bluuebunny/crossref_metadata_2025 huggingface dataset:
Ustalanie tożsamości polskich użytkowników zagranicznych mediów społecznościowych – studium przypadków ścigania mowy nienawiści w cyberprzestrzeni Determining the identity of social media users in Poland: prosecuting hate speech in cyberspace – a case study
Authors: Lewulis Piotr
Published: April 2023

Some cybercrimes are relatively easy to prosecute, while others are almost impossible. This often depends on the perpetrator’s modus operandi. When it comes to hate speech or other prohibited content posted on social networking sites, the effectiveness of basic investigative activities relying on data provided by the site administrator is limited. This article presents the results of a qualitative analysis of selected cases of legally concluded criminal proceedings concerning crossing the limits of freedom of expression on the Internet, where prosecution was successful and the real perpetrator was identified and brought to justice. In the analyzed cases, all perpetrators who posted on websites run by Polish entities were identified effectively, due to the cooperation between law enforcement authorities, website administrators, and telecommunications entities. On the other hand, the perpetrators of hate speech on foreign social networking sites (e.g. Facebook) were identified with basic Open-Source Intelligence techniques analysis, based on data publicly available in the perpetrators’ profiles (such as names and surnames, workplaces, and details of family and friends). This article provides descriptions of the facts and the course of proceedings in the analyzed cases, illustrating various variants of how the identity of the perpetrator through the analysis of publicly available data may be established. Key words: social media, hate speech, cybercrime, OSINT
Training of trainers manual on technical handbook on solar water pumps
Authors: Gautam Kushal , Malla Avishek
Published: April 2023

In South Asia, solar water pumping systems (SWPS) are an emerging curiosity among farmers who are looking for better alternatives in reliable energy to pump water. A well-designed SWPS is a reliable source of energy for water pumping for farmers throughout the year. This handbook is aimed at young engineers to develop must-know knowledge about SWPS. The handbook walks you through the technical background, important concepts, survey, design, installation, and operation, as well as maintenance of SWPS, and covers the full spectrum of its technical aspect.
蛋白質攝取量建議及高蛋白飲食對腎臟的影響
Authors: 黃敬軒 黃敬軒 , Jing-Xuan Huang 王淳理
Published: April 2023

現今蛋白質攝取量多採用世界衛生組織(World Health Organization, WHO)每日0.83 g/kg標準體重(ideal body weight, IBW)為標準。然而，此標準僅適用於活動量低的成人，針對不同族群需做個人化的調整。除了有慢性腎臟病(chronic kidney disease, CKD)的族群須減少攝取蛋白質，年長者、有運動習慣者、以及正在減重的族群則是需要提高攝取量。

高蛋白飲食產生了更多含氮廢物，在生理上可能會以增加腎絲球過濾率(estimated glomerular filtration rate, eGFR)來幫助代謝，然而此反應僅在部分研究中出現。而長期eGFR的增加是否會導致慢性腎臟病的產生，現有文獻仍不足以做出結論。然而每日攝取量若大於2 g/kg標準體重，或是大於1.7 g/kg實際體重(actual body weight)，目前結果顯示有較高風險會影響腎功能。建議要施行高蛋白飲食的人，需先確認腎功能正常再實行計劃，避免過高的攝取量，並定期抽血追蹤腎功能變化。蛋白質來源的選擇應多方攝取，且多攝取植物性蛋白尤佳。動物性蛋白應盡量避免紅肉及加工肉品，以免造成腎臟的負擔。

 

The most common suggestion for daily protein intake, which is 0.83 g/kg, is based on the WHO nutrition guideline. However, this suggestion is mainly for adults who are sedentary or lightly active. Optimal amount of protein is in need of proper adjustment to fit individual needs. For instance, patients with chronic kidney disease (CKD) need to restrict protein intake, while the elderly, exercisers, and people on a weight loss program need to increase their daily protein intake.

High-protein intake produces more nitrogenous waste, which may result in increasing eGFR. This response is called hyperfiltration, and extant research remains inconclusive about whether long-term hyperfiltration increases the risk of developing de novo CKD. However, long-term daily protein intake exceeding 2 g/kg ideal body weight or 1.7 g/kg actual body weight has been observed to heighten the risk of renal impairment. People with underlying CKD should steer clear of high-protein diet, and for kidney health, plant-based protein and healthy animal protein should be preferred over red meat and processed meat.

 
慢性病人服藥配合度行為相關因素之問卷調查研究
Authors: 許舒涵 許舒涵 , 楊裕萌 楊裕萌 , Yu-Meng Yang 林煜程 , Yu-Cheng Lin 胡德民 , Teh-Min Hu 王莉萱 , 唐功培 唐功培
Published: April 2023

目的：服藥配合度不佳可能導致疾病無法得到有效治療，還可能衍生出其他藥物不良反應，因此了解病人服藥配合度之相關因素，以利提出有效對策，增進醫病溝通及提升病患服藥配合度。

方法：以計畫行為理論與健康信念模式為基礎建構問卷之構面，透過問卷結果了解影響病人服藥之因素。以台北市某區域教學醫院為主要收案場所，將問卷數據進行項目分析、信度檢測一致性與確立問卷信效度後，使用SPSS進行Pearson’s 相關性分析、以及多元階層迴歸分析探索各理論中，其構面對服藥配合度的相關因素與解釋力。

結果：本研究共收集307份有效問卷樣本。分析計畫行為理論中各構面與人口學變項之關聯性後，具統計上顯著之相關構面為態度與行為意念，解釋力為24.1%。健康信念模式模型中，具統計上顯著之相關構面為自覺行動障礙與自我效能，解釋力28.4%。

結論：計畫行為理論與健康信念模式皆可用來研究服藥配合度行為，且健康信念模式相較於計畫行為理論去預測慢性病人服藥配合度有較好的解釋力。

 

Purpose: As medication non-adherence may exacerbate disease progression and result in drug-related problems, it is of great importance to examine the factors affecting patient’s medication adherence to develop effective solutions that help improve the communication between physicians and patients.

