bluuebunny/crossref_metadata_2025 huggingface dataset:
Право, мораль и религия в структуре социального регулирования (Часть 2)
Authors: П.В. Степанов
Published: October 2024

В статье обсуждаются модели регулирования социальных отношений на протяжении развития общества. Анализируются традиционная, гуманистическая, позитивистская модели социального регулирования, акцентируется внимание на особенностях социального регулирования в современной мир-системе. По итогам исследования сделаны предложения применительно к российской системе социального регулирования, дальнейшее развитие которой должно строиться на основе традиционных ценностей российского общества, что позволит обеспечивать самодостаточность и сбалансированность этой системы. Право, мораль и религия должны восприниматься как ценности, сохранение которых не противодействует, а способствует дальнейшему развитию российской цивилизации. Политика должна направлять, но не подменять другие социальные регуляторы. Реализацию политических стратегий следует осуществлять с учетом сложившейся системы социальных регуляторов, не допуская их профанации в угоду достижения сиюминутных политических решений.

The article discusses models of regulation of social relations throughout the development of society. Traditional, humanistic, positivist models of social regulation are analyzed, attention is focused on the features of social regulation in the modern world-system. Based on the results of the study, proposals were made in relation to the Russian system of social regulation, the further development of which should be built based on the traditional values of Russian society, which will ensure the self-sufficiency and balance of this system. Law, morality and religion should be perceived as values, the preservation of which does not antagonize, but rather contributes to the further development of Russian civilization. Policy should guide, but not replace other social regulators. The implementation of political strategies should be carried out taking into account the existing system of social regulators, preventing their profanation for the sake of achieving momentary political decisions.
Вклад эдвардианской эпохи в формирование винтажной европейской моды
Authors: К.К. Казанская
Published: October 2024

В статье рассматриваются формы и особенности стиля эдвардианцев, положившие начало изменениям в мировой моде, а также повлиявшие на образы дизайнеров XX века, творения которых признаны классикой винтажной моды.

The article studies the forms and features of the Edwardian style, which laid the foundation for the changes in the world fashion. It also influenced the images of designers of the 20th century, whose creations are recognized as classics of vintage fashion nowadays.
CLINICAL CHARACTERISTICS AND COST ANALYSIS OF GERIATRIC TRAUMATIC PATIENTS
Authors: M. Engin , C. Kavalci , K. Celik , B.-O. Tekten
Published: October 2024

Objective: It was aimed to evaluate the clinical features and costs of geriatric trauma patients. Methods: A database of trauma patients over 65 admitted between January and December 2016 was constructed. Univariate analysis was performed. Measures of central tendency and dispersion for continuous variables were calculated. p<0.05 value is accepted for statistically significantly. Results: A total of 202 patients were analyzed, the mean age was 75.5±8.1 years. The 51.5% were women, and overall mortality was 0.5%. main mechanism of injury was falls. The median cost of the patients was USD 1251.98 Conclusions: In our hospital we found that geriatric trauma is a common disease, the main cause is falls are common in this population.

Цель: Оценить клинические особенности течения и стоимость лечения травм у гериатрических пациентов. Методы: была создана база данных пациентов с травмами старше 65 лет, поступивших в период с января по декабрь 2016 года. Был проведен одномерный анализ. Были рассчитаны меры центральной тенденции и дисперсии для непрерывных переменных. Значение р<0,05 принято за статистически значимое. Результаты. Всего было проанализировано 202 пациента, средний возраст которых составил 75,5±8,1 года. 51,5% составляли женщины, а общая смертность составила 0,5%. Основным механизмом травмы было падение. Медианная стоимость лечения пациентов составила 1251,98 долларов США. Выводы: в нашей больнице мы установили, что гериатрическая травма является распространенным заболеванием, основной причиной которого являются падения, распространенные в этой популяции.

Мақсаты: Гериатриялық науқастардағы жарақатты емдеудің клиникалық барысын және құнын бағалау. Әдіс-тәсілдері: 2016 жылдың қаңтар-желтоқсан аралығында қабылданған 65 жастан асқан жарақаттанған науқастардың мәліметтер базасы құрылды. Бір нұсқалы талдау жүргізілді. Үздіксіз айнымалылар үшін орталық тенденция мен дисперсия өлшемдері есептелді. p<0,05 мәні статистикалық маңызды деп қабылданды. Нәтижелер. Барлығы202 науқас талданды, олардың орташа жасы75,5±8,1 жасты құрады. 51,5% әйелдер, жалпы өлім 0,5% құрады. Жарақаттың негізгі механизмі құлау болды. Пациенттерді емдеудің орташа құны1251,98 АҚШ долларын құрады. Қорытынды: Біздің ауруханада гериатриялық жарақаттардың жиі кездесетінін анықтадық, оның негізгі себебі осы популяцияда құлаудың жиілігі жоғары.
TRAUMA INDUCED MYOCARDIAL INFARCTION: A CLINICAL CASE
Authors: A.Yu. Orekhov , L.M. Bakayeva , А.R. Maralbayev , G.A. Alibaeva , A.Zh. Zhunuspekova , J.A. Mansurova
Published: October 2024

Traumatic injury of the coronary arteries with the development of myocardial infarction is often caused by arterial dissection, while about 10% of patients may have atherothrombosis. At the same time, coronary atherosclerosis can act as one of the triggering factors. Patient A, 52 years old, was urgently admitted to the Emergency Hospital after a road traffic accident (RTA). Based on the given clinical data, an acute coronary syndrome is suspected, its traumatic genesis was not excluded. However, the usual patient management strategy in this case was not applicable because of blunt abdominal trauma with internal bleeding. A hybrid operation was decided, the first stage of which included coronary angiography, followed by selective angiography of the celiac trunk to determine further tactics. As a result of the hybrid intervention and medication therapy, the patient was discharged on the 8th day in a satisfactory condition.

