bluuebunny/crossref_metadata_2025_split huggingface dataset:
Intraoperative transit time flow measurement in patients with diffuse coronary artery disease in the prevention of aortocoronary bypass graft occlusion
Authors: Akchurin R. S. , Shiryaev A. A. , Vasiliev V. P. , Galyautdinov D. M. , Zaikovsky V. Yu. , Mukimov Sh. D. 
Published: February 2022

Aim. To study the parameters of transit time flow measurement (TTFM) for coronary bypass grafts in patients with diffuse lesions with different diameter of target coronary arteries.Material and methods. The study included 150 patients with diffuse coronary artery disease. All patients underwent microscope-assisted coronary artery bypass grafting (CABG), during which the TTFM parameters were evaluated. Depending on the diameter of target coronary arteries, patients were divided into 3 groups: group 1 included grafts to arteries ≤1 mm (n=101), group 2 — 1-1,5 mm (n=138), group 3 — ≥1,5 mm (n=308). Comparative analysis of TTFM parameters was performed.Results. Mostly participants were male (76%); mean age was 62,9±7,6 years. During hospitalization, we recorded 1 death, 2 perioperative myocardial infarctions (1,3%) and 1 cerebrovascular accident (0,7%). TTFM analysis showed the worst hemodynamic parameters and a higher rate of suboptimal function in group 1; blood flow parameters were comparable in groups 2 and 3. The additional analysis in group 1 and combined groups 2 and 3 allows us to make an opinion about the negative impact of coronary artery diameter less than 1 mm on optimal blood flow through the grafts (odds ratio=2,1, 95% confidence interval, 1,2-3,8, p=0,011).Conclusion. Diffuse coronary atherosclerosis with a diameter of target coronary arteries less than 1 mm significantly increase the risk of suboptimal graft function that requires considering more aggressive secondary prevention. TTFM demonstrate high effectiveness of microscope-assisted CABG in target coronary artery diameter of 1-1,5 mm and higher.
Relationship of pharmacotherapy and the incidence of embolic complications of carotid reconstructive surgery
Authors: Osipova O. S. , Bugurov S. V. , Saaya Sh. B. , Cheban A. V. , Gostev A. A. , Rabtsun A. A. , Ignatenko P. V. , Karpenko A. A. 
Published: February 2022

Aim. To evaluate the relationship between lipid-lowering and antiplatelet therapy and the incidence of cerebral microembolism and related complications in open and endovascular revascularization of the carotid arteries (CA).Material and methods. This single-center study involved patients with internal CA stenosis. The patients were divided into 2 groups depending on the surgery type performed: carotid endarterectomy (CEA) — 163 patients; CA stenting (CAS) — 71 patients. All patients underwent intraoperative transcranial Doppler monitoring to register cerebral embolism during CAS and CE.Results. In CAS, microembolism episodes were observed in 66,2% vs 22,1% of patients in the CEA group (p=0,04), the largest number of which was recorded during catheterization of the internal CA and embolic filter installation (p=0,000). There were no significant differences between the groups in terms of the stroke incidence. In 8 patients in the CAS group and 1 patient in the CEA group, a transient ischemic attack was observed within 30 days after surgery (p=4x10-4 ). Intraoperative embolism was a predictor of a neurological event in the early postoperative period (odds ratio (OR), 33,08; 95% confidence interval (CI): 3,49-56,37 (p6 months before surgery reduces the likelihood of embolism by 4 times (OR 0,25; 95% CI: 0,11-0,58 (p=0,001), while lipid-lowering and antiplatelet therapy combination — by 12,5 times (OR, 0,08; 95% CI: 0,01-0,40 (p=0,001)).Conclusion. Preoperative antiplatelet and statin therapy reduces the likelihood of embolism during the CA revascularization procedure.
Primum Mobile of a Corrupt Oﬃcial: The Concept, Features of Development and Preventive Activities
Authors: Shamanskiy D. A. 
Published: February 2022

