bluuebunny/crossref_metadata_2025_split huggingface dataset:
Double Postbulbar Block in the Prevention of Postmanipulation Pancreatitis
Authors: Frolov P. A. , Korotkevich A. G. 
Published: April 2024

Abstract The problems of preventing postmanipulation pancreatitis (PMP) remain the subject of debate and a lot of research from leading scientific clinics around the world. The article is devoted to the assessment of prevention methods of PMP in patients with lesion of the pancreaticobiliary zone who underwent transpapillary interventions. Aim of the study Evaluation of the effectiveness of the author’s method of preventing PMP.Material and methods A prospective two-center randomized study included 545 patients treated in the Department of Liver Surgery and General Surgery in 2020–2022, who underwent ERCP and endoscopic papillosphincterotomy. There were 146 (26.8%) male patients, and 399 (73.2%) female patients, aged from 18 to 92 years, the mean age 62.7±7.4 years. Patients were divided into 3 groups according to the method of preventing PMP: in the 1st group, standard drug premedication was supplemented with two postbulbar blocks with a solution of lidocaine 0.5% 10 ml before and after the intervention (RF Patent No. 2779221, 09/05/2022), in the 2nd group standard premedication was combined with placebo was used, and in the comparison group 3 no submucosal injections were performed. The monitoring of clinical manifestations of PMP and the level of amylase was carried out every 12 hours until the parameters normalized. Statistical processing was carried out using program STATISTICA 6.1 for Windows.Results The frequency of mild pancreatitis, corresponding to the criteria for PMP, did not exceed 18% in groups 1 and 3 (p=0.3408), but was lower with pseudo postbulbar block, 9% (χ2=2.83, р=0.0926), the difference was not statistically significant. The incidence of severe pancreatitis was significantly lower in group 1 with double postbulbar block where there were no cases of pancreatic necrosis among 143 patients (χ2=6.19, р=0.0129). The mortality did not differ significantly among groups (χ2=0.15, р=0.7004). The duration of the hospital period had significant differences between groups (Student’s t-test 1.973, p=0.001). The hospital period with double postbulbar block turned out to be significantly shorter.Conclusion 1. Double postbulbar blockade significantly reduces the risk of developing severe postmanipulation pancreatitis, regardless of existing risk factors. 2. Double postbulbar block significantly reduces the duration of the hospital period after endoscopic papillosphincterotomy. 3. Pseudo postbulbar block using saline requires further evaluation as a possible way to prevent mild pancreatitis.
Instrumental Tracheal Rupture
Authors: Khachatryan S. A. , Chernousov F. A. , Danielyan Sh. N. 
Published: April 2024

Abstract Tracheal rupture is an urgent life-threatening complication that relates to complex and poorly understood areas of trauma surgery. The article presents a review of modern world and domestic literature on instrumental tracheal ruptures, the Relevance of early diagnosis and various treatment methods. Based on an analysis of modern literature data, the article describes the issues of conservative and surgical treatment methods, as well as an assessment of their results. The problem of the diagnostic algorithm and the choice of conservative, surgical treatment has not been solved and remains relevant. The issues of treating patients with a defect in the membranous wall of the trachea in intensive care and in need of artificial ventilation in clinical practice remain unresolved. All of the above indicates the Relevance of the study.Aim of the study To present data from domestic and foreign literature on the diagnosis and treatment of instrumental tracheal ruptures.Material and methods A review of the literature was carried out for the period from 1993 to 2024 in Russian and English, available on the databases Pubmed, Medline, UpTodate, Scopus, E-library, on topics such as post-intubation tracheal rupture, iatrogenic tracheal rupture, diagnosis and treatment of instrumental tracheal ruptures, closed tracheal injury.Results The concept of the classification system, risk factors, etiopathogenesis is outlined. Information is provided on the diagnostic significance of computed tomography and tracheobronchoscopy. Close attention is paid to the methods and choice of treatment tactics, the principles of intraoperative tactics, and the strategy of conservative treatment. A comparative assessment of treatment Results and their complications with a conservative or surgical treatment approach is given.Conclusion Thus, an analysis of domestic and foreign literature indicates that the issues of diagnosis and treatment of iatrogenic tracheal injuries remain largely unresolved. There is no generally accepted algorithm for instrumental diagnosis of tracheal ruptures. There are no uniform approaches to determining indications and contraindications for conservative and surgical treatment of tracheal injuries. There are diametrically opposed opinions regarding the choice of treatment tactics. These contradictions create significant difficulties in assessing the Results of treatment of this complex category of patients.
Comparison of functional outcome of locking plate technique versus hybrid Ilizarov technique for complicated tibial plateau fractures
Authors: jafree Baqir , hamid Adeel , Uddin Shuja , afghan Sher , saleem Shoaib , Syed M Khalid 
Published: April 2024

