bluuebunny/crossref_metadata_2025_split huggingface dataset:
EDUCAÇÃO, NEOCONSERVADORISMO E BARBÁRIE EM TEMPOS DE CRISE DO CAPITAL
Authors: Carvalho Celso do Prado Ferraz de 
Published: December 2023

O objetivo deste texto é apresentar elementos teórico-políticos que contribuam para a compreensão do processo de ascensão política, no Brasil, de forças denominadas neoconservadoras e sua expressão no debate educacional. Nossa preocupação central é como o negacionismo da ciência, o questionamento da educação estatal, laica e pública, a censura e interdição do debate sobre questões de gênero, identidade e raça, a cultura do ódio e a destruição do financiamento público da educação. A resposta não é simples e entendemos ser um processo a construir coletivamente. Apresentamos, inicialmente, elementos do pensamento político neoconservador, de origem norte-americana, as teses que defende, os inimigos que define e a defesa que faz das relações capitalistas. Na sequência, mostramos como esse processo ganha expressão política no Brasil contemporâneo, em movimentos genericamente denominados de neoconservadores, da nova direita e da extrema direita, especificamente a face que assume no contexto do bolsonarismo. Por fim, recuperamos aspectos importantes para a compreensão de como o capital em ação e suas crises, constituem um meio de expressão de formas políticas e sociais selvagens e bárbaras.
Barriers and Facilitators to Breastfeeding Practices Among Immigrant Muslim Arab Women Living in a Metropolitan Area of the Southwestern United States
Authors: Khasawneh Wafa F. , Petrov Megan E. , Ahmed Azza H. , Reifsnider Elizabeth , Komnenich Pauline 
Published: December 2023

Objective:Immigrant Muslim Arab women are a fast-growing and underserved minority group in the United States. Immigrant Muslim Arab women face breastfeeding challenges in accessing and seeking healthcare. Little is known about breastfeeding challenges that immigrant Muslim Arab women face to establish successful breastfeeding. This study aimed to identify the barriers and facilitators to adequate breastfeeding among immigrant Muslim Arab women who reside in a metropolitan area of the Southwestern United States and inform recommendations for practice.Methods:A cross-sectional, descriptive study was used to identify facilitators and barriers to adequate breastfeeding using the social–ecological model of health promotion. A survey was carried out with a convenience sample of 116 immigrant Muslim Arab women with at least one child, 5 years or younger, from a large metropolitan area between September and November 2016.Results:Facilitators of breastfeeding within the sample were high intentions to breastfeed, positive breastfeeding attitudes related to the benefits of breastfeeding, religious teachings promoting breastfeeding, and encouragement to breastfeed from the mothers’ social support system. Several barriers to successful breastfeeding were related to lacking the specific knowledge of the benefits of breastfeeding and discomfort with breastfeeding in public and in front of strangers.Conclusions:Nurses and healthcare providers need to apply ecological breastfeeding interventions to promote optimal breastfeeding in this population.
nouveau problème de la démarcation
Authors: Künstler Raphaël 
Published: December 2023

À la question de savoir comment concevoir la relation entre le concept de science et celui de métaphysique, une réponse très influente de nos jours prône la naturalisation méthodologique de la science. Selon cette thèse, même si sciences et métaphysique sont des entreprises épistémiquement indépendantes l’une de l’autre, elles sont ou devraient être méthodologiquement analogues : l’enquête métaphysique serait ou devrait être menée par des moyens scientifiques. L’objet de mon article est de montrer qu’une telle manière de concevoir la métaphysique a un effet inverse à celui escompté. Au lieu d’élever la certitude métaphysique à un niveau scientifique, elle abaisse la certitude scientifique au niveau métaphysique. Je soutiens que, si on ne se résout ni à accepter cette conséquence ni à renoncer à une certaine forme de naturalisation, émerge un nouveau problème de démarcation entre science et métaphysique.
2.12.0.0
Diagnostic Role of Cell-Free miRNAs in Identifying Placenta Accreta Spectrum during the First-Trimester Screening
Authors: Timofeeva Angelika V. , Fedorov Ivan S. , Suhova Yuliya V. , Tarasova Alla M. , Ezhova Larisa S. , Zabelina Tatyana M. , Vasilchenko Oksana N. , Ivanets Tatyana Y. , Sukhikh Gennady T. 
Published: December 2023

