bluuebunny/crossref_metadata_2025_split huggingface dataset:
SINGLE-CENTER EXPERIENCE WITH BIOINTEGRAL NO-REACT VALVED CONDUIT FOR THE TREATMENT OF COMPLEX AORTIC ROOT ENDOCARDITIS
Authors: Campanini F. , Leone A. , Castagnini S. , Bianco E. , Guerrini B. , Folesani G. , Murana G. , Pacini D. 
Published: December 2024

Objective:
Despite medical and surgical advancements, managing endocarditis involving the aortic root remains challenging for cardiac surgeons due to the anatomical complexity and critical function of the aortic root. This study aims to assess the outcomes of using Biointegral conduit in patients who have undergone aortic root or aortic valve replacement for complex aortic root infective endocarditis at our center.

Methods:
Between February 2011 and December 2023, 46 patients underwent implantation of BioIntegral valved conduit at our institution. The average age of the patients was 67.6 years, with the primary indication for surgery being severe active endocarditis of the aortic root. We analyzed 30-day mortality, overall survival, and freedom from reoperation as outcome measures using various statistical methods such as T-tests, chi-square tests, Cox regression, and Kaplan-Meier analyses.

Results:
Out of the 46 patients, six died during their hospital stay (13.0%), resulting in a 30- day mortality rate of 8.2% (four patients). The Cox regression analysis showed that factors such as EUROSCORE II, older age, and CPB time were associated with increased 30-day mortality. The Kaplan-Meier analysis revealed overall survival rates of 87.0% at 1 year and 74.5% at 5 years, while the freedom from reoperation for graft dysfunction was 100% at 1 year and 96.4% at 5 years.

Conclusion:
Despite the small sample size, our findings suggest positive long-term survival outcomes and low reoperation rates with the use of the BioIntegral conduit. This conduit showed promise even in patients with complex surgical histories and severe aortic root and valve endocarditis.
THE IMPACT OF STRATEGIC CHANGES ON PAEDIATRIC HEART FAILURE PATIENTS RECEIVING BERLIN HEART SUPPORT IN BOLOGNA
Authors: orioli V. , careddu L. , mangerini V. F. , berardi M. , petridis F. D. , agulli M. , ragni L. , hasan T. , gargiulo G. D. , angeli E. 
Published: December 2024

Background:
Heart failure in paediatric age represents a significant challenge, and Berlin Heart (BH) ventricular assist device is frequently the only option. We evaluated the effects of recent strategic changes in BH utilization in our centre.

Methods:
From January 2008 to March 2024, 24 patients underwent BH implant. We divided the population in first era (FE, 2008-2016; n=13; Age 5.3 years; weight 17 kg) and second era (SE, 2017-2024; n=11; Age 6.3 years; weight 18.5 kg), (FE, 2008-2016) and second era (SE, 2017-2024), the latter characterized by a more aggressive approach in order to avoid ECMO implantation before BH. Kaplan-Meier curves have been employed to compare mortality.

Results:
In-hospital mortality was 32%. All survived patients underwent orthotopic heart transplantation (OHT), except one still hospitalized in BH. Comparing the two era the need for pre-operative intubation (18.2%, p=0.001) and the use of ECMO (9.1%) were greatly reduced in the SE. No biventricular BH was implanted in the SE. Kaplan-Meier analysis revealed similar survival rates in BH in the two groups. Otherwise, survival after OHT in the FE was 90%, 70% and 70% at 6months, 1year and 4years respectively, in the SE was 100% all over the follow-up period. Overall survival rates at 5 years in patients in whom ECMO wasn’t used before BH implantation was 72%, while in patients with ECMO was 50%, (log- rank=0.307).

Conclusions:
Our analysis may suggest how an earlier and more aggressive approach in the BH implantation in pediatric patients with heart failure avoiding the use of ECMO may improve long-term survival. ECMO could be risk factor of mortality.
TAUSSIG-BING ANOMALY WITH AND WITHOUT AORTIC ARCH PATHOLOGY, SINGLE CENTRE EXPERIENCE WITH ANATOMICAL CORRECTION
Authors: Hoxha S. , Gardellini J. , Parolo M. , De Laurentis E. , Menon T. , Ciuffreda M. , Cristofaletti A. , Luciani G. B. 
Published: December 2024

Background:
Taussig-Bing anomaly (TBA) is a rare congenital cardiac anomaly and frequently associated with aortic arch pathology (more than 50% of the patients) such as interrupted aortic arch (IAA), coarctation and arch hypoplasia. The aim of the present report is to describe our results of TBA correction.

