bluuebunny/crossref_metadata_2025 huggingface dataset:
Catatonia in the general hospital: a case series wading through diagnostic & management challenges
Authors: Najam Shireen , Mansoor Marium , Hafiz Muhammad Yusuf , Shafique Alviya , Hambal Ifrah , Gul Banafsha , Nadeem Tania
Published: March 2023

Catatonia is a cluster of affective, behavioral, and motor symptoms. Its causes are multifactorial ranging from severe and untreated psychiatric illnesses to neurological diseases and other general medical conditions. It is estimated that 20% of catatonia causes are due to medical conditions out of which two thirds are due to an underlying neurological condition which might include encephalitis, neural injury, developmental disorders, structural brain pathology, or seizures. Symptoms of catatonia can wax and wane, fluctuating between the retarded and the excited type within hours making it more difficult to identify and diagnose. If left untreated, catatonia can lead to multiple medical complications which can lead to significant long-term morbidity and mortality. The initial complications include dehydration, malnourishment, electrolyte imbalance, deep venous thrombosis, pulmonary embolism, pneumonia, urinary tract infection, and retention. In the long run, patients can have sepsis, rhabdomyolysis, DIC, decubitus ulcers, arrhythmia, renal failure, and liver dysfunction. This article  will describe  three patients (adolescent & adult) that presented to Aga Khan University Hospital (AKUH), Karachi with challenging presentations of catatonia. Their diagnostic and management difficulties will be discussed.
View from the CEO: Revolving doors
Authors: Powell Martin
Published: March 2023

Martin Powell bids farewell to IStructE members as he prepares to step down as Chief Executive, with the Institution well placed to face the opportunities and challenges of the future.
CROSS Safety Report: Connection fixity considerations for steel frame modelling
Authors:   Collaborative Reporting for Safer Structures
Published: March 2023

This month's CROSS Report concerns the modelling of steel frame joints when using computer programs.
How circular is your building?
Authors: Mihkelson Will , Gillott Charles , Densley Tingley Danielle
Published: March 2023

This article focuses on a circular economy tool, Regenerate, developed by the University of Sheffield, which can support the assessment of new and existing buildings.
PENGARUH PERTUMBUHAN EKONOMI, JUMLAH PENDUDUK, DAN PRODUKSI PADI TERHADAP JUMLAH KONSUMSI BERAS DI BALI
Authors: Yulianti Rina , Sarifah Sudati Nur
Published: March 2023

Rice is a basic food requirement for the majority of Indonesians, especially those in the Province of Bali. Rice consumption rises year after year, but not in lockstep with rice output. The goal of this study is to look at the factors that influence rice consumption in the Province of Bali. The purpose of this study is to see how three independent variables affect the amount of rice consumption in Bali, with the independent variables being GRDP, Population, and Rice Production, both simultaneously and partially in the 2015-2019 time period. The results of this study indicate that the three independent variables have a positive and significant effect on rice consumption in the Province of Bali. It can be concluded that the variables of GRDP, Population, and Rice Production have an effect on Rice Consumption in the Province of Bali.
ANALISIS PENGARUH KEMISKINAN, PENGANGGURAN, DAN INFLASI TERHADAP PERTUMBUHAN EKONOMI INDONESIA
Authors: Nairizi Mirza Ahmad
Published: March 2023

This study aims to analyze the effect of poverty, unemployment and inflation on Indonesia's economic growth. The data used is time series data from 1991 to 2020 on an annual basis. Data were analyzed using the ECM (Error Correction Model) method with the help of Eviews 10. The results showed that the variables of unemployment and inflation in the short and long term did not have a significant effect on economic growth. Meanwhile, the poverty variable in the short term and long term has a significant influence on economic growth. The research results show that poverty is a macroeconomic variable that plays a major role in hindering economic growth in Indonesia.
DETERMINAN PENDAPATAN ASLI DAERAH PROVINSI JAWA TENGAH
Authors: Prasetyo Jalu Aldho Fajar
Published: March 2023

The granting of regional autonomy is expected to give flexibility to regions to give flexibility to regions to take care of their own households. PAD is one of the regional revenues that reflects the level of regional independence. This study aims to analyze the effect of Government Expenditure, Population, and GRDP on he estimation model used the Error Correction Model (ECM) approach. As well as the results of the analysis of factors affecting the Local Own-Source revenue of Central Java, Government Expenditures have a significant effect in the short and long term for the Population to have a significant effect only in the short term while in the varibael of GRDP it has no significant effect in the short and long term.
FAKTOR YANG MEMPENGARUHI PENYERAPAN TENAGA KERJA DI JAWA TENGAH TAHUN 1997-2021
Authors: Setyo Septa Tri , Juliprijanto Whinarko
Published: March 2023

This study aims to determine and analyze the factors that affect the absorption of labor in Central Java. The type of data in this study uses time series and secondary data with the study period from 1997 to 2021. The estimation method used is the Error Correction Model (ECM) which is able to show long-term and short-term effects. The results show that in the long term the variables of the provincial minimum wage, domestic investment, and foreign investment together have a significant and significant effect on employment. Meanwhile, in the short term, only domestic investment variables are influential and significant with a probability value of 0.0418 with a confidence level of 0.05. This situation indicates that in the short term changes in the value of domestic investment will have a positive effect on employment.
Can Modern Medicine Have Distorted Ideas?
Authors: Klepikov Igor
Published: March 2023

The reasons for the misconceptions that have arisen in modern ideas about the features of acute nonspecific inflammation of the lung tissue and the direction of the necessary correction are considered.
Research Progress in Diagnosis and Treatment of Postpartum Depression by Traditional Chinese Medicine
Authors: Yan Yujuan , Tai Yingchun , Yang Hua , Wang Mengmeng
Published: March 2023