Травматическое повреждение коронарных артерий с развитием инфаркта миокарда чаще обусловлено диссекцией артерии, при этом около 10% пациентов могут иметь атеротромбоз. В то же время коронарный атеросклероз может выступать в качестве одного из провоцирующих факторов. Пациент А, 52 лет, был экстренно госпитализирован в Больницу скорой медицинской помощи после дорожно-транспортного происшествия (ДТП). При клинико-лабораторном обследовании пациента был диагностирован острый инфаркт миокарда, при этом не исключался травматический генез. Однако рекомендованная стратегия ведения пациента в данном случае была неприменима из-за сопутствующей тупой травмы живота с внутренним кровотечением. Было принято решение о проведении гибридной операции, первый этап которой включал коронарную ангиографию с реваскуляризацией инфаркт-связанной артерии, а затем селективную ангиографию чревного ствола для определения дальнейшей тактики. В результате гибридного вмешательства и медикаментозной терапии пациентка была выписана на 8-й день в удовлетворительном состоянии.

Миокард инфарктісінің дамуымен коронарлық артериялардың жарақаттануы көбінесе артерияның диссекциясына байланысты, шамамен 10% -пациенттерде атеротромбоз болуы мүмкін. Сонымен қатар, коронарлық атеросклероз қоздырғыш факторлардың бірі бола алады. Пациент А, 52 жастағы жол-көлік оқиғасынан (ЖКО) кейін жедел медициналық жәрдем ауруханасына шұғыл жатқызылды. Науқасты клиникалық және зертханалық тексеру кезінде жедел миокард инфарктісі диагнозы қойылды, травматикалық генез жоққа шығарылмады. Алайда, бұл жағдайда пациентті жүргізудің ұсынылған стратегиясы қосымша ішкі қан кетумен бірге іштің жарақаттануына байланысты қолданылмады. Гибридті ота жасау шешімі қабылданды, оның бірінші кезеңі инфарктпен байланысты артерияның реваскуляризациясымен коронарлық ангиографияны, содан кейін одан әрі тактиканы анықтау үшін целиак діңінің селективті ангиографиясын қамтыды. Гибридті араласу және дәрі-дәрмек терапиясының нәтижесінде пациент 8-ші күні қанағаттанарлық жағдайда шығарылды.
Диагностика синдрома SAPHO: литературный обзор и описание клинического случая
Authors: М.В. Масько , О.С. Зыкова , С.Н. Русецкий
Published: October 2024

Синдром SAPHO – это хроническое иммуноопосредованное заболевание, которое поражает кожу, суставы и кости. Аббревиатура синдрома отражает различные сочетания синовита, акне, пустулеза, гиперостоза и остеита. Клиническая картина синдрома SAPHO неоднородна, и существуют определенные трудности в своевременной постановке диагноза, связанные как с неодновременным присутствием характерных признаков, так и с недостаточной осведомленностью клиницистов об этом заболевании. Синдром SAPHO характеризуется определенными костно-суставными и/или дерматологическими клиническими проявлениями. Костно-суставные проявления включают остеит, гиперостоз, синовит, артропатию и энтезопатию. Типичные поражения кожи включают ладонно-подошвенный пустулез и тяжелые формы акне. В статье обсуждаются клинические проявления заболевания, лабораторно-инструментальные признаки, диагностические критерии и дифференциальный диагноз синдрома SAPHO. Приводится описание собственного наблюдения с иллюстрацией типичных изменений, характерных для синдрома SAPHO, выявленных при компьютерной томографии и магнитно-резонансной томографии.

SAPHO syndrome is a chronic immune-mediated disease that affects the skin, joints and bones. The abbreviation of the syndrome reflects various combinations of synovitis, acne, pustulosis, hyperostosis and osteitis. The clinical picture of SAPHO syndrome is heterogeneous and there are certain difficulties in timely diagnosis associated with both the non-simultaneous presence of characteristic signs and the lack of awareness of clinicians about this disease. SAPHO syndrome is characterized by certain osteoarticular and/or dermatological clinical manifestations. Osteoarticular manifestations include osteitis, hyperostosis, synovitis, arthropathy and enthesopathy. Typical skin lesions include palmar-plantar pustulosis and severe forms of acne. The article discusses the clinical manifestations of the disease, laboratory and instrumental signs, diagnostic criteria and differential diagnosis of SAPHO syndrome. Clinical case report is provided with an illustration of typical changes of SAPHO syndrome detected by computed tomography and magnetic resonance imaging.

SAPHO syndrome, synovitis, acne, pustulosis, hyperostosis, osteitis, chronic non-bacterial osteomyelitis
Analysis of Accident Rate in Kolonel Sugiono Street, Malang City
Authors: Rifky Aldila Primasworo  , M. Sa’dillah  , Maria Goreti Ganjom
Published: October 2024

Kolonel Sugiono street is included in the administrative area of ​​Mergosono Sub-Village, Kedungkandang District, Malang City and is a connecting route between Malang Regency and Malang City. In addition, it is also one of the routes that connects Malang City and Surabaya City, with the road function being a Secondary artery and a national road. Kolonel Sugiono street is one of the lanes with a quite high flow of vehicles every day. Kolonel Sugiono street is an area that has quite a lot of blackspot due to the frequent occurrence of traffic accidents. Based on Malang City Traffic data, there were 51 accidents occurred in 2014-2016 and 40 accidents in 2017-2021, both on Kolonel Sugiono street. This study aimed to determine the traffic’s characteristics, identify blacksites and blackspots, as well as solutions and efforts to improve road safety. According to the analysis results, the service level of Kolonel Sugiono street is 0.98 that is categorized as criterion E, namely the traffic volume is approaching or at its capacity, the flow is unstable with frequently stop conditions. Furthermore, based on the Z-Score and Cusum analysis, Kolonel Sugiono road is identified as a Blacksite and Blackspot because it has a positive Z-Score value, namely segment I is 3.1 and in segment II is 5, has a Cusum value, namely in segment 1 is 32 and in segment II has a value of 28.2. Solutions and efforts to improve road safety are paying attention to, repairing, and installing traffic signs, traffic signaling devices, and other road complementary factors.
The Ambiguity of Determining the Optimal Majority
Authors: Nguyen Hai-Trieu v.
Published: October 2024

