bluuebunny/crossref_metadata_2025_split huggingface dataset:
Integração Entre Arquitetura, Permacultura e Bioconstrução na Construção de um Futuro Sustentável
Authors: Marques Patricia Sousa , Tiago Filemon Alves , Lima Fabíolla Xavier Rocha Ferreira 
Published: November 2023

Esta pesquisa explora a possibilidade de suprir as necessidades humanas em harmonia com o meio ambiente, utilizando técnicas antigas de construção como abordagens contemporâneas. A permacultura e a bioconstrução são apresentadas como formas diferenciadas e necessárias de lidar com espaços, promovendo um desenvolvimento mais saudável na relação entre o homem e o meio ambiente. Diante dos desafios urbanos, é crucial que a sociedade se preocupe com a educação e busque soluções para problemas como déficit habitacional, desemprego, degradação ambiental e social. A permacultura surge como uma proposta que busca conciliar as esferas social, econômica e ambiental, transformando a cidade em um laboratório de iniciativas sustentáveis. Objetiva-se conceituar a permacultura, as comunidades das Ecovilas e sua relação com a arquitetura. A metodologia apresenta técnicas e métodos de bioconstrução e, logo em seguida, os resultados do Projeto ArqViva, uma iniciativa baseada nos princípios da permacultura, bioconstrução e sustentabilidade. As práticas foram realizadas com a participação de colaboradores, voluntários e moradores, para a execução do projeto arquitetônico e o início da construção de uma creche na ocupação urbana Alto da Boa Vista, em Aparecida de Goiânia - GO. Os resultados evidenciam a importância do retorno às práticas vernaculares como alternativa sustentável de construção e os benefícios revertidos à comunidade.
Treatment results of acute arterial obstruction of the lower limbs during advanced stages of ischemia
Authors: Gaibov A. D. , Sultanov D. D. , Ne’matzoda O. , Abdusamadov K. A. , Shokhsavorbekov A. S. , Kamolov R. S. 
Published: November 2023

Objective. To analyze the immediate results of treatment of patients with acute arterial obstruction of the lower limbs during advanced stages of ischemia.Material and methods. The results of a comprehensive examination and treatment of 244 patients (135 men, 109 women, average age 67,2±8,4 years) with acute arterial obstruction of lower limbs were analyzed. Acute thrombosis was observed in 105 (43,1%) patients and embolism of the main arteries in 139 (56,9%) patients. 197 (80.7%) patients had ischemia of one (102 left, 95 right lower limbs) and 38 (15.6%) of both lower limbs. In 244 patients acute ischemia was noted in a total of 281 lower extremities. 86.9% of patients were hospitalized 24 hours after the onset of the disease. In 190 cases the affected limbs had II degree ischemia (54 cases (19,2%) of IIA degree, 136 (48,4%) IIB degree), and 91 (32,4%) patients had ischemia of III degree.Results and discussion. The main component of the operation for vascular embolism was thromboembolectomy (n=110), which in 56 cases was supplemented by vessel reconstruction (n=13), fasciotomy (n=34), and necrectomy (n=12). Primary amputation of the limb was performed in 13 cases. Conservative angiotropic therapy was performed in 16 cases.In acute thrombosis of lower limb arteries, conservative treatment was performed in 28 cases, primary limb amputation was performed in 10 cases, thrombectomy with a local reconstruction of the vessel (n=31), also with bypass (n=14), with reconstruction and fasciotomy of the tibia (n=13) and with reconstruction and necrectomy (n=7) were performed in 93 cases.Conclusion. Despite the delayed treatment in 67.6% of cases, the acute ischemia presented less severely, suggesting that the level of obstruction is more influential than the timing of the onset in the development of ischemic limb injuries. The choice of treatment method and extent at advanced stages of limb ischemia primarily depends on the degree and severity of ischemic disorders. The outcomes of treatment were less satisfactory in acute arterial thrombosis than in embolism, largely due to chronic obliteration of the distal arterial channel.
Analysis and modeling for calculation the need for x-ray therapy systems in Tajikistan
Authors: Zuenkova Yu. A. 
Published: November 2023

