bluuebunny/crossref_metadata_2025_split huggingface dataset:
Full Laparoscopic Vascular Reconstruction for Portal Tumoral Invasion During a Right Hepatectomy Using the Caudal Approach
Authors: Rotellar Fernando , Luján Juan , Almeida Ana , Benito Alberto , Hidalgo Francisco , López-Olaondo Luis , Martí-Cruchaga Pablo , Zozaya Gabriel 
Published: June 2022

Abstract
Background
Laparoscopic liver surgery has progressively evolved. Consequently, liver procedures are increasingly performed laparoscopically, particularly in experienced centers. However, vascular resection and reconstruction still are considered a limitation for laparoscopy1 due to the risk of bleeding and the technical difficulty.

Methods
A 72-year-old woman with a history of colorectal cancer had a 10 cm metastasis diagnosed in the right hemiliver with tumoral invasion of the right portal branch and tumor thrombus advancing to the portal confluence. After adjuvant chemotherapy and with stable disease, surgical resection was planned.2,3 Tips to avoid portal stenosis were carefully followed.

Results
The operation was performed with a fully laparoscopic procedure. To minimize manipulation, an in situ right hepatectomy was performed.4 The right hepatic artery was dissected and ligated. The liver transection was guided with a caudal approach of the middle hepatic vein.5 The right biliary duct was then divided, achieving an excellent exposure of the portal bifurcation. The main and left portal trunks were occluded with vascular clamps, and the right portal vein was sharply divided with scissors. The stump was sutured to minimize backflow bleeding and to cover the tumor thrombus. Then, the portal opening was transversally sutured with a 5/0 running suture. The clamps were released, and the authors observed no bleeding and an adequate caliber with no stenosis. The procedure was completed in the standard fashion. The postoperative course was uneventful, and the woman was discharged on postoperative day 3. No early or late complications were observed.6

Conclusions
In selected cases, patients who require vascular resection and reconstruction during hepatectomies can benefit from the advantages of a laparoscopic approach.
Pathogenetic and diagnostic role of osteoprotegerin in the combined course of osteoarthritis and obesity
Authors: Litvynova A. , Pasiieshvili L. 
Published: June 2022

In recent years, it has been proven that the formation of OA can occur against the background of impaired bone metabolism.
Bone remodeling is considered as a continuous complex process aimed at eliminating microdamages and updating the bone matrix. A key link in the regulation of this process is the system RANK / RANKL / OPG (osteoprotegerin), which provides a balance of activity of osteoblasts and osteoclasts. It blocks the interaction between RANK and RANKL by intercepting the RANKL ligand, which inhibits osteoclast development and reduces bone resorption.
Thus, these properties of OPG can be considered as one of the pathogenetic factors in patients with dystrophic joint lesions.
Objective: to investigate the content and role of osteoprotegerin in young patients with osteoarthritis, which occurs against the background of changes in body weight.
Materials and methods. The study involved 75 young patients (mean age - 30.92 ± 0.546 years) with overweight or obesity, who in the previous stages of the study was diagnosed with osteoarthritis (main group). The comparison group was represented by 50 patients with osteoarthritis and normal body weight. The age of patients was 30.95 ± 0.545 years; as in the previous group, men predominated - 64% and 36% respectively.
Benchmarks of osteoprotegerin were obtained in a study of 37 relatively healthy individuals of the same age and sex.
The level of osteoprotegerin was determined by enzyme-linked immunosorbent assay using the FineTest EH0247 reagent kit, China.
The outcomes were processed by the methods of variation statistics using the computer program STATISTICA.Results and discussion. When determining the content of OPG in the serum of patients of the main group was found to increase to 124.03 pg / ml, against control - 65.64 pg / ml. In the group of patients with isolated OA, this value was 92.29 pg / ml. Meaning that, in OA, running on the background of altered BMI, the content of OPG is likely to increase, both in relation to the norm and the results of the comparison group (p <0,001).
The formation and course of osteoarthritis is accompanied by an increase in osteoprotegerin, the content of which depends on the degree of obesity and the radiological stage of the process.
Conclusions: The course of osteoarthritis is accompanied by an increase in osteoprotegerin, which is considered a negative regulator of bone resorption.
In osteoarthritis, which occurs against the background of changes in body mass index, a direct correlation with the degree of obesity.
Changes in osteoprotegerin in patients with osteoarthritis depend on the radiological stage of joint damage and are most pronounced in individuals with stage 2 obesity and stage 2 radiological changes
Effect of an antidisbiotic agent on the biosynthesis of fatty acids of liver lipids of rats which received palm oil on the background of dysbiosis
Authors: Levitsky A. , Markov A. , Velichko V. , Selivanskaya I. , Lapinskaya A. 
Published: June 2022