James Buchanan and Gordon Tullock’s (1999) Calculus of Consent model, published in 1962, is usually considered an analytical defense of majority rule in a constitutional democracy. Their model offers a method of determining the optimal majority in a voting system as the solution to the minimization problem of the total social costs. Nevertheless, the existence and uniqueness of an interior solution rests upon an implicit assumption of the convexity of the total social costs curve. This article points out the possibilities for noninterior solutions and briefly touches upon the case for multiple optimal majorities. As such, the article highlights possible cases in which either private choice or unanimity is socially optimal and the ambiguity that arises when a multiplicity of optimalities exists.
Modelado de tópicos (LDA) aplicado a una controversia ambiental
Authors: Preiti Francisco José , Alomar Francisco Javier
Published: October 2024

El artículo aborda el uso de la metodología cuantitativa modelado de tópicos, Latent Dirichlet Allocation (LDA), en el estudio de la controversia ambiental que se configuró en relación a los incendios en islas del río Paraná entre 2020 y 2022. Se enfoca en cómo las metodologías cualitativas y cuantitativas se complementan para enriquecer la investigación en antropología, ecología política y análisis del discurso. A través de LDA, se explora la construcción de isotopías como agrupaciones semánticas emergentes de entrevistas y una asamblea realizadas durante las movilizaciones ambientales en la ciudad de Rosario, Argentina. Los resultados revelan métricas, tópicos e interpretaciones que resultan fundamentales para la definición de isotopías, vinculadas a la organización e identidad política de las agrupaciones, la tensión entre conservación y desarrollo, y la interacción entre discursos globales y locales. De este modo, se caracteriza al discurso ambiental en un caso particular, narrado por sujetos que participaron en la dinámica de conflictos. El escrito se propone como integración metodológica para un análisis más profundo de las controversias ambientales.
Musiklehrkräfte. Vorgeschichten, Anforderungen und Rollenkonflikte
Authors: Lehmann-Wermser Andreas
Published: October 2024

Diese Ausgabe beschäftigt sich mit den Lehrkräften in künstlerischen Fächern. Dahinter steckt die Annahme, dass sie gemeinsame Merkmale haben, die sie von Lehrkräften der Mathematik oder der Fremdsprachen unterscheiden. Das erscheint plausibel, muss man doch beispielsweise in den künstlerischen Fächern eine Eignungsprüfung ablegen, die in der Regel eine längere Vorbereitungszeit erfordert; in Musik sind mehrere Jahre erforderlich um die entsprechenden Kompetenzen zu erlangen. Doch wäre das eine eher oberflächliche Argumentation. Deshalb soll in diesem Beitrag zunächst nach Befunden in der allgemeinen Professionalisierungsforschung gefragt werden, die für Musik zu konkretisieren sind. In einem anschließenden Teil wird – ausgehend vom Aspekt der Kreativität und deren Förderung – nach spezifischen Widersprüchen gefragt, die sich für Musiklehrkräfte ergeben.
Von Schulpraxis im künstlerischen Lehramtsstudium erzählen… Einblicke in Interviews mit Absolventinnen und Absolventen
Authors: Sattler Elisabeth , Thuswald Marion , Pritz Anna
Published: October 2024

Der vorliegende Beitrag gibt professionalisierungsrelevante Einblicke in eine Interviewstudie mit Absolvent*innen des künstlerischen Lehramtsstudiums, die als Lehrer*innen die Fächer „Kunst und Gestaltung“ und/oder „Technik und Design“ in der Sekundarstufe unterrichten. Die zwischen 10/2023 und 02/2024 durchgeführte Studie wird vom bildungswissenschaftlichen Fachbereich am Institut für das künstlerische Lehramt (IKL) an der Akademie der bildenden Künste Wien verantwortet und fragt danach, wie Lehrpersonen retrospektiv die Schulpraxisphasen im Lehramtsstudium erzählend reflektieren.
Unterricht wahrnehmen und interpretieren. Ein videovignettenbasiertes Seminarkonzept zu musikdidaktischen Konzeptionen
Authors: Roth Anna Theresa , Grow Joana , Lehmann-Wermser Andreas
Published: October 2024

Die professionelle Kompetenz von Lehrkräften umfasst neben Dispositionen wie beispielsweise Professionswissen auch situationsspezifische Fähigkeiten wie Wahrnehmen und Interpretieren, die im Konzept der professionellen Wahrnehmung beschrieben und ausdifferenziert werden. An der Hochschule für Musik, Theater und Medien Hannover wurde ein neues Seminarkonzept für das musikpädagogische Einführungsmodul entwickelt, das neben der Vermittlung grundlegender musikdidaktischer Konzeptionen im Sinne einer Theorie-Praxis-Verzahnung die professionelle Wahrnehmung der Studierenden fördert. Zentrales Element des Seminars stellt die Arbeit mit Videovignetten dar – sowohl in Selbstlerneinheiten als auch in Seminarsitzungen.
Von der Kunst Theater zu unterrichten
Authors: Köhler Julia
Published: October 2024

Der These folgend, dass Lehrkräfte der Kunstfächer spezifische Merkmale aufweisen, möchte ich mich mit Überlegungen zu Kompetenzen und Praktiken von Lehrer*innen auseinandersetzen, die das Fach Theater (Darstellendes Spiel) in der Schule unterrichten, auch wenn aus österreichischer Perspektive das Unterrichtsfach Theater in keinem Lehrplan verankert ist.