Methods: A questionnaire was designed based on two theories of behavior change: the theory of planned behavior (TPB) and the health belief model (HBM). The validated questionnaire was administered to patients of a regional hospital in Taipei. Item analysis included missing rate, comparisons of extreme groups, correlation between item and total score, Cronbach’s α after item deletion, and Cronbach’s α reliability test. Pearson’s correlation, multiple hierarchical regression analysis and the power of TPB and HBM models were conducted for further statistical analysis.

Results: A total of 307 valid questionnaires were analyzed. The TPB model indicated that attitude and behavioral intention exerted significant effects on medication adherence. Adjusted R-squared was 24.1%. As to the HBM model, perceived barrier and self-efficacy were significant factors. Adjusted R-squared was 28.4%.

Conclusion: The study identified several behavioral factors or barriers which might potentially affect medication adherence. Both TPB and HBM can be used to study medication adherence with the latter reporting a greater power in predicting medication adherence of chronic patients.

 
Amoxicillina: quando manca l’essenziale
Authors: Marchetti Federico
Published: April 2023

The antibiotic amoxicillin is usually recommended as a first-line treatment for many common infections affecting children. Repeated lockdowns related to the coronavirus disease 2019 pandemic have contributed to supply difficulties for many drugs, including antibiotics. However, the risks associated with amoxicillin supply shortages appear not to have been sufficiently assessed, and the crisis we are facing today is serious and particularly dangerous for children’s health. Without rigorous measures to prevent shortages related to drug production and distribution, populations could face a post-antibiotic era in which common infections and minor injuries can result in serious life-threatening situations. The availability of medicines declared by WHO as essential should be guaranteed not only in production but also in fair distribution. And this principle must be ensured by national and international regulatory agencies.
An Assessment of Hand Hygiene Practices among Health Care Providers in Operation Theatre
Authors: Rizwan Zara , Mughal Tooba , Mohsin Salman , Najjad Nasir Ali Rahim
Published: April 2023

Aims: To assess the frequency of hand hygiene opportunities available to health care providers during surgeries and to assess the frequency of hand hygiene practices of health care providers in those hand hygiene opportunities. Study design: Cross sectional study Place and duration of study: Operation theatre and recovery room at The Indus Hospital Korangi Campus and Sheikh Saeed Memorial Campus from 21stMarch 2021 to 30th August 2021 Methodology: Two hundred and eighty one health care professional for 55 surgeries were included for hand hygiene opportunities and their hand hygiene practice. Every opportunity to practice hand hygiene was observed and noted as having occurred (hand wash or hand rub) or missed. Throughout the period, the PI was recorded opportunities for hand hygiene and missed opportunities using WHO’s hand hygiene observational form. Results: The average age of the health care provider was 31.22±8.15 years. The overall adherence to hand hygiene practice according to WHO guidelines was 16.1% while 83.9% were not according to WHO hand hygiene guideline. Failure of hand hygiene practice was significantly high in all type of hand hygiene opportunity. Rate of missed/failure hand hygiene practice was significantly high in nurses and technician and also their qualification (p<0.05). Conclusion: The poor hand hygiene compliance was frequently noticed among health care workers. Hand hygiene should be an educational priority and it needs to be implemented effectively. Therefore, hand hygiene resources is an integral part for better strategic and improvement strategy. Keywords: Hand hygiene, Contamination, Health care associated infections; Prevention.
Pulmonary Thromboendarterectomy for Chronic Pulmonary Thromboembolism
Authors: Abbas Amna , Rehman Mazhar ur , Aftab Hina , Akram Muhammad Athif , Kibriya Ghulam
Published: April 2023

Pulmonary embolism in terms of causes of mortality is the third most common cause, when talking about cardiovascular diseases, yet most undiagnosed or misdiagnosed one. Among causes of pulmonary thromboembolism protein C deficiency is a rare one and idiopathic most common entity. In general population the incidence of severe protein C deficiency is about 1 in 500,000-750,000 people. We present a case of chronic pulmonary thromboembolism in young female of 23 years. She presented with history of dyspnea, dry cough and bilateral DVT of legs. On pulmonary CT diagnosis of massive pulmonary thrombus was made and her pulmonary thromboendarterectomy was done in our center. Conclusion: All patients with chronic pulmonary thromboembolic hypertension should be assessed for operability by proper referral to an experienced CTEPH (chronic thromboembolic pulmonary hypertension) team to determine if they are viable candidate for PEA (pulmonary endarterectomy). PEA is standard and recommended operative technique for treatment of CTEPH. Keywords: pulmonary endarterectomy, pulmonary embolism, protein C deviciency
Comparison of Knowledge and Practices among University Students of Allied Health Sciences and Engineering Departments in University of Lahore, Pakistan about Corona Virus Disease
Authors: Fatima Iqra , Shafeeq Seema , Sultan Jawaria , Zubair Fatima , Arshad Fatima , Khan Ahmed Majeed
Published: April 2023