In this paper, by analyzing a large number of domestic and foreign literatures on the treatment of postpartum depression in recent years, the research progress of traditional Chinese medicine (TCM) in the treatment of postpartum depression was systematically reviewed. Sum up after a postpartum depression of the most common etiology and pathogenesis, from the compound Chinese medicine, acupuncture, needle medicine use, massage, music therapy and traditional Chinese medicine fumigation treatment, according to the basic theory of TCM in detail its historical source, choose party on the basis of TCM syndrome differentiation, acupuncture and moxibustion therapy in a variety of acupuncture and moxibustion treatment of forms, and other characteristics of traditional Chinese medicine therapy. Literature review shows that: The doctor of traditional Chinese medicine in the treatment of postpartum depression, with overall concept as guiding ideology, thus improve the systemic symptom of patients, improve the quality of life, and there are diversified TCM therapies, patients and their families have high acceptance, small side effects, make up the deficiency of western medicine, not only in the clinical practice to improve the curative effect of treatment of postpartum depression, also for the general medical compatriots to broaden the diagnosis and treatment method of postpartum depression, provide evidence for the selection of treatment for such patients.
The Conflict in Ukraine: Medical and Psychological Aspects
Authors: Jargin Sergei V.
Published: March 2023

This mini-review analyzes medical and psychological aspects of the conflict in Ukraine. If the global power shifts to Russia, it may come along with losses of certain values. The quality of many services, products and foodstuffs will decline. Autocratic or military management style will gain sway also in the healthcare and science. Attributes of this style include the lack of criticism and objective discussion, paternalistic approach to patients, bossy management and occasional disregard of the principle of informed consent. Suboptimal practices have been used as per instructions and leading experts’ publications. To name but a few: the overuse of Halsted and Patey mastectomy with excision of pectoral muscles, coagulation of endocervical ectopies without cyto- or histological check for precancerous changes, parabulbar injections of placebos, extensive gastric resections for peptic ulcers, thoracic and abdominal surgery for bronchial asthma and diabetes mellitus, overuse of surgery in tuberculosis. Psychological issues related to the Ukraine conflict are discussed here. Repressed shame may cause aggression. Some topics discussed in this article are associated with shame, summarily reflected by the comparatively low life expectancy and world highest abortion rate in Russia. Instead of machismo and militarism, the propaganda should popularize the image of scrupulous and hardworking people.
Research Progress of Hippo-Yap/Taz Signaling in Skeletal Muscle Hypertrophy
Authors: Feng Chen , Song Bruce , Peng Xiyang
Published: March 2023

The Hippo pathway is an important pathway to control cell proliferation and organ size. By sensing extracellular matrix stiffness and intercellular mechanical force and converting them into molecular signal transduction, through a series of cascade amplification effects of kinases, the final the phosphorylation of YAP/TAZ, the main downstream target of the Hippo pathway, plays a series of regulatory roles. Although many studies have shown that Hippo signaling changes during skeletal muscle hypertrophy, the complex mechanism of Hippo signaling in skeletal muscle hypertrophy remains to be further studied. In this review, we summarize the relationship between Hippo-YAP/TAZ signaling and skeletal muscle hypertrophy and sort out the contribution of the main factors in the process of skeletal muscle hypertrophy.
Left Pubic Tuberculosis Was Misdiagnosed as Synovitis of the Left Hip
Authors: Zheng Nan , Li Zhibin
Published: March 2023

A 51-year-old male patient was admitted to hospital with “1 week of restricted movement in left hip pain.” The patient denied trauma and had no other specific discomfort. Slightly reduced weight and physical strength, normal diet. No previous history of tuberculosis or exposure. Admission examination: no obvious abnormalities in the appearance of the spine, no tenderness and percussion pain. Left groin tenderness (+), left hip and buttock percussion pain (+), left 4-word experiment (+). Admission to complete relevant investigations: consider infectious lesions of the left pubic bone. After admission to the hospital and standardized treatment of tuberculosis, the patient's left pubic pain was significantly improved.
Pyrolysis in the Chemical Industry and Its Major Industrial Applications
Authors: Ibrahim Hassan Al-Haj
Published: March 2023

Pyrolysis is an irreversible thermochemical treatment process of materials at elevated temperatures in an inert atmosphere. Pyrolysis is used heavily in the chemical industry to produce many forms of carbon and other chemicals from petroleum, coal, wood, oil shale, biomass or organic waste materials, and it is the basis of several methods for producing fuel from biomass. The end products of pyrolysis include solid residual coproducts and ash, noncondensable gases and condensable liquids. These products can be controlled by optimizing pyrolysis parameters such as temperature and residence time.
To Reduce the Annoying Light with Microalgae Window
Authors: Mohammadivahidi Nafiseh
Published: March 2023

Aims: Improving energy efficiency and creating the quality of the indoor environment in buildings by using environmentally friendly energy sources instead of using fossil fuels that are impossible to recycle and cause environmental pollution is very important. The use of an algal facade system that generates energy sources through building components can be suggested as one of the new efficient alternatives to solve this system. Methods: Microalgae are a type of living microorganism that is in the simplest form of a plant sample and mainly single-celled. Compared to other plant species, these organisms have a very high ability to absorb air pollution due to the high surface-to-volume ratio. By absorbing carbon dioxide from air or water during photosynthesis, they produce about 60 to 75 percent of the oxygen needed by humans and animals, which is 10 times more than a mature tree and photosynthetic grass. Findings: In this research, in the first stage, based on valid scientific articles and library studies, new information is collected and produced, and then the behaviour of microalgae bioreactors is investigated and the possibility of replacing old panels with bioreactors is investigated. Conclusion: The use of alternative energy due to the reduction of energy resources and no destruction of the environment, and the use of environmentally friendly energy using microalgae, in addition to producing the required oxygen, by adding bioreactor panels as an additional view the building has been designed to create privacy and proper view of the building facade.
Development Paths of Senior High School Students’ Mathematical Modeling Capability Based on Core Literacy
Authors: Kong Weina , Chen Huiru , Leng Yue , Dong Jinhui
Published: March 2023