Unterstützend sind dabei die Fragen (1) inwieweit das Unterrichtsgeschehen innerhalb des Unterrichtsfachs Theater spezifische Gestaltungprinzipien aufweist, (2) was für ein Begriff von Lernen verwendet wird, (3) was für eine Rolle Theaterlehrer*innen dabei einnehmen und (4) wie Theaterlehrer*innen mit Feedback und Leistungsbeurteilung umgehen?
Residentas migrantes del sistema público de salud: Nuevas subjetividades y experiencias de estudio/trabajo en la provincia de Buenos Aires
Authors:   , Rosa María Noel
Published: October 2024

La tesis indaga en las biografías de mujeres migrantes residentes médicas del Sistema Público de Salud de la Provincia de Buenos Aires, desde un enfoque decolonial e interseccional. Se buscó establecer coordenadas para comprender la subjetividad y las experiencias de mujeres que se forman profesionalmente en el sistema público de salud y que migraron hacia Argentina en estos últimos años, visibilizando los mecanismos de desigualdades que aparecen en los relatos y convocando las particularidades y potencialidades de sus trayectorias y sus capacidades de organización y agencia. El enfoque se centra en los estudios culturales en comunicación, los estudios sobre migración de la antropología social y cultural y el enfoque desde los feminismos críticos. También recorre el pensamiento sanitario nacional como contexto de los procesos analizados. La Tesis está escrita en primera persona, haciendo un recorrido por la experiencia en salud de la propia tesista. El trabajo se desarrolló desde Agosto de 2020 hasta Mayo de 2024 y busca realizar un aporte a políticas educativas y de salud con mujeres migrantes que realizan las residencias.
Phyto-chemical and Pharmacological Activities Review on Cinnamoum zeylanicum Blume
Authors: Soumya G. , krishnamohan G.
Published: October 2024

This review paper combines ethanomedicinal applications and a pharmacological assessment of Cinnamoum zeylanicum Blume (family: Lauraceae). In-vitro, in-vivo studies from different parts of the world have demonstrated numerous beneficial medicinal effects of C. zeylanicum Blumeto treatment of a number of diseases around the world, due its potential proanthocyanidins give it anti-oxidant, anti-bacterial, anti-cancer, anti-diabetic, anti-inflammatory, anti-tyrosinase, anti-mutagenic, and cardiovascular qualities that lower cholesterol levels and have immunomodulatory qualities.In traditional medicine, cinnamon is regarded a treatment for respiratory, digestive, and gynecological ailments. C. zeylanicum may enhance insulin levels and has a low coumarin content.Cinnamon is regarded as useful and vital in the realm of medicine due to its radical scavenging and reducing qualitiesand shows astringent, carminative, Antispasmodic and Anti-septic activity.The essential oil of this plant contains high quantities of phenolic and bioactive components that can scavenge free radicals and prevent β-carotine oxidation.Many volatile oils mostly cinnamaldehyde,cinnamic acid and cinnamate are abundant in the plant.Other than essential oil components this plant also consists a rich source of phytochemical compounds, bioactive phenolic compounds, flavonoids, terpenoids, glycosides etc
A Look on the Sharp Complex 𝐿1+𝜖 Affine Isoperimetric Inequalities
Authors: Alemam Mohammed , Hussein Shawgy
Published: October 2024

On their clear stream of the study we follow Wei Wang and Lijuan Liu [38] who established the sharp complex 𝐿1+𝜖 affine isoperimetric inequalities for the entire classes of complex 𝐿1+𝜖 projection bodies and moment bodies.
A Review on Family of Distributions
Authors: R Anusha. , N. Ch Bhatracharyulu , G Jayasree.
Published: October 2024

It is very difficult to identify which distribution is best fit to the data, out of thousands of probability distributions that are available in the literature. So, it is necessary to group the distributions further according to their nature of curve or common properties they satisfy. In this regard initially Karl Pearson, Johnson, Koopman, Kumaraswamy etc. made attempts to identify the family of distributions. In this paper, we made an attempt to explore the literature available on the families of distributions.
Impact of Intelligent Technology in Balanced Urban-Rural Development: An Interdisciplinary Analysis from the Perspective of Residents Using Greater Tainan Bus App
Authors:   Institute of Cultural and Creative Design, Tung-Fang Design University, Kaohsiung 82941, Taiwan, Tsai Fang-Ju , Huang Chia-Hui ,   Institute of Cultural and Creative Design, Tung-Fang Design University, Kaohsiung 82941, Taiwan, Chen Chun-Chih ,   Department of Industrial Design, National Kaohsiung Normal University, Kaohsiung 82941, Taiwan
Published: October 2024

With the rapid development of globalization and technology, Taiwan faces an increasingly widening gap in development between urban and rural areas, especially in remote areas such as the Longqi District of Tainan City. Thus, focusing on the urban-rural development disparity in remote areas of Tainan City, Taiwan, we explored the role of intelligent technology in improving the quality of life for residents. Against the backdrop of Taiwan's rapid urbanization and demographic changes, we investigated the impact of intelligent technology in achieving balanced urban-rural development, emphasizing the key role of intelligent technology in narrowing the urban-rural divide. The research methods including extensive survey analysis and factor analysis were used to analyze user satisfaction and service quality. Employing the Technology Acceptance Model (TAM) and Kano model combined with fuzzy logic analysis, the impact of the APP on enhancing the quality of life for residents in remote areas was assessed from the perspectives of the needs of the residents. The results highlighted the immense potential of smart transportation systems in improving the comfort and accessibility of rural residents and valuable perspectives for balancing urban-rural development. The findings indicated that the APP significantly positively impacted residents' transportation convenience and overall life satisfaction, underscoring the potential of intelligent transportation systems in promoting balanced urban-rural development and enhancing quality of life.
Analisis Perancangan Sistem Informasi Multipayment pada Aplikasi Alfagift
Authors: Fitriyanti Fitriyanti , Awalludin Dudi , Priatna Apit
Published: October 2024