<p>This study compares the functional outcomes of two approaches, the locking plate technique and the hybrid Ilizarov technique, in managing complicated tibial plateau fractures. Enrolling 78 patients at Jinnah Hospital, the research explores a nuanced difference in results. In Group A (Hybrid Ilizarov Technique), 84.6% males and 15.4% females participated, while Group B (Locking Plate Technique) had 82.1% males and 17.9% females. The locking plate approach demonstrated superior outcomes, suggesting its efficacy in treating tibial plateau fractures.&nbsp;</p>
<p>Study design: Cross sectional study.</p>
<p>Study setting was department of Orthopedic Surgery, Jinnah Hospital Lahore</p>
<p>Objective/purpose of the study was to evaluate the functional results of locking plate and hybrid Ilizarov procedure for tibial plateau fractures using Rasmussen's knee functional score.</p>
Assessment of Oral Health Behavior, Knowledge and Practice among Medical and Dental Undergraduates of Peshawar Medical and Dental College
Authors: Jehan Oullayia Haram , Khan Farzeen , Jehan Aqsa Manahil , Yousaf Muhammad 
Published: April 2024

<p><strong>Background: </strong>Oral health is integral to overall well-being, and understanding the behavior, knowledge, and practices of medical and dental undergraduates regarding oral health is crucial in healthcare education.</p>
<p><strong>Objective: </strong>This study aimed to evaluate the behavior, knowledge, and practice of medical and dental students in relation to oral health.</p>
<p><strong>Methodology</strong>: &nbsp;This study employed a descriptive cross-sectional design to assess oral health behavior, knowledge, and practice among medical and dental undergraduates at Peshawar Medical and Dental College. Data collection involved distributing a three-part questionnaire to 385 participants on-site, ensuring convenience and consistency. Participants were required to provide voluntary consent, and statistical analysis using SPSS version 25 generated descriptive statistics to summarize responses, including frequencies, percentages.</p>
<p><strong>Results: </strong>In our study 49.6% (n=191) believed in brushing after meals, 41.3% (n= 159) associated excess food consumption with dental caries, and 62.6% (n= 241) recognized bleeding gums as a sign of inflammation. Additionally, 55.6% (n= 214) thought regular brushing prevents all dental problems. Notably, 91.9% (n= 354) acknowledged sugar's role in tooth decay, while 88.1% (n= 339) linked dental plaque with caries. Most participants (87.8%, n= 338) believed fluorides strengthen teeth, and 89.6% (n= 345) recognized a link between overall body health and oral health. Majority (51.9%, n= 200) brushed teeth twice daily, with popular additional methods being mouthwash (31.4%, n= 121) and Miswak (30.4%, n= 117). Additionally, 50.9% (n= 196) adhered to the recommended 2-minute brushing duration. Dietary habits varied, with 44.7% (n= 172) consuming sweets 2-4 times daily, and soft drink consumption being prevalent once a week (51.2%, n= 197). Smoking prevalence was low, with 8.1% (n= 31) admitting to smoking.</p>
<p><strong>Conclusion:</strong>The study reveals both strengths and areas for improvement in oral health behaviors among medical and dental undergraduates. While many students adhere to recommended brushing practices, there's a need to enhance education on oral hygiene, brushing duration, and dietary habits. Tailored interventions are essential to promote healthier behaviors among future healthcare professionals, ensuring their preparedness to deliver comprehensive oral healthcare.</p>
The Response of the Dutch Reformed Church Mission to Labour Migration from Malawi to South Africa 1889–1994: A Leaf to be Borrowed by the 21st Century African Churches
Authors: Zeze Willie 
Published: April 2024