Methods:
Between 12/2007 to 08/2023, 12 patients with TBA underwent surgical correction at our Institution. Ten patients (83%) underwent single stage neonatal anatomical correction with ASO, one had staged repair with anatomical correction with ASO performed at 4 months of age and the other one had Kawashima operation.

Results:
There were 7 male and 5 female patients, with a median age of 23 days (7 dys to 12 Yrs) and median body weight of 3.5 kg (2.8-35 kg). Lecompte manoeuvre was performed in 8 patients of 11 who underwent ASO. There were no early deaths. Only 1 late death (8.3%) due to pulmonary hypertension. Median follow-up was 6.3 years (7.8mon-16,4yrs). Overall survival was 100% at 1 year, 91.7% at 2, 5, 10, 16yrs. All patients were in NYHA class I at last FU. Freedom from reintervention was 91.7% (95% CI) and 66.7% (95% CI) at 1 and 5yrs, respectively. The most common reintervention was RVOT patch enlargement a median time of 10 months after ASO.

Conclusions:
Patients with Taussig-Bing anomaly and aortic arch obstruction can undergo neonatal single stage ASO with excellent survival and very low morbidity. In complex coronary anomalies staged repair may represent a safe strategy to manage TBA.
THE MODIFIED KONNO PROCEDURE IN PEDIATRIC OBSTRUCTIVE HYPERTROPHIC CARDIOMYOPATHY
Authors: Abrami G. , Varrica A. , Hafdhullah M. , Reali M. , Lo Rito M. , Torchio F. , Giamberti A. , Tarus A. 
Published: December 2024

Background and Aim:
Transaortic septal myectomy is the preferred surgical treatment for hypertrophic cardiomyopathy (HOCM) in children. This study assesses outcomes of modified Konno in children with severe HOCM.

Methods:
This study retrospectively analyzed outcomes in 10 children who underwent modified Konno procedure in our institute between May 2021 and July 2024. The primary outcomes measured included survival rates, early morbidity, and mid-term functional as well as echocardiographic status.

Results:
The median age at the time of the operation was 4.64 years (IQR: 2.5-14.2), and the median weight was 21 kg (IQR: 14-47). One patient had undergone a prior procedure. Mean septal thickness was more than 25 mm. LVOT mean gradient 55 mmHg. Post procedure LVOT mean Gradient was 5 mmHg. There was one early death. One patient needed a permanent pacemaker due to complete heart block.

Conclusions:
The modified Konno procedure effectively relieves obstruction and ensures good survival in children with severe obstructive hypertrophic cardiomyopathy.
Size effect fracture analysis of fabricated concrete using digital image processing technology
Authors: Fang Gaoni 
Published: December 2024

Abstract
With the further enhancement of China’s economic level, many prefabricated concrete facilities are planned continuously, and the demand for inspection and maintenance of prefabricated concrete construction facilities and equipment is increasing rapidly. In particular, on the premise that the total number of bridges in China ranks first in the world, the daily maintenance task is extremely severe, which is far from keeping up with the speed of construction. Among them, size utility fracture is a common pest in prefabricated concrete system. At this stage, the most important fracture detection method only stays in the human resource detection stage, with high cost, low subjective detection efficiency, and difficult to ensuring the safety of detection staff. Therefore, according to the intelligent system of image processing technology and the automation technology, the size effect fracture detection system software was born at the right time, and has become a hot topic in the detection industry at this stage. Aiming at this problem, this paper studies the whole process of size effect fracture of fabricated concrete according to the relevant methods of digital image processing, analyzes the whole process of fracture expansion of fabricated concrete, and calculates and expounds the size effect of fabricated concrete fracture under the premise of linear fitting analysis of the end of the obtained bearing capacity fracture opening offset curve.
Measurement of the development of local music culture coupled with piano performance and education under the CIPP philosophy
Authors: Zhang Jian 
Published: December 2024