Alfamart sebagai salah satu perusahaan retail di Indonesia memanfaatkan perkembangan e-commerce dengan membuat aplikasi berbasis mobile. Alfagift merupakan aplikasi dibawah naungan PT. Sumber Alfaria Trijaya, tbk. Alfagift merupakan aplikasi berbelanja yang memudahkan pelanggan untuk berbelanja dari rumah dan pesanan akan diantar kerumah tanpa ongkir pengiriman ataupun dengan metode ambil di Toko. Namun pada fitur layanan pembayaran alfagift belum memiliki banyak pilihan layanan yang dibutuhkan pengguna alfagift. Oleh karena itu, penulis tertarik untuk menganalisis dan melakukan rancangan tampilan sistem informasi fitur baru multi payment  pada aplikasi alfagift. Tujuannya penelitian ini adalah meningkatkan kualitas layanan pada aplikasi alfagift dengan melakukan perancangan design fitur multipayment sehingga membantu mempermudah pengguna dalam bertransaksi pembayaran tagihan menggunakan fitur yang ada pada aplikasi alfagift. Perancangan ini menggunakan metode Design Thingking yang tahapannya meliputi emphatize, define, ideate, prototype and testing
Complicaciones de pacientes atendidas por comadronas
Authors: Chacón Guillén Alins Amor Estrella
Published: October 2024

OBJETIVO: Describir las complicaciones de pacientes atendidas por comadronas, ingresadas en el servicio de labor y partos en el departamento de ginecobstetricia del hospital de Chiquimula, durante los meses de enero de 2019 a diciembre de 2023. MÉTODO: Estudio descriptivo retrospectivo en una muestra de 366 pacientes. RESULTADOS: De las pacientes atendidas por comadronas el 42.90% tiene entre 20 y 29 años, el 39.07% procede de Camotán, el 68.03% está unida y el 39.07% tiene primaria incompleta. Clínicamente, el 63.12% son multíparas y el 37.16% tuvo 37 semanas de gestación. Los signos clínicos principales en emergencias fueron dolores tipo parto 30.33%, salida de líquido vaginal 19.94% y disminución de movimientos fetales 16.94%. En cuanto a antecedentes ginecobstétricos, el 62.19% tenía 3 o más gestaciones, el 17.83% antecedentes de hipertensión y el 8.65% había pasado por cirugía del aparato reproductivo. CONCLUSIÓN: Las complicaciones en las pacientes atendidas por parteras fueron las siguientes: hemorragia posparto, retención de placenta, hipertensión gestacional, infección urinaria e hipertensión crónica.
Analysis of the Connectivity Index for Sea Transportation in Archipelagic Regions (Case Study of South Halmahera Regency)
Authors: Imron Muhammad , Marsaoly Nurmaiyasa , Saputra Muh Taufiq Yuda , Rauf Ichsan
Published: October 2024

Regional connectivity plays a crucial role in supporting economic growth, especially for areas that are geographically remote or separated by bodies of water. As an archipelagic country, Indonesia heavily relies on sea transportation as the main axis of its maritime logistics routes, which connect various regions and support the distribution of goods as well as the mobility of people. Therefore, planning and developing transportation networks require accurate measurements, such as the connectivity index, to understand the extent to which a region is connected to others. This study aims to analyze the regional connectivity index of the islands in South Halmahera Regency, North Maluku, using a graph method approach. This method is employed to evaluate how well the districts in the regency are interconnected through sea routes. The results show that overall, maritime connectivity between regions in South Halmahera Regency is fairly good. From the analysis, 13 districts have a connectivity index of > 1, indicating good connectivity, while 17 districts have an index of < 1, indicating limited connectivity. These findings suggest a disparity in connectivity between regions in South Halmahera, highlighting the need for efforts to improve infrastructure and sea transportation networks to enhance inter-district connections, especially in areas with low connectivity indices.
The Right to a Healthy Environment in the Democratic Republic of Congo: An Anthropocentric Conception
Authors: Mastaki Gabriel Ajabu
Published: October 2024

For several decades now, the destruction of the environment has been at the root of major human health problems. With the holding of two major United Nations conferences around the 1970s, the issue became alarming. It was realised that human beings could only live in a healthy environment. The inclusion of the environment of goods that can be protected has over time preoccupied States. The issue has been a success, and today there is no longer any controversy over the need to protect the environment. The intention of the decision-makers was not to protect the environment, but rather man through his environment. This policy is an anthropocentric emanation. As this was not enough, the United Nations went a step further by recognising that for the sake of human life man has the right to live in a healthy environment devoid of any risk to his health. The Democratic Republic of Congo has endorsed this option by constitutionalising this right. This constitutionalisation allows us to question its effects and its animus. It is around this question that we will focus on.
Bacterial Meningitis in Children Aged from 0 to 15 Years Hospitalized in Paediatrics at the Gabriel Touré University Hospital Centre
Authors: Fanta Niaré , dioumé Cissé , Yacouba Sidibé , Binta Traoré Fatoumata , Youssouf Keita , Minamba Keita Mahamadou , Adama Daou , Bani Diaby , Aboubacar Traoré
Published: October 2024

