bluuebunny/crossref_metadata_2025 huggingface dataset:
СУТНІСТЬ КОНФЛІКТУ В СУДОВО-МЕДИЧНІЙ ЕКСПЕРТИЗІ ТА УПРАВЛІНСЬКІ СПОСОБИ ЙОГО ВИРІШЕННЯ (англ)
Authors: Колісніченко Наталя
Published: August 2023

У статті обґрунтовується сутність конфлікту в судово-медичній експертизі та моделюються управлінські способи його вирішення. Для вирішення питань управління конфліктами в сфері судової медицини виконуються такі завдання, по-перше, проаналізовано конфліктні ситуації в практиці судово-медичної експертизи, по-друге, класифікуовано їх, по-третє, виявлено їхнє соціальне значення та наслідки, по-четверте, запропоновані адміністративні інструменти вирішення конфліктів. Серед проблематики конфліктів під час проведення судо-медичної експертизи виділено труднощі психолого-правового характеру; конфлікти між судмедекспертами спілкуються та родичами підозрюваного; конфлікти з фахівцями правоохоронних органів; конфлікти між медичними працівниками. Інструментами публічного управління у вирішенні конфліктів у сфері судмедекспертизи виявлено: правові інструменти; інституційні; соціальні; інфраструктурні; інструменти безпеки; психологічні інструменти; консультативні інструменти та документальні.
THE ROLE OF ADVISORY BODIES IN THE DEMOCRATIZATION OF SOCIAL AND HUMANITARIAN POLICY MECHANISMS IN UKRAINE
Authors: Chepurko Yaroslav
Published: August 2023

The article examines the role of advisory bodies in the democratization of social and humanitarian policy mechanisms in Ukraine. The article provides classification and differences of types of democracy and ways of democratization. It is noted that the democratization of mechanisms in the social and humanitarian sphere should become the basis for the development of an effective social and humanitarian policy, close to the demands of the population, able to take into account and express the interests of the person, community, and society as fully as possible. The assumption was put forward and proven that the nature of direct democracy is revealed in its functions - directions or types of direct manifestation of the will of the people, which mediate its content and forms by subjects, objects, methods, means of direct people's rule and other features. It was concluded that the current stage of democratic transformations in Ukraine requires strengthening the mechanisms of democratization of social and humanitarian policy through direct participation of citizens in socio-political processes, since the inefficiency of the main institutions of the political system is largely due to the lack of public control over their activities in the inter-election period and the limitation of political participation of citizens only through electoral processes. It is substantiated that the task of democratization of social and humanitarian policy requires the use of a whole set of mechanisms, namely: I. General mechanisms of democratization of state administration (social and humanitarian sphere as a subsystem of state administration); II. Special mechanisms for the democratization of social and humanitarian policy; III. Mechanisms of democratization of social and humanitarian policy at the local level. It is emphasized that the democratization of mechanisms of social and humanitarian policy is impossible without democratization of the entire political system, the main ones of which are: mechanisms of direct democracy; mechanisms of delegated democracy; mechanisms of citizen participation democracy.
CONTEXTUAL METHODOLOGY OF OFFICERS` PROFESSIONAL INTEGRITY DEVELOPMENT IN ADVANCED TRAINING SYSTEM
Authors: Bakunchyk L.
Published: August 2023

The article is dedicated to the theoretical analysis of the contextual methodology for the development of professional integrity of officers of the Armed Forces of Ukraine (hereinafter – officers) in advanced training courses. The author analyzes the scientific views on the concept of "methodology" and proposes the author's own definition of the concept of "methodology for developing professional integrity of officers". In particular, the author defines methodological approaches to the methodology of its development, as well as the main stages, purpose, tasks, content, methods, types of training sessions, and means.

The author reveals the following main stages of the methodology: diagnostic and motivational stage, which is aimed at determining the formation of professional integrity of officers before advanced training, clarifying the problems and difficulties they "face" in their professional activities, as well as developing values and positive motivation to develop their professional integrity and further self-development; theoretical and practical, which is targeted at the development of theoretical knowledge and improvement of practical skills and abilities of integrity behavior and activities of qualified officers, including through a special course by creative use of contextual active types of training in the system of their improvement; evaluation and result, which is aimed at determining the development of officers' professional integrity as a result of their professional growth.

The proposed methodology will contribute to the development of values and motivation, activation and deepening of theoretical knowledge, improvement of practical skills, abilities and capabilities of officers' integrity behavior and activities.
THE BASIS FOR EFFECTIVE COMMUNICATION OF SOCIAL WORK STUDENTS IN CONDITIONS OF BLENDED LEARNING
Authors: Kotykova O. , Radchenko M.
Published: August 2023

The article highlights the problem of ensuring the training of future social workers for effective communication in conditions of blended learning. On the basis of the analysis of scientific sources and own research, approaches to understanding the concept of "role competence" have been revealed. The role competence of future social workers is defined as an integral characteristic of the personality of a specialist in the social sphere, which has such components as role variability, role flexibility, role depth and the ability to resolve role conflicts. It is noted that the development of these components is a condition for effective communication of students majoring in social work.

An empirical study is described, the purpose of which is to determine the components of the role competence of future social workers to promote the formation of effective communication in conditions of blended learning. Both the components of role competence and the strategies of their formation are considered, namely: eagerness for new experience and the ability of the person to perform various social roles.