Background. To determine the effect of antidysbiotic agent on the biosynthesis of fatty acids of lipids in the liver of rats fed a high-fat diet (HFD) with palm oil against the background of dysbiosis.
Methods. The HFD contained 15% palm oil. In a biological experiment, white rats were used, divided into 4 groups: the 1st group received a fat-free diet (FFD), the 2nd, 3rd, and 4th received HFD. In rats of the 3rd and 4th groups, dysbiosis was reproduced using lincomycin. Rats of the 4th group from the first day of the experiment received an antidysbiotic agent (inulin + quercetin, ADA) with food. The duration of feeding is 39 days. Liver lipids were divided into 3 fractions: neutral lipids (NL), phospholipids (PL), and free fatty acids (FFA). The fatty acid composition of the fractions was determined by gas chromatography. The “activities” of fatty acid synthase, palmitic acid elongase, and stearyl-CoA- desaturase (SCD18 and SCD16) were determined.
Results. The presence of all classes of fatty acids (FA) in the liver lipids of rats treated with FFD was established. Consumption of HFD with palm oil increased the content of NL in the liver by 6 times (gr. 2), and in group 3 by 8 times. The introduction of ADA reduces the content of NL almost to the level of the 1st group. The content of ω-3 polyunsaturated fatty acids (PUFA) decreases in the PL fraction in rats of the 3rd group and is restored in rats of the 4th group. In rats treated with HFD, the "activity" of synthase, SCD18 and very strongly SCD16 are reduced.
Conclusion: The negative effect of palm oil on the background of dysbiosis on the biosynthesis of fatty acids in the liver, leading to hepatic steatosis and deficiency of ω-3 PUFA, can be prevented by the use of an antidysbiotic agent.
Structural functional parameters of the heart in patients with acute myocardial infarction with ST-segment elevation in the presence of pulmonary hypertension
Authors: Zemlianiy Yaroslav , Syvolap Victor 
Published: June 2022

Introduction: Acute Myocardial Infarction with ST-Segment Elevation (STEMI) is one of the major causes of morbidity and mortality all over the world. Pulmonary hypertension (LH) occurs in various clinical conditions, including diseases of the left half of the heart.
Objective: To evaluate the structural and functional features of the heart in ST-elevated myocardial infarction (STEMI) of the left ventricular wall (LV) in the presence of pulmonary hypertension (PH).
Materials and Methods: The study involved 87 patients (48 men and 37 women) with STEMI who were treated in intensive care and emergency cardiology department of the "City hospital and emergency ambulance" Zaporizhia city council. Patients were divided into two groups: 51 patients with STEMI in the presence of PH (mean age 69,30 ± 2,34 years), 36 patients with STEMI without PH (mean age 65,20 ± 2,02 years).
Results: Evaluation of the structural and functional features of LV showed that in patients with STEMI with PH compared to patients with STEMI without PH there was a significant decrease in EF (by 25.6%; p <0.05), increase in MMILV by 17.6%; p <0.05) and LVDs (by 13.3%; p <0.05). In patients with PH, the diameter of LA was 12.9% higher than in patients without PH (p <0.05).
In the study of LV diastolic function using pulsed Doppler revealed that in patients with STEMI with PH there is a significant acceleration of MVE (by 32,3%; p <0.05) and increasing in the ratio of MV E/A (by 63,4%, p <0,05) compared with patients without PH.
Conclusions: In patients with STEMI pulmonary hypertension develops against the background of dilatation of the left ventricles of the heart with the formation of eccentric hypertrophy and systolic LV dysfunction. In patients with STEMI and PH we found an overload of the right ventricles of the heart with increasing size of the right ventricle and right atrium.
Paramedic decision-making and the influence of bias: a case study
Authors: Tory David (Spud) , Darby Iain 
Published: June 2022