This article mainly highlights what southern African Churches can learn and borrow as a leaf from the contribution of the Dutch Reformed Church Mission to labour migration from the Central Region in Malawi to South Africa between 1889 and 1994. It is argued that although push factors for labour migration were the legacy of Western economic imperialism, the Malawi government’s inability to create jobs for its citizens and some Malawians’ belief that migration from Malawi to South Africa was a means to fulfil their heart-felt and lifetime desire for economic opportunities, the mission played an important role in responding to labour migration. While it is understandable that the contexts of the 19th century and 21st century are different. Also, the truth that the Dutch Reformed Church in South Africa supported the apartheid government, this article arguably stresses that there are important lessons the Southern African Churches may learn from the mission’s response to labour migrants.
Yi Jing, des enjeux face à la transition : des contraires à l’harmonie
Authors: Zhang Yanmei 
Published: April 2024

Notre identité n’est pas construite une fois pour toutes, elle se développe tout au long de l’existence au monde. Autrement dit, « il se trouve autant de différences de nous à nous-mêmes que de nous à autrui » (Montaigne) face à la complexité des transitions intérieures et extérieures. Seulement, pour atteindre l’équilibre, notre objectif est de s’adapter aux contraires au lieu de s’en détacher. Cela est également le cas dans le Yi Jing, qui met l’accent sur l’idée de l’unité du ciel et de l’homme, à savoir l’être-ensemble de la nature et de l’homme selon une modalité harmonieuse. De ce fait, notre intervention analysera la transition conçue à l’intérieur de la pensée philosophique traditionnelle chinoise (soit le Yin-yang) par rapport à ses usages largement attestés par la sémiotique contemporaine. À travers cette comparaison contrastive, on veut faire émerger des affinités insoupçonnées dans l’idée qu’on est toujours en train de devenir pour essayer de rétablir une harmonie.
Les transitions du croire : de la parabole vers un nouveau modèle sémiotique
Authors: Cervelli Pierluigi 
Published: April 2024

Cette contribution a pour objectif d’explorer les stratégies discursives et narratives opérant dans les paraboles, considérées comme des dispositifs de transition « d'un croire à l’autre ». L'intérêt de la parabole dans la problématique des transitions sociales réside dans la particularité du modèle de communication qui est lui sous-jacent, dont l’objet n’est pas le passage d’une quantité d’information mais la transformation du faire des sujets de la communication. La parabole opère, ainsi, en tant que schéma interprétatif d'expériences et en tant que schéma productif de nouvelles actions. Afin d’explorer cette dimension où la pragmatique et la sémantique se croisent, mon analyse sera conduite en analysant, avec la méthodologie de la sémiotique structurale et générative, un corpus constitué d’un film de Pier Paolo Pasolini (Uccellacci e Uccellini) et les pratiques de protestation de Danilo Dolci, l'intellectuel italien qui demandait l'application de la nouvelle constitution démocratique après la deuxième guerre mondiale.
Diataxe. De l’activité configuratrice à la saisie des transitions
Authors: Basso Fossali Pierluigi 
Published: April 2024