Abstract
It is of great significance to integrate traditional native music into the piano teaching system in colleges and universities. Under the guidance of the CIPP concept, the study takes piano performance teaching in a city art college as an example, constructs the evaluation index system of piano performance education and local music culture, respectively, and assigns the indexes. The development level of piano performance education and local music culture is measured using the gray GM (1,1) comprehensive evaluation method, by which the degree of coupling and coordination between the two systems is measured, and the coupling development level of piano performance education and local music culture is explored. The Gray correlation model is then used to analyze the influencing factors of the coupling development of the two. The overall coupling development of piano performance education and local music culture in the sample art colleges is at the primary level of coordination, with 26.67% of the courses in the lower intermediate level of coordinated development and 26.67% of the courses in the high level of coordinated development, and nearly 50% of the courses in the barely coordinated and dysfunctional development. Content and form innovation, curriculum innovation, music culture presentation, and creative activity atmosphere are the most important influences on the coupled development of the two systems, with correlations above 0.9. Diversified teaching contents and methods need to be actively sought to improve the quality of piano teaching and enhance the effect of local music culture integration.
Architectural Thesis Beyond Standards Makes a Mission of Solving Sustainability Challenges Possible
Authors: Augustinaitė Dalia 
Published: December 2024

Abstract
The study elucidates the concept of sustainability as an intellectual method, based on laws of human nature, for managing creative anthropogenic impacts. This technique is exemplified through anthropological, architectural, and doctoral dissertation strategies, thereby demonstrating that it is characterized by a universal model for achieving standard, innovative, and unprecedented goals. This study employs a multidisciplinary approach, encompassing an investigation of scientific literature, regulations, traditional Lithuanian architecture, relevant case studies, and the author’s works. Solutions beyond standards, emphasizing individual mission-oriented approaches to tackle the latest sustainability challenges, are identified. This study provides a framework for composing a humanitarian thesis dedicated to inventing a tool for creating and evaluating artistic solutions of sustainable architecture. The foundational structure is suitable for application elsewhere in both scientific and practical discourses.
The Lords of Water: Discourses and Actors of the World Water Forums Between 1997 and 2024
Authors: Silva Thiago Henrique Costa , Silva Nara Rúbia Rodrigues do Nascimento , Jordão Luciana Ramos , Chiziane Eduardo Alexandre 
Published: December 2024

Objective: The objective of this study is to investigate the discursive frameworks and identify the key actors who advocate for viewing water solely as a resource and commodity, with the aim of examining the contrasting discourses surrounding water as a human right and a common natural good.

Theoretical Framework: The research is underpinned by historical and dialectical methods within a qualitative and interdisciplinary approach. It builds on theories of power-knowledge dynamics and the commodification of natural resources, particularly water, as explored in the works of Barlow and Clarke (2003), and Espinoza and Martins (2021).

Method: The methodology adopted for this research comprises a qualitative study design, utilizing historical and dialectical methods to analyze international norms and official documents from the ten World Water Forums. Data collection was carried out through the examination of reports, declarations, and resolutions, focusing on the discourse and governance models related to water.

Results and Discussion: The results revealed a contradictory stance within the forums: while promoting privatization through public-private partnerships, a global trend toward remunicipalization of water services emerged as a response to social and distributive inequalities. The analysis highlights the dominance of economic interests in water management discourse and the marginalization of alternative perspectives.

Research Implications: The findings provide insights into the implications of water governance models, particularly how they influence policies on sustainability and water security. This research sheds light on the dynamics of power and resistance within global water governance frameworks, impacting public policy and international legislation.

Originality/Value: This study contributes to the literature by critically examining the commodification of water through a lens of power-knowledge dynamics and its implications for global governance. Its originality lies in the comparative analysis of documents from the World Water Forums and the critique of dominant neoliberal approaches, offering a foundation for rethinking sustainable and equitable water management practices.
Avances recientes en evaluación y tratamiento psicológico (no invasivo) del dolor crónico
Authors: Mendoza-Contreras Luis Alberto , Mora-Romo José Fernando , Domínguez-Trejo Benjamín 
Published: December 2024

El objetivo de este trabajo es presentar los avances que se han hecho en el manejo del dolor crónico mediante procedimientos no invasivos y no farmacológicos. Se hace una descripción de dicho dolor, de las aproximaciones teóricas para su explicación y abordaje, tales como la teoría de la compuerta y la teoría polivagal, lo que da pie a las aportaciones que desde el campo de la psicofisiología se han propuesto para su estudio. Así, se revisan algunos biomarcadores que han resultado útiles para su evaluación, como la temperatura periférica, la interleucina-6 y la variabilidad de la frecuencia cardiaca. Estos elementos resultan útiles para la evaluación de la efectividad de las intervenciones psicológicas (o intervenciones no farmacológicas) para reducir el dolor, como la terapia cognitivo-conductual y la biorretroalimentación. Por último, se subrayan las posibles implicaciones de estas intervenciones en la investigación traslacional como un medio para lograr una mayor apertura del trabajo del psicólogo en los escenarios de atención para la salud.