Background: Prehospital clinical decision-making is a complex, evolving skill. Typically, there are multiple possible diagnoses and several potential treatment pathways to be considered, and usually prehospital clinicians have to base their decisions on imperfect information. Biases will inevitably compete to influence clinicians as they attempt to weigh the probabilities of diagnoses, degrees of certainty and permissible risks in their decision-making process. With experience, as intuition and tacit knowledge develop, paramedics will depend less on explicit knowledge and algorithm-based decision-making tools. Paramedics must strive to strike the right balance between the intuitive and analytical aspects of clinical decision-making, while maintaining an awareness of the human factors that will influence them in this process if optimal clinical decisions and therefore patient outcomes are to be achieved. This case study illustrates complex decision-making in the prehospital setting, with a focus on the influence of bias.
L’educazione sportiva dell’élites nell’Italia liberale: il ruolo dell’Istituto nazionale per l’incremento dell’educazione fisica (1906-1923)
Authors: Elia Domenico Francesco Antonio 
Published: June 2022

The current research focuses on the development of urban elites in Italy at the beginning of the 20th century. Between 1906 and 1923 the National Institute for the Increase of Physical Education aimed at involving the leading groups of Italian cities in the promotion of physical activities by setting up local Committees. Thus, the goal of this study is to evaluate to what extent the Institute founded by jurist Luigi Lucchini contributed to integrate local élites with the system of sport and gymnastics values promoted at national level by State institutions such as school and army. The research extends to the topic of elites’ education the methodology outlined by Camurri (2009). The author argues that researchers should focus on all those processes that contributed to link central and local political institutions in order to point out bilateral influences existing between the 19th and 20th centuries. According to Camurri, a full understanding of Italian political and social history must analyse a variety of central-local relations. This article investigates the role of the National Institute for the Increase of Physical Education as it emerges from the correspondence between its central offices and local Committees and the magazine of the Institute. The letters analysed have been collected in local Archives, whereas the magazine was published between 1907 and 1912. As a provisional conclusion, the article provides evidence of how important further research on the education processes of Italian elites could be, as stated by Gaudio (2018, p. 9).
La investigación sobre la historia de la inspección de educación en España. Balance y perspectivas
Authors: Castán Esteban José Luis 
Published: June 2022

With this work on the history of the education inspection in Spain, we set two objectives. On the one hand, compile and evaluate the historiographical production made up to the present. On the other, to raise new topics and research perspectives for future education historians. Most of the historical works on inspection have been written in the last thirty years. Many dedicated to a specific period of history, especially in relation to the Second Republic or Franco, others with a geographical demarcation. But more extensive research has also been carried out, where it has been studied how the inspection has been affected by the changes made in your organization, or its role in the implementation of certain educational policies.
Representaciones de infancia en el Chile dictatorial (1973-1980): Articulaciones con la política neoliberal y la mercantilización de las instituciones de cuidado
Authors: Castillo Patricia , Gonzalez Alejandra , Cortes Roberto 
Published: June 2022

This article analyses representations of childhood in the Chilean press between the years 1973–1980. Both the newspapers «La Tercera» and «El Mercurio» displayed political, economic and symbolical precedents that fostered the application of a subsidiary policy in which the state itself created a market for child protection institutions. The proposition is that the representations of childhood in the public sphere at that time provided ideological support for the political process of remodelling this institutionalism of childhood, since it facilitated the construction of a new rhetoric of privatization of the responsibilities for children and justified its merchandization. Finally, we examine the way in which the distinction between childhood and youth concepts allowed Pinochet´s dictatorship to build an institutionalized structure in which there was ideological control of children and families through scholarly institutions, and of disadvantaged minors through the creation of publicly financed private residential and child protection institutions.
Trayectorias educativas en el Área Metropolitana de Buenos Aires: desigualdades de clase y territoriales
Authors: Boniolo Paula , Estévez Leston Bárbara , Carrascosa Joaquín 
Published: June 2022