The relationship between formal and informal roles connected with industrial, family, social, political, and friendly relations is revealed. It has been proven that success in each of them is a guarantee of overall success and satisfaction with one's life.

An important factor of adaptation and successfulness is the ability of an individual to perform various social roles.

A necessary condition for the role competence formation is interpersonal interaction because it is in the process of communication that a person gets information about role expectations, the compliance of their own patterns of behavior with certain social statuses and roles the person performs.

It is proved that in the conditions of blended learning, important factors in the development of students’ role competence are innovative teaching methods, such as trainings, situational exercises, and role-model games, which are used by teachers in the process of their professional training.
HISTORICAL STAGES OF INCLUSIVE EDUCATION DEVELOPMENT IN THE SCANDINAVIAN COUNTRIES
Authors: Andriichuk N. , Seiko N.
Published: August 2023

The article provides a periodization of the formation and development of inclusive education in the Scandinavian countries. Based on the theoretical analysis of the problem, the main problems in periodizing complex nonlinear pedagogical processes and phenomena, in particular, inclusion in the education system abroad, are identified. It is noted that despite the similarity of the main historical trends in the social development of the Scandinavian countries, each of them has gone its own way to create a system of inclusive education for children with special educational needs. Based on the analysis of domestic and foreign scientific publications, the author substantiates the opinion that the criterion for periodizing the development of inclusive education in the Scandinavian countries can be social and institutional. Based on the analysis, three main stages of development of the inclusive education system in the Scandinavian countries are identified: Stage 1 – the stage of charity in favor of special education (the second half of the nineteenth century – the first half of the twentieth century). Within this stage, the future inclusive system in the Scandinavian countries was developing in the area of special education. Charitable support became the main tool for the development of educational institutions for children with special educational needs and certain functional limitations. Stage 2 – the stage of regulatory and organizational formalization of inclusion as a social institution (second half – end of the twentieth century). During this period, inclusive education in the Scandinavian countries was legally formalized. It is noted that each of these countries established the legal framework for the organization of inclusive education in its own way; however, the general trend was to comply with international documents that defined the rights of a child to receive quality education regardless of their physical condition. Stage 3 – systemic, representing the stage of introduction of institutional innovations in the educational sphere (late twentieth century – to date). During this stage, the system of special education in the Scandinavian countries actually ceased to exist and was replaced by the system of inclusion with a corresponding model and theoretical concept of its implementation in each of the Scandinavian countries.
VOLUNTEERING AS A VALUE IN THE EDUCATIONAL WORK OF HIGHER MEDICAL EDUCATION INSTITUTIONS IN UKRAINE
Authors: Khrystenko O.
Published: August 2023

The content structure of volunteering as a value regarding educational work at the institutions of higher medical education in Ukraine has been analysed in the article; the values that should be developed in future medical specialists corresponding to current challenges have been defined.

It is found out that organizational centres of public support of Ukrainians in higher medical education are the university volunteer centres, which comprehensively help the teams of students – future doctors as well as military personnel of the Armed Forces of Ukraine on the whole.

According to the results of analysis of the educational work directions in the institutions of higher medical education, it is established that they prove the highest value of human life (the life of a warrior) for future doctors from different perspectives. In particular, it is confirmed by proactive attitude of student volunteers in donating blood for military personnel.

Implementation of the value of patriotism in the educational activities of future doctors is substantiated. It is about involvement of senior students and interns into trainings on pre-hospital care.

It is established that involvement of students into projects aimed at psychological support to civilians and military personnel, as well as financial aid and assistance in supporting mental health for internally displaced persons is a special direction of medical volunteering and education in wartime.

It is proved that participation in volunteer movement by future doctors promotes development of their personal values: activity, diligence, initiative, desire to help, service, subordinating them to national, civil interests – for the sake of victory and peace in Ukraine.

Thus, educational work in the institutions of higher medical education of Ukraine requires a systematic approach to development of the values of charity and social activity in the students both regarding the volunteer movement and besides it.
МІФОТВОРЧІСТЬ І СОЦІАЛЬНЕ НАВІЮВАННЯ В СУЧАСНІЙ РЕКЛАМІ: СВІТОГЛЯДНО-КОМУНІКАТИВНИЙ АСПЕКТ
Authors: Козловець М. , Андросович О. , Горохова Л. , Оксютович М.
Published: August 2023

У статті досліджується вірусна реклама як феномен сучасного соціокультурного життя. Вірусність аналізується як особливий соціально-комунікативний процес, заснований на внутрішній мотивації (ділитися отриманими емоціями, коментувати, критикувати, завантажувати та поширювати певний контент). Зазначається, що феномен вірусної реклами виражає твердження про довіру, оскільки містить очікування, що одержувач рекламного повідомлення висловить ті ж емоції, що й відправник. А також орієнтація на реципієнта як носія "планшетної свідомості" та "кліпового мислення". Заперечується можливість визначення раціональних підстав вірусності рекламного повідомлення в сучасній соціальній комунікації. Розкрито специфіку прояву феномену вірусної реклами в "інформаційному шумі" повсякденного життя сучасників. Особливістю вірусної реклами є те, що одержувач сприймає її не як рекламне повідомлення (хоча вона зберігає зміст і спрямованість на мотивацію – купити товар, замовити послугу, проголосувати за кандидата, підтримати ідею, співпереживати цінності) , а як будь-яке емоційно забарвлене інформаційне повідомлення. Вірусна реклама – це сучасний міф, який закликає до легкості та простоти досягнення результату. Важливим аспектом прояву вірусної реклами є акцент на її внутрішній, психоемоційній функціональній складовій людського життя в ситуації обмеженої прямої комунікації, яка спостерігалася, наприклад, під час пандемії COVID-19 та російсько-української війни.
El cuerpo hablado
Authors:   , Bagnato Federico
Published: August 2023