Objective. To analyze the needs of the Republic of Tajikistan in radiotherapy equipment.Materials and methods. A comprehensive bibliographic and informational search was employed, accompanied by a semantic analysis. Scientific literature and regulatory legal documents were reviewed, and an economic mathematical modeling method was utilized.Results. The demand for radiotherapy devices in Tajikistan can be determined through three models: “by the number of the population served” 12 devices, “by the number of oncological dispensaries in the country” 5 units, “by oncological prevalence” (Lean management approach) one system. The proposed models should be adjusted taking into account the territorial accessibility of the method for the population, current clinical recommendations, as well as the availability of other radiotherapy equipment.Conclusion. X-ray therapy is of particular interest to the organization of oncological care due to the low cost of devices in comparison with other radiotherapy equipment, as well as the low cost of their maintenance, high operational efficiency, and ease of use. Heads of medical institutions need to know different approaches to calculate the needs.
Treatment of Hirschsprung’s disease in young children
Authors: Mirzoev D. S. , Ibodov H. , Yakhshibekova Sh. I. , Rofiev R. R. , Kromov T. Sh. , Latipov Sh. E. 
Published: November 2023

Objective. The objective of this study was to optimize the treatment for Hirschsprung’s disease in young children.Material and methods. A total of 71 children, ranging in age from 3 days to 3 years, were observed. Patients were categorized into three groups based on the surgical procedure performed: 23 underwent transanal endorectal proctoplasty according to De La Torre Mondragon (32.4%), 17 according to the Swenson-like method (23.9%), and 31 according to Soave-Lenyushkin (43.7%).Results and discussion. The results of the maternal examination revealed the presence of cytomegalovirus, herpes virus and toxoplasmosis. The basis for the success of surgical treatment is timely diagnosis. After surgical intervention, histological examination of the surgical material confirmed intestinal agangliosis. Peritoneal-promesenteric proctoplasty according to SoaveLenyushkin in the modification of the clinic, with wedge-shaped excision of the serous-muscular case, is effective in terms of prevention of inter-sheath hematomas and fluid accumulation. The De La Torre-Mondragon and Swenson-like technique of transanal endorectal relegation, without abdominal access with demucosation of the rectum, is considered an effective and minimally invasive access for rectal and rectosigmoidal forms of Hirschsprung’s disease.Conclusions. Transanal endorectal relegation at an early age in children showed rapid recovery of intestinal motility in the postoperative period without skin incision. The results of early surgical intervention contribute to the achievement of good results in the immediate and distant period after the surgical intervention.
Personalized tactics for the treatment of nephrolithiasis in the intrarenal pelvis
Authors: Murotov Kh. M. , Shamsiev J. A. , Ruziboyzoda K. R. , Kosimov M. M. , Abduvokhidov A. A. , Sadulloev F. S. , Ashuraliev N. K. , Rashidov B. J. 
Published: November 2023