Notre contribution vise à problématiser les pratiques sémiotiques lorsque l’activité configuratrice, paradigme d’une visée perceptive ou d’une énonciation, doit céder la place à une saisie et à une valorisation des transitions. Ces dernières semblent échapper à la fois à une organisation paratactique d’éléments catégorisés à l’avance (effets de coordination, juxtaposition, accumulation, etc.) et à une structuration hypotactique à même d’imposer un ordre intégrateur. Entre ces deux logiques syntaxiques s’introduirait une solution dans laquelle la signification n’a pas la structuration méréologique typique des langages « digitaux » (caractérisés par des unités discrètes), mais possède plutôt une sorte de diataxe, laquelle exemplifierait des écarts sans avoir recours à des proportionnalités ou à des enchâssements préalables. Au contraire d’une prise analytique soutenue par les organisations syntaxiques traditionnelles et la « rection » qu’elles assurent, la diataxe semble promouvoir une synthèse « enharmonique » qui se maintient entre constitution et aspersion, favorisant ainsi la prise en compte de la transition en tant que telle ; une transition entre des valeurs qui ne semblent pas devoir rivaliser pour se partager les valences en jeu. En effet, la transition n’est plus conçue comme une phase d’absence de forme, prélude d’une comparaison qui sera tôt ou tard possible entre un principe organisationnel en amont et un principe en aval ; la transition exemplifie une coalescence formelle qui s’impose aux formes qu’elle héberge et fluidifie, sans se réduire à la notion de continuum. L’article aborde la transition selon trois stratégies différentes : l’observation de la transition, la tentative de la médier, la transition directement incarnée. La dernière stratégie nous amènera à introduire brièvement une étude de cas concernant un tableau anonyme. Il s’agit sans doute de l’œuvre d’un peintre qui a travaillé en reflétant sa propre condition de « transitaire » dans l’évolution incertaine (entre mythe et dénonciation sociale) d’un sujet assez délicat tel quel le suicide.
Espaces et temps de la transition numérique. Une perspective éco-sémiotique
Authors: Biggio Federico 
Published: April 2024

Depuis les premières années de l’Internet, la conceptualisation du Web en tant que « écologie » est devenue une habitude interprétative aussi suggestive qu’efficace. Héritant cette analogie et d’autres métaphores, cet article tentera de schématiser les transitions numériques en termes de déplacements topologiques et d’évolutions diachroniques au sein de l’espace du Web. De même, il rendra compte de leur valeur et des investissements passionnels de la part des formes de vie (les utilisateurs). L’objectif est d’esquisser la contribution possible des sciences de la signification dans le processus de réception et d’interprétation de l’écologie des médias computationnels et interconnectés contemporains.
GREEN ECONOMY WITH ECONOMIC GROWTH AND PER CAPITA INCOME IN VIETNAM
Authors: Anh Nguyen Thi Van , Khang Phan Minh , Thy Tran Minh , Ngan Nguyen Ngoc Phuong 
Published: April 2024

Objective: The objective of this study is to investigate the green economy with economic growth and per capita income in Vietnam, to analyze the quantitative relationship among those factors, and to improve long-term green economic development in Vietnam towards sustainable national economic growth.

Theoretical Framework: In this topic, the main concepts and theories that underpin the research are presented. The inverted U-shaped model of Kuznets; Green economy concept and regression model stand out, providing a solid basis for understanding the context of the investigation.

Method: The methodology adopted for this research comprises desk research methods to clarify the theoretical basis of green economy, economic growth, and per capita income; qualitative research methods; and quantitative research methods. Data collection was carried out through the collection of time-series data: Real Gross Domestic Product (GDP), Gross Domestic Product per capita (GDPP), and CO2 emissions from 1995 to 2022 from the World Bank website.

Results and Discussion: The results obtained revealed the positive relationship between economic growth, CO2 emissions, and per capita income in the short term; however, in the long term, when GDP as well as per capita income reach a certain threshold. The level of waste gradually decreases and environmental quality improves. In the discussion section, these results are contextualized in light of the theoretical framework, highlighting the implications and relationships identified. Possible discrepancies and limitations of the study are also considered in this section.

Research Implications: The practical and theoretical implications of this research are discussed, providing insights into how the results can be applied or influence practices in the field of development economics. These implications could encompass many sectors, especially the processing industry.

Originality/Value: This study contributes to the literature by Simon Kuznets - economic growth is not a threat, but rather a means to improve the environment in the future. The relevance and value of this research are evidenced by contributing one more case in Vietnam which approves Kuznets curve on the environment and thus is the basis for future research on this urgent problem all over the world.
A Modern Retrospective of Tradition: A Brief Introduction to Kengo Kuma’s Works and Architectural Ideas
Authors: Yang Zehui , Su Yuanxin 
Published: April 2024