Mathematical core literacies centrally reflect the curriculum goals of mathematics, and are acquired and developed by students when studying and applying mathematics. Mathematical modeling, a part of core literacies and an essential capability for senior high school students, is critical to their innovative practice and deep learning. The new mathematics curriculum standards have included mathematical modeling as core literacy and China’s college entrance exam has started to highlight the applied nature of mathematics. However, equal stress fails to be laid on mathematical modeling in math class. Against such a background, this paper specifies the importance, and summarizes the current challenges alongside paths of developing mathematical modeling capability.
Investigating the Causes of Poor Performance of Grade 12 Pupils in Physics Lessons Involving Graphs of Motion
Authors: Mucholobwe Austin , Mutambo Danny
Published: March 2023

The objective of this study was to investigate the causes of poor performance among grade 12 pupils on topics related to graphs of motion in Luampa District of Western Province at Luampa and Mbanyutu Secondary schools. In order to attain the objective of this study pre-post quasi experimental and survey designs, meaning qualitative and quantitative research approach was used. The subjects of the study were 32 learners or students and 2 teachers of physics who were selected by simple random sampling technique. The instruments used in this study were questionnaire and observation and to supplement these instruments, tests, pre-test and post-test were used to collect data of the study. The data gathered through tests were analyzed by using statistical package for social science, observation and questionnaires were analysed using QDA Miner Lite. Results of the study revealed that learner centred approach and planning lessons before teaching can improve the performance of grade 12 learners on topics involving graphs of motion. This in turn improves the performance of learners in physics. The researcher assessed the impact of learner centred on grade 12 learners’ academic achievement physics as a result of his assessment he assured that the learner centred approach has an impact on academic achievement of grade 12 pupils in physics. So, the schools which were under study can make continuous program to support learner centred approach to improve the academic performance of grade 12 learners in physics. All the findings showed that learner centred and effective lesson planning can improve the performance of grade 12 learners in topics which involve graphs of motion in Luampa district,especially at Mbanyutu and Luampa secondary schools.
Comparative Analysis of Chinese Proficiency Grading Vocabulary Between HSK2.0 and HSK3.0
Authors: Li Rong
Published: March 2023

As the top-level design of international Chinese education at the HSK3.0 stage, Chinese Proficiency Grading Standards for International Chinese Language Education are improved in many aspects compared with International Curriculum for Chinese Language Education (Revised Edition) at the HSK2.0 stage. The requirements for vocabulary part of these two files are quite different in terms of total vocabulary quantity, difficulty, marking method and content. After comparative analysis, it is found that the new standard is more inclusive, practical and innovative in vocabulary part.
Literature Review of Turn-Taking
Authors: Shi Bingyang
Published: March 2023

Turn-taking theory has attracted a lot of attention from linguistics and other disciplines since its emergence. Numerous studies have been conducted with regard to turn system, presenting its theory and empirical evolution in foreign and domestic research. In terms of turn-taking theory, majority of scholars state interpretation of its definition and rules without breaking through the framework of notion of Sacks. As far as application of turn-taking theory, they mainly focus on news interviews, TV programs, class interaction and daily dialogue and other aspects at home and abroad. Few studies concern about turn features of WeChat language and WeChat multiparty conversation. Through the view of turn and turn-taking, characteristics of WeChat multiparty conversation will be figured out and mechanism and characteristics of WeChat language will be summarized through the analysis of turn system of the WeChat multiparty conversation.
Statistical Analyses of Rainfall Distribution: A Check on Climatic Shift
Authors: Alexander Chinago B. , Weli Vincent E.
Published: March 2023

The study Statistical Analyse of Rainfall Distribution: A check on Climate Shift is concerned with using table values and graph to visually compare rainfall distribution over different climatic cycles. To achieve this, rainfall data from Nigeria Meteorological Agency archive was extracted for analysis. The study observed that only two months had mean rainfall less than 51mm. It was also observed that rainfall occurrence decreases over the years, as indicated by the negative trend line. The study among other things discovered that the double maxima as a result of August dry spell has reduced significantly, thereby increasing run-off. This paper observed that the time of the years is significantly related to rainfall occurrence. The month of August had more improved rainfall throughout the period of study. The rate of dispersion of mean annual rainfall from the station mean is an indication of the reliability of rainfall or otherwise. This work opined that change in climate will lead to a complete shift in RF distributions; therefore, the activities that were influenced by RF will be affected positively or in a negative way in the future. This work recommends that agriculture calendar of the study area need to be changed therefore farmers need to adopt new farming techniques as RF distribution change. There agricultural calendar needs to also change.
Wavelet Analysis of the Population Growth in a Depopulation Context Within Two Balkans Countries
Authors: Miladinov Goran
Published: March 2023

Serbia and Bulgaria have been selected in order to demonstrate how the principles of wavelet engines are applied to real data for the population growth rate (POPG). The annual time series data are retrieved from the UN database covering the period from 1990 to 2021. The major part of relevant wavelet coefficients (those coefficients exceeding threshold bounds) are concentrated in the first few scales. It was observed that the more significant ‘‘wave’’ behavior over wavelet coefficients and scales for both countries was revealed with MODWT transformation in contrast to the discrete wavelet transform (DWT). The main use of the Multi-Resolution Analysis (MRA) was the separation of the ‘‘signal’’ of the original POPG series from its noise, at a specific decomposition level. In both countries persistent behavior in the POPG series was found. A proximate examination of the wavelet threshold noise series reveals moderate differences between the countries. The large outlying observation in 2020 is accurately identified for the POPG series of both countries. There is no doubt that the theoretical background presented in this study might be relevant for each of the countries within this study observing in one or the other way.
Design and Research of Beijing Eight Imperial Handicrafts Popular Science APP Based on CUBI Model
Authors: Shen Ruoxi
Published: March 2023