Meningitis is an inflammatory process, generally of infectious origin, affecting the meninges. Bacterial meningitis is due to the invasion of the cerebrospinal fluid by a bacteria which develops there. The objective was to determine the extent of bacterial meningitis in children aged 0 to 15 years. This was a cross-sectional descriptive study of an epidemio-clinical nature over a period of 12 months from January to December 2008 in the paediatrics department of the Gabriel Touré University Hospital Centre in Bamako, Mali. The most affected age group was 0 to 11 months with 43.3% and a male predominance at 51.9%. The peak was observed during the month of March with 25.7%. The Bambara were in the majority with 39.6%, commune I was the most represented (25.7%). Meningitis was the main diagnosis at entry (93.6%); the most encountered germs were: Neisseria meningitidis (44.4%), Streptococcus pneumoniae (32.1%) and Haemophilus influenzae type b (14.4%). Neisseria meningitidis was sensitive to Ciprofloxacin, Ceftriaxone and Cefotaxime; Streptococcus pneumoniae, sensitive to Ampicillin and Ceftriaxone; Haemophilus influenzae type b reacted to Ciprofloxacin. The evolution was favourable without sequelae in 64.7% and death occurred in 22.5% of cases. Streptococcus pneumoniae was the most lethal germ with 57.1%. The role of the laboratory is essential in helping the doctor make the diagnosis of meningitis, specifying its bacterial, viral, mycotic and parasitic aetiology for effective treatment.
Optimising Warehouse Navigation: A Novel Two-Dimensional Grid Model for Robot Path Planning in Warehouse Logistics
Authors: Sonkiya Paarth
Published: October 2024

In practical warehouse scenarios, route optimization is an important factor due to its large impact on the cost and time efficiency of a warehouse. This directly affects the overall productivity of a warehouse. Many algorithms have been developed to address this issue- the most commonly used in the industry include the A* algorithm and Dijkstra’s algorithm. While most provide appropriate usage in static ware house environments, many often fall short in dynamic warehouses, where they are unable to efficiently adapt to changing layouts and obstacles without compromising on time and cost efficiency. This study proposes a lattice-based two-dimensional algorithm designed to navigate warehouses while also avoiding obstacles efficiently. Employing this algorithm can result in substantial cost reductions, as it optimizes travel distances and resource allocation. Moreover, the algorithm enhances the time efficiency significantly by reducing order fulfillment. This research offers a practical solution to a persistent challenge in modern warehouse logistics. The effectiveness of the proposed algorithm suggests its potential to revolutionize the industry’s approach to route optimization.
CIRURGIA LAPAROSCÓPICA AVANÇADA: ANÁLISE DOS BENEFÍCIOS E DESAFIOS DA LAPAROSCOPIA EM PROCEDIMENTOS COMPLEXOS, COMO COLECISTECTOMIAS
Authors: Junior Enok Macedo da Gama , Zacharczuk Andrio Zanini , De Holanda Nicole Costa , Da Silva Amanda Macêdo , Pancieri Cibelly , Diniz Amanda Viaro da Cunha , Silva Guilherme Farias Rampinelli , Denadai Luana , Mendonça Maria Lúcia Souza , Stochera Ludmylla , Leão Ana Júlia Soares , Menz Matheus Candil , Daires Vitor Augusto
Published: October 2024

RESUMOEste artigo apresenta uma revisão sistemática sobre os benefícios e desafios da cirurgia laparoscópica avançada, com foco em procedimentos complexos, como colecistectomias. A colecistectomia laparoscópica (CL) é amplamente reconhecida como o "padrão ouro" para o tratamento de cálculos biliares, devido ao menor tempo de recuperação, menor dor pós-operatória e menor risco de complicações quando comparada à cirurgia aberta. A revisão foi realizada com base em uma busca extensa nas bases de dados PubMed e LILACS, abrangendo estudos publicados nos últimos 10 anos. Foram identificados 150 artigos inicialmente, dos quais 20 passaram por uma leitura completa e 5 foram selecionados para análise detalhada. Esses estudos abordaram desde o uso de técnicas laparoscópicas avançadas para reduzir complicações até a comparação entre abordagens laparoscópicas e robóticas. Os resultados indicam que a laparoscopia oferece vantagens importantes, como a redução do trauma cirúrgico e tempos de internação mais curtos, especialmente em procedimentos complexos. Contudo, desafios permanecem, especialmente em pacientes de alto risco, como cirróticos e aqueles com colecistite severa, exigindo técnicas específicas. A análise também destacou a necessidade de estudos futuros que aprofundem o uso de tecnologias inovadoras e a padronização de diretrizes clínicas, visando otimizar a segurança e os resultados cirúrgicos.
MANIFESTAÇÕES DE COAGULAÇÃO INTRAVASCULAR DISSEMINADA (CIVD) EM PORTADORES DE LEUCEMIA PROMIELOCÍTICA AGUDA (LPA): UMA REVISÃO DA LITERATURA
Authors: De Oliveira Godoy Ana Beatriz , Herrig Santos Isabela , Mecabo Grazielle , Sackser Horvath Barbara , Felipe Ferreira Anderson
Published: October 2024

Introdução: A leucemia é um câncer do sangue e da medula óssea, caracterizado pela proliferação descontrolada de células anormais. A leucemia promielocítica aguda (LPA) é um subtipo raro com uma translocação genética, tratada eficazmente com ácido trans-retinoico e trióxido de arsênico, elevando as taxas de sobrevivência. O tratamento precoce é crucial para evitar complicações como a coagulação intravascular disseminada (CIVD). Metodologia: O artigo consiste em uma revisão retrospectiva e descritiva sobre "Manifestações de coagulação intravascular disseminada em portadores de leucemia promielocítica aguda”.  A pesquisa foi feita em Google Acadêmico, Scielo, PubMed e livros, com descritores específicos. Os artigos incluídos foram publicados até o ano de 2024, em português e inglês, seguindo critérios de relevância para o tema. Revisão da literatura: A LPA é uma forma rara e agressiva de leucemia mielóide aguda causada pela proliferação de promielócitos imaturos no sangue e medula óssea. Uma das complicações da LPA é a CIVD, um distúrbio hemostático caracterizado pela formação generalizada de trombos, seguida por sangramentos profusos. A CIVD é mais comum entre os pacientes com LPA devido à liberação incontrolável de substâncias pró-coagulantes e pró-fibrinolíticas pelos promielócitos defeituosos. Os sintomas clínicos variam de formação de trombos a sangramentos internos incontroláveis, resultando em taxas mais altas de mortalidade em pacientes com essa patologia. A administração de ácido trans-retinóico e trióxido de arsênio tem sido utilizada para tratar LPA promovendo a diferenciação celular, o ácido auxilia na maturação dos promielócitos o que tem mudado o prognóstico da doença causando remissão na maior parte dos pacientes. Além disso, o manejo da CIVD implica métodos transfusionais e terapêuticos, dependendo da condição clínica do paciente. Considerações finais: A CIVD é uma complicação grave em pacientes com LPA, causada por promielócitos anormais que levam a trombose e sangramentos. O tratamento da LPA com ácido trans-retinóico e trióxido de arsênio reduziu a CID. A identificação precoce da LPA e uma abordagem multidisciplinar são cruciais para controlar a leucemia e as complicações da CID.
Uso prolongado de Benzodiazepínicos e desenvolvimento de quadros demenciais: o que diz a literatura
Authors: Magalhães Vanessa , Duarte de Azevedo Rafaella , Kaliane Dantas de Medeiros Isis , Lopes de Almeida Maria Mauricélia , Lopes da Silva Guilherme , Mendonça da Costa Thais , De Sousa Almeida Marines , Barbosa Tabuso Fiuza Priscila , Menescal Jales Igor , Andrade de Araujo Gabriele , Yane Oliveira de Medeiros Debora , Pires Batista de Azevedo Samya , Queiroz Rêgo Fernanda , Sousa Celestino de Paula Lima Alessandra , Assis Frota Patricia
Published: October 2024