El presente estudio analiza el desarrollo de las trayectorias educativas de los habitantes del Área Metropolitana de Buenos Aires en 2016. Específicamente, analizamos las particularidades que las trayectorias educativas entre los seis y treinta años tienen según la posición de clase de origen y el tipo de territorio habitado en la infancia o adolescencia. A su vez se realizó un análisis georreferenciado de la distribución poblacional según credenciales educativas en los distintos tipos de territorios, a través del uso del programa QGis. Los datos utilizados provienen de la «Encuesta: Reproducción y movilidad social en trayectorias familiares y cursos de vida (2015-2016)», PI-CLASES y datos provenientes del Censo Nacional de Personas, Hogares y Viviendas de 2010. Los hallazgos principales del estudio se centran en que los constreñimientos y limitaciones impuestas por la posición de clase de origen pueden verse reforzados o disminuidos según el nivel de desarrollo de cada territorio, imponiendo mayores obstáculos a quienes habitan territorios deficientes. Nuestros hallazgos reafirman la hipótesis de que los territorios tienen efectos en la estructura social y en la desigualdad educativa, desarrollándose como una de las bases de la desigualdad en la sociedad, al funcionar como un mecanismo para mantener, reforzar o reproducirla.
Citraan dan Relasi Trikotomi Dalam Lirik Lagu Ryuusei no Kakeru 『流星のカケラ』Karya GReeeeN
Authors: Hastuti Nur , Prameswari Anggita 
Published: June 2022

Abstract Music is something that is universal and does not know the class of society, anyone can appreciate music even though he is not educated in the field of music. Music is used by many people as a medium to express themselves (can be in the form of ideas or values that they believe in), as well as entertainment because it contains lyrics that match the emotions that are being felt by someone, such as happy, sad, angry, nervous. , fear, jealousy, enthusiasm, ect. The objectives of this research are describing the imagery depicted in the lyrics and explaining the trichotomy relation contained in the lyrics of the song Ryuusei no Kakera by GReeeeN. Based on the results of research and discussion on the lyrics of the song Ryuusei no Kakera by GReeeeN are in the song Ryuusei no Kakera there are several types of imagery, namely 3 visual images, 1 tactile images, and 2 sensation images, consisting of feelings of love and peace.The trilogy relationships in this song are icons, indexes, and symbols. The icon in this song is monogatari or story. Then, there are two indexes found in this song. Meanwhile, the symbol used in this song is the ryuusei no kakera or meteor fragment. Keywords: GreeeeN, imagery , icons, indexes, song lyrics, symbols
Climate Justice and the Duty of Restitution
Authors: Truccone-Borgogno Santiago 
Published: June 2022

AbstractMuch of the climate justice discussion revolves around how the remaining carbon budget should be globally allocated. Some authors defend the unjust enrichment interpretation of the beneficiary pays principle (BPP). According to this principle, those states unjustly enriched from historical emissions should pay. I argue that if the BPP is to be constructed along the lines of the unjust enrichment doctrine, countervailing reasons that might be able to block the existence of a duty of restitution should be assessed. One might think that the duty to provide restitution no longer has moral weight if many benefits were already consumed, if the particular benefits obtained from historical emissions cannot be transferred from one country to another, or if present members of developed countries framed their life plans based upon the expectation of continued possession of those benefits. I show that none of these reasons negate the duty to provide restitution.
НАСЛІДКИ ПОВНОМАСШТАБНОЇ ВОЄННОЇ АГРЕСІЇ РФ ДЛЯ УКРАЇНСЬКОЇ ПРОМИСЛОВОСТІ
Authors: ДЕЙНЕКО Людмила , КУШНІРЕНКО Оксана , ЦИПЛІЦЬКА Олена , ГАХОВИЧ Наталія 
Published: June 2022