Hay algo de la presencialidad física del performer que marca un aquí y ahora de la Performance y que se mide en términos de sustancia. Muchos autores sostienen un cuerpo natural cuya presencia física es lo más importante. Traer el cuerpo material a la escena artística como objeto (museos, pintura, etc.) sirvió para empatar, universalizar y visibilizar un cuerpo que es aparente y materialmente igual en todas partes. Hay algo de la construcción del signo que remite casi inequívocamente el significante cuerpo al significado sustancial. Y esto no puede ser estático si damos cuenta de que las sociedades se transforman, mutan. No hay esencia fija y estática sino que se trata de una metáfora de la sustancia en tanto se construyó como tal para hacer algo. Por otro lado, si el cuerpo de la Performance es devenir social, entonces veremos muchos cuerpos diferentes. Pero la teoría sobre la Performance insiste en mostrar apenas su aspecto material. Esto no significa que no haya otro, si no que quizá no se problematizó. Decir que primero hay un cuerpo y luego un discurso no pone en tela de juicio el análisis del cuerpo, si no solo su capacidad de ser extensión. Esto separa las aguas entre un cuerpo que habla (porque primero es cuerpo) y un cuerpo que es hablado por el lenguaje (es decir, un cuerpo como producto del discurso). Digamos que el cuerpo que se presenta es el físico y el orgánico. Bien, ¿qué hago con eso? El organismo no me sirve para operar en la Performance (porque no operamos sobre sistemas internos). Entonces, ¿dónde voy a buscar el cuerpo? A la práctica, en donde un cuerpo lo es en tanto que actúa. Esta acción es la que le otorga categoría de cuerpo al cuerpo. Si no, ¿qué me asegura que eso que está ahí es un cuerpo? ¿Solo su tridimensionalidad? Los cuerpos no están ahí, las prácticas construyen cuerpos. Pensar que el cuerpo está, que es y que hace cosas por sí solo es hablar de una naturaleza del cuerpo: como la idea de que un cuerpo expresa algo. Si el cuerpo es el resultado de las prácticas, no podemos pensar primero al cuerpo y luego a los saberes. Pensar primero las prácticas nos permite analizar los modos de subjetivación y relaciones que se establecen con el saber, los otros y uno mismo. Esto marca un camino para construir los cuerpos de la Performance. Se intenta demostrar que el cuerpo no solo no es natural, sino tampoco material; ya que “carne” es una palabra. Tampoco quiero erradicar lo natural del cuerpo, ya que decir incluso eso también es parte del lenguaje.
Efficient use of hydrodynamic nozzles for municipal combined sewer flushers and suction dredgers
Authors: Маслов А.А.
Published: August 2023

Гидродинамическая прочистка канализационных сетей осуществляется службами водоканалов для поддержания сетей в рабочем состоянии и для экстренного устранения засоров. При этом используются комбинированные каналопромывочные и илососные машины с широким набором разнообразных каналопромывочных насадок. Именно от правильно подобранной насадки во многом зависят эффективность и скорость прочистки коммунальных сетей. Для устранения засоров в трубах требуется комплект насадок – как стандартных, так и специальных. В настоящее время не существует универсальных насадок, способных справиться с любым типом засора в трубе из любого материала и любого диаметра. При выборе насадки решающими факторами являются характеристики насоса каналопромывочной установки (расход воды и давление), диапазон диаметров прочищаемых труб, размеры промывочного шланга и общее состояние трубопровода. Исключительно важно также правильно определиться со спектром рабочих задач. Перед покупкой насадок рекомендуется обратиться за консультацией к специалистам.

Hydrodynamic cleaning of sewer networks is carried out by water utility services to maintain networks in working condition and for emergency elimination of blockages. In this case, combined sewer flushers and suction dredgers with a wide range of various sewer flushing nozzles are used. It is a correctly selected nozzle that is the key to the efficiency and speed of cleaning utility networks. To eliminate blockages in pipes, a set of nozzles is required - both standard and special. Currently, there are no universal nozzles that can cope with any type of blockage in a pipe of any material and any diameter. While choosing a nozzle, the determinants are the characteristics of the pump of the sewer flusher (water flow and pressure), the range of diameters of the pipes subject to cleaning, the dimensions of the washing hose and the general condition of the pipeline. It is also of utmost importance to correctly determine the range of work tasks. Before buying nozzles, it is recommended to seek the advice of specialists.
Методологические подходы к проектированию ацидофикаторов осадка первичных отстойников в целях интенсификации процессов удаления азота и фосфора из городских сточных вод
Authors: Кевбрина М.В. , Гаврилов Д.В. , Агарёв А.М.
Published: August 2023

