bluuebunny/crossref_metadata_2025_split huggingface dataset:
Philip Roth, Mikhail Bakhtin, and the Dialogic Didactic
Authors: Ferraro Antonio J. 
Published: June 2023

ABSTRACTThis article uses Philip Roth’s final novel Nemesis to explore and challenge long-held assumptions about the incommensurability of the Bakhtinian concept of the “dialogic” and didactic storytelling. Many critics have traditionally dismissed didacticism as an unproductive “monologic” or “univocal” discourse in which one voice—the author’s—is dominant. In this dismissal, critics contend that didacticism silences all other perspectives and restricts interpretive possibilities to craft a single moral truth. But this dismissal fails to account for the complexity and ambiguity of Bakhtin’s idea of dialogism and for works like Roth’s, in which the ultimate moral commitments in fact arise out of, rather in spite of, layered dialogic exchanges. Roth’s narrative of a polio outbreak in 1940s New Jersey therefore not only functions effectively on its own terms but also opens up new possibilities for understanding didacticism and the unexplored formal variety of dialogism.
Trauma, Mind Style, and Unreliable Narration in Toni Morrison’sHome
Authors: Whitt Richard J. 
Published: June 2023

ABSTRACTThis article provides a twofold reading of Toni Morrison’s novel Home. In the first instance, the stylistic representation of post-traumatic stress disorder (PTSD) is explored in relation to Frank’s mind style; this is done through a focused examination on passages related to Frank’s misremembered murder of a girl during his time as a soldier in the Korean War. Frank’s guilt and faulty memories, and his lingering experience of PTSD, lead to the issue of narrative unreliability. This article shows how not just Frank himself but also the unspecified third-person narrator is just as unreliable as Frank, if not more so. The seemingly contentious relationship between Frank and the other narrator ultimately leads to Frank’s realization about his hand in the murder of the Korean girl, and hence to a coming to terms with and recovery from war-induced PTSD.
Representational Intelligibility and the Confines of Framing the Self: Carmen Maria Machado’sIn the Dream House
Authors: Wiese Annjeanette 
Published: June 2023

ABSTRACTCarmen Maria Machado’s experimental memoir In the Dream House—a haunting account of domestic abuse between partners who share a gender identity—lays out in both explicit and nontraditional ways the problems faced when representing aspects of experience that are deemed culturally unintelligible. Telling her story in this way opens her narrative up to an understanding that could not be had without the fragmentation of form that constitutes both a rejection of and dependence on conventional representations. This article will analyze Machado’s engagement with the specifically narrative and representational obstacles she faces. Ultimately, this article argues that her story gains its power by speaking to the larger issues of violence outside of stereotypically “accepted” cultural narratives, but also that it is only by refracting her story through these framings that she is able to make her narrative of self cohere out the jumble of forces at play.
ASSOCIATION NONALCOHOLIC FATTY LIVER DISEASE AND RISK OF HYPERTENSION : A SYSTEMATIC REVIEW
Authors: Persson Jeffry Erick 
Published: June 2023

Background: Nonalcoholic fatty liver disease (NAFLD) is a common liver disease characterized by fat accumulation in liver cells. It is linked to obesity and insulin resistance. NAFLD increases the risk of cardiovascular complications and liver-related problems, while its association with hypertension is not yet clear. Aim: to investigate the potential link between NAFLD and hypertension
Methods: This qualitative systematic review conducted a comprehensive search on Ovid-MEDLINE up until March 2021 to identify longitudinal observational studies examining the relationship between nonalcoholic fatty liver disease and the development of hypertension, following the guidelines of PRISMA. The study selection included longitudinal studies with a minimum one-year follow-up.
Results: Out of the initial 1108 articles, a final analysis of 11 observational cohort studies was conducted after excluding studies based on predetermined criteria, resulting in a total sample size of 390,348 individuals with an average follow-up period of 5.7 years. These studies, conducted in various regions, examined the relationship between NAFLD and incident hypertension using consistent diagnostic methods.
Conclusion: NAFLD is linked to a higher risk of hypertension, emphasizing the importance of monitoring and further investigating the impact of NAFLD severity on hypertension.
Diagenetic History and Timing of Cu and Zn-Pb Sulfide Mineralization in the Permian Kupferschiefer System, Saale Subbasin, Eastern Germany
Authors: Mohammedyasin Mohammed S. , Magnall Joseph M. , Gleeson Sarah A. , Schulz Hans-Martin , Schleicher Anja M. , Stammeier Jessica A. , Ehling Bodo-Carlo 
Published: June 2023

