bluuebunny/crossref_metadata_2025 huggingface dataset:
PENERAPAN TEKNIK RELAKSASI GENGGAM JARI PADA PASIEN APPENDIKTOMI DENGAN MASALAH GANGGUAN NYERI POST OPERASI
Authors: Rahmadhani Dessy Noor , Purwanti Okti Sri , Anayanti Ika Diyah
Published: January 2025

Apendisitis merupakan peradangan pada usus buntu atau umbai cacing, pada umumnya infeksi ini dapat menyebabkan peradangan akut maka dari itu membutuhkan tindakan bedah apendiktomi untuk mencegah komplikasi. Nyeri menyebabkan pelepasan hormon stres dan menghambat proses penyembuhan sehingga perlu dilakukan penanganan nyeri pada post appendiktomi secara farmakologis dan nonfarmakologis, salah satu terapi nonfarmakologis yang bisa digunakan untuk mengatasi nyeri ialah relaksasi genggam jari. Penelitian ini bertujuan untuk mengetahui adanya efektifvitas penerapan relaksasi genggam jari dalam meredakan nyeri pada pasien post appendiktomi. Studi kasus ini menggunakan satu subjek dengan kriteria inklusi pasien post appendiktomi yang mengalami nyeri dan kriteria ekslusi pasien post appendiktomi yang mengalami komplikasi yang diberikan intervensi dari evidance based nursing teknik relaksasi genggam jari selama 15 menit masing-masing jari selama 3 menit yang diberikan pada pasien post appendictomy dengan nyeri ringan hingga sedang yang diukur menggunakan Numeric Rating Scale (NRS) 0-10. Hasil menunjukkan setelah dilakukan intervensi selama 3 hari diperoleh hasil keadaan pasien membaik dan nyeri berada di skala 3 dengan skala sebelumnya yaitu 5. Relaksasi genggam jari dilakukan selama 15 menit, satu per satu jari digenggam selama 3 menit serta dilakukan selama 3 hari berturut turut dan skala nyeri nya pasien berkurang pada hari ketiga.
MXene-Derived Multifunctional Biomaterials: New Opportunities for Wound Healing
Authors: Luo Dong , Zhang Hui-Qi , Xuanyuan Xin-Yang , Deng Dan , Lu Zheng-Mao , Liu Wen-Shang , Li Meng
Published: January 2025

The process of wound healing is frequently impeded by metabolic imbalances within the wound microenvironment. MXenes exhibit exceptional biocompatibility, biodegradability, photothermal conversion efficiency, conductivity, and adaptable surface functionalization, demonstrating marked potential in the development of multifunctional platforms for wound healing. Moreover, the integration of MXenes with other bioactive nanomaterials has been shown to enhance their therapeutic efficacy, paving the way for innovative approaches to wound healing. In this review, we provide a systematic exposition of the mechanisms through which MXenes facilitate wound healing and offer a comprehensive analysis of the current research landscape on MXene-based multifunctional bioactive composites in this field. By delving into the latest scientific discoveries, we identify the existing challenges and potential future trajectories for the advancement of MXenes. Our comprehensive evaluation aims to provide insightful guidance for the formulation of more effective wound healing strategies.
In-Phase Pacific Decadal Oscillation and El Niño–Southern Oscillation Enhance the Interannual Variability of Spring Blooms in the Yellow Sea
Authors: Lin Lei , Sun Zixuan , Lv Ting , Wang Yueqi , Tan Wei , Jin Kangjie , Xiang Dongdong
Published: January 2025

Although the individual modulations of marine phytoplankton by Pacific Decadal Oscillation (PDO) and El Niño–Southern Oscillation (ENSO) have been comprehensively studied, their synergistic effect on the phytoplankton spring bloom (PSB) over the shelf remains unclear. In this study, which was based on satellite data obtained from the Yellow Sea between 2003 and 2020, we quantified the PSB intensity and environmental factor responses to PDO and ENSO, after which we examined the synergistic effect of PDO and ENSO on PSB. The results revealed that the interannual variability of the PSB intensity correlated negatively with the PDO phases (
r
= −0.48;
P
< 0.05) and could be enhanced by in-phase ENSO. Further, the mean PSB intensity in the negative-phase PDO (NPDO; 153 mg C/m
3
) was approximately 28% higher than that in the positive-phase PDO (PPDO; 120 mg C/m
3
) at the 90% confidence level, whereas the mean PSB intensity during the years of combined NPDO and La Niña (162 mg C/m
3
) was approximately 53% higher than that during the years combining PPDO and El Niño (106 mg C/m
3
) at the 95% confidence level. Furthermore, the sea surface temperature (SST) and wind speed accounted for approximately 68% and 22% of the interannual variability of PSB intensity, respectively. Notably, the combination of PPDO with El Niño induced anomalously high SST and reduced the wind speed, thereby reducing the vertical mixing and lowering the availability of nutrients to PSB, and vice versa, for the case of NPDO combination with La Niña. Overall, our quantitative estimation revealed the strengthening effect of the in-phase combination of PDO and ENSO on PSB intensity, which aids the predictions of the change in marine ecosystems and fishery.
Prioritization of Lipid Metabolism Targets for the Diagnosis and Treatment of Cardiovascular Diseases
Authors: Wang Zhihua , Chen Shuo , Zhang Fanshun , Akhmedov Shamil , Weng Jianping , Xu Suowen
Published: January 2025