Обобщен опыт внедрения процесса ацидофикации сырого осадка на московских очистных сооружениях. На Курьяновских и Люберецких очистных сооружениях г. Москвы применены ацидофикаторы двух типов: ацидофикаторы-уплотнители и реакторы ацидофикации (смесители) с последующей промывкой и уплотнением в отдельном уплотнителе. Основным показателем для процесса ацидофикации является время пребывания по сухому веществу осадка (SRT, solids retention time). На московских очистных сооружениях оно составляло 3,5 суток, что является оптимальным значением. Было показано дополнительное образование БПК5 (увеличение в обогащенной ацидофикатом осветленной воде по сравнению с осветленной водой) от 17,8±9,1 до 31±17,5 мг/л и удельное образование БПК5 0,1 мг/мг взвешенного вещества, или 0,15 мг/мг беззольного вещества (увеличение в обогащенной ацидофикатом осветленной воде по сравнению с осветленной водой по удельному образованию БПК5 из 1 мг взвешенного или беззольного веществ, осажденных в первичных отстойниках и направленных в ацидофикатор). Выведены формулы для расчета основных технологических показателей процесса: гидравлическое время пребывания, время пребывания по сухому веществу, скорость образования летучих жирных кислот. Приведен алгоритм технологических расчетов для проектирования ацидофикаторов осадка первичных отстойников в целях интенсификации процессов удаления азота и фосфора из городских сточных вод.

The experience of introducing the process of raw sludge acidification at the Moscow wastewater treatment facilities is summarized. Two types of acidifiers have been operated at the Kuryanovskie and Lyuberetskie Wastewater Treatment Facilities in Moscow: acidifiers-thickeners and acidification reactors (mixers) with subsequent rinsing and thickening in a separate thickener. The main indicator for the acidification process is the solids retention time (SRT, solids retention time). At Moscow wastewater treatment plants, it was 3.5 days, that was the optimal value. Extra formation of BOD5 (an increase in acidificate-enriched primary water compared to primary water) from 17.8 ± 9.1 to 31 ± 17.5 mg/l and specific BOD5 formation of 0.1 mg/mg of suspended solids, or 0.15 mg/mg of ashless matter (an increase in acidificate-enriched primary water compared to primary water in specific formation of BOD5 from 1 mg of suspended or ash-free matter settled in primary settlers and sent to the acidifier) was shown. Formulas are derived for calculating the basic process indicators: hydraulic retention time, retention time as dry matter, the rate of formation of volatile fatty acids. An algorithm of process calculations for designing sludge acidifiers of primary settling tanks in order to enhance the processes of removing nitrogen and phosphorus from municipal wastewater is presented.
EVALUASI KEBIJAKAN PEMERINTAH KOTA LUBUKLINGGAU DALAM PENANGANAN MEMUTUS MATA RANTAI COVID-19
Authors: WAHYUNI HIKMAH
Published: August 2023

The Covid-19 pandemic has not only had an impact on public health, but has also affected the economic conditions, education and social life of the Indonesian people. Based on data from the National Disaster Management Agency (BNPB), the number of positive patients infected with Covid-19 in Indonesia reached 4,114,334 positive cases of people as of December 31 2021. This pandemic has caused several local governments, especially Lubuklinggau City, to implement a Large-Scale Social Restrictions (PSBB) policy which has implications for limiting community activities, including economic activities, educational activities, and other social activities. This study uses qualitative research. Based on the results of the research, it can be concluded that effectiveness has not been maximized to be implemented. This condition can be seen by the high number of cases of people infected with Covid-19. Second, the efficiency of the policy for handling Covid-19 in Lubuklinggau City is still not related to the budget used and the lack of human resources in the process of handling Covid-19. Third, responsiveness. The implementation of the policy for handling Covid-19, the Government of Lubuklinggau City has not been very responsive to the handling of the Covid-19 pandemic. This can be seen from the slightly late Lubuklinggau City Government making regulations to prevent the spread of Covid-19, such as the recently issued Lubuk Linggau Mayor Regulation No. 31 of 2020 concerning Guidelines for the Implementation of Discipline and Law Enforcement of Health Protocols as an Effort to Prevent and Control Corona in August 2021 which in July 2020 Lubuklinggau City was categorized as a red zone, which means cases of being infected with Covid-19 are very high. Meanwhile, the first case of Covid-19 was detected in Lubuklinggau City in early April 2021.

 

Keywords: Covid-19, Policy, Handling
KUALITAS PELAYANAN PUBLIK PEMERINTAH DESA BOWOMBARU UTARA KECAMATAN MELONGUANE TIMUR KABUPATEN KEPULAUAN TALAUD
Authors: Gumolung Seila , RARES JOYCE , MAMBO RULLY
Published: August 2023