This topic is aimed at the digital communication and science popularization of Beijing Eight Imperial Handicrafts, aiming to improve the public awareness of Beijing Eight Imperial Handicrafts, with the help of digital means to research and innovate the communication path of Beijing Eight Imperial Handicrafts, combined with CUBI user experience model to study the design of the APP of Beijing Eight Imperial Handicrafts, in order to promote Beijing Eight Imperial Handicrafts and Beijing traditional handicraft culture. And to provide a reference path for the digital transmission and inheritance of other intangible cultural heritage.
Maximizing the Benefits of Daylight in Residential Design and Construction: A Review of Modern Homes and Villas
Authors: Dutta Margaret
Published: March 2023

Daylight is an essential element in human life and plays a crucial role in the design of modern homes and villas. This paper explores the importance and application of daylight in residential design and construction. The paper highlights the benefits of daylight in terms of physical and mental health and reduced energy consumption in buildings. It also explores how daylight resources can be fully utilised in modern architecture, in terms of design, materials, construction and technology, to allow the interior spaces of houses to be adequately illuminated while minimising energy consumption. The paper further examines the influence of daylight on residential design, and the use of daylight in villas, including the choice of appropriate orientation and the use of convex windows, balconies and skylights to obtain optimum daylight conditions while meeting the villa owner’s requirements for views, privacy and comfort. The issues that need to be addressed in the use of daylight, such as avoiding excessive sunlight, maintaining appropriate indoor temperatures, and avoiding glare and inadequate lighting, are also explored. Finally, the paper looks to the future of daylight in architecture, including the more efficient use of daylight resources in buildings through technological means such as intelligent design, machine learning and artificial intelligence, to achieve more comfortable, energy efficient and environmentally friendly designs for homes and villas.
On the Assumption and Improvement of the Judicial Review Mechanism About the Central Bank
Authors: Ji Jingchun , Dong Yuyue
Published: March 2023

Generally speaking, judicial power and administrative power are two important national public powers in a country. It is precisely because of their respective powers that they need to form a check and balance relationship between them. The central bank, as an institution holding the important decisions of national monetary policy and national economic development, its relationship with the government ais either independent or subordinate to the government. It is a special administrative and financial institution. If some of its decisions and decisions are contrary to the national economic development goals, there should be a review mechanism that can review its decisions and decisions in advance to prevent the harm. The core of judicial review is judicial power, and the decision-making of the central bank belongs to the embodiment of administrative power. The check and balance of judicial power over administrative power is a new trend in new fields. This paper discusses the necessity, degree and scope of judicial review by the central bank, and the necessity of establishing a separate special institution, it provides some ideas for the construction of such a special judicial review institution.
CURRENT TRENDS AND AVAILABILITY OF INJECTABLE THERAPY IN PAKISTAN FOR MANAGEMENT OF DIABETES MELLITUS
Authors: Muhammad Shahzad Nawaz  , Hafiza Shizza Rafique  , Malik Tooba , Muhammad Umar Wahab  , Anwaar Ul Hassan Chughtai  , Muhammad Sarfraz Nawaz  , Butt Muhammad Daoud
Published: March 2023

Background: Diabetes is a metabolic disorder and is a growing healthcare problem in South Asian countries. The management guidelines provided by American Diabetes Association (ADA) have provided a thorough approach for the use of oral and injectable therapies. Current statistics indicate an increase in premature mortality, which poses a severe danger to global prosperity. Sulphonylureas, biguanides, alpha glucosidase inhibitors and thiazolidinediones are examples of recent generations of drugs that have been created as a result of scientific and technological developments and have a high efficacy in reducing hyperglycemia. Objectives: This communication aims to connote the trends and availability of injectable therapy in lower middle income countries. Methodology: We reviewed a number of studies (published between 2010-2020), a market survey for availability and the Drug Regulatory Authority of Pakistan official website for the registration status of newly registered injectable therapy for managing diabetes mellitus. Results: Novel classes of drugs that have been developed as potential targets for diabetes treatment drugs include Incretin mimics, Amylin analogues, GIP analogues, Peroxisome proliferator-activated receptors, and dipeptidyl peptidase-4 inhibitor. In Pakistan and other parts of the world, getting new insulin products in sufficient quantities has always been demanding. A list of imported insulin and GLP-1 products and their availability in lower middle income countries like Pakistan, India and Bangladesh is made so as to meet international standards. Conclusion: This short communicatiob shows the availability of Injectable therapy for management of diabetes in Pakistan.
KAREN’S DINER : THE ETHICAL OF BUSINESS ON CUSTOMER SATISFACTIONS
Authors: Agustin Eka Nadya , Bahiroh Eloh
Published: March 2023

The success of a company depends on the satisfaction of customer. This research to determine the effect of business ethics on customer satisfactions. The sample data was been taken from 50 respondents of Karen’s Dinner Restaurant. The research method using statistic descriptive to explore the correlation between variable. The analysis regression used to search how much effect between independent and dependent variable. The result show that the business ethics have significant effect on customer satisfaction. The implication of the result is the business ethics and enhancing services excellent are required. A reputable company will always uphold corporate ethics and provide clients with high-quality service. It will have an impact on how satisfied customers are. Customers are most likely to conduct buying or make used product of a company, when a company have a high standards value and ethical business practices.
Determinantes del desempeño financiero: un estudio a las constructoras de la provincia de Tungurahua
Authors: Haro Sarango Alexander Fernando , Pérez Briceño Juan Carlos , Proaño Altamirano Gladys Elizabeth , Jácome Izurieta Oswaldo Javier , Rojas Jara Henrry Vinicio
Published: March 2023