Objective. Improving the results of treatment of nephrolithiasis in the intrarenal pelvis.Material and methods. The study involved 154 patients with nephrolithiasis in the intrarenal pelvis. They were divided into two groups: the main group comprised 78 (50.6%) patients who underwent personalized surgical procedures using modern technologies, while the control group of 76 (49.4%) patients received conventional one-stage traditional surgical interventions. Results. In the main group, one-stage percutaneous puncture nephrolithotripsy was conducted for 55 patients, representing 70.5% of the cases. However, in 5 (6.4%) cases of complex variants of nephrolithiasis, it was required to convert the access to a lumbotomy with subcortical pyelolithotomy. Of note, 11 patients (14.1%) presented with either complicated purulent calculous pyelonephritis (5 patients) or II-degree hydronephrosis (6 patients). For these patients, the treatment was staged. Initially, a nephrostomy was carried out using ultrasound guidance. Following this, 7 patients underwent percutaneous puncture nephrolithotripsy, while 4 patients had a lumbotomy subcortical pyelolithotomy paired with nephrostomy. In another subset of the main group, 12 patients (15.4%) required one-stage traditional surgery through lumbotomy access due to specific medical criteria. Patients in the control group (n=76) underwent open libotomy for removal of kidney stones. Postoperative complications in patients of the main group were noted in 7 (9.0%) cases, with no lethal outcomes. Whereas in patients of the control group, postoperative complications occurred in 18 (23.7%) cases. Lethal outcomes were recorded in 3 (3.9%) cases. Conclusion. In determining the appropriate surgical approach for patients with nephrolithiasis in the intrarenal pelvis, it’s essential to prioritize a personalized treatment plan. Minimally invasive interventions are recommended wherever possible
Diyabetli Gebelerin İnternet Kullanımları ve İnternet Yoluyla Karar Alma Durumlarının İncelenmesi
Authors: DEMİRAĞ Hatice , HİNTİSTAN Sevilay , DİNÇ Mücella , FİDAN UÇAN Meral 
Published: November 2023

Amaç: Bu çalışma, diyabetli gebelerin internet kullanımları ve internet yoluyla karar alma durumlarını incelemek amacıyla yapıldı.
Yöntem: Tanımlayıcı ve kesitsel tasarımda gerçekleştirilen bu çalışmanın örneklemini X Devlet Hastanesi Kadın Doğum Polikliniği ve Gebe Okulu’nda takip edilen 179 diyabetli gebe oluşturdu. Veriler, 1 Mart 2022 - 1 Mayıs 2022 tarihleri arasında “Kişisel Bilgi Formu” ve “Gebelerde İnternet Yoluyla Karar Alma (GİYKA) Ölçeği” kullanılarak toplandı. Verilerin değerlendirilmesinde, One-way ANOVA ve post hoc multiple comparisons test, Mann-whitney-U ile Independent Samples t parametrik testleri; Kruskall Wallis H testi ile ileri uygulama Mann Whitney-U non-parametrik testleri ve sayılarla yüzdelik dağılımlar kullanılmıştır.
Bulgular: Diyabetli gebelerin internet yoluyla karar aldıkları (%44.7), cep telefonu ile internete erişim sağladıkları (%95.5), bilgiye erişimin kolay olması nedeniyle (%74.3) her gün internet kullandıkları (%75.4) belirlendi. Diyabetli gebelerin GİYKA ölçek toplam puan ortalaması 32.64±8.11, “öz yeterlilik algısı” alt boyutu puan ortalaması 15.58±4.10 ve “öz kontrol algısı” alt boyutu puan ortalaması 17.06±4.52 olarak bulundu. Gebelerin diyabet türü ve gebelik haftası ile GİYKA ölçek toplam puan ortalaması arasında (p
Experiences of Women with Visual and Orthopedic Disabilities in Obstetrics and Gynecology Units: A Phenomenological Study
Authors: TOPALOĞLU ÖREN Ekin Dila , ERTEM Gül 
Published: November 2023

Experiences of women with visual and orthopedic disabilities in obstetrics and gynecology units: A Phenomenological Study