Introdução: Os benzodiazepínicos são uma classe de medicamentos amplamente utilizados no tratamento de transtornos de ansiedade, insônia e outras condições relacionadas ao sistema nervoso central. Neste viés, estudos epidemiológicos e clínicos têm investigado a relação entre o uso prolongado de benzodiazepínicos e o declínio cognitivo, sugerindo que esses medicamentos podem contribuir para o desenvolvimento de demência. Este artigo revisa a literatura existente sobre o tema, com o objetivo de avaliar a relação entre o uso prolongado de benzodiazepínicos e o desenvolvimento de quadros demenciais, destacando os mecanismos subjacentes e as implicações clínicas. Metodologia: Trata-se de uma revisão integrativa acerca do tema proposto, embasada em artigos científicos completos em português ou inglês, anexados em bases dados como PubMed, SciELO, Biblioteca Virtual de Saúde e outros, no recorte temporal entre 2000 e 2024, usando de Descritores em Ciências da Saúde (DeCS) para selecionar os trabalhos que melhor se encaixam na pesquisa. Resultados e discussão: A priori, a maioria dos estudos de coorte e caso-controle identificou uma associação positiva entre o uso prolongado de benzodiazepínicos e um aumento no risco de desenvolvimento de demência; as revisões sistemáticas, por sua vez, foram consistentes em apontar a existência de um risco potencial, mas destacaram a dificuldade em estabelecer uma relação causal definitiva devido a problemas metodológicos nos estudos primários, como o viés de confusão por indicação. Tais resultados, portanto, corroboram a preocupação de que o uso prolongado de benzodiazepínicos possa estar associado ao desenvolvimento de demência, especialmente em populações idosas. No entanto, devido à maioria dos estudos serem de natureza observacional, é difícil inferir uma relação causal direta. Conclusão: Embora a literatura sugira uma associação entre o uso prolongado de benzodiazepínicos e o desenvolvimento de demência, as evidências ainda não são conclusivas devido às limitações metodológicas dos estudos disponíveis. Logo, novos estudos de maior abrangência e respaldo científico são necessários para melhor elucidar essa relação.
EFICÁCIA DAS VACINAS CONTRA DENGUE NA PREVENÇÃO DA DOENÇA EM CRIANÇAS
Authors: Rocha Cardoso Viana Lorena , Dias Malta Ana Cláudia , Rodrigues Rachid Amin Joice , Braga Pacheco Rodrigo , Gomes de Paula Welton
Published: October 2024

Introdução: A dengue, doença viral transmitida pelo mosquito Aedes, representa umdesafio crescente para a saúde pública global. Com a disseminação dos vetores em novasregiões e a alta incidência, o desenvolvimento de vacinas eficazes, como Dengvaxia(CYD-TDV) e QDENGA® (TAK-003), é crucial para proteger principalmente ascrianças, que são as mais afetadas. Objetivo: Analisar as principais vacinas contra adengue no mercado brasileiro e sua eficácia na redução da doença em crianças.Metodologia: Realizou-se uma revisão integrativa utilizando as bases de dados Pubmed,Scielo e Cochrane. Foram selecionados 12 artigos de um total de 61. Os critérios deinclusão artigos entre 2020 e 2024 e os critérios de exclusão textos pagos. Resultados: Aanálise revelou que ambas as vacinas demonstram eficácia significativa na redução dadengue sintomática. A CYD-TDV, licenciada em 2015, apresenta riscos de dengue graveem indivíduos não previamente expostos ao vírus, devido à Amplificação Dependente deAnticorpos (ADE). A TAK-003 mostrou alta eficácia em diversas faixas etárias e boatolerância, sendo recomendada para a população sem necessidade de exposição prévia.Conclusão: A comparação entre Dengvaxia e QDENGA evidencia que, apesar de ambasserem eficazes, a TAK-003 se destaca por sua segurança e eficácia em indivíduos semexposição prévia ao vírus. O acompanhamento contínuo da eficácia e a necessidade dedoses de reforço são essenciais para otimizar as estratégias de vacinação contra a dengueno Brasil.
Oclusão Percutânea do Apêndice Atrial Esquerdo
Authors: Dutra Lucas Velloso , Gonçalves Arthur Cortez , Assunção Bruna Morhy Borges Leal , Pinheiro Junior Jairo Alves
Published: October 2024

