правам человека. Однако только присоединение к международным конвенциям не могло и не может обеспечить гражданам и правительству полное соблюдение и защиту основных прав человека. В статье рассматривается понятие договоров в международном праве как основного источника и подход правовой системы Узбекистана к международным договорам на основе существующих теорий, успехи Узбекистана в ратификации/присоединении к основным международным договорам по правам человека иллюстрируются конкретными примерами.
THE ROLE OF THE ACTIVITIES OF THE NATIONAL SEGM ENT IN DEMOCRATIC PROCESSES THROUGH THE INTERNET CYBERSPACE
Authors: Khusniddin B.
Published: April 2023

The article discusses the activities of the national segment of the Internet in the era of informatization of society and analyzes the results of their activities. At the same time, through sociological research, the problems of developing information resources in the national segment of the Internet are identified, and a number of factors that affect the efficiency of filling the site with relevant materials are provided with systematized analysis.

В статье рассматривается деятельность национального сегмента сети Интернет в эпоху информатизации общества и нализируются результаты его деятельности. При этом по­ средством социологических исследований выявляются проблемы развития информационных ресурсов в национальном сегмент сети Интернет, а также приводится и систематизируется ряд факторов, влияющих на эффективность наполняемости сайта актуальными материалами.

Мақолада рак,амли жамиятда миллий сегмент фаолияти урганилган ва натижалар тахдил килинган. Шу билан бирга, глобал интернет тармогидаги миллий сегментга мансуб сайтларни ривожлантириш муаммолари социологик тадкқиқотлар ёрдамида очиб берилган хамда сайтлар мазмунини такомиллаштиришга таъсир этувчи бир катор омиллар таснифланган.
“PRIORITY DIRECTIONS OF CONSTITUTIONAL REFORMS IN THE FIELD OF HUMAN RIGHTS PROTECTION AND HUMAN DIMENSION” Mirzatillo TILLABAEV,
Authors: Mirzatillo T.
Published: April 2023

This article provides an analysis of the implementation of international human rights standards in the text of the Constitution of the Republic of Uzbekistan as part of the ongoing constitutional reform. The provisions of the draft Constitutional Law are analyzed on the basis of international treaties.

Мазкур мақолада амалга оширилаётган конституциявий ислоҳотлар доирасида Ўзбекистон Республикаси Конституциясига инсон ҳуқуқлари бўйича халқаро стандартларни имплементация қилиш масалалари ёритилган. Конституциявий қонун лойиҳаси қоидалари халқаро шартномалар асосида таҳлил қилинган.

В данной статье проводится анализ вопросов имплементации международных стандартов прав человека в Конституцию Республики Узбекистан в рамках проводимой конституционной реформы. На основе международных договоров анализируются положения проекта Конституционного закона.
DEVELOPMENT OF THE HUMAN CAPITAL AS ONE OF THE FORMS OF THE PROTECTION OF HUMAN RIGHTS AND FREEDOMS
Authors: Zarina M. , Tura N.
Published: April 2023

The article analyzes the issues of building a people-friendly state through the further development of free civil society and increasing the value of people, as defined in the Development Strategy of New Uzbekistan. The authors made a scientific conclusion that the final goal of the democratic reforms implemented in our country is to achieve a happy and prosperous life for every person in our country.

Мақолада Янги Ўзбекистоннинг тараққиёт стратегиясида белгиланган инсон қадрини юксалтириш ва эркин фуқаролик жамиятини янада ривожлантириш орқали халқпарвар давлат барпо этиш масалалари таҳлил қилинган. Муаллифлар томонидан мамлакатимизда амалга оширилаётган демократик ислоҳотларнинг пировард мақсади – юртимиздаги ҳар бир инсон бахтли ва фаровон турмуш кечиришига эришиш экани тўғрисида илмий асосланган хулоса чиқарилган.