ABSTRACT
Objective: This research was conducted to understand the core/base of the experiences, thoughts, and feelings of women with visual and orthopedic disabilities about health care services related to obstetrics and gynecology units.
Bu araştırmanın amacı, görme ve ortopedik engelli kadınların obstetri ve jinekoloji birimleri ile ilgili yaşadıkları deneyimlerini, düşüncelerini ve hislerini anlamaktır.
Methods: A descriptive phenomenological design was used in this study. This study was conducted with women with 10 visual and 12 orthopedic disabilities registered to physical disability associations in Izmir, western Turkey, between May 2020 and November 2020. Data were collected by in-depth interview method using semi-structured questions. All transcripts were evaluated by two researchers and codes were created. The codes formed the sub-themes in terms of similarities and differences, themes were created as a result of combining sub-themes.
Results: The data obtained consists of two main themes: 1) 'Challenges and Problems' 2) 'Health Professionals'. 'Challenges and Problems' has 10 sub-themes: Social pressure, dependence on others-helplessness, problems with gynecology/obstetrics examination chairs, transportation problems, poor physical conditions, financial problems, procrastination/disregard, obscurity-uneasiness, privacy-shame-hesitate, and discourses in the past. 'Health Professionals' and it has four positive sub-themes and eight negative sub-themes. Positive sub-themes; introducing-describing the physical environment, helping, giving information before the procedure, being understanding and relevant. Negative sub-themes; not taking enough time-disinterest, exclusion- stigma, violence, maltreatment from female healthcare professionals, communication problems, lack of privacy, helplessness, and lack of education/awareness.
Conclusion: In the study, it was concluded that women with visual and orthopedic disabilities experienced problems, negative thoughts and feelings related to the attitudes and behaviors of individual, environmental, social, institutional, economic, information and health professionals related to obstetrics and gynecology units.Therefore, women health policies should concentrate on problems experienced by women with visual and orthopedic disabilities and health professionals in obstetrics and gynecology units.
Keywords: Disability; visual disabilities; orthopedic disabilities; obstetrics and gynecology units; phenomenology.
Financing
All persons listed as authors participated sufficiently in this study to accept public responsibility for the manuscript content. This article did not receive any funding from public or private entities.
Trauma ocular secundario al uso de bombas lacrimógenas durante las manifestaciones sociales en Chile
Authors: Silva Orias César , Sepúlveda Bravo Andrés , San Martín Campos Catalina , Rodríguez Vega Álvaro 
Published: November 2023

Introducción: Las bombas lacrimógenas (BL) son herramientas de dispersión en contexto de movilizaciones, generando principalmente molestias temporales a nivel ocular, cutáneo y respiratorio. Hay escasos registros de lesiones oculares traumáticas por BL.
Objetivos: Describir una serie de casos de trauma ocular (TO) secundario a BL que consultaron a la Unidad de Trauma Ocular del Hospital del Salvador entre el 18 de octubre y 30 de noviembre de 2019.
Materiales y Métodos: Estudio descriptivo observacional. Se analizaron datos demográficos, diagnóstico principal y secundarios, presencia de TO grave, agudeza visual (AV) al ingreso y necesidad de cirugía.
Resultados: Se incluyeron 32 pacientes, 28 hombres (87,5%) y 4 mujeres (12,5%). La edad promedio fue 32,3 años (rango 16-51). El diagnóstico principal fue TO cerrado en 20 casos (62,5%), y TO abierto en 9 (28,1%). Según criterios de Garantías Explícitas de Salud, 26 (81,3%) fueron catalogados como TO grave. 23 pacientes (71,9%) ingresaron con algún grado de déficit visual, destacando 10 pacientes (31,3%) cuya AV al ingreso fue catalogada como ceguera. 8 pacientes (25%) necesitaron cirugía, siendo lo más frecuente el cierre de TO abierto (50%) y la evisceración del contenido intraocular (37,5%).
Discusión: Las BL son usadas frecuentemente por las fuerzas de orden para dispersar manifestaciones debido a su capacidad para generar discapacidad temporal. Sin embargo, pueden generar graves consecuencias a la salud, incluida la secuela visual permanente.
Kontekstualisasi Modern Slavery (Analisis Hermeneutika Double Movement Fazlur Rahman)
Authors: Huzaifah  
Published: November 2023