Recibido: 30/06/2023Aceptado: 19/01/2024
Eficacia de una intervención cognitivo-conductual online para el autocuidado del pie en pacientes con diabetes
Authors: García-Ávila Griselda , Osorio-Guzmán Maricela , Becerra-Gálvez Ana Leticia 
Published: December 2024

El pie diabético es una de las complicaciones más comunes en las personas con diabetes, ya que aproximadamente 25% de las personas con este padecimiento sufrirán en algún momento de su vida una lesión en el pie, por lo que es necesario trascender de un modelo curativo a uno preventivo, en el que el eje primordial sean las conductas de autocuidado. Por ello, el objetivo del presente estudio fue evaluar la eficacia de un programa cognitivo-conductual en línea acerca del conocimiento de la diabetes y la adquisición de conductas de autocuidado de los pies en pacientes con diabetes mellitus tipo 2 (DMT2). Participaron seis personas en un rango de edad de 40 a 74 años (M = 56.67, D.E. = 12.32) y con diagnóstico de DMT2. La intervención se efectuó en un formato de taller online sincrónico en seis sesiones, a razón de dos por semana, cada una con una duración de dos horas, y empleando técnicas de psicoeducación, modelamiento, moldeamiento, encadenamiento, solución de problemas y autoinstrucciones. Los resultados indican que tanto el conocimiento relacionado con la enfermedad como las conductas de autocuidado del pie mostraron un incremento significativo al finalizar el taller, por lo que se concluye que las intervenciones basadas en la educación y la modificación conductual aplicadas en contextos digitales pueden favorecer la adquisición de conductas de autocuidado.

Recibido: 24/02/2023Aceptado: 11/10/2023
ОЦЕНКА СОСТОЯНИЯ ИНФРАСТРУКТУРЫ ВАХТОВОГО ПОСЕЛКА С ИСПОЛЬЗОВАНИЕМ МЕТОДА ИНТЕГРАЛЬНОГО ПОКАЗАТЕЛЯ
Authors: Бездудная А.Г. , Журавлев А.В. 
Published: December 2024

В статье рассматривается эксплуатация вахтового поселка, которая должна носить сбалансированный характер и иметь обоснованное соотношение приоритетов. Качество внешней и внутренней среды, заложенное в инфраструктуру поселка, должно, с одной стороны, сокращать негативные последствия вахтового образа жизни и суровых климатических условий, с другой — обеспечивать техническую надежность инфраструктуры. На основании проведенного анализа предлагается методика, способствующая повышению качества жизни и здоровья работников компаний, при минимальных затратах ресурсов проводится поиск методического подхода к оценке состояния и уровню эффективности функционирования инфраструктуры вахтового поселка.
The article discusses the operation of the shift camp, which should be balanced and have a reasonable ratio of priorities. The quality of the external and internal environment incorporated into the infrastructure of the village should on the one hand reduce the negative consequences of the shift lifestyle and harsh climatic conditions, on the basis of the analysis a technique is proposed to improve the quality of life and health of employees of the companies, on the other to ensure the technical reliability of the infrastructure at minimal cost of resources, a search for a methodical approach to assessing the state and level of efficiency of the infrastructure of the shift settlement.
ОСОБЕННОСТИ МОДЕЛЕЙ ХЕДЖИРОВАНИЯ РИСКА
Authors: Киселева И.А. 
Published: December 2024

В статье рассматриваются важные вопросы безопасности бизнеса как составляющей социально-экономической системы государства и методы воздействия на риски. Одним из наиболее актуальных на сегодня методов страхования риска является хеджирование. Исследованы инструменты хеджирования, основными из которых являются фьючерсы и опционы. Рассмотрены различные точки зрения на сущность хеджирования. Проведен сравнительный анализ моделей и методов хеджирования риска. Выявлено, что хеджирование, прежде всего, связано с минимизацией рисков и наиболее применимо к сокращению потерь и убытков, нежели к увеличению прибыли.
The article examines important issues of business security as a component of the social and economic system of the state and methods of impact on risks. One of the most relevant methods of risk insurance today is hedging. Hedging instruments are investigated, the main ones being futures and options. Different points of view on the nature of hedging are considered. A comparative analysis of the models and methods of risk hedging is carried out. It is revealed that hedging, first of all, is connected with minimization of risks and is most applicable for reduction of losses and damages rather than to an increase in profit.
ПРЕСТУПЛЕНИЯ ПРОТИВ УЧАСТНИКОВ УГОЛОВНОГО СУДОПРОИЗВОДСТВА КАК СОБИРАТЕЛЬНОЕ КРИМИНОЛОГИЧЕСКОЕ ПОНЯТИЕ
Authors: Яшин А.В. 
Published: December 2024