Background:
Cardiovascular diseases (CVD) are a major global health issue strongly associated with altered lipid metabolism. However, lipid metabolism-related pharmacological targets remain limited, leaving the therapeutic challenge of residual lipid-associated cardiovascular risk. The purpose of this study is to identify potentially novel lipid metabolism-related genes by systematic genomic and phenomics analysis, with an aim to discovering potentially new therapeutic targets and diagnosis biomarkers for CVD.
Methods:
In this study, we conducted a comprehensive and multidimensional evaluation of 881 lipid metabolism-related genes. Using genome-wide association study (GWAS)-based mendelian randomization (MR) causal inference methods, we screened for genes causally linked to the occurrence and development of CVD. Further validation was performed through colocalization analysis in 2 independent cohorts. Then, we employed reverse screening using phenonome-wide association studies (PheWAS) and a drug target–drug association analysis. Finally, we integrated serum proteomic data to develop a machine learning model comprising 5 proteins for disease prediction.
Results:
Our initial screening yielded 54 genes causally linked to CVD. Colocalization analysis in validation cohorts prioritized this to 29 genes marked correlated with CVD. Comparison and interaction analysis identified 13 therapeutic targets with potential for treating CVD and its complications. A machine learning model incorporating 5 proteins for CVD prediction achieved a high accuracy of 96.1%, suggesting its potential as a diagnostic tool in clinical practice.
Conclusion:
This study comprehensively reveals the complex relationship between lipid metabolism regulatory targets and CVD. Our findings provide new insights into the pathogenesis of CVD and identify potential therapeutic targets and drugs for its treatment. Additionally, the machine learning model developed in this study offers a promising tool for the diagnosis and prediction of CVD, paving the way for future research and clinical applications.
Regulating Integrin β1 to Restore Gonadotropin-Releasing Hormone–Tanycyte Unit Function in Polycystic Ovary Syndrome-Related Hypothalamic Dysregulation
Authors: Wang Yu , Tong Xiaoyu , Xiao Yan , Wang Yicong , Hu Wei , Lu Wenhan , Chen Yuning , Li Jiajia , Gao Wenhao , Gao Hongru , Tian Yicheng , Dai Sizhe , Feng Yi
Published: January 2025

Excessive gonadotropin-releasing hormone (GnRH) is considered to be an initiating factor in the etiology of polycystic ovary syndrome (PCOS). GnRH neuronal axons terminate at the hypothalamic arcuate nucleus and median eminence, where tanycytes, specialized glial cells, have been proposed to modulate GnRH secretion through plasticity. However, the precise role of the “GnRH-tanycyte unit” during the pathological state of PCOS has not been thoroughly explored. In this study, we demonstrated the architecture and distribution of GnRH neurons and tanycytes. In PCOS-like mice, retracted tanycyte processes and dysregulated GnRH-tanycyte unit may create an environment conducive to the excessive secretion of GnRH and subsequent reproductive endocrine dysfunction. Mechanistically, excessive androgens impair hypothalamic neuroglial homeostasis by acting through the androgen receptor (AR) and its downstream target integrin β1 (Itgb1), thereby suppressing the FAK/TGF-βR1/Smad2 signaling pathway. Both selective deletion of
AR
and overexpression of
Itgb1
in tanycytes counteracted the detrimental effects of androgens, alleviating endocrine dysfunction. Collectively, this study highlights the alterations in the GnRH-tanycyte unit mediated by androgen/AR/Itgb1 signaling and provides a novel perspective for developing therapies for hypothalamic hormone secretion disorders by maintaining solid neuroglial structures in the brain.
İdari Yargılama Usulünde Gizli Bilgi ve Belgelerin Yargılamaya Etkileri
Authors: Özhan Miray
Published: January 2025

Devletin veya bireylerin menfaatlerine ilişkin gizli bilgi ve belgeler, idari işlemin hukuka uygunluk denetiminde delil teşkil edebilmektedir. Bu halde, devletin veya bireylerin bu tür bilgilerinin korunmasındaki menfaatleri ile tarafların bilgi ve belgelere erişme hakkının korunmasındaki menfaatleri çatışmaktadır. Söz konusu menfaat çatışmasının nasıl çözüleceğini belirlemek kanun koyucunun ödevidir. 2577 sayılı İdari Yargılama Usul Kanunu’nun (İYUK) 20. maddesinde Devletin güvenliğine veya yüksek menfaatlerine veya Devletin güvenliği ve yüksek menfaatleriyle birlikte yabancı devletlere ilişkin bilgi ve belgelerin yargılamadan gizli tutulabileceğine ilişkin bir düzenleme yer almaktadır. Ayrıca 2020 yılında İYUK’un 31. maddesiyle düzenlenen Hukuk Usulü Muhakemeleri Kanunu’na (HMK) Atıf Yapılan Haller arasına dosyanın taraflar ve ilgililerce incelenmesi ibaresi eklenmiştir. HMK’nın atıf yapılan 161. maddesi hakime, bazı bilgiler hakkında gizli tutma kararı alma yetkisi vermektedir. Gizli bilgi ve belgelere ilişkin İYUK’un 20. maddesi ve HMK’nın 161. maddesi tarafların bilgi ve belgelere erişimini kısıtlayarak adil yargılanma hakkına müdahale etmektedir. Söz konusu düzenlemelerin belirsizliği ve gerekli güvenceleri içermemesi müdahalenin hukukiliğini tartışmalı hale getirmektedir.
İmar Planlarından Doğan Hukuki Uyuşmazlıklarda Dava Açma Süresi
Authors: Yavuz Gargin Semin
Published: January 2025

Anayasa ile korunan hak arama hürriyeti, dava açma hakkını ve adil yargılanma hakkını içinde barındırır. Bu hakların kullanımı sınırsız değildir. Dava açma hakkınıi kısıtlayan hukuki müesseselerden biri dava açma süresidir. Dava açma süresi, idari yargılama usulündeki tartışmalı konulardandır. İmar planlarına ilişkin dava açma süresi hesaplanırken 2577 sayılı İdari Yargılama Usul Kanunu'nun yanı sıra 3194 sayılı İmar Kanunu'ndaki hükümler de dikkate alınmaktadır. Danıştay yerleşik içtihatlarında düzenleyici işlem niteliğinde olduğu kabul gören imar planlarına karşı açılacak davalarda dava açma süresinin başlangıcının belirlenmesi süreci, özel ilan ve itiraz süreci öngörülen durumlarında kritik öneme sahiptir. Çalışmada, son yıllardaki mevzuat değişiklikleri ışığında imar planlarından doğan uyuşmazlıklarda ilgililerin haklarının korunması için açılacak iptal davalarında dava açma süresine ilişkin ilkeler değerlendirilecektir.
Kısırlaştırma Suçu ve Hadımlaştırma
Authors: Arıtürk Ramazan
Published: January 2025