Abstrak
Penelitian ini untuk mengetahui bagaimana kualitas pelayanan publik Pemerintah Desa Bowombaru Utara Kecamatan Melonguane Timur Kabupaten Kepulauan Talaud?. Penelitian ini bertujuan untuk dapat mengetahui kualitas pelayanan publik Pemerintah Desa Bowombaru Utara Kecamatan Melonguane Timur. Penelitian ini merupakan penelitian kualitatif. Informan dalam penelitian ini adalah Pemerintah Desa, Tokoh masyarakat desa, dan 2 orang masyarakat desa. Pengumpulan data menggunakan teknik observasi, wawancara, dan pengambilan dokumentasi. Analisis data pada penelitian ini menggunakan reduksi data, penyajian data, dan penarikan kesimpulan. Hasil dari penelitian menunjukan kualitas pelayanan publik Pemerintah Desa Bowombaru Utara dengan menggunakan 5 indikator yaitu: (1) Dimensi Tangibels (Berwujud) Pemerintah Desa belum melaksanakan secara baik mengenai kenyamanan tempat, kedisiplinan pegawai, kemudahan pelayanan, penggunaan alat bantu serta kemudahan akses. (2) Dimensi Reliability (Kehandalan) Pemerintah Desa masih kurang mengenai standar pelayanan yang jelas dan kemampuan pegawai. (3) Dimensi Responsiveness (Respon) Pemerintah Desa belum bisa memberikan kepuasan dalam segi respon yang cepat terhadap masyarakat. (4) Dimensi Assurance (Jaminan) Pemerintah Desa belum bisa memberikan kepastian ketepatan waktu. (5) Dimensi Empathy (Empati) Pemerintah Desa sudah melayani masyarakat dengan attitude yang baik akan tetapi masih terdapat pegawai yang melakukan diskriminasi kepada masyarakat.
Kata Kunci : Kualitas, Pelayanan Publik, Pemerintah Desa.
THORACOSCOPY VERSUS STERNOTOMY IN THE CORRECTION OF A VENTRICULAR SEPTAL DEFECT: A SINGLE CENTER EXPERIENCE
Authors:   Scientific and Clinical Center of Cardiac Surgery and Transplantology, Taraz, Kazakhstan,, Mukhamedov I.I. , Joshibayev S.D. , Enginoev S.T. ,   Federal Center for Cardiovascular Surgery, Astrakhan, Russian Federation,   Astrakhan State Medical University, Astrakhan, Russian Federation
Published: August 2023

Objective: To compare the immediate outcomes of thoracoscopy and median sternotomy in patients undergoing ventricular septal defect repair. Materials and мethods. We analyzed 59 patients diagnosed with VSD who were operated on at the SCCCST from 2012 to 2021. All patients were divided into two groups: group 1 included patients in whom thoracoscopic access was used (n=27), group 2 included the method of complete median sternotomy (n=32). Results. There were no statistically significant differences in complications in the postoperative period and no in-hospital mortality. The duration of the procedure and the duration of cardiopulmonary bypass in the thoracoscopy group were longer than in the sternotomy group. Blood loss during and after surgery was lower in the thoracoscopy group than in the sternotomy group. Hence, less blood and plasma transfusion was required in the thoracoscopy group than in the sternotomy group. The length of stay in the intensive care unit, the time spent on mechanical ventilation, bed days after surgery, the use of analgesics were statistically lower in the thoracoscopy group than in the sternotomy group. It should be noted that the length of the skin incision in patients in the thoracoscopy group was significantly less than in the second group. Conclusion. Thoracoscopic approach for VSD correction is an effective and low-traumatic method that does not increase the risk of surgical complications. Routine use of this technique requires a study on a larger sample of patients.
A COMPARATIVE ANALYSIS OF PERFORMANCE INDICATORS FROM THE SURGICAL DEPARTMENT OF A MULTIDISCIPLINARY HOSPITAL IN DYNAMIC OVER 5 YEARS (2017-2021)
Authors:   KMU «High school of public healthcare», Almaty, Kazakhstan, Akkaliyev Y.N. , Kamaliyev M.A. , Buribayeva Zh.K. , Sakhipov M.M. ,   City clinical hospital №7, Almaty, Kazakhstan
Published: August 2023

Many countries have actively implemented reforms over the last two decades to incrеase the productivity of their healthcare systems and the effectiveness of treatment and prevention activities. And the classical indicators of hospital performance such as the use of hospital beds and the quality of hospital care are the main indicators of good management in a hospital. Material and methods. The object of the study is the medical and statistical performance indicators of the surgical department and the surgical day hospital of the multidisciplinary hospital in Almaty for 5 years (2017–2021). As a source of information, an electronic database of the statistical department of the hospital was used. Medical statistical analysis was applied as a method of study. This type of study is a cross-sectional study based on a retrospective descriptive analysis of official statistics. Results. In terms of dynamics, the structure of those treated in the surgical department does not change. However, there is a significant decrease in the amount of planned surgical pathology compared to the slight drop in hospitalization (a decrease of -40%), possibly due to a decrease in the volume of government orders (a decrease of -43.4%). Within the framework of the state order, the indicator of the average length of stay of a patient in a hospital, in general, tends to decrease from 8,5 in 2017 to 8,2 in 2021. A higher level of surgical activity in the surgical department (76,4% vs. 62,6% in surgical departments in 2021), a lower postoperative complication rate (0,2% vs. 0,3%), and a lower postoperative mortality (0,7% vs. 1,1%) were stated as positive indicators of surgical service. In 2021, the frequency of emergency operations in the surgical department was roughly the same, at 19,1%; the total share of outpatient surgery (for all profiles) in the structure of all surgery was 11,3%. Conclusion. The identified deterioration in the use of hospital beds in the surgical department (decrease in bed turnover, increase in the average duration of one case of hospitalization, decrease in the planned number of bed days) requires improvement of the planning and control system for hospitalization. Perhaps this problem is relevant for many multidisciplinary hospitals
RADIOLOGICAL AND FUNCTIONAL OUTCOME OF MANAGEMENT OF CONGENITAL DISLOCATION OF HIP IN A 4 YEAR OLD CHILD: A CASE REPORT
Authors: K Verma A , Kumar Anand , Pratap Singh Chauhan Anunaya , Yadav Rohit , Pasricha Anmol , Agrawal Sadhak , Pratap Singh Prabal
Published: August 2023