В статье анализируются вопросы построения дружественного народу государства путем дальнейшего развития свободного гражданского общества и повышения ценности людей, как это определено в Стратегии развития Нового Узбекистана. Авторы сделали научный вывод о том, что конечной целью демократических реформ, осуществляемых в Узбекистане, является достижение счастливой и благополучной жизни для каждого человека в нашей стране.
ФУКАРОЛИК СУД ИШЛАРИНИ МАХСУС СУД ПЛАТФОРМАЛАРИДА КУРИШНИНГ УЗИГА ХОС ХУСУСИЯТЛАРИ
Authors: Отабек П.
Published: April 2023

Мазкур мақолада фуқаролик суд ишларини юритишда суд платформаларидан фойдаланишнинг узига хос хусусиятлари ёритиб берилган. Суд платформаси суд-ҳуқуқ тизими янгиликларидан хабардор булиш, суд мажлислари ҳақидаги маълумотларни топиш, электрон ҳужжатларни кўриш ва уларни телефонга юклаб олиш, тақдим этилган хужжатлар ҳолатини кузатиш, матнли хабарлар алмашиш, суд жараёнида масофадан туриб иштирок этиш имкониятини беради.

This article discusses the features of the use of judicial platforms in civil proceedings. The judicial platform allows you to keep abreast of the news of the judicial system, find information about court hearings, view electronic documents and download them to your phone, monitor the status of submitted documents, exchange text messages, and participate in the trial remotely.

В статье рассматриваются особенности использования судебных плат­форм в гражданском судопроизводстве. Судебная платформа позволяет быть в курсе но­востей судебной системы, находить информацию о судебных заседаниях, просматривать и скачивать электронные документы, следить за состоянием представленных документов, обмениваться текстовыми сообщениями, участвовать в судебном процессе дистанцион­но.
EDUCATION POLICY AND MODERNIZATION STAGE IN UZBEKISTAN
Authors: Nasiba J.
Published: April 2023

This article is devoted to the educational policy of Uzbekistan and the ongoing reforms in this area. Normative documents in the field of higher education, laws, decrees and the essence of the concept of education development are analyzed. The existing problems in this area of higher education are also scientifically justified.

Мақолада Ўзбекистоннинг таълим соҳасидаги давлат сиёсати ва ушбу йўналишда амалга оширилаётган ислоҳотлар ёритилган. Олий таълим тизимидаги меъёрий ҳужжатлар: қонунлар, фармонлар ва Ўзбекистон Республикаси олий таълим тизимини 2030 йилгача ривожлантириш концепциясининг аҳамияти ва моҳияти таҳлил қилинган. Шунингдек, мамлакатимиз олий таълим тизимида мавжуд муаммолар илмий жиҳатдан асослаб берилган.

Статья посвящена образовательной политике Узбекистана и проводимым реформам в этой области. Проанализированы нормативные документы, регламентирующие сферу высшего образования, законы, указы и суть концепции развития образования, а также существующие проблемы в этой области.
A POST SURGICAL STENT FOR MANDIBULAR MULTILOCULAR CYST–A CASE REPORT
Authors:   Sharavathi Dental college, T G Ruchitha , G Sudhakara Bhat , G C Gahana , G R Ramakrishna Maiya , Malagi Madhuri M
Published: April 2023

Cyst is a pathological cavity filled with fluid, semifluid or gaseous content lined by epithelium and not created by the accumulation of pus. Cysts of the jaws are treated by enucleation and marsupialization. After the removal of the cyst, space-occupying stent is fabricated for faster healing and patient comfort. Stents are appliances constructed to cover the tissues or the teeth for their protection, to carry medicaments, radium material, to control bleeding, to determine radiographically the prospective site of dental implant. Stents are used for shaping the alveolar process or positioning of gingival tissues. It enhances faster healing of the wound by preventing food impaction. We are reporting a case of mandibular multilocular cyst that was treated by enucleation and post-surgical stent.
Prosthodontic Review On Postmenopausal Osteoporosis
Authors:   PMS COLLEGE OF DENTAL SCIENCE AND RESEARCH  DEPARTMENT OF PROSTHODONTICS, R NAIR AISWARYA , A KUMAR ASWATHY , E M BINIMOL , S SUDEEP , H GLADSTONE SHEEBA , PRASAD PG MANOJ
Published: April 2023