El desempeño financiero se sostiene en la necesidad de estimar las permutaciones potenciales y relaciones específicas de varios elementos, mediante esto se permite controlar y pronosticar. Durante cuatro décadas se han esbozado un gran número de sistemáticas que procuran identificar los quebrantes empresariales y del desempeño empresarial, no obstante, cuestionamientos nacientes refutan y aportan a las contribuciones, favoreciendo a la mejora continua de la producción científica en el área. Con las premisas mencionadas, el estudio adjudica los siguientes objetivos: Establecer los mejores predictores del conjunto de variables mediante el modelo boosting, por consiguiente, evaluar sujetos de estudios sobresalientes por medio de mapa de cuadrantes. Para desarrollar lo mencionado, se usan tres etapas metodológicas, las cuales contienen los siguientes estadísticos: Correlación de Pearson, prueba de significación bilateral, modelo boosting y vecino más próximo. Los resultados obtenidos determinan a los siguientes indicadores con alto nivel de inferencia al índice Dupont con sus rangos de interacción: Endeudamiento patrimonial corriente (1,50 y 1,70), utilidad operacional (0,20 y 0,30), endeudamiento a largo plazo (0,4 y 0,6), rotación de activo fijo (150 y 200), endeudamiento del activo fijo (40 y 50), finalmente, rotación de cartera (15 y 20).
ANEMIA IN INFLAMMATORY BOWEL DISEASE: ETIOLOGY, PATHOGENESIS, DIAGNOSIS, TREATMENT
Authors: Богданов Александр Николаевич , Волошин Сергей Владимирович , Кулибаба Татьяна Германовна
Published: March 2023

Анемии - наиболее частая внекишечная манифестация воспалительных заболеваний кишечника. Обычно выявляются железодефицитные анемии и анемии хронических заболеваний, реже мегалобластные анемии, гемолитические анемии и анемии вследствие миелосупрессии. В обзоре представлен анализ литературы об этиологии, патогенезе, диагностике и лечении анемий у больных воспалительными заболеваниями кишечника.

Anemia is the most common extraintestinal manifestation of inflammatory bowel disease. Usually detected iron deficiency anemia and anemia of chronic disease, less often megaloblastic anemia, hemolytic anemia andanemia due to myelosuppression. The review presents an analysis of literature about etiology, pathogenesis, diagnosis and treatment of anemia in patients with inflammatory bowel disease.
SPECIFICATIONS OF ORAL TASTE RECEPTOR FUNCTIONING AT THE ELDERLY IN NORM AND PATHOLOGY
Authors: Иорданишвили Андрей Константинович
Published: March 2023

В настоящее время до конца не исследовано функционирование вкусовых рецепторов полости рта взрослого человека в норме и при патологии. Целью работы явилось изучение особенностей функционирования вкусовых рецепторов языка взрослого человека при гипертонической болезни и сахарном диабете 2-го типа. В ходе работы изучены пороги вкусовой чувствительности, а также функциональная мобильность вкусовых рецепторов языка у 37 людей пожилого возраста без выраженной психосоматической патологии, а также у 33 человек пожилого возраста, страдающих гипертонической болезнью, и 34 человек, страдающих сахарным диабетом 2-го типа. Установлено, что у людей пожилого возраста, не имеющих выраженной психосоматической патологии, пороги вкусовой чувствительности языка достоверно повышены, но соответствуют референтным значениям, однако нарушены процессы мобилизации и демобилизации вкусовых рецепторов языка. При гипертонической болезни и сахарном диабете 2-го типа выявлено достоверное повышение порогов вкусовой чувствительности языка, что вместе с имеющимися у них нарушениями функциональной мобильности вкусовых рецепторов языка препятствует формированию чувства сытости, способствует сохранению желания употреблять пищу в течение суток, что влияет на сложности с регулированием диетотерапии при рассматриваемой патологии.

At present the functioning of taste buds of adult oral cavity in norm and pathology has not been studied up to the end. The aim of this work was to study the peculiarities of functioning of adult tongue taste buds in hypertensive disease and type 2 diabetes mellitus. In the course of the work the thresholds of taste sensitivity as well as functional mobility of taste buds of the tongue were studied in 37 elderly people without any pronounced psychosomatic pathology as well as in 33 elderly people suffering from hypertension and 34 people suffering from diabetes mellitus type 2. It was established, that in elderly people without expressed psychosomatic pathology the thresholds of taste sensitivity of the tongue are reliably raised, but correspond to the reference values, but the processes of mobilization and demobilization of the tongue taste receptors are disturbed. In hypertension and type 2 diabetes mellitus reliable increase of tongue taste sensitivity thresholds were revealed, which together with the existing disturbances of functional mobilization of tongue taste receptors prevents the formation of the feeling of satiety, contributes to the preservation of the desire to eat food during the day, which affects the difficulties with the regulation of diet therapy in the pathology in question.
Acompañamiento pedagógico directivo en el desempeño docente de una Red Educativa Rural
Authors: Flores Ocaña Eric Ronald , Chunga Pingo Gaby Esther
Published: March 2023

El presente artículo tiene como objetivo principal determinar la influencia del acompañamiento pedagógico directivo en el desempeño docente en la Red Educativa Rural Chillia, ubicada en Pataz, La Libertad, Perú. El estudio es cuantitativo con diseño no experimental, descriptivo correlacional causal con alcance explicativo. La muestra universal lo conformaron 74 educadores. Para recolectar los datos se aplicó dos cuestionarios, uno para cada variable, los que fueron elaborados por el investigador, cuya validez de constructo fue un KMO=0,927 para el primer instrumento y 0,917 para el segundo con una Sig.<1% en ambos casos. La confiabilidad de los instrumentos se obtuvo mediante Alfa de Cronbach, con un valor de 0,971 y 0,970, respectivamente. Se empleó el coeficiente Rho de Spearman para la correlación y para la influencia la regresión lineal, concluyéndose que el acompañamiento pedagógico directivo influye significativamente (p<0,01) en el desempeño docente y sus dimensiones, planificación del trabajo pedagógico, mediación pedagógica, participación en la gestión de la institución educativa e identidad y desarrollo profesional, cuyos valores son (r2= 49,7%; r2= 46,3%; r2= 44,1%; r2= 45,5%; r2= 49,8% V p<0.01). En consecuencia, para potenciar el ejercicio docente se debe implementar el acompañamiento pedagógico de manera continua, planificada y sistemática.
Die unabhängige Wiederaufnahmekommission: ein Modell für Deutschland? Eine vergleichende Untersuchung am Beispiel der englischen Criminal Cases Review Commission
Authors: Schwarze Mathis , Vaudlet Marie
Published: March 2023