Abstract: Placenta accreta spectrum (PAS) is a severe complication of pregnancy associated with excessive invasion of cytotrophoblast cells at the sites of the endometrial-myometrial interface and the myometrium itself in cases of adherent (creta) and invasive (increta and percreta) forms, respectively. Despite advancements in ultrasound protocols and found associations of alpha-fetoprotein, PAPP-A, hCG, PLGF, sFlt-1, IL-8, and IL-33 peripheral blood levels with PAS, the condition remains undiagnosed before delivery because of the lacking clear evaluation criteria for each of the three grades of PAS. This leads to a high risk of massive blood loss, maternal hysterectomy, and preterm birth.
While using deep sequencing, miRNA signatures of placental tissue, myometrium, and blood plasma from women with PAS in the third trimester of pregnancy, as well as miRNA profile in exosomes from the blood serum of women in the first trimester with physiologically progressing pregnancy, complicated by PAS or preeclampsia, were obtained. Two logistic regression models were constructed, both featuring statistically significant parameters related to the levels of miR-26a-5p, miR-17-5p, and miR-101-3p quantified by real-time PCR in native blood serum. These models demonstrated 100% sensitivity in detecting PAS during the first pregnancy screening. These miRNAs were identified as specific markers for PAS, showing significant differences in their blood serum levels during the first trimester in the PAS group compared to those in physiological pregnancies, early- or late-onset preeclampsia groups. Furthermore, these miRNAs exhibited differential expression in the PAS placenta and/or myometrium in the third trimester and, according to literature data, control angiogenesis. Significant correlations were found between extracellular hsa-miR-101-3p and nuchal translucency thickness, hsa-miR-17-5p and uterine artery pulsatility index, and hsa-miR-26a-5p and hsa-miR-17-5p with PLGF.
The developed test system for early non-invasive PAS diagnosis based on the blood serum level of extracellular miR-26a-5p, miR-17-5p, and miR-101-3p can serve as an auxiliary method for 1st trimester screening pregnant women, subject to validation on independent test samples.
Team Approach: Bone Health Optimization in Orthopaedic Surgery
Authors: Pasqualini Ignacio , Huffman Nickelas , Keller Sarah F. , McLaughlin John P. , Molloy Robert M. , Deren Matthew E. , Piuzzi Nicolas S. 
Published: December 2023

» Bone health optimization (BHO) has become an increasingly important consideration in orthopaedic surgery because deterioration of bone tissue and low bone density are associated with poor outcomes after orthopaedic surgeries.» Management of patients with compromised bone health requires numerous healthcare professionals including orthopaedic surgeons, primary care physicians, nutritionists, and metabolic bone specialists in endocrinology, rheumatology, or obstetrics and gynecology. Therefore, achieving optimal bone health before orthopaedic surgery necessitates a collaborative and synchronized effort among healthcare professionals.» Patients with poor bone health are often asymptomatic and may present to the orthopaedic surgeon for reasons other than poor bone health. Therefore, it is imperative to recognize risk factors such as old age, female sex, and low body mass index, which predispose to decreased bone density.» Workup of suspected poor bone health entails bone density evaluation. For patients without dual-energy x-ray absorptiometry (DXA) scan results within the past 2 years, perform DXA scan in all women aged 65 years and older, all men aged 70 years and older, and women younger than 65 years or men younger than 70 years with concurrent risk factors for poor bone health. All women and men presenting with a fracture secondary to low-energy trauma should receive DXA scan and bone health workup; for fractures secondary to high-energy trauma, perform DXA scan and further workup in women aged 65 years and older and men aged 70 years and older.» Failure to recognize and treat poor bone health can result in poor surgical outcomes including implant failure, periprosthetic infection, and nonunion after fracture fixation. However, collaborative healthcare teams can create personalized care plans involving nutritional supplements, antiresorptive or anabolic treatment, and weight-bearing exercise programs, resulting in BHO before surgery. Ultimately, this coordinated approach can enhance the success rate of surgical interventions, minimize complications, and improve patients' overall quality of life.
Effectiveness of the renewable energy support program implementation (by the example of solar energy)
Authors: Kudryavtseva O. V. , Vasilyev S. V. , Zoryna T. G. 
Published: December 2023