Her birey, üreme hakkı kapsamında çocuk sahibi olma hakkını haiz olduğu kadar, çocuk sahibi olmama hakkına da sahiptir. Üreme faaliyetini engelleyici bir işlem olan kısırlaştırma, çocuk sahibi olmak istemeyen kişilerin en sık başvurduğu tıbbi yöntemlerden biridir. Üreme yeteneğinin ortadan kalkması niteliğini haiz bu işleme ilgilinin rıza göstermesi mecburidir. Zira kişi, kendi geleceğini belirleme hakkına sahiptir. İlgilinin rızasının bulunmadığı halinde kısırlaştırma işlemi, suç teşkil edebilecektir. Cerrahi bir operasyon olup, geri dönüşü mümkün olmayan sonuçlara gebe olan kısırlaştırma fiilinin, rızaen olsa bile, yetkili olmayan kişilerce gerçekleştirilmesi de suça sebebyet verecektir. Kısırlaştırma fiili, kasten yaralama suçu ile sıkı bir bağlantı içerisindedir. Bu sebeple pek çok ülke hukukunda kısırlaştırma, ayrı bir suç olarak düzenlenmemiş ve kasten yaralama suçunun kapsamında değerlendirilmiştir. Türk Ceza Hukukunda kısırlaştırma, Türk Ceza Kanunu’nun 101. maddesinde müstakil bir suç olarak düzenlenmiştir. Bu çalışmada, ulusal ve uluslararası hukukta kısırlaştırma suçunu yönelik düzenlemelere yer verilecek olup, kısırlaştırma ve hadımlaştırma fiillerinin farklılıklarına ve ortak yönlerine değinilecek ve nihayet kısırlaştırma suçunun unsurları incelenerek doktrindeki tartışmalar hakkında bilgi verilecektir.
Social and Philosophical Aspects of Anti-extremist Upbringing in the Educational Process
Authors:   Russian Academy of Education, Elbakyan E.S. , Kravchuk V.V. ,   Russian Academy of Education
Published: January 2025

Introduction. The article examines the results of a study of the anti-extremist upbringing of adolescents in secondary schools (grades 10-11), the adolescent’s attitude to extremist activities and traditional spiritual and moral values. The analysis is carried out taking into account the social existence of adolescents and their inherent worldview. Content. Society exists in the interconnection and development of its various spheres, and changes in one area of social existence, one way or another, entail explicit or latent changes in others, which is reflected in the public consciousness. The consciousness of young people, and in particular teenagers, is characterized by age-related negativity and the challenge of tradition. Due to this and a number of other social reasons, the teenage environment is often very susceptible to extremist ideas. One of the ways to prevent extremism among teenagers is to instill anti-extremist norms and values during the educational process. The problem of anti-extremist education of adolescents in educational institutions is especially relevant today, since it is during adolescence that active socialization, future professional development, and consolidation of a system of norms and values, in many ways, in addition to the family, are obtained in the educational process. During 2022-2023, the Center for Spiritual and Moral Education and Theology of the Russian Academy of Education conducted two studies of young people (teenagers and students) in order to identify their attitude to anti-extremist education in secondary and higher educational institutions and respondents' understanding of traditional Russian values. This article is devoted to the description of the survey of teenagers conducted in 2022.

Conclusions. The authors conclude that extremist slogans and goals must be opposed to positive goals and objectives of a patriotic nature, a worldview of nonviolence. It is necessary to educate teenagers in love for the Fatherland, for the “small” Homeland, for family, national, cultural, religious traditions, creating a favorable psychological atmosphere in an educational institution and working with dysfunctional families so that teenagers at home feel psychological comfort and balance, do not strive for socially dangerous communication. In this regard, preventive measures are becoming particularly relevant, first of all, the prevention of the desire for antisocial behavior, violence, the glorification of extremism and terrorism in the halo of “martyrdom for an idea”.
Survival Philosophy: Epistolary Practices in the Existential Catastrophe Situatio
Authors:   Pushkin Leningrad State University, Demidova O.R.
Published: January 2025

Introduction. Survival understood as a long-time reactive process caused by an existential catastrophe is analyzed hermeneutically on the material of Sofia and Elena Judin’s Petrograd 1916-1919 letters written to their Vyatka friend Nina Agafonnikova. The correspondence is treated as a strategy of verbalizing the everyday experience that seems not possible to verbalize, which lets the sisters rationalize and live through the said experience by means of auto-reflection expressed in words. Content. Thinking of the most adequate genre of verbalizing and rationalizing the catastrophic existential experience, the sisters choose epistolarium rather than a diary since a letter makes it possible not only to register facts, events, a psychophysiological and emotional state of the author, fixing them in the long-term individual and cultural memory, but also to share one’s own experience with a correspondent, get a response, form a written dialogue both with self and with another person whose actual life circumstances are somewhat different. As the correspondence goes on, the content and functional structure of letters undergo an obvious transformation, with the informational function prevailing in the initial letters changed to the reflective, (self)ascertaining, (self)representational, and memorial ones. The ontological categories of time and space get semiotized turning into the symbols of the bygone happiness (the abolished past of the country and the city), the inexpressible horror (the decaying St Petersburg-Petrograd of the present), and a slight hope (the ambiguous picture of the future life). On the anthropological plain, there is a definite borderline between “we” (family members, friends, teachers and University Professors) and “they” (the “new people” and the authorities), the former belonging to the close inner circle and personified, while the latter being as often as not faceless, nameless and as such representing the depersonified mass of enemies. To defend and preserve themselves in the alien surroundings the authors use traditional cultural practices, familiar correspondence being one of them.