Das strafprozessuale Wiederaufnahmeverfahren gilt als übermäßig restriktiv, was u. a. auf eine „wiederaufnahmefeindliche“ Einstellung der Gerichte zurückgeführt wird. Vor diesem Hintergrund ist früh vorgeschlagen worden, die Entscheidung über Wiederaufnahmegesuche einer unabhängigen Stelle außerhalb der Justiz zu übertragen. England unternahm genau dies, als es 1995 mit der sog. Criminal Cases Review Commission (CCRC) die erste unabhängige Wiederaufnahmekommission einrichtete; mittlerweile gibt es in vier weiteren Rechtsordnungen eine vergleichbare Institution. Der vorliegende Beitrag stellt das Modell der unabhängigen Wiederaufnahmekommission am Beispiel der englischen CCRC vor. Anschließend werden in vergleichender Darstellung Defizite des deutschen Wiederaufnahmerechts erörtert. Dazu gehören solche, die mit der gerichtlichen Zuständigkeit an sich zusammenhängen, sowie die mangelnde Zugangsoffenheit des Wiederaufnahmeverfahrens. Zuletzt wird erwogen, ob die Einführung einer Wiederaufnahmekommission in Deutschland möglich und sinnvoll wäre.
„Man höre auch die andere Seite!“ – oder lieber doch nicht? Die Wiederaufnahme zuungunsten nach § 362 Nr. 5 StPO aus diskursiver Sicht
Authors: Gerson Oliver Harry
Published: March 2023

Über die dogmatische und verfassungsrechtliche Bewertung des § 362 Nr. 5 StPO ist ein heftiger und zum Teil unübersichtlicher Streit entbrannt, der bislang keine Aussicht auf Befriedung hat. Inzwischen sind die Obergerichte und das Bundesverfassungsgericht mit der Frage befasst. Der Beitrag zeigt auf, dass sich einige der ausgetauschten Argumentationslinien nicht dogmatisch, sondern lediglich weltanschaulich duellieren. Mithilfe des Weberschen Postulats der Werturteilsfreiheit kann seziert werden, an welcher Stelle sich hierbei Wissenschaft und „Wollenschaft“ scheiden.
Zukunft jenseits des Marktes
Authors: Mohammed Samia Zahra
Published: March 2023

The almost constantly recurring crises of the democratic order and relations between humans and nature in our age of the Capitalocene are currently reviving debates on economic models beyond the capitalist market economy. Focusing on democratically planned economies, this volume discusses the ideas of democracy, division of labour, freedom and societal relations towards nature that these proposals for alternative economies entail, and the extent to which they point beyond what exists as possible emancipatory perspectives.
Die Romantrilogie
Authors: Gutsche Victoria Luise
Published: March 2023

Über die Entdeckung einer neuen Romanform Ende des 19. Jahrhunderts, ihren Wandel und ihre Kontinuitäten.

Romantrilogien fordern heraus: Es gilt hunderte, tausende Seiten zu schreiben und zu lesen und im Dickicht der Handlungsfäden nicht die Orientierung zu verlieren. Leser:innen wollen schon vom ersten Roman gefesselt werden, damit sie auch den zweiten und dritten Teil kaufen, so dass Trilogien auch für Verlage ein Wagnis darstellen. Dessen ungeachtet üben Romantrilogien eine besondere Faszination aus, bietet die Form doch die Möglichkeit, breit angelegte Panoramen zu entfalten und große Zeiträume abzuschreiten, sie verspricht Orientierung und Geschlossenheit in einer zunehmend als unübersichtlich wahrgenommenen Welt. Victoria Gutsche widmet sich erstmals dieser großen Form und erschließt sie systematisch und historisch. Im Rahmen exemplarischer Fallstudien (u. a. »Das junge Europa«, »Die Göttinnen«, »Drei Generationen«, »Die Schlafwandler«) wird nicht nur die Wandelbarkeit der Romantrilogie aufgezeigt, sondern die Studie bietet zugleich Einblicke in kulturelle Zusammenhänge einer sich verändernden Moderne.
Maria Grollmuß 1896–1944
Authors: Sack Birgit
Published: March 2023

Die spannende Lebensgeschichte einer Intellektuellen, geprägt von Revolution und Politik, Widerstand und Verfolgung.

Die promovierte Historikerin Maria Grollmuß gehörte zu den wenigen Deutschen, die sich dem NS-Regime aktiv widersetzten. Aufgewachsen in einem bürgerlich-katholischen Elternhaus im Kaiserreich, endete ihr Leben mit nur 48 Jahren im Frauenkonzentrationslager Ravensbrück.

Birgit Sack gleicht die vereinnahmenden und interessegeleiteten Erinnerungsnarrative, die Maria Grollmuß zur katholischen Märtyrerin, sorbischen Patriotin, sozialistischen Kämpferin oder Verfechterin weiblicher Emanzipation stilisieren, mit ihren inneren Widersprüchen und dem wechselvollen äußeren Lebensweg ab. Als junge Frau entwickelte sie sich von einer enthusiastischen Anhängerin der neuen Republik zu deren entschiedener Kritikerin. Hier wie dort agierte sie wenig anpassungs- und kompromissbereit.