Congenital dislocation (CDH) of the hip joint (now falling under the umbrella term Development Dysplasia of hip (DDH) has a high incidence in the Indian subcontinent.
MARMA CHIKITSA : A BOON AS NON INVASIVE THERAPY IN DIABETIC RETINOPATHY (LIFESTYLE DISORDER)
Authors: Sharma Monika , Sharma Sachin
Published: August 2023

Ayurveda is a Upveda of Atharvaveda and knowledge of Sharir is described lucidly in it. In Atharvaveda, Marmas are described for therapeutic and surgical purposes. Among all the body structures described in Ayurveda classics, Marma Sthana is a specic area on the body that has relation through Pranic channels to various internal organs, doshas and srotas, these are the seat of Prana. Acharya Charak has mentioned 10 Pranayatana in which Marma is also included. Prana is nothing but a source of Urja (energy). Marma therapy is a precise art of touching an individual in exactly the right place at a critical moment of time, for the purpose of healing and bringingawless results in a lot of disorders that are creating hindrances in healthy life of an individual. One of such lifestyle related disorders is diabetes mellitus which if not controlled later on leads to neuropathy, nephropathy and retinopathy. Today diabetic retinopathy has become one of the leading causes of blindness worldwide. Treatment involves laser, photocoagulation, vitrectomy etc. They are effective for short time, but on the other side, having high reoccurrence rates and discomfort to an individual. Here hidden treasures of Ayurveda can be explored to help mankind. One of such hidden asset is Marma Chikitsa. Marma Chikitsa involves pressing Marma points which causes release of blockage of energy, removes excess Ama, facilitates digestion, facilitates easy ow of energy, nourishes the tissues, produces endorphins and cortisol like hormones in-turn induces calm shut off FFF response and improves blood circulation. Some of the Marma points stimulation that are related to eyes and some that helps in better metabolism like Apanga, Avarta, Sthapni, Vidhura, Kurcha, Kurchshira, Indravasti and Nabhi can play a good role in checking progression of retinopathy with pathya Ahara, healthy lifestyle, exercises and proper medication.. Marma Chikitsa can be a safe, convenient, cost-effective adjuvant remedy in dealing with diabetic retinopathy
THE CLINICAL CORRELATION OF FUNDUS FLUORESCEIN ANGIOGRAPHY AND OPTICAL COHERENCE TOMOGRAPHY IN CENTRAL SEROUS CHORIORETINOPATHY
Authors: Manjula Manjula , Sashikala Sashikala
Published: August 2023

Purpose: The clinical correlation of fundus uorescein angiography and optical coherence tomography in central serous chorioretinopathy. To study correlation of morphological alterations as studied by SD Aim: OCT with angiographic leaks in CSCR and its resolution and also study of improvement of visual acuity over a follow up period of 6 months. Settings and design: This is a prospective, cross sectional, non interventional study. Total of 43 eyes of Methods and material: 40 patients CSCR who underwent FFA and SD- OCT were included in the study. BCVA measurement by log MAR over 6 months of study. Statistical analysis: Chi- square test, Multivariate tests has been used to nd the signicance of study parameters of patients. The mean age of the patients was 41 ± 7.17 Results: years. sex prevalence male and females are 32,8 respectively. On FFA single angiographic leaks seen in 38 eyes and multiple angiographic leaks seen in 5 eyes with inkblot pattern in 37 eyes and smokestack pattern in 6 eyes out of 43 eyes. Among 43 eyes On SDOCT morphological changes like RPE protrusions in 21(48.8%)eyes, PED in 16(37.2%)eyes, sagging of posterior retinal layers in 8(18.6%)eyes, brous exudates in 7(16.2%)eyes are seen at 1st visit. On 6 months follow up RPE protrusions(P=0.007), PED(P=0.008), sagging of posterior retinal layers(P=0.016) show signicant resolution to near normal morphological pattern on OCT from 1st visit. Fibrous exudates(P=0.25) failed to resolve signicantly even at 6 months . Mean CFT of 43 eyes from 415±36 to 202±17 is improved in 6 months with P<0.05. Mean improvement of BCVA of 43 eyes from 0.31±0.27 to 0.07±0.19 seen in 6 months with P<0.05. SD OCT examinations Conclusions: showed detailed morphologic changes in eyes with CSCR including RPE protrusions, PED, sagging of posterior retinal layers, brous exudates. All morphological changes improved to near normal except brous exudates. Which further impresses the self limiting nature of this disease.
A Robust Short Circuit Calculation Methodology for Islanded, Grid-Connected, and Utility Microgrids
Authors: Strezoski Luka , Simic Nikola , Loparo Kennet D
Published: August 2023