Modern Slavery (Perbudakan Modern) tersembunyi di depan mata dan sangat terkait dengan kehidupan di setiap sudut dunia. Setiap hari, orang ditipu, dipaksa untuk masuk ke dalam situasi eksploitatif yang tidak dapat mereka tolak atau tinggalkan. Modern slavery memiliki banyak bentuk dan dikenal dengan berbagai nama. Dalam segala bentuknya, praktik tersebut secara sistematis menghilangkan kebebasan seseorang untuk keuntungan personal dan komersial. Praktik modern slavery ini sangat bertentangan dengan nilai Qur’ani. Al-Qur’an mengedepankan kebebasan manusia, dan menghendaki perubahan sosial secara universal dengan memuat ayat-ayat tentang perbudakan. Adapun penelitian ini merupakan penelitian kualitatif (library research) dengan metode deskriptif-analitis, hasil penelitian ini menunjukkan bahwa kontekstualisasi modern slavery kini merupakan lebih berbahaya terhadap humanisme, yakni perbudakan pemikiran, perbudakan ekonomi, kekuasaan, bahkan kemerdekaan suatu negara. Ideal Moral (Pesan moral ) dalam teori double movement Fazlur Rahman dalam memerdekakan budak yaitu memberikan kesetaraan kepada orang lain, membebaskan dari penindasan, dan tidak mengganggu hak asasi manusia dalam bentuk apa pun itu.
Phân lập và tuyển chọn các dòng <i>Bacillus</i> Spp. có khả năng kiểm soát Vibrio <i>Parahemolyticus</i> gây bệnh hoại tử gan tụy ở tôm
Authors: Lê Thành Cường , Nguyễn Thị Anh Thư , Văn Hồng Cầm 
Published: November 2023

Bệnh hoại tử gan tụy cấp tính (AHPND – acute hepatopancreatic necrosis disease) hay bệnh chết sớm (EMS) ở tôm gây ra bởi các chủng vi khuẩn Vibrio parahaemolyticus mang gen độc tố pirAB và làm thiệt hại nghiêm trọng cho ngành tôm nuôi toàn cầu. Sử dụng vi sinh vật có lợi thay thế kháng sinh được xem là một trong số biện pháp hiệu quả trong việc ngăn ngừa AHPND cho các hệ thống nuôi tôm hiện nay. Nghiên cứu hiện tại đã đánh giá tiềm năng làm chế phẩm sinh học đối kháng V. parahaemolyticus pirAB của 33 chủng Bacillus phân lập từ mẫu bùn rừng ngập mặn và tôm nuôi tại tỉnh Khánh Hòa. Trong số 9 chủng Bacillus có tính đối kháng, CCT-Ba9 và CCT-Ba42 tạo ra vạch đối kháng lớn nhất và có khả năng sinh enzyme ngoại bào tốt bao gồm cellulase, amylase, protease. Cả hai chủng đều được đánh giá an toàn khi cho thấy không có khả năng tan huyết. Kết quả định danh bằng đặc điểm sinh hóa và giải trình tự gen 16S rRNA xác định chúng lần lược là loài B. pumilus and B. subtilis. Cả 2 loài đều cho thấy phát triển tốt ở độ pH từ 4.0 đến 8.0 and độ mặn từ 0 đến 50‰. Kết quả của nghiên cứu cho thấy tiềm năng sử dụng Bacillus CCT-Ba9 và CCT-Ba42 để ngăn ngừa hoặc kiểm soát sự bùng phát của AHPND ở tôm nuôi.
Still a Nation of White Immigrants? Notes on the Present Debate
Authors: Chin Gabriel J. 
Published: November 2023

Abstract
Recent years have generated an unprecedented popular decision about US racial identity. Before this, popular sentiment and legal policy clearly and congruently promoted immigration of white noncitizens, while severely restricting others. Until the Immigration and Nationality Act Amendments of 1965, the US law reflected Justice Grier's statement in Smith v. Turner, 48 U.S. 283, 461 (1849): “It is the cherished policy of the general government to encourage and invite Christian foreigners of our own race to seek an asylum within our borders, and to . . . add to the wealth, population, and power of the nation.” However, the 1965 reform and its successors diversified the immigrant stream and the nation, and current polls indicate that the majority of the US population now supports a generous and non-discriminatory immigration policy.
A Brief Examination of the Northernmost Appalachian Counties: Southern Tier New York
Authors: Jakubowski Casey 
Published: November 2023