Conclusions. Familiar correspondence as one of Russian artistic intelligentsia’s standing cultural practices proved one of basic strategies as well as a multifunctional instrument of the Judin sisters’ survival in the first after-1917 years giving them an opportunity to rationalize and live through the catastrophic events, preserve their personal and cultural identity as individuals belonging to the circle of “enlightened people” with their axiological and aesthetic values. All the above said makes it possible to regard their correspondence both as a survival chronicle and as the space of overcoming eschatology.
Overcoming Methodological Pitfalls in Digital Religion Research
Authors:   Pushkin Leningrad State University, Nimyaev E.A.
Published: January 2025

Introduction. The use of classical religious studies methods to study the phenomenon of digital religion turns out to be associated with a number of new difficulties due to the specifics of the research field itself - the Internet. In this article, the author examines the prospects for overcoming the identified difficulties and solving methodological problems related to the digitalization of religious identity using methods of content analysis and evaluation of various quantitative indicators. Сontent. The object of religious studies aimed at studying digital religion is not the believers themselves, but their digital religious identity, which is constituted by users in interaction with each other and with digital content, and finds expression in quantitative and qualitative indicators. The study of these indicators requires the researcher to possess digital literacy, which is necessary to understand the subtleties and nuances of the Internet communication system, including, for example, the presence of bots and “dead” accounts on the network, which can be mistaken for real believers. Digital competence is also needed for the use of third-party (commercial-specific) online research tools and the effective use of user interfaces on different platforms.

Conclusions. The synthesis of classical religious studies methods with virtual online research tools makes it possible to overcome a number of methodological traps that arise when evaluating quantitative and qualitative indicators of digital religion. These solutions, however, bring with them new difficulties, which requires further elaboration of the research apparatus.
Inteligencia artificial y su impacto en la automatización del trabajo en México
Authors: Ultreras-Rodríguez Andrés , De La Paz-Rosales María Teresa de Jesús , Santana-Alaniz José David , Ramírez-Ortega Alfredo Guadalupe
Published: January 2025

RESUMENEl desarrollo vertiginoso de la ciencia ha mostrado como en los últimos años la inteligencia artificial (IA) se ha convertido en una de las tecnologías más innovadoras del presente siglo. Esta es impulsada por la necesidad de mejorar la eficiencia y la productividad en diversos sectores que, unido a la automatización, está transformando la economía y gana terreno, con aplicaciones en áreas como la salud, educación, agricultura, manufactura y el comercio. Es por ello que, el presente artículo tiene como objetivo analizar el impacto de la IA en la automatización del trabajo en México. De esta forma, se llevó a cabo una revisión bibliográfica documental como principal recurso metodológico. Por lo que, el análisis de los efectos socioeconómicos, sectores afectados, desafíos y retos, así como los marcos regulatorios y normativos permiten identificar las brechas y proponer soluciones para la implementación de la IA en la automatización del trabajo.
Cuidados paliativos, buen morir y eutanasia, significado para el adulto mayor en América Latina
Authors: Rodríguez-Mora Yuraima Luisa , Soto-Chacón Oneida
Published: January 2025

Objetivo: Describir los cuidados paliativos, buen morir y eutanasia, significado para el adulto mayor en América Latina. Método: Se desarrolló desde la perspectiva cuantitativa utilizando la tipología documental-bibliográfica que ayudó a establecer el análisis del objeto de investigación. El material abordado se conformó por trabajos arbitrados, tesis de grado e investigaciones científicas y con ello descubrir características. Resultados: La medicina paliativa considera que morir con dignidad supone vivir dignamente hasta el último momento. Conclusión: El bono demográfico dado por el creciente aumento de la expectativa de vida y disminución de nacimientos ha hecho que los dirigentes volteen su mirada al adulto mayor, pero también lo han hecho los prestadores de salud (públicos y privados), las familias, aseguradoras y farmacéuticas, y en este contexto el anciano resulta el candidato ideal para aplicar eutanasia, dejando por un lado los cuidados paliativos y el buen morir.
Attitudes of President Obama and President Trump towards Iran's Nuclear Program in the Period 2009-2021: A Comparative Study
Authors: Alkhalaileh Yusra , Al-Biltaji Ghaida
Published: January 2025

Objectives: The research aims to shed light on a historical successor to US-Iranian relations, explain Iran's motives for establishing the nuclear program, and review the attitudes of Iranian leaders towards the development of this program, with a focus on the impact of the development of the Iranian nuclear program on the policy of both US President Barack Obama and US President Donald Trump towards Iran in the period (2009-2021). Methods: The research used the descriptive comparative approach along with both the historical and systems analysis methods. Results: The research showed that despite the different strategies, orientations, methods and backgrounds of successive US administrations (Democratic and Republican) in dealing with the Iranian issue and the nuclear program, they seek to achieve one goal, which is to preserve the interests of the United States of America in the Middle East and to strengthen its presence as a great power in the region. Conclusions: The difference between the American administrations during the presidency of both Barack Obama and Donald Trump in dealing with this crisis was in methods and tools while agreeing in essence. When Obama sought to conclude a nuclear agreement with Iran, he aimed to resolve the dispute using peaceful means with Iran, to prevent it from reaching the stage of manufacturing nuclear weapons through the nuclear program, with the aim of preserving American interests in the region, but Trump sought to achieve interests more radically and using military force.