Background: Corona Viruses is a group of viruses that cause diseases in both humans and mammals and are known to cause chronic respiratory diseases. The viruses among them include SARS, MERS and COVID-19. The most recent pandemic was a result of COVID-19. Older people and those with underlying medical problems are more likely to develop serious illness. Objective: To compare the knowledge and practices of Allied Health and Engineering students of the University of Lahore about Corona Virus Disease. Methodology: A cross-sectional questionnaire based survey was conducted on 326 students studying in Allied health Sciences and Engineering departments of UOL. The data was compiled in SPSS, version 24 for analysis. Results: The students of Allied Health Sciences had a better understanding and were more aware of COVID-19, its percussions and the methods to prevent its spread than of the Engineering Students. More than half of the Engineering students have found to have less understanding about the causative agent of the COVID-19 and similar trend was found in other categories. Health sciences students showed higher tendency towards hands hygiene practices than engineering students. Practical implication: Lessons learned from different outbreaks of infectious diseases suggested that knowledge and practices towards infectious diseases are associated with level of panic emotion among the population, which can further complicate attempts to prevent the spread of the disease. To facilitate outbreak management of COVID-19 in Lahore, Pakistan, there is an urgent need to understand the public's awareness of COVID-19. Keeping these considerations in mind this research was kicked-off to gauge the knowledge and practices of these medical and engineering students about Corona virus disease. Conclusion: The study shows that educational background plays a vital role in disease control and it will help in successful uptake of control interventions for prevention of COVID-19. Keywords: COVID-19, Engineering, Allied Health Sciences, knowledge, practices, comparative analysis
Recent Advances in the Management of Atrophic Tibial Non-Unions; An update using Extra Corporeal Shock Wave Therapy
Authors: Siddiq Umair Abu Bakar , Sikandar Mirza Zeeshan , Ahmad Saqib Javaid , Khalil Uppal Muhammad Salman , Manzoor Amir , Tahir Mariya
Published: April 2023

Background: Tibial nonunion remains a significant clinical challenge despite advances in surgical management. New techniques to help manage tibial nonunion include extracorporeal shock wave therapy and percutaneous application of bone marrow aspirate. Management strategies vary based on the type of nonunion: aseptic or infected, and atrophic or hypertrophic. Extracorporeal shock wave therapy has been shown to be as effective as surgical management in patients with stable hypertrophic nonunion. Objective: To determine the efficacy of extracorporeal shock wave therapy for aseptic non-union of the tibia Methodology: A randomized controlled trail was conducted at Orthopedic Emergency department Central Park Teaching Hospital from March 2022 to November 2022. Results: In our study, out of 120 cases, 52.5%(n=63) were between 15-40 years and 47.5%(n=57) were between 41-60 years of age, mean + sd was calculated as 41.22+7.17 years, 60.83%(n=73) male and 39.17%(n=47) females. Frequency of efficacy of extracorporeal shock wave therapy for aseptic non-union of the tibia revealed in 86.67%(n=104). Practical Implication: ESWT therapy can be used as non-invasive method of treating non-healing fractures of tibia without compromising the surgical anatomy. Conclusion: We concluded that the frequency of efficacy of extracorporeal shock wave therapy for non-union of the tibia is significantly higher and the patients treated with this technique may have a benefit of non-operative procedure. Keywords: Aseptic non-union of the tibia, extracorporeal shock wave therapy, efficacy
Magnetic Resonance Imaging (MRI) Evaluation of Perianal Fistula with Surgical Correlation
Authors: Ahmad Mian Waheed , Shehzadi Hafiza Sameeya , Dogar Iqbal Hussain , Rashid Nawaz , Tayyab M Azam , Qureshi Uzair Ahmed , Ahmad Rameez
Published: April 2023

Objective: This study's goal was evaluate the part magnetic resonance imaging plays in the identification and classification in perianal fistulas to contrast those results with those from surgery. Study Design: Cross Sectional Place & Duration: Study carried out between the periods of January 2022 to Aug 2022 Material & methods: This study was tested on 50 patients in the hospital. Patients who had undergone MRI pelvis with or without contrast study were counted in the current study. Patients who undergone surgery prior or had recurrent perianal illness were not included in the study. Short T1 inversion recovery, T2 weighted (T2W) sagittal, axial, and coronal MRI sequences (STIR), T1W axial, and coronal sequences, and T1W post contrast axial & coronal sequences were all evaluated. Results Reflected: while evaluation by MRI, among 50 patients, 45 which is 90% were man and 5 which is 10% were female gender. In 45 (90%) of the 50 patients overall, postoperative results confirmed perianal fistula. A total of 5(10%) patients had perianal sinus only. The primary tract was found to have a sensitivity and specificity of 97.73% and 83.33%, respectively, whereas the abscess had a sensitivity and specificity of 88.89% and 95.12%. High sensitivity was also acknowledged for accurately locating the internal opening (95.45%), detecting the horseshoeing (90.91%), correctly identifying the secondary ramification (92.86%) with specificity (94.44%). Conclusion: It is found that MRI demonstrated superior performance in evaluating perianal fistula with critical parameters (primary tract and its grading, internal opening, secondary ramification, abscess, horseshoeing). Pre-operative perianal fistula assessment should be correct to prevent problems and recurrence, which will decrease the need for additional surgeries. Practical Implication: As a result of this study, unnecessary radiation and diagnostic time could be avoided in the preoperative assessment of PAF in ano using MRI. It would also help decrease complications and unnecessary surgeries. Keywords: Magnetic Resonance Imaging and Perianal Fistula, perianal sinus, horseshoeing
Outcome Evaluation of Active Surveillance in Low Risk Group Prostate Cancers
Authors: Areejo Shah Nawaz , . Abdullah , Abbas Amer , Rehman Shahzad-Ur- , Khan Zakir , Asif Muhammad
Published: April 2023