Die erste wissenschaftliche Biografie über Maria Grollmuß bietet neue Einsichten in das Selbstverständnis der republiktreuen studentischen Organisationen, vermittelt Einblicke in die Verwerfungen innerhalb der stalinisierten KPD wie auch in die Feindbilder im sozialistischen Lager, die nach 1933 einem gemeinsamen Kampf gegen den Nationalsozialismus entgegenstanden.
Das Prinzip Bewegung
Authors: Sepp Benedikt
Published: March 2023

Wie die Antiautoritären autoritär wurden und warum »Theorie« aus mehr bestand als nur Lesen: Die Geschichte einer ungewöhnlichen Radikalisierung.

Heftige Diskussionen in Kneipen und Seminarräumen, manisches Lesen, der suggestive Soziologie-Slang Rudi Dutschkes: Der schillernde Begriff »Theorie« ist eine der ersten Assoziationen, wenn die Rede auf die antiautoritäre Studentenbewegung kommt. Doch was war eigentlich »Theorie« und warum hatte sie in »68« einen solch rauschhaften Charakter?

Benedikt Sepp wirft jenseits von Ideengeschichte und Bewegungsforschung einen praxeologischen Blick auf die Theoriefaszination der rebellierenden Studierenden. Indem der Autor dem emphatischen Aufbruch der frühen Sechziger Jahre bis in die stagnierenden Ausläufer der maoistischen K-Gruppen folgt, kann er nachzeichnen, wie ein spezifisches Verständnis von »Theorie« zur Radikalisierung der Bewegung beitrug - eines, das Analyse nur für gültig erklärte, wenn sie sich in Aktion umsetzen ließ. Diese nicht auflösbare Spannung zwischen Theorie und Praxis befeuerte eine »Bewegung«, die mehr als nur eine Selbstbezeichnung war. Die Geschichte der antiautoritären Bewegung wird hier also auf eine neue Weise erzählt – als von den Zugzwängen eines Denkens vorangetrieben, das über dieses Denken hinausgehen wollte.
Thông báo và thư mời đại hội tim mạch toàn quốc làn thứu 18 và lễ kỷ niệm 30 năm thành lập Hội Tim mạch học Việt Nam
Authors: GS.TS. ĐẶNG VẠN PHƯỚC
Published: March 2023

THÔNG BÁO VÀ THƯ MỜI ĐẠI HỘI TIM MẠCH TOÀN QUỐC LẦN THỨ 18 VÀ LỄ KỶ NIỆM 30 NĂM THÀNH LẬP HỘI TIM MẠCH HỌC VIỆT NAM

(Thông báo số 1)

Hà Nội, ngày 15 tháng 03 năm 2022

Kính gửi:     

- Các thành viên BCH Hội Tim mạch Học Việt Nam

- Hội viên Hội Tim mạch học Việt Nam và các quý vị đồng nghiệp

Theo kế hoạch đã thống nhất của Ban Chấp hành Hội Tim mạch học Việt Nam và nhằm liên tục cập nhật, bổ sung các kiến thức cũng như giao lưu hợp tác trong lĩnh vực Tim mạch, Hội Tim mạch học Việt Nam sẽ tổ chức Đại hội Tim mạch toàn quốc lần thứ 18 với chủ đề “30 năm Tim mạch học Việt Nam : Hình thành- Hội nhập - Phát triển” tại Trung tâm Hội nghị Quốc gia, Mỹ Đình, TP. Hà Nội từ ngày 07-09/10/2022.

Hội nghị lần này sẽ kết hợp hình thức tổ chức trực tiếp kết hợp với trực tuyến, dự kiến thu hút 2000 đại biểu đến tham dự trực tiếp và 10.000 lượt truy cập trên các nền tảng số của Hội như website, youtube, facebook,… Chương trình hội nghị khoa học sẽ cập nhật nhiều vấn đề mới với nội dung phong phú cũng như nhiều báo cáo của các chuyên gia đầu ngành trong và ngoài nước.

Trong khuôn khổ hội nghị, Hội Tim mạch học Việt Nam sẽ tiếp tục tổ chức các khóa đào tạo liên tục có cấp chứng chỉ (đã được chuẩn hóa theo tiêu chuẩn của Bộ Y tế) dành cho các bác sĩ và điều dưỡng có nhu cầu. Trong kỳ Đại hội lần này, Hội Tim mạch học Việt Nam cũng sẽ tổ chức Lễ kỷ niệm 30 năm thành lập Hội Tim mạch học Việt Nam với nhiều hoạt động phong phú bên cạnh những hội thảo khoa học và các khóa đào tạo truyền thống.

Thay mặt Ban Tổ Chức, chúng tôi trân trọng kính mời các thành viên Ban Chấp hành Hội Tim mạch học Việt Nam, hội viên của Hội và các bạn đồng nghiệp quan tâm tới lĩnh vực tim mạch tham gia Đại hội lần này.

Để Đại hội có thể tổ chức thành công tốt đẹp, thay mặt Ban Tổ chức, chúng tôi kêu gọi sự tham gia tích cực, đóng góp về mọi mặt và với trách nhiệm cao của các thành viên Ban Chấp hành Hội, cũng như các Hội viên của Hội. Chúng tôi khuyến khích các quý đại biểu gửi bài báo cáo khoa học mới nhất của mình đến tham dự và trình bày tại Hội nghị.

Ban Tổ chức cũng phát động phong trào hướng tới Kỷ niệm 30 năm thành lập với các kỷ vật, các bài viết về những ấn tượng sâu sắc về con người và các hoạt động của Hội Tim mạch học Việt Nam. Những bài viết ấn tượng nhất sẽ được đăng tải trong cuốn Kỷ yếu 30 năm thành lập và các tài liệu khác của Đại hội.
Vai trò tư vấn của điều dưỡng trong kiểm soát huyết áp ở bệnh nhân tăng huyết áp đang điều trị ngoại trú tại Bệnh viện huyện Lục Ngạn
Authors: Cao Thị Thiện  , PGS.TS.Nguyễn Thị Bạch Yến
Published: March 2023

TÓM TẮT

Mục Tiêu

So sánh kết quả kiểm soát huyết áp sau 03 tháng giữa nhóm bệnh nhân tăng huyết áp được điều trị thường quy với nhóm điều trị thường quy kèm thêm tư vấn của điều dưỡng tại Bệnh viện huyện Lục Ngạn, Bắc Giang.