Abstract
The Southern Permian basin in central Europe contains a number of important high-grade sediment-hosted Cu deposits. Laterally extensive stratabound Cu and Zn-Pb sulfide mineralized rocks are located at a major stratigraphic redox boundary, where coarse-grained continental sandstones of the uppermost Rotliegend Group are overlain by carbonaceous mudstones (T1) and limestones (Ca1) of the Zechstein Formation. This study investigates the diagenetic evolution and style of sulfide mineralization in three drill cores that intersect Cu and Zn-Pb sulfide mineralized rocks at three locations (Sangerhausen, Allstedt, and Wallendorf) in the Saale subbasin (Eastern Germany), which is located at the southern margin of the Southern Permian basin. We combine macro- to microscale petrographic data (binocular, transmitted and reflected light, and scanning electron microscopy) with quantitative X-ray diffractometry and bulk-rock geochemical analyses. Petrographic results show extensive, primary-porosity-occluding, early diagenetic calcite cementation that predates both the diagenetic alteration of detrital clasts and sulfide mineralization. The highest-grade Cu and Zn-Pb sulfides (bornite, sphalerite, and galena) replace the calcite cement, with subordinate replacement of dolomite and detrital clasts. Quantitative mineralogical and geochemical data demonstrate that the highest base metal (Cu, Zn, and Pb) concentrations are associated with carbonate-rich samples, mostly as disseminated mineralization in the middle T1. Bulk-rock geochemical results show enrichment and covariation of redox-sensitive trace elements (RSTEs, e.g., Mo) with total organic carbon content toward the lower T1, consistent with highly reducing depositional conditions. Overall, the distribution and dissolution of calcite cement across this stratigraphic redox boundary provided the main control on the lateral migration of base metal-bearing fluids and high-grade Cu and Zn-Pb sulfide mineralization in the Saale subbasin.
On the possibility of simplifying the conditions and procedural order of the inquiry in an abbreviated form
Authors: Солодовник В.В. 
Published: June 2023

В статье рассматриваются условия и процессуальный порядок производства дознания в сокращенной форме (далее – ДСФ), отмечаются как положительные, так и отрицательные моменты применения данной упрощенной формы производства по уголовному делу. Автором рассматривается возможность дальнейшего упрощения данной процедуры вплоть до возможности введения протокольной формы. Вносятся предложения по разъяснению потерпевшему его права согласиться с проведением расследования по делу в форме сокращенного дознания на первом допросе, что должно быть оформлено в форме ходатайства последнего. Обращается внимание на своевременность и качество проведения доследственной проверки по делам рассматриваемой категории. Автором выявлен ряд нарушений и злоупотреблений, которые могут быть допущены при производстве ДСФ и последующем движении уголовного дела, в том числе и случаи расширительного толкования правоприменителями перечня условий ДСФ. Весьма позитивной представляется предоставленная дознавателю возможность получать доказательства до возбуждения уголовного дела, что значительно сокращает срок производства ДСФ и максимально приближает его окончание к решению о возбуждении уголовного дела.
The article discusses the conditions and procedural order for conducting an inquiry in an abbreviated form, both positive and negative aspects of the application of this simplified form of criminal proceedings are noted. The author considers the possibility of further simplification of this procedure up to the possibility of introducing a protocol form. Proposals are made to explain to the victim his right to agree to the investigation of the case in the form of a shortened inquiry at the first interrogation, which should be formalized in the form of a petition. Attention is drawn to the timeliness and quality of the work of the pre-investigation check in cases of the category under consideration. The author has identified a number of violations and abuses that may be committed during the production of the inquiry in an abbreviated form and the subsequent movement of the criminal case, including cases of extensive interpretation by law enforcement officers of the list of conditions of the inquiry in an abbreviated form. The opportunity provided to the inquirer to obtain evidence before the initiation of a criminal case is very positive, which significantly reduces the duration of the inquiry in an abbreviated form and brings him as close as possible to the decision to initiate a criminal case.
The right to submit draft municipal legal acts to the representative body of the municipality
Authors: Бычкова Е.И. 
Published: June 2023