Aim: To assess the outcomes of active surveillance evaluation in low risk prostate cancer patients. Study Design: Cohort study Place and Duration of Study: Department of Urology, Ghulam Muhammad Mahar Medical College Hospital (GMMMC), Sukkur from 1st August 2019 to 30th September 2022. Methodology: One hundred and ten patients suffering from prostate cancer with Gleason score upto 6 (low risk group prostate cancer) patients were enrolled. Active surveillance was done with 3 monthly check-up with physical examination and serum prostate specific antigen. Results: The mean age of the patients was 61.5±3.5 years. The Gleason score showed that majority of the cases were within the score of 6 (3+3) with highest having a clinical staging as T1c followed by T2b. The active surveillance outcomes showed on a median follow-up of 3 years that the upgrade on repetitive biopsies or prostatectomy was taken in 19 cases only with a proper treatment received in only 22 cases. Conclusion: Patients with active surveillance have increased rate of definitive treatment post initial diagnosis. Safety net hospital provides critical care and takes up active surveillance as a challenge. Keywords: Evaluation, Prostate, Molecular, Morbidity, Management
ECONOMINC GLOBALIZATION AND POVERTY REDUCTION IN NORTH CENTRAL NIGERIA
Authors: Terris Damsa Justin
Published: April 2023

The study examined globalization and poverty reduction in North Central Nigeria. Primary data from a sample of 372 respondents was used for the study. A structured questionnaire was used as instrument for data collection. Inferential was used to estimate the model of the study. The probability value of the estimates were used to test the hypotheses of the study. Findings from the study indicates that International trade in services (INTS) has a positive effect on poverty reduction in North Central Nigeria and the effect is not statistically significant (p>0.05) but in line with a priori expectation. This implies that a unit increase in international trade in services (INTS) will result to a corresponding increase in the poverty reduction in North Central Nigeria by a margin of 0.8%. Result of the specific objectives of the study indicates that International trade in goods (INTG) has a positive effect on poverty reduction in North Central Nigeria and the effect is statistically significant (p<0.05) and in line with a priori expectation. This implies that when international trade in goods (INTG) is increased by a unit, it will result to a corresponding increase in poverty reduction in North Central Nigeria by a margin of 63.8%. Findings for objective three shows that global value chains (GVLC) has a negative effect on poverty reduction in North Central Nigeria and the effect is not statistically significant (p>0.05) and not in line with a priori expectation. This implies that a unit increase in Global value chains (GVLC) will result to a corresponding decrease in the poverty reduction in North Central Nigeria by a margin of 13.2%. It was concluded that international trade in goods has a positive and significant effect on poverty reduction in North Central Nigeria. it was recommended among others that since the international trade in goods was shown to have a positive and significant effect on poverty reduction in the study area, the governments of these State must ensure that they leverage on the opportunities provided by globalization to help reduce the poverty in their region by engaging trading in foreign goods which they do not have comparative advantage in producing.
ECONOMIC ANALYSIS OF CATTLE MARKETING AND RISKS AMONG TRADERS IN NORTH-CENTRAL NIGERIA
Authors: A. Atser Emmanuel , T. G. Ashiko Dr. Felix , Atagher Dr. M. M. , Hanmaikyur Dr. T. J.
Published: April 2023

The study analyzed cattle marketing and risks among traders in North-Central Nigeria. It considered the socio-economic characteristics of cattle marketers, Primary data were collected from 350 market intermediaries using stratified sampling techniques. The methods of data analysis included descriptive statistics such as frequency distribution tables, mean and percentages. Results revealed that for objective one, cattle marketing is male dominated as 100% of market intermediaries were males. Age was also a significant positive attribute of cattle marketing which revealed that 64.3% of respondents were less than 50 years, hence physically capable of undertaking the business. Findings of objective two revealed three types of intermediaries who were found to be very important in cattle marketing in the study area. These included wholesalers, retailers and brokers. Result of objective three of the study indicates that there was no fixed cost item because traders did not own either a warehouse or a truck. Most of their expenses were restricted to the operational costs of maintaining the animals in terms of supplementary feeding before final conveyance to the distant markets as well as taxes/levies paid in transit and thus only gross margin could be calculated. The researcher concluded that cattle marketing in North-Central Nigeria was profitable despite that wholesalers incurred the high costs, followed by retailers and brokers, largely from transportation cost. The study recommended among others that credit institutions should support cattle marketing, illegal taxes and levies on cattle marketing should be eliminated while on transit as well as provision of good and affordable transport system.
PERIRENAL HEMATOMA AFTER URETEROSCOPY : A SYSTEMATIC REVIEW
Authors: Rachmadhyan Reyhansyah
Published: April 2023