الأهداف: هدفت الدراسة إلى استعراض موجز للخلفية التاريخية للعلاقات الأمريكية الإيرانية، وبيان دوافع وتوجهات القيادات الإيرانية تجاه إنشاء البرنامج النووي وتطويره، وتسليط الضوء على أثر وانعكاس تطور البرنامج النووي الإيراني على سياسات الإدارتين الأمريكيتين تجاه إيران في عهد الرئيسين باراك أوباما ودونالد ترامب في الفترة (2009-2021م). المنهجية: استخدم البحث كلًّا من المنهج الوصفي التحليلي، والمنهج المقارن، والمنهج التاريخي. النتائـج: من خلال البحث تبين أنه على الرغم من اختلاف استراتيجيات وتوجهات وخلفيات الإدارات الأمريكية المتعاقبة (الحزبين: الديمقراطي والجمهوري) في التعامل مع القضية الإيرانية والبرنامج النووي، واختلاف الأساليب والأدوات، إلا أنَّها تسعى إلى تحقيق هدف واحد يتمثل في الحفاظ على مصالح الولايات المتحدة الأمريكية في منطقة الشرق الأوسط، وتعزيز وجودها كقوى عظمى في المنطقة. الخلاصة: إن الاختلاف بين الإدارات الأمريكية في الفترة الرئاسية لكل من باراك أوباما ودونالد ترامب يكمن في الأساليب والأدوات مع الاتفاق في الغاية والجوهر، فعندما سعى أوباما لعقد اتفاق نووي مع إيران، كان يهدف إلى حل الخلاف باستخدام الوسائل السلمية مع إيران، للحيلولة دون وصولها إلى مرحلة تصنيع الأسلحة النووية من خلال البرنامج النووي، بهدف الحفاظ على المصالح الأمريكية في المنطقة، إلا أن ترامب سعى نحو تحقيق المصالح بشكل أكثر راديكالية وباستخدام القوة العسكرية.
Pouvoirs du détail romantique (Keats, Byron, Coleridge)
Authors: Porée Marc
Published: January 2025

Flirtant avec l’idée de sommeil, cet article interroge cinq modalités du détail romantique, à la recherche de ce qui en constitue la « puissance » (Jean-Claude Milner). Ces modalités sont diverses, tantôt typographique (tiret), géologique (chasm), narrative (la chute d’un récit), discursive (la « culture phrasée » dont parle Milner), neuronale (à propos de l’image de pensée). Elles ont en commun de procéder d’un même art, de la « découpe », entre fracture et facture, et d’une volonté double : réinterpréter ce qui, dans le texte romantique, faseye ou clive, en déréglant la lecture et son protocole ; explorer ce que « peut » le détail, préféré à l’entaille, et ce que valent ses « pouvoirs » puisés pour une bonne part aux puissances du sommeil.
Between Classicism, Realism and Romanticism: Austen’s Ambivalent Attention to Details
Authors: Tremblet Aurélie
Published: January 2025

By exploring Jane Austen’s treatment of details as threats, this paper seeks to set her novels into their specific artistic, philosophical but also socio-economic contexts, underlining that her writings were, at the end of the 18th century, not only anchored in a newly-emerging culture of details but infused with the classical philosophy of the Enlightenment. Stressing the ambivalence of what will appear to be an aesthetics of details will eventually lead us to argue that Austen’s writings actually showed striking affinities with the Romantics’.
Silêncio de mil dobras
Authors: Nascimento Lyslei
Published: January 2025

Como um lírico apelo à desaceleração do mundo, a obra de Paul Celan, no sensível ensaio Paul Celan e o silêncio da poesia, de Estevan Ketzer, ilumina e projeta, entre as sombras da violência e do trauma, as inumeráveis formas do texto poético se inscrever, sem arroubos, nem mitificações, na vida, no espírito, do leitor.
Reprocessamento de produtos de uso único nas instituições hospitalares de Belo Horizonte
Authors: Oliveira Adriana Cristina , Oliveira Kenia Almeida , Noronha Alice Helena Teixeira , Gomes Octávia Maria Silva , Braga Fabiana Rodrigues
Published: January 2025

Reprocessing single-use devices has been a common practice in hospitals with economic and ecological advantages. The disadvantages are the risks to patient and ethical issues. This study intended to examine this practice in hospitals of Belo Horizonte, State of Minas Gerais, Brazil, to find out how it is done, which products are reprocessed and how this is controlled. Semi-structured questionnaires were used in 23 hospitals. We found that the reprocessing of single use material is done in 91,3% institutions. The reprocessed product most widely mentioned was the intubation tracheal tube (60.9%). Control of the number of re-uses is done essential by visual inspection (61.4%), checking if there are alterations on the surface of the product (stains, scratches or cracks). It is clear there is a lack of structured protocols systematized guiding reuse and a lack of standards to justify the disposal of the materials.
Gratificação de estímulo à docência e prática docente no cotidiano da escola de enfermagem da UFMG
Authors: Saár Sandra Regina da Costa , Lima Maria de Lourdes Rocha de
Published: January 2025

The objective of this study is to evaluate the performance of higher education teaching. Considering that the theme is new in the structuring of university careers, with little production in this area and the degree of references to support more intensive questioning is still preliminary, we have chosen an exploratory study using a qualitative approach. The subjects of the study were: teachers of the school of nursing and the administrators of the Federal University of Minas Gerais - UFMG. We found that the implementation of the bonus established a new culture in the school of nursing. We called it the "Culture of Overloading", which, exercised by teachers in their social labor relations, shows a production race in which people are trying to do more and more and are proud of this, without critical reflection about the political meaning of these actions.
Escola de enfermagem da Universidade Federal de Minas Gerais: setenta anos de existência
Authors: Santos Geralda Fortina dos , Caldeira Valda da Penha , Nascimento Estelina Souto do
Published: January 2025

The subject of this text is to show some events, happenings and aspects related to the history of the School of Nursing of the Federal University of Minas Gerais, that is celebrating its seventieth anniversary in 2003. It is divided in two large periods: one, from the creation of the school, in 1933, until 1968, and the other, from 1968 to the present days.
A representação social da consulta de enfermagem: importância, ambiguidades e desafios
Authors: Gomes Antônio Marcos Tosoli , Oliveira Denize Cristina de
Published: January 2025

This work has as objectives: to analyze the social representation of the nursing consultation built by public health nurses. The methodological reference was the Theory of Social Representations. Thirty nurses from the public health care system were chosen as subjects, and in depth interviews were held. The data was analyzed by ALCESTE software. The results showed five different meanings to consultations: the new relationships nurse-team, nurse-clientele, exclusive activity, consultation itself and health education as the basis of consultation. It was found that nursing consultation is an important piece of technology in professional development and helps to face up the current challenges in the set of professional work.
Conhecimento e utilização de contraceptivos por adolescentes
Authors: Brêtas José Roberto da Silva
Published: January 2025