 In this paper a robust methodology for quantifying the impact of short-circuit faults on microgrids is proposed. Microgrids can operate in both islanded (grid-forming) and grid-connected (grid-following) modes, and the ownership and responsibility for the microgrid’s operation can vary significantly: from distribution system operators to third party microgrid operators. This necessitates the development of a robust short-circuit calculation (SCC) methodology that can provide accurate results for all the possible microgrid topologies, operational modes, and ownership models. Unlike previously developed SCC methods for microgrids, the methodology proposed in this paper provides highly accurate results for all possible microgrid topologies: 1) islanded; 2) grid-connected; and 3) as a part of a larger distribution grid. In addition, the proposed methodology solves short circuit faults of any complexity, with the same simplicity. The methodology is tested on a complete model of a real-life microgrid on the Case Western Reserve University campus, operating in both islanded and grid-connected modes. The computational results show the advantages of the proposed method relative to previous SCC methods for microgrids, regarding the robustness (ability to solve complex short-circuits with an arbitrary number of faulted busses and phases, that affect a microgrid of any topology), as well as the accuracy of the results. 
Energy efficient online control of a water distribution network based on Deep Reinforcement Learning
Authors: Beferull-Lozano Baltasar , Bhardwaj Jyotirmoy , Liltvedt Helge
Published: August 2023

Data is obtained via Deep Reinforcement Learning Environment
Scaling Laws for Electromagnetic Launchers Considering an Existing Pulse Power Supply
Authors: Gülletutan Görkem , Keysan Ozan , Tosun Nail
Published: August 2023

In all areas of engineering, testing full-scale models can be both costly and risky and often not necessary. The scaling laws can be implemented in electromagnetic launchers (EMLs). The objective is to obtain similar temperatures, magnetic induction, and stress fields (T, B, and S) compared to the full-size geometry. A few EML dimensions, such as its cross-section, rail separation, and length, must be scaled appropriately to obtain accurate results. Pulsed power supply (PPS) parameters require adjustments as well. However, designing a new PPS prototype requires considerable engineering time and budget. Therefore, in this study, scaling rules are studied utilizing an existing PPS. EMFY-4, a recently developed EML with a 50 x 60 mm concave bore and 6-m length, is scaled to be used with a 250 kJ capacitive PPS. A multi-objective optimization study is conducted to get the best design. The first objective is to get a minimum rail length to seek higher energy density. The second objective is to minimize the muzzle current to the peak rail current ratio for higher efficiency. The effect of armature mass, capacitor charging voltage, and the required number of PPS modules on the objective functions are discussed. The study showed that when the existing PPS is used, the scaling with the higher scaling factor, denoted as (λ), gives better results. 
Robust Optimal Offering and Operation Framework for Hybrid Power Plants in Voluntary Balancing Markets with Decision Dependent Uncertainties
Authors: Zhu Rujie , Das Kaushik , Lindberg Oskar , Sørensen Poul Ejnar , Hansen Anca Daniela
Published: August 2023

In recent years, utility-scale hybrid power plants (HPPs) have emerged as promising electricity generation resources by combining multiple generation technologies and storage capabilities. This paper presents a novel framework for optimizing the offering and operation of HPPs in the voluntary balancing market, specifically for providing regulating power as a balancing service. The proposed framework utilizes a two-level robust optimization approach, where the first level focuses on look-ahead offering and operation, and the second level handles real-time re-scheduling of generation. Uncertainties arising from wind power and regulating prices are considered as decision-independent uncertainties (DIU). Conversely, the decisions regarding regulating power offers influence the uncertainty associated with activated regulating volumes, leading to decision-dependent uncertainties (DDU). To tackle the model incorporating both DIU and DDU, this paper introduces a customized nested adaptive column and constraint generation (NAC&CG) algorithm that ensures global convergence. The case studies demonstrate the effectiveness of the proposed model in enabling HPPs to accurately track the activated regulating volumes, ensuring reliable provision of balancing service.
Reconfigurable Intelligent Surfaces Enhanced NOMA D2D Communications Underlaying UAV Networks
Authors: Khan Wali Ullah , lagunas Eva , Mahmood Asad , Ali Zain , Chatzinotas Symeon , Ottersten Bjorn
Published: August 2023

This paper considers RIS enhanced D2D communications underlaying unmanned aerial vehicle (UAV) networks with non-orthogonal multiple access (NOMA). The objective is to maximize the sum rate of NOMA D2D communications by optimizing the power budget of D2D transmitter, NOMA power allocation coefficients of D2D receivers and passive beamforming of RIS while guaranteeing the quality of services of UAV user. Due to non-convexity, the optimization problem is intractable and challenging to handle. Therefore, it is solved in two parts using alternating optimization. Simulation results unviel the performance of the proposed RIS enhanced D2D communications scheme. Results demonstrate that the proposed scheme achieves 15\% and 27\% higher sum rates compared to the fixed power D2D and orthogonal D2D schemes.
CIEPS
Authors: Macedo das Chagas Marcos Antonio
Published: August 2023