Розглянуто висновки міжнародних організацій, консалтингових агентств, науково-дослідних центрів, вітчизняних і зарубіжних учених щодо впливу війни на економічний розвиток України. Оцінено масштаби руйнувань і втрати промислового сектору внаслідок російської воєнної агресії з огляду на його критично важливу роль у забезпеченні обороноздатності України, відновлення та зростання її економіки.
Авторський підхід до оцінювання наслідків російської воєнної агресії для української промисловості, на відміну від існуючих напрацювань, ураховує галузеві та регіональні аспекти трансформацій і пропонує засади для обґрунтування векторів повоєнного відновлення економіки України з метою зниження ризиків ураження промислових об’єктів і забезпечення цілісності та функціональності вітчизняного промислового комплексу в умовах тривалих воєнних загроз.
Показано, що в більшості регіонів країни застаріла промислова структура підвищила рівень безпекових загроз для української економіки в умовах війни нового покоління: гібридної, безконтактної, далекобійної, спрямованої на осередкові ураження промислових та інфраструктурних об’єктів. Повоєнне відновлення промисловості має відбуватися на засадах територіально-галузевої диверсифікації, інноваційному розвитку ВПК і забезпеченні його наукової основи, формуванні нової системи логістики міжнародної торгівлі.
Економічні перспективи відновлення України характеризуються невизначеністю, і на них багато в чому впливатиме подальший перебіг воєнного конфлікту, що триває. Водночас успіх країни у воєнному протистоянні визначається не тільки військовою та фінансовою допомогою, а значною мірою і стійкістю економічного фундаменту економіки – її промислового сектору. Отже, забезпечення нормального функціонування промисловості вимагає як невідкладних дій з відновлення виробничих процесів шляхом релокації з небезпечних зон, налагодження нових логістичних ланцюгів тощо, так і формування стратегічних цілей відбудови і визначення галузевих векторів відновлення.
НОВІТНІ ФОРМАТИ ОРГАНІЗАЦІЇ ТРУДОВОЇ ДІЯЛЬНОСТІ: ПРИРОДА, ВИКЛИКИ, ТРАЄКТОРІЇ РОЗВИТКУ
Authors: КОЛОТ Анатолій , ГЕРАСИМЕНКО Оксана 
Published: June 2022

Наведено наукову аргументацію авторської ментальної моделі трансформацій трудової діяльності як компоненти нової суспільної (не)нормальності, що постає симбіозом трьох «великих вибухів» – інформаційно-цифрових трансформацій, санітарно-епідеміологічних обмежень, воєнної агресії. Викладено авторське бачення щодо походження, характеру і природи «великих вибухів», сфокусовано увагу на їх наслідках для соціально-трудового розвитку.
Розкрито змістові характеристики атомізації простору, яка виникає в умовах хиткості, тривожності, непередбачуваності життєдіяльності економічно активної людини в період воєнного стану. Наголошено, що новим викликом соціально-трудового буття стала вимушена потреба в безпеці робочого місця, організованого у власному помешканні, та зміні локації в пошуках прихистку від воєнної агресії.
На підставі результатів опитування, які засвідчують збереження активної життєвої позиції серед українців в умовах війни, зроблено висновок, що наявність за воєнного стану зайнятості – дистанційної чи стандартної – впливає на впевненість у власних силах під час подолання життєвих труднощів. Узагальнено прояви атомізації (стиснення) життєвого простору економічно активної людини в період воєнного стану, акцентовано на прекаризації часу, відведеного на відпочинок.
Розглянуто проблему доходів; констатовано, що наявність доходу не тільки дозволяє задовольнити базові потреби людини, а й вселяє відчуття безпеки й знижує тривожність і занепокоєння перед невизначеністю в майбутньому.
Охарактеризовано моделі поведінки суб’єктів соціально-трудових відносин щодо перспектив і привабливості віддаленої роботи. Доведено залежність атомізації життєвого простору економічно активних людей та дифузії діяльності від масштабів віддаленої роботи, яка набула нових формату і проявів за воєнного часу, на тлі масштабних та інтенсивних міграційних потоків. Висловлено гіпотезу, що новітні траєкторії розвитку форматів організації трудової діяльності вибудовуватимуться за альтернативними варіантами гібридних моделей зайнятості з домінуванням традиційних робочих місць у приміщеннях роботодавців із застосуванням технологічних рішень «Індустрії 4.0» і пріоритетом людського ресурсу.