The global incidence of urolithiasis is 14%, and the burden of urological consultants has increased by 20% over the past seven years, according to current trends. As a consequence, stone disease is becoming a burden on our health care system. However, advancements in apparatus and technology over the past two decades have made it possible for endourologists to perform increasingly complex treatments for the management of stones. Endourologists who treat ureteral or renal calculi are required to be aware of PRH risk factors. PRH occurred more frequently among patients with a low BMI. Patients with a low BMI had less body fat and perirenal fat than those with a higher BMI. After an injury, perirenal fat cushions the kidney to prevent cortical overstretching caused by an increase in renal pelvis irrigation pressure. PRH is produced in kidneys with minimal perirenal adipose. Two of the four patients with PRH had a low BMI. Underweight can be a sign of malnutrition, which can impair the structure of the kidneys. The timing of surgery is uncertain. PRH caused by FURSL may be treated as a kidney injury. If the patient has loin or flank pain after FURSL, the surgeon should examine the serum hemoglobin and perform abdominal sonography or a CT scan to detect PRH. Hematomas with mass effect were evacuated percutaneously when they were large. Percutaneous drainage may delay the progression of a hematoma in stable patients, although it may cause severe discomfort or renal compression.  Angiograms should be used to treat renal bleeding if the serum hemoglobin continues to decline. If conservative or angiographic therapy fails to control bleeding, immediate open surgery must be performed. Cases of PRH are extremely uncommon, with percentages ranging from 0.1 to 8.9%. Despite this, this condition needs to be monitored closely because it has the potential to compromise the patient's health in a negative way.
Huella de Carbono de la carne: Un estudio de caso
Authors: Bongiovanni Rodolfo Gustavo , Tuninetti Leticia
Published: April 2023

El objetivo de este estudio fue analizar la huella de carbono de la producción de carne bovina, con cría a campo y recría más engorde en feedlot, en un sistema de economía circular, en el sudeste de San Luis, Argentina, para tres categorías de animales: machos TBeef (hasta los 503 kg), hembras TBeef (hasta los 502 kg) y Gombu (hasta los 606 kg). La unidad funcional fue 1 kilogramo de carne bovina congelada sin hueso, raza Aberdeen Angus colorado, envasado y puesto en el puerto de exportación. La cría se realizó en pastizales naturales y en pasturas implantadas. El destete se realizó a los 6 meses (150 kg las hembras y 185 kg los machos). La recría se realizó a corral y duró 105 días para los machos (hasta los 299 kg) y 135 días para las hembras (hasta los 305 kg). El engorde se realizó en feedlot y duró 180 días para los machos TBeef, 210 días para las hembras TBeef y 285 días para Gombu. La Huella de Carbono resultó en 21.6 kgCO2eq para el macho TBeef, 24.0 kgCO2eq para la hembra TBeef, y 20.3 kgCO2eq para Gombu. El punto crítico fue la fermentación entérica, que representó entre el 63 % ­ 65 % del impacto total. La hembra TBeef fue la que mayor huella presentada, porque requirió más días de recría y engorde para alcanzar el mismo peso de venta que los TBeef machos. Esto implicó el mayor uso de recursos y más días de emisiones por fermentación entérica y gestión del estiércol. La categoría que menores emisiones presentó fue Gombu, ya que se engordó hasta los 606 kg finales y el impacto total por su producción, se dividió en un mayor peso final. Los resultados encontrados estaban por debajo de la bibliografía relevada, lo que se explica por el sistema integrado de economía circular, en el que un alto porcentaje de la dieta son subproductos de la producción de etanol, porque usaban los efluentes para un biodigestor, y porque había un uso reducido de fertilizantes nitrogenados.
Análisis de ciclo de vida de la carne bovina de exportación de Argentina
Authors: Bongiovanni Rodolfo Gustavo , Tuninetti Leticia , Charlón Verónica , Minaglia Mariano
Published: April 2023

El objetivo de este estudio fue evaluar el ciclo de vida de la carne vacuna producida en un sistema de cría y recría silvopastoril, con engorde en feedlot, en Santiago del Estero, Argentina y faenada en un frigorífico ubicado en Río Segundo, Córdoba, en base al protocolo Declaración Ambiental de Producto (EPD). La carne se exportó a Miami, Hilden y Santiago de Chile. El EPD evaluó 8 impactos ambientales: 1) Huella de carbono, 2) Agotamiento de recursos materiales, combustibles fósiles, 3) Agotamiento de recursos materiales, 4) Acidificación potencial, 5) Eutrofización potencial, 6) Adelgazamiento de la capa de ozono, 7) Oxidación fotoquímica, 8) Escasez de agua. La unidad declarada fue un kilogramo de carne bovina refrigerada sin hueso, raza europea, envasado y puesta en distribuidor mayorista. El alcance del análisis abarcó desde “la cuna hasta la puerta”, año 2020. La unidad declarada se desglosó en 5 específicas: 1 kg de peso vivo en la tranquera, 1 kg de carne a la salida del frigorífico, y 1 kg de carne en 3 distribuidores mayoristas. La Huella de Carbono fue de 11.91 kgCO2eq por kg de peso vivo en la tranquera; 28.50 kgCO2eq por kg carne a la salida del frigorífico; y 31.43 kgCO2eq, 28.93 kgCO2eq y 28.60 kgCO2eq por kg carne en Miami, Hilden y Santiago de Chile, respectivamente. El principal punto crítico en el campo fue la fermentación entérica, seguido por la gestión del estiércol. En el frigorífico, el principal contribuyente fue el consumo de energía. En la logística a EE.UU., el principal impacto fue el flete aéreo (97 %) mientras que, para Alemania, el impacto del flete se repartió en partes iguales entre el terrestre y el marítimo. El flete terrestre a Chile resultó el valor más bajo dentro de los tres destinos estudiados. Los ocho impactos analizados se encontraron dentro de un rango medio con respecto a los valores publicados internacionalmente.
Location of Higher Schools in Bulgaria in The Context of Labour Market Formation
Authors: Berberova-Valcheva Tzvetelina , Petrov Kamen , Tsonkov Nikolay
Published: April 2023