This study investigates the knowledge and use of contraceptives by 80 adolescents of both genders, aged 14 to 18 years old form a professional training center in the south of the city of São Paulo. We used the interview to collect data, and category analysis to identify categories such as: knowledge of contraceptives; advantages and disadvantages of contraceptives; use of contraceptives; responsibility in the prevention.
Desigualdade social e crimes ambientais: analise sob a perspectiva ecomarxista
Authors: Ferreira Júnior Adive Cardoso , Soares Naisy Silva , Véras Neto Francisco Quintanilha
Published: January 2025

Diversas teorias buscam explicar as razões pelas quais há práticas de crimes ambientais. Dentre essas teorias, há o Ecomarxismo, que alia a crítica Marxista de luta de classes à luta por Justiça Ambiental, discorrendo que, um dos principais fatores para a degradação ambiental é a desigualdade social, esta materializada pela oferta desigual de oportunidades para as pessoas, incluindo, renda, educação e acesso às oportunidades. Dessa forma, esta pesquisa busca responder ao problema: de que forma a desigualdade social pode influenciar a prática de crimes ambientais? Na busca pela resposta ao problema, o objetivo geral discorrer sobre a relação entre desigualdade social e crimes ambientais, a partir da perspectiva Ecomarxista. Para tanto, conceituou-se a desigualdade social pela perspectiva seniana, identificou-se as teorias criminológicas e relacionou-se a desigualdade social com os crimes ambientais. O método de abordagem adotado foi o indutivismo, valendo-se, para tanto, de técnica de pesquisa bibliográfica com hermenêutica sociológica. Foi possível concluir que, apesar de não ser o único fator, a desigualdade social é um dos principais aspectos para a ocorrência de crimes ambientais. Não se está a criminalizar a pobreza, mas alertando como o modelo de produção capitalista se materializa pela superexploração dos recursos naturais, impondo desigualdades para determinadas classes.
Câmeras Corporais nas Polícias Ostensivas: consagração da concepção de Segurança Cidadã
Authors: Fabretti Humberto Barrionuevo , Ferreira Jhonatan Fernando , Funcia Beatriz Dos Santos
Published: January 2025

Este artigo promove um estudo sobre a utilização das câmeras operacionais portáteis nas fardas dos policiais no contexto de uma gestão da segurança que tenha como premissa a cidadania. Assim, o objetivo primordial é abordar o impacto do uso de câmeras corporais por forças policiais ostensivas na transição de um paradigma de segurança pública tradicional, focado na manutenção da ordem, para um modelo de segurança cidadã, voltado, portanto, à proteção e garantia dos direitos fundamentais. Tendo a experiência paulista na implementação desses instrumentos tecnológicos – ou bodycams, como são denominadas –, foi realizado levantamento bibliográfico e empírico dos dados acerca da regulamentação e utilização das câmeras no policiamento ostensivo paulista, com a finalidade de testar a hipótese que permeia o presente estudo de que a adoção das câmeras corporais melhora a qualidade do serviço policial, sendo fator que contribui para a redução da letalidade e vitimização policiais, além de viabilizar uma maior transparência e accountability nas atividades de segurança. Nesse sentido, as câmeras operacionais portáteis podem constituir instrumento que atenda aos postulados da segurança cidadã.
Desain Katalisator Karbon Monoksida Pada Knalpot Kendaraan Bermotor Tipe Plug and Play Dengan LCD Display
Authors: Nugroho Handi Wilujeng , Hamidi Kurniawan , Kurniadi Deri
Published: January 2025

Perkembangan zaman yang cepat menuntut efisiensi dalam segala aktivitas, termasuk dalam penggunaan kendaraan bermotor. Tingginya kepadatan penduduk telah meningkatkan penggunaan kendaraan, yang pada gilirannya meningkatkan emisi karbon monoksida (CO) dan mengancam kualitas udara. Gas CO yang dihasilkan oleh kendaraan bermotor merupakan pencemar udara berbahaya, dengan dampak langsung dan tidak langsung pada kesehatan manusia serta kualitas udara. Emisi CO, terutama dari kendaraan bermotor, telah menjadi penyebab utama penurunan kualitas udara di berbagai daerah. Standar emisi gas CO pada knalpot adalah 249.24 ppm. Oleh karena itu, diperlukan solusi untuk mengurangi dampak emisi gas kendaraan bermotor pada lingkungan.Salah satu solusi adalah penggunaan tembaga sebagai katalisator, yang dapat mengurangi kadar CO dalam gas buang kendaraan. Metode ini melibatkan penambahan lapisan sekat tembaga di dalam knalpot, serta plat tembaga di ujung masukan gas kendaraan ke knalpot. Saat gas kendaraan melewati knalpot, reaksi katalisis tembaga mengurangi kadar CO dalam gas buang. Penggunaan teknologi ini diharapkan dapat mengubah emisi menjadi gas yang lebih ramah lingkungan, mengendalikan polusi udara yang berasal dari kendaraan, dan meningkatkan kualitas udara. Dengan demikian, penggunaan katalisator tembaga di dalam knalpot menjadi solusi yang efektif untuk mengurangi emisi CO dari kendaraan bermotor, memenuhi standar emisi, dan mendukung upaya menjaga lingkungan dan kesehatan manusia.
دراسة تقنية التكاليف على أساس المواصفات للتوجه بالسوق
Authors: هاتف مجيد , علي علي
Published: January 2025