O presente texto tem como objetivo discutir a educação em tempo integral implantada nos Centros Integrados de Educação Pública (CIEPS) no Rio de Janeiro, organizados em dois mandatos de Leonel Brizola entre os anos 1980 e 1990 à frente do governo fluminense. Ao longo do artigo retomamos o que foram estes centros configurados como escola pública, laica, gratuita e de qualidade para todos e todas. Destaca-se o pensamento educacional de Darcy Ribeiro (1995; 1986; 1984; sd.) e a influência de Anísio Teixeira (2007) no pensamento darciniano. Atentos ao ingresso na terceira década do século XXI, a partir de rigorosa revisão bibliográfica, buscamos dialogar com as questões complexas da atual educação brasileira em seus aspectos históricos, políticos, econômicos e sociais. Momento em que o ensino, considerando os interesses neoliberais, passa por profundas transformações em conteúdo e forma (LAVAL, 2019; 2019a). Como resultado observamos que o projeto dos CIEPS torna-se importante referência no debate sobre a educação popular integral de tempo igualmente integral, em uma sociedade que se pretenda democrática. Visando melhor situar o leitor as seções do artigo foram divididas em: Introdução; O impacto neoliberal em nossas relações sociais; Os CIEPS e o intuito democrático pela educação; Considerações finais.
Features of the Jews in the novel “The Shadow Government” by Munther Al-Qabbani (a social critical study)
Authors: ياري علي أصغر , أحمديان حميد , سليمي سجّاد
Published: August 2023

The Jews are among the great powers in the world and they are trying to control the world and hegemony and plunge the Muslims into the quagmire of ignorance and immorality. The novel “The Shadow Government” by Munther Al-Qabbani is one of the novels that reflects this issue and is able to absorb the features of this phenomenon. In this article, we aimed, through a critical social study based on the descriptive-analytical method, to shed light on how they came and tried to take over the Islamic society in order for them to become the real king in the world. Among the results that we reached is that the writer talked about the Jews in the three axes and warned the Muslims and the whole world of their plans and doctrines towards Freemasonry, Donism, and the Association for Union and Progress, just as Al-Qabbani explained to the readers indirectly the characteristics of the Jews, especially Freemasonry, towards secrecy
Religious Experience in Kierkegaard's Existentialism
Authors: الوائلي عامر عبد زيد , محسن دعاء عبد الواحد
Published: August 2023

The existential philosopher Soren Kierkegaard is one of the most prominent philosophers in the field of philosophy in general and the philosophy of religion in particular. Because of his own religious experience, and there are several influences that shaped his religious experience, including his influence on his father, who lived throughout his life reprimanding his conscience because of his blasphemy against the Creator, which had an impact on the personality of our philosopher. Kierkegaard described faith as the relationship between man and his Creator without submitting to the teachings of clerics the church. And his view of the church did not see anything but lies, falsehood and insignificance. And the materialistic tendency, and turning the worship of God into a mockery of Him. And his orientation was towards God, towards the Infinite in Himself... It is an orientation whose steps disturbed the words of the Church and the Christian theory at the time.
The role of Imam Ali (PBUH) and his contributions to the enrichment of the Arabic language and its sciences
Authors: عبيات عاطي , سعيد حمادي سعيد حمادي
Published: August 2023

The Commander of the Faithful Imam Ali (A) made many efforts in order to expand the various aspects of the sciences of the Arabic language and the observations in the method of correction of Imam Ali (A) varies according to the circumstances surrounding him so that he is once through an explicit reference or only by stating the method of correction and by choosing an appropriate style and has expanded widely so that it accommodates all aspects of the sciences of the Arabic language, so that he plays an active and effective role in the field of linguistics, revealing and explaining There is no doubt that Imam (A) is the most capable of understanding the contents and concepts of the Wise Qur’an and understanding its subtleties and the dimensions of its meanings. The imam has a great role to correct
Some hydrological characteristics of groundwater in Karbala governorate
Authors: أبو رحيل عبد الحسن مدفون , عبد العالم مروه وسام
Published: August 2023

The study of the hydrological characteristics of the groundwater in Karbala Governorate is of great importance to know the qualitative characteristics of the groundwater in the study area, including knowing the sources of groundwater feeding, which is one of the most important hydrological characteristics of the groundwater in Karbala Governorate, because through it the water penetrates through the soil section and reaches The groundwater level and also knowing whether the origin of the groundwater in Karbala governorate is marine or continental, and it has been shown through conducting equations that it is of continental origin.
Key to Life, Risks and Cycle of Nitrogen
Authors: Abayechaw Desta , Dikr Wondimkun
Published: August 2023

Nitrogen is practically inert and largely unreactive, existing mostly in molecular form (N2) in the atmosphere and unsuitable for uptake by living matter. But it is one of the most commonly used practices to increase crop yields throughout the world because of the abundant availability of N fertilizers and their great effectiveness to increase yields compared with other organic fertilizers, such as manure and compost. It is essential to achieve production levels, which enable global food security, without compromising environmental security. Excessive application of N fertilizers in the last several decades, however, has resulted in undesirable consequences of soil and environmental degradations, such as soil acidification, N leaching to the groundwater, and greenhouse gas (N2O) emissions. Crop yields have declined in places where soil acidification is high due to the unavailability of major nutrients and basic cations and the toxic effect of acidic cations. Other disadvantages of excessive N fertilization include increased cost of fertilization, reduced N-use efficiency, and negative impact on human and livestock health. Diffuse pollution, caused by N fertilization in agriculture, has become a global problem that is difficult to solve. Nearly half of N fertilizer input is not used by crops and is lost into the environment via the emission of gases or by polluting water bodies. The N pollution level expected by 2050 is projected to be 150% higher than in 2010, with the agricultural sector accounting for 60% of this increase. So, to reduce these problems globally, understanding of nitrogen cycle and nutrient use efficiency is important.