AbstractThis note briefly overviews the history of the Appalachian region of New York State, composed of the “Southern Tier” counties from Chautauqua County in the west to Schoharie County in the east. Counties in the area are rural and historically farming-based. New York's policies are urban normative and often ignore the Southern Tier region for the benefit of larger cities. The note examines how the region has significant resources but has faced structural issues due to policy implementation by New York City and Albany-based bureaucrats. This note introduces readers outside of the area to the state's rural areas.
Tapaustutkimus kolmannen sektorin toteuttaman päihdekuntoutusohjelman autonomisesta asemasta avovankilassa
Authors: Kilpeläinen Mia , Törölä Miisa 
Published: November 2023

Tässä artikkelissa tarkastelemme kolmannen sektorin toimijan (Myllyhoitoyhdistys ry) ja Naarajärven vankilan välistä yhteistyötä vankilaympäristössä toteutettavassa päihdekuntoutusohjelmassa vuosina 2009–2019. Tarkastelumme kiinnittyy kolmannen sektorin toimijan autonomiseen asemaan. Tutkimusta ohjaavat seuraavat tutkimuskysymykset: 1) Millaisia jännitteitä kuntoutusyhteistyössä on havaittavissa? 2) Miten kuntoutusyhteistyön osapuolet ovat ratkaisseet toimintaperiaatteiden eroavaisuuksien tuomia haasteita? Tutkimuksen taustoittavana tietona on käytetty Vankitietojärjestelmästä poimittua rekisteriaineistoa ohjelmaan osallistuneista vangeista (N = 875) ja päihdekuntoutusta kuvaavia dokumentteja. Varsinaisiin tutkimuskysymyksiin vastataan avaintyöntekijöiden haastattelujen pohjalta (N = 8). Molemminpuolinen luottamus menetelmän toimivuuteen oli vahva. Itsenäisessä ohjelmatoiminnassa esiintyi ristiriitoja, jotka liittyivät osapuolten toisistaan eroaviin käsityksiin riippuvuudesta ja kuntoutumisesta, vankilan tarpeeseen huomioida vankiryhmän erityispiirteet ja tilanteet, ja Myllyhoitoyhdistyksen työn järjestämisen haasteisiin. Hyvin organisoitu keskusteluyhteys osapuolten välillä olisi tärkeää vankilayksikköä ja vankeja hyödyttävän kehittämistyön ja suunnittelun kannalta.
Orthodontic Retainers
Authors: Khmaj Abdulfatah B. , Khmaj Mofida R. , Khmaj Zakaria A. 
Published: November 2023

To ensure that the results of fixed orthodontic therapy are maintained and do not relapse, it is crucial to retain and preserve the treatment outcomes. Retention is an essential aspect of orthodontics and can be viewed as the final stage of treatment. It is necessary to maintain an optimal esthetic and functional occlusion following orthodontic therapy.
Aim : The objective of the article is to acknowledge the significance of maintaining the outcomes of orthodontic therapy and to assess the various techniques used to fabricate fixed and removable appliances for retention.
Materials and Methods:
The present article evaluates the different protocols for lingual fixed retainers, as well as removable retentive appliances such as Hawley, Begg, and vacuum-formed retainers (VFR). Removable appliances have been used for retentive purposes for a long period of time. Bonded fixed retainers were introduced in the 1970s, and they have several advantages over removable retentive appliances, such as better esthetics, the absence of patient cooperation, and suitability for lifelong retention. Fixed retainers can be of conventional or digital type. Conventional fixed retainers can be fabricated and attached directly or indirectly to the teeth using a transfer tray. Moreover, bonded retainers can now be digitally manufactured using computer-aided design and computer-aided manufacturing (CAD-CAM).