A oclusão percutânea de apêndice atrial esquerdo (AAE) é uma alternativa à anticoagulação oral para pacientes com fibrilação atrial (FA) ou flutter, com risco elevado para eventos cardioembólicos, porém com histórico ou risco elevado de sangramento. Nos últimos anos, têm sido desenvolvidas novas gerações de dispositivos oclusores, que, somadas à maior experiência dos operadores, tornaram o procedimento seguro quando bem indicado. O estudo ecocardiográfico transesofágico tem papel central na avaliação da morfologia do AAE, seleção do tamanho dos dispositivos, assim como no monitoramento com imagem durante o procedimento cardiovascular estrutural.
Enhancing AI Transparency: Innovative Methods to Explain Complex AI Decisions to Non-Experts
Authors: Sai Krishna Manohar Cheemakurthi
Published: October 2024

This paper discusses how AI can be more transparent and outlines approaches to explaining the decisions made by AI to a layperson. This paper illustrates potential improvements in explainability by presenting simulation reports, live applications, and the ability to identify the challenges. Approaches raised include the creation of user interfaces that provide decision-making clarity, the use of real-life examples, and the use of graphs. Introducing possible strategies for the future challenges typical for creating transparency, such as the struggle between the complexity and usability of the created visualizations, is provided. The insights add to the general discourse on interpretability in AI governance and users' trust in intelligent systems.
THEORETICAL PRINCIPLES OF IMPLEMENTATION OF INNOVATIVE ACTIVITIES IN AGRICULTURE
Authors: Ilchuk Mykola , Svynous Ivan , Tomashevska Olga
Published: October 2024

Introduction. Intensification and innovation of agriculture is a necessary condition for meeting the food needs of the global population. The implementation of innovative projects should become a priority direction for the development of agriculture in Ukraine in the near and medium-term perspective, which will increase labour productivity, ensure the saving of material, financial and personnel resources, increase the volume of exports and domestic consumption, and reduce the volume of imports due to the substitution of domestically produced agricultural goods. Methods. The following methods were used in the research process: systemic approach – to study the connections between phenomena and processes of economic reality; logical and semantic – to clarify the conceptual apparatus of agro-industrial business and innovative development; monographic – for a detailed study of phenomena, processes, best practices; abstract and logical – for the formation of the theoretical foundations of the author's interpretation of terms regarding innovative development, the formation of conclusions and proposals. Results. It has been proven that in the practice of innovative development of agriculture, it is necessary to simultaneously apply different management methods and their rational combination. In its essence, the effectiveness of innovative development is the result of management activity as a whole, obtained thanks to the optimal combination of the above methods. The methods of innovative development are, as a rule, complex in the practical activity of agricultural enterprises. That that is, they take into account the established organizational and legal principles, economic interest, moral and material stimulation, social and psychological factors. Discussion. In the post-war period of the revival of the agricultural sector of Ukraine, the main focus will be on the implementation of innovative developments in the activities of economic entities in the field of agrarian business, which are aimed at increasing the volume of production of agricultural products while improving their quality and minimal impact on the environment. The theoretical foundation of innovative activity in agriculture should be the basis of Comprehensive programs for the development of rural areas until 2030, which will ensure an effective system of state support for subjects of entrepreneurial activity in the field of agrarian business. Keywords: innovation, innovative development, agriculture, method, economic entities in the field of agrarian business.
Umowy o ciało. Ekonomia entuzjazmu i cenzurowanie wyczerpania
Authors: Półtorak Arkadiusz , Borys Tomasz , Gaik Agata , Król Julia , Niedzielska Magdalena , Oleksy Daniel , Piwowar Zuzanna , Skowronek Julian , Soczyńska Marta , Zawada Martyna
Published: October 2024

Tekst stanowi cząstkowe podsumowanie projektu performatywnego Umowy o ciało, który autorzy i autorki realizowali w ramach zajęć warsztatowych na Wydziale Polonistyki UJ. Celem projektu było stworzenie „szczerych umów” w realistyczny sposób prezentujących formy wyzysku na rynku pracy prekarnej i projektowej. Powstawały one na podstawie badań socjologicznych, autoetnograficznych oraz praktyk z porządku art based research i stanowią dzieło pięciu grup roboczych koncentrujących się na sytuacji tancerzy, osób obsługujących w lokalach gastronomicznych, promotorów nocnych lokali klubowych, animatorów kultury i wolontariuszy w branży kulturalnej. W tekście prezentujemy rezultaty projektu, podkreślając dwie ważne obserwacje z naszych badań. Pierwsza dotyczy afektywnego wymiaru badanych zajęć, wymagających od pracowników intensywnego zaangażowania w relacje z innymi ludźmi, ciągłego performowania gotowości do pracy i emocjonalnego przywiązania do niej. Druga dotyczy towarzyszącej tym wymaganiom presji, by ukrywać oznaki fizycznego i psychicznego zmęczenia. W naszej ocenie urasta ona współcześnie do rangi afektywnej cenzury, ufundowanej przede wszystkim na kulturowych wyobrażeniach i obyczajach, ale też sankcjonowanej przez społeczne urządzenia takie jak prawo cywilne.
Beckett’s Image of Exhaustion: The Late Television Plays
Authors: Switzer Adrian
Published: October 2024

The article presents Samuel Beckett’s television plays as images of exhaustion. It focuses on Quad 1 + 2, Ghost Trio, …but the clouds…, and Nacht und Träume, which were all aired in England on the BBC and in Germany on SDR in the late-1970s and early-1980s. Exhaustion as a creative state is spontaneous, fecund and unprecedented in the forms it creates; seeming impossibilities overflow the exhausted image. Creative exhaustion also differs from fatigue, though the latter is a condition of the former. With their internal mechanics of vacuum-sealed cathode rays, electromagnets and phosphorescent glass screens, analog television sets were perfectly suited in the mid- to late-20th century to present images of exhaustion. Light radiates out from the inner core of sets. Electrically charged particles give off photons, which light the television screen from within. Beckett’s television plays are images of exhaustion as surreal, overabundant presentations of impossible forms and unprecedented events.