Objective: to conduct a comprehensive analysis of the dynamics and prospects of the renewable energy support program implementation and to assess its effectiveness.Methods: comparison, synthesis, system approach, generalization, statistical and economic analysis.Results: the authors conducted a comprehensive analysis of system effects from the implementation of renewable energy support programs. The mechanisms of state support of renewable energy generators (further – RES) were studied. These mechanisms are aimed at reducing emissions and costs, creating new jobs, etc., which provides Russia with a unique opportunity to create a full-fledged RES industry. The authors assessed the economic efficiency of renewable energy development in the Wholesale Electricity and Capacity Market (WECM), taking solar energy for analysis. The benefits were analyzed, which are acquired as a result of renewable energy development, including by implementation of the state program of RES projects support and the RES development program for 2013-2024. Economic and non-economic effects arising in the process of RES industry development were analyzed. These are: substitution of fossil fuel consumed in energy production by conventional generation facilities, due to the replacement of conventional generation facilities by RES facilities; reduction of prices in the wholesale electricity market; reduction of greenhouse gas emissions; reduction of costs of measures to reduce the negative impact on the environment and health protection; reduction of compulsory levied payments; creation of new jobs. In conclusion, the prospects of RES development in the state nearest to Russia – the Republic of Belarus – were analyzed, which is important for energy cooperation.Scientific novelty: a comprehensive analysis of system effects from the implementation of the program to support the RES industry in the Russian Federation was carried out. The efficiency of the support program implementation was proved by the example of solar energy. The prospects of the program implementation in the Russian economy were shown.Practical significance: the obtained results and the revealed regularities can be used to make forecasts of renewable energy development taking into account economic and non-economic consequences. They can be used by the authorities to assess the support policy effectiveness of RES generating facilities, as well as to select the most favorable support mechanisms.
Anti-sanction and sanction economic policy of Russia in 2022–2025. Part 1: Analysis and forecast of managing sanctions against Russia
Authors: Manushin D. V. 
Published: December 2023

Objective: to study the packages of anti-Russian sanctions, to analyze measures to counteract sanctions, and to formalize the current and future sanctions policy of Great Britain, the USA, and the EU.Methods: the author uses such techniques of abstract-logical method as analysis, synthesis, deduction, induction, analogy, formalization, and forecasting.Results: based on the analysis of scientific literature, as well as opinions of experts and officials, three main approaches to the assessment of Russia’s sanctions policy were identified: macroeconomic, sectoral and regional. The packages of anti-Russian sanctions and counter-sanctions by Russia in chronological order were assessed. The effectiveness of anti-Russian sanctions in terms of their impact on the Russian economy was assessed. Current trends in the sanctions policy of the UK, the US and the EU were revealed. The following questions were answered: who is the main objective of the sanctions (Russia or the EU); whether China will be drawn into the sanctions war; whether the official objectives of anti-Russian sanctions will be achieved; and whether the strengthening of sanctions will lead to a hot geopolitical conflict. The prerequisites and motives for the EU entry into the sanctions war were determined; the influence of the EU economic problems on the duration of the sanctions war was revealed. Scenarios for the development of the EU relations with Russia were constructed and the terms of the sanctions war unleashed by the United States were predicted.Scientific novelty: it was determined that the anti-Russian sanctions after their fifth package became in many respects demonstrative. The situational response of the Russian authorities to the sanctions was large-scale, corresponded to the current situation, was carried out thoughtfully and effectively. It was revealed that the focus of the UK and the US sanctions shifted to the EU, as well as the prerequisites of the EU-China conflict. It was found that if the sanctions policy intensity is maintained, the EU economy may significantly degrade in the next 10-15 years.Practical significance: the given data and conclusions may help in formalization and correction of sanctions and antisanctions economic policy of Russia.
Economic mechanism of ensuring regional energy safety of the Republic of Belarus
Authors: Zoryna T. G. , Panasiuk V. V. 
Published: December 2023

Objective: to shape a theoretical model of the economic mechanism ensuring regional energy security.Methods: general scientific, statistical, systemic, logical, process approaches.Results: solving the problem of energy security of the state is one of the most important directions of economic policy under the increasing threats to the energy infrastructure of the Republic of Belarus. To achieve the study objective, the authors clarified the concept and identified the main threats to regional energy security. It was found that the indicators used to assess the energy security system today are largely outdated, therefore the authors proposed a system of indicators consisting of 30 indicators and an integral indicator. The authors also proposed a theoretical model of the economic mechanism for ensuring regional energy security, which implies a sequence of actions, indicates deadlines and performers at each stage of implementation. The stages include: monitoring (assessment) of the current state of regional energy security; analysis of risks and threats to regional energy security; determination of the minimum and maximum level of regional energy security; justification of directions for improving regional energy security; formation of action plans to improve regional energy security; implementation of measures to strengthen regional energy security. The risks and threats to regional energy security were analyzed by interviewing representatives of regional energy systems, based on which the main directions for improving the level of regional energy security were determined.Scientific novelty: based on the existing methodological approaches to the assessment of energy security in the state, the authors developed a new theoretical model of the economic mechanism ensuring regional energy security of the Republic of Belarus. The system of energy security indicators was developed, which differs from the generally accepted one in terms of introducing an additional block of socio-ecological indicators and combining groups of production, financial and informational indicators.Practical significance: the model application will strengthen the regional energy security of the Republic of Belarus. The measures developed on the basis of the authors’ mechanism to improve energy security should be included in regional sets of measures to implement state five-year programs, financed by local budgets at the level of Belarus regions and Minsk. The methodological provisions for calculating the integral indicator and analyzing the risks and threats to energy security can be used in the development of a new version of the Concept of energy security of the Republic of Belarus.
Legalization of criminal income using DeFi: typical schemes and risk indicators
Authors: Sidorenko E. L. 
Published: December 2023