Osteoporosis after menopause is a growing public health concern that impacts bone health. It is characterised by weak and fracture prone bones. Women are nearly four times likely as men to be affected. The goal is to improve a proper prosthodontic therapy so that residual ridge resorption is reduced. The main concern are alveolar bone resorption and tooth loss or movement, to which osteoporotic women are three times more sensitive than those without condition. The goal of prosthodontic treatment should be to enhance prognosis by modifying the treatment plan to lower the strain on the alveolar ridge and thereby reduce progressive resorption. This article provides an overview of prosthodontic considerations related to osteoporosis in postmenopausal women.
MARIO VARGAS LLOSA’NIN DÜNYA SONU SAVAŞI ROMANINA BAKHTİNCİ BİR YAKLAŞIM: KARNAVALESK
Authors: KALKAN YAĞCI Nihal
Published: April 2023

Tarihsel olarak, ilk tarımsal toplulukların hasat kutlamalarına, yas törenlerine, dinsel ayinlere ve şenliklere dayanan karnavallar, yaşamı onurlandırmak için üretilen kutlamalardır. Antik dönemlerden itibaren sürdürülen bu folklorik olgu, Ortaçağ ve Rönesans döneminde kilisenin ve devletin de desteğiyle değişimin ve yenilenmenin bayramı olarak kutlanılır. Karnavallar, var olan toplumsal yaşamın ilkelerinin değiştirildiği, özgürlüğün her değerin önüne geçtiği, tüm yasa ve normların askıya alındığı, saygının, otoritenin ve ciddiyetin alaya alındığı, toplumun değişik tabakalarından insanların herhangi bir koşul olmadan katılabildiği, toplu bir sosyal dönüşümün deneyimlendiği istisnai şenliklerdir.

Rus filozof ve edebiyat kuramcısı Mikhail Bakhtin (1895-1975) bu toplumsal olgunun kendine has doğasını kuramsallaştırarak edebiyata uyarlar. Karnavalın edebiyat tarihi boyunca farklı biçimlerde varlık bulduğunu ileri süren Bakhtin, Avrupa halk mizahından beslenen karnaval edimlerinin roman türünde nasıl konumlandığını ve bu türün gelişimindeki etkisini ortaya koymaya çalışır.

Perulu yazar Mario Vargas Llosa’nın Dünya Sonu Savaşı adlı romanı, Mikhail Bakhtin’in kuramındaki karnaval ruhunu yansıtmaktadır. Romanın konusu, Brezilya’nın siyasi tarihinde kırılma yaşadığı bir döneminde geçmektedir. Vargas Llosa, 1896-1897 yılları arasında gerçekleşen Canudos Savaşı’nda yaşanılanları ve karakterleri hicvederek, parodileştirerek, dönüştürerek, alçaltarak ve abartarak kendi uyarlamasını ortaya koyar. Dünya Sonu Savaşı, toplumsal düzenin, ahlaki değerlerin, genelgeçer ilkelerin tersine çevrildiği karnavalesk bir romandır. Tıpkı karnavallarda halkın günlük yaşantılarının dışında aykırı bir yaşama geçtikleri gibi romanda da karakterler alternatif bir yaşama geçerler. Değişen siyasi ve toplumsal dinamiklerin kırsal kesimde yarattığı koşullar üzerine şekillenen romanda, özgür ve kolektif bir ruhla birleşen bir grup insan hayatta kalma çabasını değiştirir. Gün geçtikçe sayıları çoğalan bu insanların ikinci yaşamı, sıradan baskıcı bağlamdan çıkan ilahi bir atmosferdir. Yaşamın her iki yönü birleştirilip bir bütünlük sergilendiği karnaval meydanlarını andıran bir roman olan Dünya Sonu Savaşı’nda toplumsal bir hareketin karnavalesk ruhu canlandırması analiz edilmeye çalışılır.