В статье анализируется право внесения проектов муниципальных правовых актов в представительный орган муниципального образования. В статье определяются основные стадии муниципального правотворческого процесса. Анализируются уставы муниципальных образований и регламенты представительных органов. Приводятся основания для классификации муниципального правотворчества. Поясняется значение такой стадии правотворчества, как правотворческая инициатива. Перечень субъектов права правотворческой инициативы в муниципальных образованиях отличается несущественно, однако представляется, что данный перечень должен стать универсальным, с целью равного доступа граждан к осуществлению местного самоуправления. К тому же анализ уставов муниципальных образований и регламентов деятельности представительных органов различных муниципальных образований показал, что перечень субъектов правотворческой инициативы в них отличается и требует унификации, чтобы субъекты инициативы совпадали в данных нормативных актах. Существенным упущением законодателя является, при условии ликвидации такой формы народовластия, как правотворческая инициатива граждан, отсутствие в перечне субъектов правотворческой инициативы населения муниципального образования. Полагаем, что в обязательном порядке следует закрепить население в качестве субъекта правотворческой инициативы в проекте нового закона о местном самоуправлении.
The article analyzes the right to submit draft municipal legal acts to the representative body of the municipality. The article defines the main stages of the municipal law-making process. The articles of association of municipalities and regulations of representative bodies are analyzed. The reasons for the classification of municipal law-making are given. The significance of such a stage of law-making as a law-making initiative is explained. The list of subjects of law-making initiative in municipalities differs insignificantly; however, it seems that this list should become universal, with the aim of equal access of citizens to the implementation of local self-government. In addition, the analysis of the charters of municipalities and the regulations of the representative bodies of various municipalities showed that the list of subjects of the law-making initiative in them is different and requires unification so that the subjects of the initiative coincide in these regulations. A significant omission of the legislator is, subject to the elimination of such a form of democracy as the law-making initiative of citizens, the absence in the list of subjects of the law-making initiative of the population of the municipality. We believe that it is imperative to consolidate the population as a subject of law-making initiative in the draft of the new law on local self-government.
Comparative historical and legal analysis of legislation in the field of activities of the armed forces and in building the defense of the Republic of Armenia
Authors: Кахкцян А.С. 
Published: June 2023

В статье проведен сравнительный историко-правовой анализ древнейшего правового памятника – «Военного закона» Нерсеса Ламбронаци (1196 год) для армии Киликийской Армении и современного законодательства Республики Армении. Сделан обоснованный вывод о том, что определению направления новых реформ военного права со стороны государственной власти в Вооруженных силах Республики Армении будет способствовать обобщение результатов их боевого применения в различных зонах боевых действий, глубокое знание исторических основ военно-уголовного и военного права, а также разработка теоретических основ строительства вооруженных сил, что окажет существенную помощь специалистам в этой области для правильного применения и объективной оценки практики применения действующих нормативно-правовых актов в построении обороны государства. Результаты проведенного исследования вносят существенный вклад в развитие военной науки, а также могут быть использованы для эффективного решения современных задач по обеспечению военной и национальной безопасности государства.
The article presents a comparative historical and legal analysis of the oldest legal monument – the “Military Law” of Nerses Lambronatsi (1196) for the army of Cilician Armenia and the modern legislation of the Republic of Armenia. The reasoned conclusion is made that the generalization of the results of the combat use of the armed forces in various combat zones, deep knowledge of the historical foundations of military criminal and military law, as well as the development of theoretical foundations of the construction of the armed forces will contribute to determining the direction of new reforms of military law by the state authorities in the Armed Forces of the Republic of Armenia. This will assist specialists in this field for the correct application and objective assessment of the practice of applying existing regulatory legal acts in building the defense of the state. The results of the conducted research make a significant contribution to the development of military science, and can also be used to effectively solve modern problems of ensuring the military and national security of the state.
A PERCEPÇÃO DE INOVAÇÃO EM UM PROCESSO DE REESTRUTURAÇÃO PRODUTIVA: O CASO DO MUNICÍPIO DE TOLEDO-PR, BRASIL
Authors: Alves Lucir Reinaldo , Marques da Costa Eduarda Pires Valente da Silva 
Published: June 2023