Objective: to increase the effectiveness of countering the use of typical criminal money laundering schemes by identifying the technological and legal vulnerabilities of the DeFi infrastructure: decentralized exchanges, blockchain bridges, decentralized wallets, and privacy-enhanced currencies.Methods: general scientific (analysis and synthesis, induction and deduction, theoretical modeling, legal interpretation) and special methods of scientific cognition (structural-functional, constructive, situational, innovative, target-oriented, program-target, and risk-oriented).Results: the main trends in the development of money laundering using decentralized finance were outlined; the determinative significance of DeFi technological characteristics in the genesis of money laundering was revealed; the main types of money laundering using decentralized finance were identified; the schemes of committing crimes were studied and the criminogenic potential of DeFi infrastructure (decentralized exchanges, blockchain bridges, mixers, privacy-enhanced tokens, etc.) was assessed.Scientific novelty: it is proposed to consider money laundering using DeFi as a special type of digital financial crime. The article proposes the author’s typology of money laundering, substantiates the idea that the matrix of traditional financial regulation and AML standards cannot be applied to decentralized finance. It is argued that prevention of money laundering using decentralized finance should be carried out in close connection with the identification of risk indicators and the development of effective control measures at the points of entry of criminal incomes to centralized exchanges.Practical significance: the analysis of typical mechanisms of money laundering using DeFi allows a systematic approach to the organization of early crime prevention and can potentially become the basis to develop recommendations for financial intelligence and monitoring services.
Stereotactic Radiation therapy in early and locally advanced inoperable renal cell carcinoma: treatment outcomes, patterns of failure and risk factors
Authors: Pareek Vibhay , Zhang Shen , Ong Aldrich T 
Published: December 2023

Abstract

Introduction: Renal cell carcinomas are the most common kidney neoplasms and though they are radioresistant, ablative radiation therapy has shown a good response rate in terms of tumor eradication and a high local control rate in both primary and metastatic stages. Apart from the various other interventions available, stereotactic body radiation therapy has shown significant progress in the management of both early and metastatic renal cell cancers. There is a plethora of literature, especially in terms of retrospective studies focusing on the clinical outcomes of the use of stereotactic body radiation therapy. In the systematic review, we aim to report the clinical outcomes and identify any high-risk factors for recurrences posttreatment in both early and metastatic renal cell cancer. Methodology: We aim to perform a systematic review and meta-analysis of the available data in the last 10 years and hematological regress in and transparent manner to identify patterns of failure and high-risk factors for recurrence. The protocol has been prepared following the preferred reporting items for systematic reviews and meta-analysis (PRISMA–P) 2015 guidelines and the protocol has been registered with the international prospective registry of systematic reviews (CRD42022380543).
Expeditious detection and segmentation of bone mass variation in DEXA images using the hybrid GLCM-AlexNet approach
Authors: Amiya Gautam , Murugan Pallikonda Rajasekaran , Ramaraj Kottaimalai , Govindaraj Vishnuvarthanan , Vasudevan Muneeswaran , M Thirumurugan , Zhang Yu-Dong , S Sheik Abdullah , Thiyagarajan Arunprasath 
Published: December 2023

Abstract

Osteoporosis (OP) is an osteometabolic disorder characterized by a lesser bone mineral density (BMD) and the disruption of bone tissue micro - architecture, resulting in a greater bone fragility and higher likelihoods of fractures. OP emerges once the bone mass declines faster than the body's capacity to replenish it, leading to a significant reduction in the strength of bone. OP impacts each and every bone throughout the body and provides no clinical signs until a fracture happens. Aging leads to the reduction in BMD, and the rate of percentage of fractures rises over time, usually causing mortality and morbidity. Numerous BMD evaluation methods are available, and they are used in a variety of settings by considering the location of the fracture. Dual-energy x-ray absorptiometry (DEXA/DXA) is recognized as the gold standard for predicting the fracture, since it is the most advanced, technologically affirmed, and also has excellent performance. According to the findings, most researchers do not endeavour the identification and the segmentation of low bone masses from DEXA images. Medical image segmentation supports in analyzing and visualizing the bone's low bone mass. The envisaged hybrid approach, that integrates GLCM for feature extraction and AlexNet for a low bone mass variation classification, provides segmented images that assist in categorizing bone health as normal, osteopenia, or osteoporosis. The developed algorithm's performance metrics, including Dice Co-efficient, Sensitivity, and Specificity, were 92.35%, 90.26%, and 92.42%, respectively. The Orthopedicians ascertained the efficacy of the outcomes rendered by the proposed algorithm.