Đối tượng và phương pháp: Nghiên cứu can thiệp có đối chứng với thời gian theo dõi 03 tháng tại bệnh viện huyện Lục Ngạn tỉnh Bắc Giang. 170 bệnh nhân THA đang được điều trị ngoại trú và huyết áp chưa được kiểm soát được (≥ 140/90 mmHg) được phân vào 2 nhóm, nhóm can thiệp tư vấn của điều dưỡng (85 bệnh nhân) và nhóm chăm sóc thường quy (85 bệnh nhân). BN nhóm can thiệp tái khám định kỳ theo thường quy và được điều dưỡng tư vấn 1 tháng một lần, nội dung bao gồm: đo HA, đánh giá thực hành thay đổi lối sống, ước tính tuân thủ thuốc và giáo dục cho bệnh nhân về bệnh tật, cách điều trị và thay đổi lối sống thông qua phỏng vấn trực tiếp bằng bộ câu hỏi KAP (đánh giá hiểu biết và thực hành lối sống), thang điểm Morisky 8 câu hỏi (để đánh giá tuân thủ điều trị), bộ tranh lật (để tư vấn sâu cho bệnh nhân nhóm can thiệp). Bệnh nhân nhóm chứng được tái khám định kỳ như thường quy mà không có sự tư vấn của điều dưỡng. Kết cục chính là sự khác biệt về huyết áp giữa nhóm can thiệp và nhóm chứng tại thời điểm theo dõi 03 tháng.
Kỹ thuật tạo nhịp nhánh trái bó His (Left bundle branch pacing)
Authors: Lê Võ Kiên  , Trần Tuấn Việt  , Nguyễn Duy Linh  , Phạm Trường Sơn  , TS.Phan Đình Phong
Published: March 2023

ệnh lý rối loạn nhịp chậm là một trong các bệnh lý phổ biến trong lĩnh vực tim mạch. Hiện nay, cấy máy tạo nhịp tim là phương pháp rất hiệu quả trong điều trị một số dạng rối loạn nhịp chậm nếu chỉ định phù hợp. Phương pháp tạo nhịp tim ở mỏm thất phải là phương pháp kinh điển, được áp dụng trên nửa thế kỷ nay. Tuy nhiên, tạo nhịp mỏm thất phải còn tiềm ẩn nhiều vấn đề như gây mất đồng bộ về mặt điện học và cơ học cho tim, tăng nguy cơ xuất hiện rung nhĩ, suy tim, tử vong. Một số vị trí cấy điện cực khác trong thất phải như vùng vách liên thất và đường ra thất phải đã được nghiên cứu với kỳ vọng làm giảm sự mất đồng bộ điện học và cơ học trong thất so với tạo nhịp mỏm thất phải. Tuy nhiên, hiệu quả lâm sàng dài hạn của tạo nhịp vùng vách liên thất hoặc đường ra thất phải chưa được chứng minh vượt trội hơn so với tạo nhịp mỏm thất phải. Tạo nhịp tái đồng bộ tim với các điện cực đặt ở hai tâm thất là một phương pháp đã được chứng minh có ưu điểm trong việc tái đồng bộ điện học và cơ học cho hai thất, nhằm giảm biến cố tim mạch cho bệnh nhân suy tim nặng so với điều trị nội khoa. Tuy nhiên, có một tỷ lệ khá lớn bệnh nhân không đáp ứng với tạo nhịp tái đồng bộ tim.
Nghiên cứu đặc điểm lâm sàng và rối loạn nhịp tim trên holter điện tim 24 giờ ở bệnh nhân có nhịp chậm xoang
Authors: Nguyễn Tá Đông  , Phạm Thuyên  , Nguyễn Đức Hoàng
Published: March 2023

Mục tiêu: Khảo sát đặc điểm lâm sàng và rối loạn nhịp tim trên Holter điện tim ở bệnh nhân có nhịp chậm xoang trên điện tâm đồ.

Đối tượng và phương pháp nghiên cứu: 79 bệnh nhân được chẩn đoán nhịp chậm xoang trên điện tâm đồ.Phương pháp nghiên cứu mô tả cắt ngang

Kết quả: Tuổi trung bình của bệnh nhân có nhịp chậm xoang trên ECG là 52,58 ± 15,92 tuổi. Tỷ lệ nam chiếm nhiều hơn nữ (2/1). Tiền sử bệnh chủ yếu là có nhịp chậm xoang và tăng huyết áp. Triệu chứng lâm sàng thường gặp là hoa mắt, chóng mặt, tức ở ngực và ngất...

Có 50 trong 79 bệnh nhân nhịp chậm xoang có rối loạn nhịp tim (chiếm 63,29 %). Loại rối loạn nhịp tim thường gặp nhất là nhịp chậm xoang, ngưng xoang và block xoang nhĩ, hội chứng nhịp nhanh nhịp chậm. Tuổi, huyết áp trung bình, tần số tim trên ECG và Holter điện tâm đồ đều khác biệt có ý nghĩa giữa hai nhóm có rối loạn nhịp tim và không rối loạn nhịp tim.

Kết luận: Nhịp chậm xoang có tỷ lệ gặp ở nam nhiều hơn nữ, có 63,29% bị rối loạn nhịp tim chủ yếu là nhịp chậm xoang, ngưng xoang và block xoang nhĩ, hội chứng nhịp nhanh nhịp chậm.

Từkhóa:Nhịp chậm xoang, Holter điện tim.