In this paper the authors try to highlight some of the problems facing higher education in Bulgaria. The relevance of the problem and research attempts to analyze the system and its supporting elements are presented. The article is an attempt to take a picture of higher education in Bulgaria, in the context of the specialists prepared by it. Using a questionnaire survey, the authors derive the needs of the labor market and the regional focus of socio-economic development. Analysis and assessment of the opportunities for the formation of an online labor market is also conducted. The trends of the need for higher education specialists in the labor market are examined, drawing relevant conclusions and recommendations.
[Model for Research of Socio-Cultural Environment for Achieving a More Effective Organization and Management of the Learning and Participation Process of Children and Students, Belonging to Vulnerable Communities
Authors: Nunev Yosif
Published: April 2023

The aim of the study is to provide directors of educational institutions, experts from regional education departments, as well as specialists in municipalities with an accessible model for researching families with varying degrees of vulnerability with a view to more effective organization and management of learning and participation. of children and students from these families. Identifying and getting acquainted with the specific features of the living environment of communities and especially the most at-risk families between them, allows each teacher to change themselves and the educational environment to make it more inclusive and meet the individual needs of every child. The model allows every pedagogical specialist who finds himself in such a cultural and educational environment to organize and purposefully subordinate his activity to get to know the specifics of life of his graduates and put his work on a scientific basis. The research can be reproduced with each formed problem community in urban or rural environment.
Affirming Wellness Culture through Innovative Methodology Related to Blaze-Pod Trainer System
Authors: Ignatova Darinka
Published: April 2023

The present material brings out theoretical foundations with an emphasis on development of motor potential and specificity in motor qualities. The following are tracked: scientific status in teaching methodology of physical education and sports in initial stage of basic educational level, educational standards for development of motor quality and agility. Technology for development of motor quality and agility with aim of increasing motor capacity has been approved. Statistical verification of effectiveness of a tested technology is presented with following: organization of experimental work, ascertaining, training, and control stage. Scientifically based conclusions and generalizations are drawn. The purpose of study is to establish and assess presence of Wellness Culture1 in primary education by applying an innovative methodology for development of motor quality agility and increasing motor capacity of students from initial stage of basic education level by testing an innovative methodology in training of PES2, consisting of an author's set of motor exercises related to Blaze-Pod Trainer System3 and checking its effectiveness in practice.
An evaluation of a pilot psychoeducational group for older adults with complex emotional needs
Authors: Jordan Luke
Published: April 2023

Older people are less likely to receive psychological treatment than younger adults despite having a high level of need and complexity. This article outlines the design, implementation, and evaluation of a 9-session psychoeducational group for adults with complex emotional needs (CEN), aged 65 and over. The group collated material from Dialectical Behaviour Therapy (DBT), Mentalisation Based Treatment (MBT), Schema Focused Therapy (SFT), Structured Clinical Management (SCM), and Radically Open DBT (RO-DBT). The aim of the group was to collaborate with participants so that they could help us understand the needs and wishes of older people with CEN. We recruited 6 individuals with CEN from the Later Life Community Mental Health Teams in Manchester. We found that all treatment modalities were well received, that participants had an interest in treatments focusing on understanding self and others, and that clients had behavioural deficits relating to emotional overcontrol. We learnt that CEN in later life manifest differently, and as such may require a varied and adaptive response from psychological services to meet the diverse needs that present in this client group.
Elevating community mental health for those with long term conditions: Expanding a transdiagnostic cognitive therapy service from East Berkshire to West Berkshire
Authors: Rosati Sophie , Mustoe Megan , Allen Chris
Published: April 2023

Housebound individuals with long term conditions (LTCs) face difficulties accessing services. This is compounded for those also experiencing psychological difficulties. Integrating community and mental services can facilitate access to appropriate services. Transdiagnostic Cognitive Behaviour Therapy (tCBT) is an effective intervention in supporting older individuals with LTCs presenting with physical and psychological difficulties. The Psychological Interventions in Nursing and Community (PINC) West service aimed to replicate a tCBT model developed in East Berkshire. Pre-and-post-intervention outcome measures demonstrated promising results, with reductions in depression and anxiety scores, improvements in quality of life scores and reduced use of NHS services. Suggestions are made for others planning to deliver similar services.
Transient global amnesia: A case summary
Authors: Sweet Jacqueline
Published: April 2023

Aim

The aim of this case study was to describe the cognitive profile of a gentleman who was assessed at an NHS Memory Service with a complex presentation of transient global amnesia, dementia worry and a preoccupation with his health.

Case

A 63 year old intelligent gentleman was referred to the Memory Service following two episodes of transient global amnesia resulting in residual mild cognitive symptoms which resolved after six months. A clinical interview and neuropsychological assessment battery were conducted via video conferencing due to Covid-19 restrictions.