O objetivo deste artigo é analisar a mudança da estrutura produtiva e a percepção sobre o conceito de inovações do setor empresarial do municí­pio de Toledo-PR. Este municí­pio apresentou expressiva reestruturação produtiva a partir de 2000. Utilizou-se de um conjunto amplo de dados secundários e primários para caracterizar a estrutura produtiva e populacional, o perfil de especialização do emprego e as variáveis que podem explicar a reestruturação produtiva, o desenvolvimento e a percepção sobre as inovações. Concluiu-se que existe um processo de reestruturação produtiva ainda em fase de desenvolvimento. Um paralelo com a revisão teórica mostrou que o municí­pio precisa criar infraestruturas de C&T&I e promover a integração produtiva territorial. Em Toledo, a preocupação de impulsionar os componentes clássicos de desenvolvimento (a industrialização e seus efeitos de encadeamentos e exportação e a criação de infraestruturas logí­sticas) ainda é muito forte, quando aÂ aposta deveria centrar-se na criação de um meio inovador, associado a um "learning produtivo" a partir das especializações existentes, enquadradas num processo de criação de inovação e tecnologias locais.
YOU ARE OKAY. EXPERIENCES OF PARTICIPANTS WITH THE &lsquo;YOU ARE OKAY&rsquo; PROGRAM
Authors: Riemersma Ivon , Santvoort Floor van , Doesum Karin T.M. van , Hosman Clemens M.H. , Janssens Jan M.A.M. , Zanden Rianne A.P. van der , Otten Roy 
Published: June 2023

Many children with mild intellectual disabilities who have parents with mental health concerns suffer from social-emotional problems. The ‘You are Okay’ program is the first to support these children and their parents. An effect study showed first promising results in decreasing children’s emotional and behavioural problems. The current study was conducted to evaluate the intervention qualitatively using experiences of the participants.
A combination of questionnaires administered to 28 children and fourteen parents and in-depth interviews with three children, two parents and eight professionals were used to evaluate the experiences of the participants.
Children, parents and professionals viewed ‘You are Okay,’ especially its psychoeducation, mutual recognition, and support, as valuable and useful. However, carefully matching children in support groups and screening for pre-conditions seems to be essential for successful participation. This study concluded that ‘You are Okay’ supports children with mild intellectual disabilities and their parents with mental health concerns. The findings are also in line with the results of the effect study of the program, which showed that ‘You are Okay’ supports children by decreasing their emotional and behavioural problems after participating in the program. Together these results strengthen the idea that this family-focused approach is helpful in children’s treatment.
TERAPI NUTRISI PADA KARSINOMA LIDAH DENGAN MALIGNANCY RESIDIF DAN SEVERE PROTEIN ENERGY MALNUTRITION
Authors: Paelongan Yosepina , Suryani As’ad  , Asrini Safitri  , Marniar  
Published: June 2023

Abstrak
Karsinoma lidah merupakan tumor ganas invasif yang berasal dari jaringan epitel yang dapat mengenai bagian oral lidah di rongga mulut atau pangkal lidah di orofaring serta cenderung untuk bermetastasis ke bagian tubuh lainnya 1 Tujuan utama terapi nutrisi pada penderita kanker adalah untuk mempertahankan atau meningkatkan status gizi sehingga dapat memperkecil terjadinya komplikasi, meningkatkan efektivitas terapi kanker (bedah, kemoterapi, radiasi), kualitas hidup dan survival penderita. Pria, 60 tahun dikonsul dengan diagnosis Tumor Lidah Malignancy Residif dan malnutrisi berat (Subjective Global Assesment Skor C). Pasien memiliki riwayat asupan yang kurang karena gangguan menelan akibat tumor lidah sejak 2 tahun lalu, serta karena kesulitan menelan makanan karena perdarahan dari ulkus yang terdapat di bawah lidah dan tembus ke bawah dagu pasien dalam 3 hari terakhir. Terapi nutrisi diberikan dengan target 1600 kkal secara bertahap melalui enteral dengan protein 1,2-1,4 gram/kgBB ideal/hari. Suplementasi yang diberikan adalah Zinc, Vitamin B kompleks, Vitamin C, Vitamin D, Vitamin A, Curcuma dan Kapsul ikan gabus . Pada akhir masa perawatan terdapat perbaikan metabolik seperti anemia, deplesi sistem imun, albumin dan peningkatan kapasitas fungsional. Terapi nutrisi pada kanker lidah dengan pemenuhan makronutrien dan mikronutrien yang memadai dan imunonutrisi sangat penting untuk meningkatkan status gizi dan perbaikan sistem imun.
EFEKTIVITAS SUPLEMENTASI VITAMIN K TERHADAP KONTROL GLIKEMIK PADA PASIEN DIABETES MELITUS TIPE 2: EVIDENCE BASED CASE REPORT
Authors: Hanifa Rizka , Nurul Ratna Mutu Manikam  
Published: June 2023