Çalışmada, Bakhtin’in edebiyat eleştirisine kazandırdığı karnavalesk kuramın temel kavramları Vargas Llosa’nın romanında ayrıntılı olarak incelenir. Yaşamın alışıldık tekdüzeliğinden çıkılması, aşağıdakinin yüceltilmesi, güçlünün itibarsızlaştırılması, uygunsuz birleşmeler, grotesk beden, toplumsal normlara ve resmi kurallara karşı alaycı yaklaşım, saygısızlık gibi karnaval edimleri açımlanır.
Colecistectomias - análise dos casos operados em dois anos em um hospital escola: um estudo transvesal retrospectivo
Authors: Bettega Ana  Luisa , De Faria Melquíades da Rocha Bruno , Barroso Ana  Luiza  Moraes , Badalotti Pedro  Henrique  Parisenti , Weiler Rafaela  Angeli , Leão Tainá  de Mattos , Coelho Guilherme de Andrade
Published: April 2023

Objectives: To select all cholecystectomies performed in the last two years, to analyze the epidemiological profile of patients and compare cases of elective or emergency surgery regarding the need for drainage, reoperation, incidence of postoperative complications and complications of the surgical wound. Materials and methods: 942 cholecystectomies were performed at Hospital Universitário Evangélico Mackenzie in Curitiba between 01/01/2018 and 12/31/2019. The data obtained were analyzed by graphs and frequency tables. For association calculations, ANOVA, Man-Whitney and chi- square tests were performed. Significance adopted: 5%. Results: Of the operated patients, 75.9% are women. On average, patients were 48.2 years old. Urgent surgeries were performed in 34.9% of patients, while elective surgeries occurred in 65.1% of cases. There was a greater need for placement of an abdominal drain in urgent procedures (p = 0.001). There was a greater need for reoperation in patients who needed an abdominal drain in the first surgery (p = 0.004). There were also more complications in the postoperative period in patients operated urgently (p = 0.004). There was even more complication in the postoperative period of patients who required a drain placement (p = 0.001). There was a greater need for reoperation in patients with postoperative complications (p = 0.001). There were more complications at the surgical wound of patients who underwent reoperation (p = 0.001). Conclusion: Patients undergoing elective surgery evolve with less need for drainage, postoperative complications, reoperation and complications of the surgical wound.
Cirurgia bariátrica e a pandemia do novo coronavírus: análise comparativa do impacto em procedimentos do SUS e de convênio
Authors: Masuko Tatiana Mie , Czeckzo Nicolau Gregori , Nassif Paulo Afonso Nunes , Malafaia Osvaldo , Ribas Filho Jurandir Marcondes
Published: April 2023

Introduction: The treatment of obesity involves several multidisciplinary approaches, including surgical intervention. The COVID-19 pandemic has impacted access to it, creating difficulties in its resumption and accentuating the disparities between the public and private system. Objective: To analyze the impact of the pandemic on bariatric surgery performed by SUS and medical insurance in Brazil. Methods: Data were collected using the TABNET databases of the Hospital Information System (SIH), of the Unified Health System (SUS), and the TISS data panel of the National Supplementary Health Agency (ANS), in the period of 2015 to 2021 and a descriptive quantitative analysis was performed, calculating the average of the information. In addition, statistical estimates were performed using linear regression in SPSS software, with a 95% confidence interval. Results: A significant and direct correlation was identified between the increase in the number of procedures performed by the SUS and the average increase in procedures over the years, while in the health insurance system there was no significant correlation. During the pandemic, there was a significant drop in surgical volume in both systems, with the public system being more affected. The resumption of surgical volume has not yet reached pre-pandemic levels in the public system, while the private system showed a significant increase. Conclusion: COVID-19 pandemic had a significant impact on the ability of the public and private sector to perform bariatric surgeries in Brazil. The results show regional and socioeconomic differences in the performance of these procedures.