В статье доказывается, что совокупность преступлений против участников уголовного судопроизводства является самостоятельной криминологической категорией. Данное утверждение вытекает из рассмотрения признаков указанных общественно опасных деяний. Обосновывается, что в отношении участников уголовного судопроизводства, в связи с их законной деятельностью, совершаются преступления, посягающие не только на интересы правосудия, но и на другие охраняемые уголовным законом объекты. Проведя анализ криминологических особенностей преступных посягательств на лиц, участвующих в уголовном процессе, автором формулируется дефиниция преступлений против участников уголовного судопроизводства.
The article proves that the set of crimes against participants of criminal proceedings is an independent criminological category. This statement follows from consideration of signs of the specified socially dangerous acts. It is proved that in respect of participants of criminal proceedings, in connection with their legal activities, crimes are committed that infringe only the interests of justice, but also other objects protected by criminal law. After analyzing the criminological features of criminal attacks on persons involved in the criminal process, the author formulates the definition of crimes against participants in criminal proceedings.
ОЖИДАНИЯ ИНВЕСТОРОВ В ЭКОНОМИКЕ РФ ПОСЛЕ 2014 ГОДА ЧЕРЕЗ ПРИЗМУ ФУНДАМЕНТАЛЬНЫХ ФАКТОРОВ И ГРАДИЕНТА РЕНТАБЕЛЬНОСТИ АКТИВОВ
Authors: Бирюков П.А. 
Published: December 2024

В настоящей статье исследована природа изменений в структуре инвестиционной активности нефинансового сектора экономики России после 2014 года. Для этого рассмотрена эволюция структурных дисбалансов экономики, влиявших на ожидания инвесторов через призму градиента рентабельности активов по отраслям. Кроме того, применены оценки склонности Правительства и Центрального банка по стерилизации конъюнктурной ренты, а также роста горизонта планирования инвесторов. По полученным результатам сделаны выводы о том, происходит ли сейчас в экономике исправление накопленных дисбалансов и переориентация с модели роста на основе конъюнктурного улучшения условий торговли на более современную устойчивую модель развития.
The paper is focused on the nature of structural changes in Russian investment activity in non-banking sector after 2014. The economic structural imbalance evolution is investigated through the prism of the industry assets return gradient. The research is also estimating the Russian government and the Central bank attempts to sterilize the commodity external revenues and the planning horizon of investors in Russian economy. The analysis figures out whether the economic structural imbalances are corrected and the economy is being redirected from commodity-driven consumption growth model to a more sustainable one.
ИМПЛЕМЕНТАЦИЯ МЕЖДУНАРОДНО-ПРАВОВЫХ НОРМ О ЗАПРЕЩЕНИИ ПРОСТИТУЦИИ В УК РФ
Authors: Князькина А.К. 
Published: December 2024

В статье рассматривается конвенционный механизм установления преступности проституции, анализируются соответствующие международные нормы и корреспондирующие им нормы российского уголовного закона, изучаются проблемы соответствия имплементирующих норм Уголовного кодекса РФ исходным договорным нормам. Особое внимание уделяется международно-правовому запрещению детской проституции и вопросу отражения этих запретов в национальном уголовном законодательстве. В результате проведенного исследования автор приходит к выводу о необходимости корректировки УК РФ, предлагая конкретные формулировки, изменяющие действующую редакцию ст. 241 УК РФ.
The conventional mechanism of establishing the responsibility for prostitution is examined in the article. Additionally, the problem of relations of the international norms and the Russian criminal Code norms corresponding to them and the question of compliance of the implementing norms of the Criminal Code with the original Treaty norms are analyzed. Particular attention is paid to the international legal prohibition of child prostitution and the issue reflecting these restrictions in the national criminal legislation. As a result of scientific research, the author comes to the conclusion of the necessity for changing the Russian criminal Code norms and proposed her own revision of Art. 241 of the Russian criminal Code.