Latar belakang: Terdapat beberapa bukti penelitian prospektif observasional dan uji klinis yang menunjukkan penurunan risiko diabetes melitus (DM) dengan suplementasi vitamin K melalui perannya terhadap respon insulin, efek insulinotropik, dan modulasi vitamin K-dependent protein.
Tujuan penelitian: Studi ini bertujuan untuk menelaah secara kritis mengenai efek suplementasi vitamin K terhadap kontrol glikemik pada pasien DM tipe 2.
Metode: Pencarian literatur dilakukan pada 3 database yaitu PubMed, Cochrane dan Scopus. Literatur yang sesuai dengan
PICO kemudian diseleksi berdasarkan kriteria eligibilitas dan dilakukan telaah kritis.
Hasil: Terpilih 2 artikel dengan studi randomized controlled trial (RCT). Kedua artikel tersebut menunjukkan pengaruh yang signifikan setelah pemberian suplemen vitamin K terhadap status glikemik pada pasien DM tipe 2. Artikel pertama menunjukkan dengan pemberian kapsul MK-7 sebesar 200 μg/hari selama 12 minggu, nilai glukosa darah puasa (GDP) (MD=24,37; 95% IK: 3,37-45,37; p: 0,02) dan HbA1c (MD=1,23; 95% IK: 0,21-2,26; p: 0,01) secara signifikan lebih rendah pada kelompok MK-7 dibandingkan plasebo. Artikel kedua juga menunjukkan dengan memberikan MK-7 180 μg dua kali sehari selama 12 minggu, kadar GDP (effect size (ES)=−0,68; p-adjusted=0,031) dan HbA1c (ES=−0,36; p-adjusted=0,004) pada kelompok Mk-7 secara signifikan lebih rendah dibandingkan dengan plasebo.
Kesimpulan: Kedua artikel menunjukkan hasil yang konsisten dalam menurunkan kadar GDP dan HbA1c. Studi dengan ruang lingkup terapi yang membahas topik ini masih terbatas, sehingga diperlukan studi selanjutnya untuk mengonfirmasi temuan ini dan untuk mendukung rekomendasi suplementasi vitamin K dalam regimen terapi pasien DM tipe 2.
Kata kunci: vitamin K, diabetes, kontrol glikemik, glukosa darah puasa, HbA1c
Obat-Obatan Herbal (Herbal Medecine) Untuk Peningkatan Imunitas Dalam Menghadapi Musim Pancaroba
Authors: Walid Muhammad , Endriyatno Nur Cholis , Susanti Nur , Astuti Marta Widhi , Trihawa Irena 
Published: June 2023

Latar Belakang: Pancaroba merupakan musim peralihan antara musim hujan ke musim kemarau atau kebalikanya. Disaat peralihan dua musim tersebut terjadi perbedaan tekanan udara sehingga berpengaruh terhadap daya imunitas tubuh dan dapat mengakibatkan beberapa penyakit. Salah satu cara untuk menjaga imunitas tubuh agar imunitas tetap stabil adalah dengan menggunakan herbal medicine. Imunomodulator dari herbal merupakan bahan alamiah yang berasal dari tumbuhan yang dapat digunakan untuk menaikkan atau mengembalikan keseimbangan sistem imun tubuh dengan cara memperbaiki fungsi sistem imun dengan mekanisme perangsangan pada sistem imun. Pada dasarnya masyarakat telah mengetahui beberapa tanaman dapat digunakan sebagai obat, namun belum banyak yang mengetahui tanaman tersebut dapat digunakan sebagai imunomodulator. Tujuan : Pengabdian kepada masyarakat ini dilakukan untuk memberikan edukasi tanaman obat-obatan sebagai imunomodulator pada masyarakat Desa Tanjung Kulon. Metode : Penyuluhan dilakukan dengan metode penyampaian materi dan diskusi secara langsung. Kesimpulan : Kegiatan pengabdian masyarakat mengenai herbal medicine yang dilakukan di Desa Tanjung Kulon berjalan lancar danmasyarakat dapat memahami dan tertarik dengan tanaman obat sebagai pengingkat imunitas tubuh atau imunomodulator.