Kengo Kuma is an internationally recognized Japanese architect today. His works and architectural thoughts are influenced by Japanese geography and cultural traditions, forming a school of its own in Japanese modern architecture. This paper takes Kengo Kuma as the research subject, combining the development trajectory of Japanese modern architecture for more than 100 years to analyze his architectural ideas and design thinking. Kengo Kuma integrates his understanding of traditional Japanese culture and art into modern architecture, by Kengo Kuma’s architectural thoughts and practices bring inspiration and enlightenment for Chinese architects as a path to explore connecting modern trends with traditional designs.
Generative Thinking - The Way of Thinking in Modern Philosophy
Authors: Gao Yixuan 
Published: April 2024

Generative thinking is different from traditional analytical thinking, as it emphasizes the importance of innovation and creativity. Generative thinking regards knowledge and understanding as not only the ways to discover or explain existing things but also to shape new possibilities through creative processes. In this mode of thinking, students explore the unknown, challenge traditional boundaries and assumptions, and use their imagination to generate new theories, viewpoints, and practical methods. At the same time, the application of generative thinking in modern philosophy spans many fields such as ethics, epistemology, aesthetics, and political philosophy, encouraging individuals and collectives to transcend the status quo, exploring new knowledge fields, and promoting the progress of philosophical thinking.
The Mesh and the Abyss: Juan L. Ortiz’s Ecopoetics
Authors: Wilson Mac J. 
Published: April 2024

Abstract
At some point early in his life, the Argentine poet, Juan L. Ortiz (1896-1978), chose staying to live in his native Entre Ríos province over moving to Buenos Aires, the cultural center of his country. Though he was encouraged by some friends of his to make the move so that his work would be disseminated and appreciated by sophisticated readers from the big city, the poet remained in the small town of Gualeguay and later moved to the provincial capital, Paraná. He highly valued his home landscapes, and his poetry reflects his relationship with the natural world. One Ortiz poem in particular, “Deja las letras…” from De las raíces y del Cielo (1958), refers to the proverbial rural/urban dualism in a way that upends the tendency to hierarchize the city over the country and the human over the nonhuman. This article analyzes “Deja las letras…” as an ecopoetic invitation to recognize the inherent interrelationships among humans and nonhumans. Part of this recognition requires a reconceptualization of “nature” as heterogenous and made up of nonlinear interconnections and the spaces in between, in a “mesh,” using environmental humanist Timothy Morton’s terminology. Recognizing and incorporating ourselves in this mesh, the poem suggests, can allow humans to keep our humanity while, at the same time, we learn empathy for nonhumans.

Keywords: Juan L. Ortiz, Ecopoetry, Argentine Poetry, Mesh of Interrelations, Ecopoiesis, City, Country

Resumen

En algún momento temprano de su vida, el poeta argentino Juan L. Ortiz (1896-1978) prefirió quedarse a vivir en su provincia natal de Entre Ríos en lugar de mudarse a Buenos Aires, el centro cultural de su país. Aunque algunos amigos lo quisieron convencer trasladarse para que su obra fuera difundida y apreciada por lectores sofisticados de la gran capital, el poeta permaneció en el pueblo entrerriano de Gualeguay y luego se mudó a la capital provincial, Paraná. Valoraba mucho los paisajes de su hogar natal y su obra poética refleja una importante relación con el mundo natural. Uno de sus poemas en particular, “Deja las letras…” de De las raíces y del Cielo (1958), se refiere al dualismo proverbial entre lo rural y lo urbano de una manera que trastoca la tendencia a jerarquizar la ciudad sobre el campo y lo humano sobre lo no humano. Este artículo analiza “Deja las letras…” como una invitación ecopoética a reconocer las interrelaciones inherentes entre humanos y no humanos. Parte de este reconocimiento equire una reconceptualización de la “naturaleza” como heterogénea y compuesta de interconexiones no lineales y espacios intermedios, en una “mesh” (“red”), usando la terminología del humanista ambiental Timothy Morton. Reconocernos e incorporarnos a esta red, como sugiere el poema, puede permitir a los humanos mantener nuestra humanidad y, al mismo tiempo, aprender a empatizar con los no humanos.

Palabras clave: Juan L. Ortiz, ecopoesía, poesía argentina, red de interrelaciones, ecopoiesis, ciudad, campo