Results

There was no clear pattern of objective cognitive impairments to indicate that Mr X was suffering from a neurodegenerative disease.

Conclusion

Discussions were held regarding managing Mr X’s preoccupation with his health whilst following NICE guidelines of further investigating the potential causes for the episodes of transient global amnesia.

Consent

Mr X was provided with an information sheet detailing the purpose for his participation in this case study. He kindly provided informed written consent for the case study to be published within an academic journal. Some demographic details have been amended to protect his identity.
Fetal Alcohol Spectrum Disorder and Neuropsychology: Exploring the implications of new NICE quality standards (2022) for neuropsychologists through a pilot assessment service
Authors: Roberts Rebecca , Petrone Flaudia , Scarff Kate
Published: April 2023

Recently released NICE Quality Standards for the assessment and diagnosis of Fetal Alcohol Spectrum Disorder (FASD) in children and young people emphasise neuropsychological assessment as an important part of the process. However, for many areas of England & Wales this may not be in line with current service provision. We conducted a scoping study of services within Oxfordshire to understand the current support available for children with possible FASD. In addition, we offered a pilot neuropsychology assessment service for seven children referred by a Community Paediatrician. We found that many services across Oxfordshire work with children who they suspect to have FASD, but no service offers FASD assessment or specific intervention. A trial neuropsychology service confirmed evidence for significant heterogeneity within this population, and therefore the need for careful, hypothesis driven assessment, to which neuropsychologists are well-placed to contribute.
Impact of Covid-19 lockdown on the mood, behaviour, and social activities of people with brain injury in the UK: Results of a survey of brain injury professionals’ reports
Authors: De Mattia Lucilla Carlacci , Campbell Tomás , Parrett Neil
Published: April 2023

The Covid-19 related lockdown of March–June 2020 in the United Kingdom (UK) may have negatively affected mood and behaviour of people with brain injuries. Conversely, there may have been beneficial effects due to reduced demand on cognition and emotional regulation. In this online survey study, care coordinators (n=19) assessed the consequences of lockdown on 130 individuals with ABI (range 3–29 clients per care co-ordinator; 10–65years+; and mostly living in residential care). The majority of reports were of no change to mood, behaviour, or social functioning (105 ratings). However, respondents reported that 88 (68 per cent) clients presented with changes: 63 clients (48 per cent) had lower mood, higher distress, and agitation, and were less engaged in usual activities; while 25 clients (19 per cent) were reported to have improved. Moreover, 13/19 (68 per cent) of respondents reported increased vulnerabilities in their clients, and 5/19 (26 per cent) reported online exploitation, controlling behaviour from partner and financial scams. These data present a mixed picture of how the first national lockdown affected people with ABI.
Biopolítica, desenvolvimento, insegurança, exclusão e violência
Authors: Treml Krishna Schneider , Marchesan Jairo , Bazzanella Sandro Luiz
Published: April 2023

O objetivo deste artigo é compreender o controle e a violência exercida pelo Estado por meio dos instrumentos jurídicos e da racionalidade dos dispositivos econômico-políticos e suas implicações sobre o desenvolvimento regional. A partir dos escritos de Michael Foucault, Giorgio Agamben e Maurizio Lazzarato, faz-se permissível estabelecer uma relação ambígua e complexa na qual o Estado – alicerçado em injunções jurídicas e dispositivos econômico-políticos – exerce uma violência institucionalizada que não apenas determina condutas, mas segrega indivíduos e populações, produz constantes ameaças e assegura contratos e imposições financeiras sobre comunidades e povos, sob a obsessão do padrão desenvolvimentista. Esse modelo é tão ávido que se liquefaz ao projeto biopolítico e transforma a vida humana em vida meramente biológica, especialmente nas populações periféricas ou excluídas social, cultural e economicamente. A violência, atrelada à lei e a este processo, contamina todas as instituições, projetos e injunções, inclusive o “desenvolvimento”, nas suas mais diversas adjetivações, conservando e (re)produzindo vidas desqualificadas.
Como resistir ao populismo autoritário
Authors: Scheuerman William E. , Lima Bárbara Nascimento de
Published: April 2023

O populismo autoritário impõe grandes desafios à democracia. No entanto, relativamente pouca análise sistemática político-teórica ou filosófica se concentrou na melhor forma de se opor ou resistir a ele. O presente ensaio se dedica a três abordagens possíveis que, no momento, estão sendo provisoriamente discutidas. Alguns escritores enfatizam as possíveis virtudes da desobediência civil, outros defendem uma estratégia ainda mais ampla de resistência civil e outros, ainda, abandonam ambas as abordagens “civis” em favor da desobediência não-civil. Apesar de seus muitos pontos fortes, cada abordagem possui pontos fracos, em parte porque cada uma responde de forma incompleta aos desafios do populismo autoritário e ao uso de modos cada vez mais comuns de repressão “inteligente”. Com implicações sinistras para aqueles preocupados com o destino da democracia, os populistas estão adotando técnicas coercitivas destinadas a reprimir a dissidência sem gerar a simpatia do público ou uma reação popular.
Improving germination and seedling vigour in Gentiana kurroo an endangered promising herb of medicinal importance
Authors: Thakur Anju , Mehta Richa
Published: April 2023