تعد تقنية التكاليف على اساس المواصفات (ABCII) مدخلا حديثا لإدارة الوحدات الاقتصادية المعاصرة كونها تحقق دور ايجابي للوحدات الاقتصادية من خلال وضع الزبون في مركز الاهتمام وتفعيل فكرة التوجه بالسوق ,حيث ان استخدام تقنية (ABCII) يساعد الوحدة الاقتصادية على معرفة متطلبات ورغبات الزبائن والعمل على تلبيتها  إشباع حاجاتهم  فالبقاء في السوق يعتمد بدرجة كبيرة على الكفاءة والفاعلية وكسب رضا وقبول الزبائن للحفاظ على استمرارية الوحدة الاقتصادية في ظل زيادة حدة المنافسة بين مختلف في بيئة الاعمال.
كفاءة الخدمات التعليمية وتوزيعها المكاني في قضاء الكفل
Authors: الأمين حنان , اسماعيل عبد الرزاق , الحسناوي علي
Published: January 2025

تعد الخدمات التعليمية أحد المؤشرات المهمة التي تعكس درجة التنمية الاجتماعية ومستوى السكان، لذلك تدرس هذه الدراسة بشكل أساسي كفاءة تخصيص خدمات التعليم العام مثل رياض الأطفال والمدارس الحضرية. درجة كفاءة التوسع العمراني والنمو السكاني لمنطقة الشراع من خلال مراحلها المورفولوجية الخمس حتى المرحلة الحالية.
تقدم المؤسسات التعليمية في مجال التعليم خدمات تعليمية في مراحل مختلفة، إلا أن مستوى هذه الخدمات يختلف باختلاف المرحلة الأكاديمية والوحدة الإدارية، ويجب أن يكون مستوى الخدمة متوازنا مع حجم وكثافة التعليم. السكان سواء في مركز الوحدة الإدارية أو في المناطق الطرفية لضمان سهولة ويسر حصول الجميع على هذه الخدمة من خلال توفير كافة الخدمات اللازمة في المباني المدرسية مما سيزيد من كفاءة الخدمات التعليمية لكل دارس.
Abordagens Terapêuticas Atuais para Atresia das Vias Biliares em Pacientes Pediátricos
Authors: Pires Pereira da Silva Juliane , Hausen Lamas Fabrini Maria Clara , Camano Camilla , Carneiro de Oliveira Alexandre , Mareco Alves de Sá Romaryo , Silva de Amaral Anna Cecília , Mansur Faria Felipe , Gonçalves Neves Carlos Eduardo , Ferrari de Mello Ritter Bibiana , Das Chagas Lima Filho Francisco
Published: January 2025

Este artigo revisa a literatura científica sobre o tratamento atual da atresia de vias biliares (AVB) em pacientes pediátricos, abordando desde os métodos diagnósticos até as opções terapêuticas e os resultados a longo prazo. A atresia de vias biliares é uma patologia rara, mas grave, que compromete a drenagem biliar, levando à insuficiência hepática progressiva. O tratamento precoce é considerado um dos principais determinantes da evolução clínica desses pacientes. A cirurgia de Kasai é a intervenção padrão, visando restabelecer a drenagem biliar, mas nem todos os pacientes apresentam sucesso a longo prazo com essa técnica. O transplante hepático é frequentemente necessário para aqueles que não respondem ao tratamento inicial. Neste estudo, analisamos os métodos cirúrgicos, terapêuticos e as complicações associadas ao tratamento da atresia de vias biliares, com base em artigos publicados nas bases de dados Google Scholar, Scopus e Web of Science.
CONTEXTOS ESPECÍFICOS ACERCA DA INTUBAÇÃO OROTRAQUEAL EM PACIENTES OBESOS
Authors: Bonfim Ítalo Dias , Aragão Igor Inácio , Froz Ana Valéria Nogueira , Bezerra Thalita Martins , Dias Giovanna Gabrielly de Lima , Martins Thalia da Silva , Aragão Nathalia Vasconcelos Barroso Todt , Santos Victória de Andrade , De Lima Pedro Henrique Rogério , Da Silva Ana Beatriz Vasconcelos , Pessoa Carolina Marques Ribeiro , Lobo Lucas Ferreira
Published: January 2025

A obesidade pode agravar os problemas respiratórios e tornar a intubação orotraqueal mais difícil, aumentando a probabilidade de complicações e mortalidade nos pacientes. Por isso, a premeditação de uma via aérea difícil em pacientes com sobrepeso e obesidade é indicada. Este artigo se refere a uma revisão sistemática acerca dos contextos específicos relacionados à intubação orotraqueal em pacientes obesos, contextualizando os estudos mais recentes que abordam tal especificidade. Este trabalho buscou as considerações mais atualizadas acerca do contexto proposto, com foco em textos confiáveis e relevantes encontrados na base de dados Scielo. Um total de 08 foram selecionados e estão presentes nos resultados desta revisão. A obesidade é uma realidade no contexto contemporâneo e se mostrou um problema no que tange a dificuldade de realizar uma intubação orotraqueal, pois dificulta a ventilação, a laringoscopia e o manejo pós-intubação. Com isso, é de extrema importância que se crie um protocolo específico para cada hospital com o intuito de reduzir o número de tentativas de intubação e deixar o profissional médico mais preparado para o manejo da via aérea.
O leite e a prática de exercícios físicos: análise de um projeto eugênico (1932-1942)
Authors: Gomes Roberta de Souza , Castro Mariana Rabelo de , Novaes Renato Cavalcanti , Telles Silvio de Cassio Costa
Published: January 2025

O presente estudo possui como objetivo analisar e compreender de que forma o tema alimentação está presente na Revista de Educação Física, especificamente, o consumo do leite, e como a temática dialoga com o projeto de formação eugênico no Brasil, no recorte histórico compreendido entre 1932 a 1942. Utilizamos como pressupostos teórico-metodológicos o conceito de usos e estratégias desenvolvido por Michel de Certeau. Os resultados indicam que, devido às dificuldades para aumentar o consumo do laticínio pela população, a Revista utiliza estratégias, que dialogam com os exercícios físicos, para veicular a importância da inclusão da bebida na alimentação dos brasileiros.
Pengaruh Kompensasi, Lingkungan Kerja dan Gaya Kepemimpinan Terhadap Loyalitas Karyawan Pada PT. Enseval Putera Megatrading, Tbk.
Authors: Asnora Fadzil Hanafi
Published: January 2025