Germination and viability studies were conducted in two population of Gentiana kurroo, an important endangered medicinal herb of Western Himalayas. A considerable loss of viability (10-90%) was registered by seeds of both locations after storage from 3-18 months. This was accompanied by a parallel decline in germination percentage. Seeds collected from higher altitude (2000 m amsl) exhibited higher germination percentage and viability accompanied with early radicle emergence as compared to the collections from the lower altitude (1250 m amsl). Germination percentage, germination speed and other germination attributes were better in presence of light than in dark. Radicle emergence and germination speed were maximum at 25oC when compared at 20, 25 and 28oC. However, healthier seedlings were obtained at 25oC. Presowing chilling at –5, 2 and 5oC for 30 and 60 days improved germination and germination characteristics of seeds which were stored for 1 year and lost about 50 per cent viability and germinability. Presowing chilling at 2oC produced a greater proportion of strong seedlings.
Mortality Trends in Geriatric Proximal Femoral Fracture Treatments After National Payor Policy Changes: A National Study
Authors: Lotan Raphael , Bodas Moran , Radomislensky Irina , Givon Adi , Lee Goldstein Adam , Hershkovitch Oded
Published: April 2023

Introduction:

Proximal femoral fractures (PFFs) are a major medical event in an elderly's life. The extent of conservative treatment is poorly evaluated in Western health systems. This study retrospectively examines a national cohort of patients older than 65 years with PFFs treated by early surgery (ES) (<48h), delayed surgery (DS) (>48h), and conservative treatment (COT) over the past decade (2010 to 2019).

Results:

The study cohort included 38,841 patients; 18.4% were 65 to 74 years, 41.1% were 75 to 84 years, and 40.5% were older than 85 years; 68.5% were female. ES rose from 68.4% in 2013 to 85% in 2017 (P < 0.0001). COT dropped from 8.2% in 2010 to 5.2% in 2019 (P < 0.0001). Level I trauma centers chose 2.3 times less COT (7.75% in 2010 decreased to 3.37% in 2019) while regional hospitals chose COT only 1.4 times less over the years (P < 0.001). Hospitalization periods differed: 6.3 ± 0.6d for COT, 8.6 ± 0.3d for ES, and 12 ± 0.4d for DS (P < 0.001), and the in-hospital mortality rates were 10.5%, 2%, and 3.6%, respectively (P < 0.0001). One-year mortality rates decreased for ES only (P < 0.001).

Discussion:

ES rose from 58.1% in 2010 to 84.9% in 2019 (P = 0.00002). COT is diminishing throughout the Israeli health system, from 8.2% in 2010 to 5.2% in 2019. Tertiary hospitals consistently practice less COT than regional hospitals (P < 0.001), probably related to surgeons' and anesthetists' appraisal of the patient's medical status and demand. COT had the shortest hospitalization period but carried the highest in-hospital mortality rates (10.5%). The mild difference in out-of-hospital mortality between the COT and DS groups suggests similar patient characteristics that require additional investigation. In conclusion, more PFFs are treated within 48h with a reduced mortality rate, and the 1-year mortality has improved for ES only. Treatment preferences vary between tertiary and regional hospitals.
INFECÇÕES NOSOCOMIAIS POR PSEUDOMONAS AERUGINOSA: UM ADVERSÁRIO SUPER RESISTENTE
Authors: Mendes Thiago Loureiro , Pancieri Luís Guilherme Dalla , Alves Raquel Matiello , Lima Valentina Dorea , Bariani Fernanda Saliba
Published: April 2023

Introdução: Infecções hospitalares provocadas pela bactéria Pseudomonas aeruginosa (PA) são causa de óbito a nível mundial. Suas propriedades favorecem a persistência em ambiente hospitalar, em decorrência, principalmente, dos mecanismos de resistência . Os locais hospitalares com maior incidência de PA são torneiras, chuveiros, equipamentos médicos para procedimentos do trato respiratório, endoscópios e bolsas coletoras de urina. Os fatores de risco incluem a comorbidade patogênica, o estado do sistema imunológico, a duração da internação, o local da infecção e a introdução de instrumentos médicos.  O alastramento de infecções por bactérias resistentes a antibióticos na unidade de terapia intensiva (UTI) é especialmente danoso. A revisão se fundamentou no entendimento desse microrganismo e sua proliferação, a fim de identificar grupos de risco e descrever o contágio. Objetivo: Identificar os fatores epidemiológicos que definem os grupos de risco no contágio por Pseudomonas aeruginosa (PA) em ambientes hospitalares. Método: Através de uma pesquisa envolvendo artigos que seguiam os critérios de inclusão, e que demonstravam relevância para o tema, sendo capazes de contribuir para a produção, foi realizada uma revisão bibliográfica. Resultado: O estudo mostrou relevância ao pontuar os mecanismos de contaminação pela bactéria Pseudomonas aeruginosa e os fatores de integração entre os dados epidemiológicos, microbiológicos e aplicação de medidas de controle de infecção como higiene básica das mãos, medidas de isolamento, triagem dos colegas de quartos e tratamento de água encanada para que dessa maneira se evite a transmissão entre os pacientes (no controle de surtos prolongados). Conclusão: Com base nos estudos, então, ressalta-se a necessidade de reforçar os meios de tratar tal problemática e de promover ações mitigadoras, a fim de evitar que a negligência de tais práticas favoreça a recorrência do contágio pela Pseudomonas aeruginosa.