The approach in this research is an associative approach. The population and sample used were 40 people using the Slovin formula. The data collection technique in this research uses a questionnaire. Data analysis techniques in this research use Validity, Reliability, Multiple Linear Analysis, Classical Assumption Test, t Test, F Test, and Coefficient of Determination. Data processing in research uses the SPSS (Statistical Package for the Social Science) software program version 16.00 for Windows. The results of this research prove that partially Compensation has a significant effect on Employee Loyalty, the Work Environment has no significant effect on Employee Loyalty and Leadership Style has a significant effect on Employee Loyalty, while simultaneously Compensation, Work Environment and Leadership Style have a significant effect on Work Loyalty at PT. Enseval Putera Megatrading, Tbk.
Retrofitting Methodology for Hospital Buildings
Authors: Zamboti Marcio , Tenório Keren , Toscano Fabricio , Cunha Carolina , Cesar Angelo
Published: January 2025

The building and construction sectors account for over one-third of global final energy consumption and nearly 40% of total direct and indirect CO2 emissions. At the same time, hospital buildings are often among the least energy-efficient. Enhancing the energy performance of existing hospital buildings through retrofitting measures presents a significant opportunity for cost and energy savings. However, hospitals have unique challenges, such as continuous occupancy, heavy medical equipment, and strict safety regulations. Additionally, the lack of financial incentives and supportive policies are among the biggest barriers to retrofitting hospital facilities. This paper proposes an energy management methodology for selecting the best retrofitting measures for hospital buildings. Moreover, the study seeks to define a priority ranking for the energy efficiency measures selected in an energy retrofit project, distinguishing between primary and supplementary actions. The methodology includes a generic process flow diagram, a systematic flowchart to facilitate decision-making, and two tables outlining primary and supplementary retrofitting measures.
Sintonización de los Parámetros de un D-Statcom para la Estabilidad de Voltaje con Presencia de Generación Distribuida
Authors: YUGLA LEMA HOLGUER VINICIO
Published: January 2025

La presente investigación propone diseñar un controlador estático síncrono con el fin de mejorar los perfiles de voltaje para asegurar una red eléctrica eficiente, debido al aumento o disminución con presencia de generación distribuida provocando cambios muy rápidos de voltajes e inyectando transitorios en la onda que se suministra a la red eléctrica. Este estudio se desarrolla en conjunto con PowerFactory-DigSILENT (DSL), Python y utilizando el algoritmo de optimización heurística de mapeo de media  varianza (MVMO), para la optimización en el sistema estándar IEEE de 13 barras de un sistema de distribución desbalanceado, en el que se determina el indicador de calidad de voltaje de los nodos alejados del sistema, permitiendo determinar el nodo crítico,  También es posible incorporar dispositivos FACTS (sistemas flexibles de transmisión de CA), como él (Compensador Estático de Distribución) DSTATCOM para mejorar la estabilidad de la tensión dinámica en microrredes con alta penetración de cargas dinámicas en el nodo. En este trabajo se describe la técnica de corrección del sistema de caída de tensión de suministro distribuido y también se describe la comparación de rendimiento con DSTATCOM utilizando estrategias de control y modelos de transformación, para conocer cómo se aplica con éxito el dispositivo al sistema de potencia para regular la tensión del sistema de manera efectiva.
Applying FLD Damage Criteria to Predict Damage Evolution in Polymer Sheets Under Nonlinear Forming Conditions
Authors: Shamim Reza
Published: January 2025

Aerospace parts and other thin-walled constructions with intricate patterns frequently employ sheet polymers. Formability is a crucial consideration since these materials may show damage and fractures during the forming process. Predicting failure modes and comprehending formation limitations are paramount to process design engineers. To forecast damage progression in single-sheet polymer forming processes that are characterized by intricate and nonlinear strain patterns, this work uses a fully integrated elastic-plastic damage model. For components with complex strain trajectories, the model accurately predicts deformation and damage behavior, drawing on theories of finite strain and plane stress plastic deformation. When complicated and nonlinear strain circumstances are present in sheet polymer forming procedures, the combination of finite element analysis with continuum damage mechanics provides a quick and precise way to predict the damage progression.
СТРУКТУРНЫЕ И СЕМАНТИЧЕСКИЕ РАЗЛИЧИЯ РУССКИХ УСЛОВНЫХ КОНСТРУКЦИЙ С ОДИНОЧНЫМ И ДВОЙНЫМ СОЮЗОМ
Authors: Парамонова Д.А.
Published: January 2025

В статье обсуждается роль факультативной частицы то в распределении русских условных конструкций. Идея состоит в том, что частица то сигнализирует более высокую позицию условной клаузы в структуре по отношению к главной клаузе. Такой анализ позволяет объяснить существующие контрасты, связанные с наличием частицы то (контексты с фокусными частицами, эллипсисом, связыванием местоимений). В статье высказываются соображения о возможной синтаксической структуре русских условных конструкций с частицей то и без нее. Наш анализ синтаксических и семантических свойств рассматриваемых конструкций соотносится с существующими теоретическими описаниями [Haegeman 1984; Haegeman 2003; Haegeman, Schönenberger 2023] и при этом предлагает новое направление исследования условных конструкций.

This paper discusses the role of the optional particle to in the distribution of conditionals in Russian. The main claim is that the particle to signals a higher adjunction site of the conditional clause in the clausal structure of the main clause. We cover the known contrasts involving the particle to (focus particles, ellipsis, variable binding) and argue that they follow from the main syntactic claim. We also make some assumptions considering the possible syntactic structure of Russian conditional constructions with and without the particle to. Our analysis of the syntactic and semantic properties of the constructions under consideration relates to existing theoretical descriptions [Haegeman 1984; Haegeman 2003; Haegeman, Schönenberger 2023], but at the same time offers a new direction for the study of conditional constructions.