The paper examines the internal psychological characteristics of a corrupt official, his main driving force (motivation). The author highlights that the internal motivation of a person is manifested in his needs. Theimpossibility of satisfying basic needs and interests in a legal way pushes a person to choose a corrupt behavior model. The author names selfishness, self-interest and other personal interests as the main primum mobile of a corrupt official.The interest in the motivation of a particular type of crime in the criminological science is broad and boundless. This happens due to the fact that the criminal’s primum mobile is formed along with the criminal’s personality. At the same time, the formation of primum mobile largely depends not only on the internal characteristics of the individual, but also on external factors that affect him.According to the author, the circumstances influencing the formation of the primum mobile of a corrupt official should be eliminated through ideological and social education of the individual with the mandatory creation and application of a system of early censure of corrupt views and guidelines. The process of self-realization of the individual and satisfaction of basic needs and interests should exclude a corrupt behavior model.The author points to the obvious need to expand measures aimed at combating corruption. In order to implement effective measures that guarantee the anti-corruption security of the Russian Federation, it is necessary to minimize or exclude any possibility of acquiring benefits, satisfying the needs and interests of the individual through corrupt practices. The process of self-realization of the individual and satisfaction of basic needs and interests should become as accessible and transparent as possible, and it should exclude a corrupt behavior model.
Patentability of Solutions in the Field of Bioprint Technologies: A Comparative Law Aspect
Authors: Bogdanov D. E. 
Published: February 2022

The paper is devoted to the issues of advisability of introducing amendments to the civil legislation in connection with the development of additive technologies or the possibility of effective application of the existing rules of law to the regulation of «innovative» civil relations.Digitization of objects of the material world associated with the creation of their digital prototypes constitutes a revolutionary element of 3D printing technology. A three-dimensional digital model (CAD file) can be easily modified, distributed and embodied in the form of a physical object by printing it on a 3D printer. This gives rise to new risks of infringement of exclusive rights to objects of patent law. In a foreign doctrine, a discussion has started regarding the possibility of qualifying the creation and circulation of digital models of patented products (inventions) as a direct infringement or indirect infringement of exclusive rights.The paper concluded that Russian patent law was not ready for the challenge generated by the development of 3D printing technology, since it was not aware of the concept of indirect infringement of the exclusive right. In Russian law enforcement practice, the concept of direct patent infringement is interpreted in a restrictive manner.The question of admissibility of patenting technical solutions in the field of bioprinting has been studied. It is concluded that in Russian law there are no fundamental obstacles to patenting technical solutions in the field of bioprinting technologies. Russian legislation provides for the possibility of patenting «natural products», as well as methods and means of treatment, which distinguishes the Russian approach from the American or European one. If the risk of genetic instability of pluripotent cells is leveled, the technology for creating bioprinted human organs will comply with the requirements of civil law. In particular, it will meet the requirements for the compliance of patented technical solutions with the public interest, the principles of humanity and morality.
The 2016 Nine Mile Ranch Earthquakes: Hazard and Tectonic Implications of Orthogonal Conjugate Faulting in the Walker Lane
Authors: Hatch-Ibarra Rachel L. , Abercrombie Rachel E. , Ruhl Christine J. , Smith Kenneth D. , Hammond William C. , Pierce Ian K. 
Published: February 2022

ABSTRACTThe Nine Mile Ranch (NMR) sequence began with three Mw 5.4–5.6 earthquakes within one hour of each other in December 2016 in the remote area of Fletcher Valley, Nevada; only 4 min separated the first and second events. We analyze this complex earthquake sequence in the Walker Lane to determine the geometry and driving mechanism(s), and to improve understanding of deformation and seismic hazard in this region. Field reconnaissance found that these earthquakes caused significant damage to the Nine Mile ranch house but no surface rupture. We precisely relocate 6000+ earthquakes to reveal activated planar structures, unmapped at the surface, including two large, orthogonal, conjugate faults. Moment tensor solutions, focal mechanisms, and relocations show the two conjugate faults to be a vertical, northeast-trending left-lateral strike-slip fault, and a northwest-trending right-lateral strike-slip fault that dips ∼60° to the northeast. The three main events lie at the intersection of both the faults, but the locations and orientations are most consistent with the first (Mw 5.6) and third (Mw 5.5) events rupturing the left-lateral northeast-trending fault plane; the second event (Mw 5.4) ruptured the right-lateral northwest-trending fault plane. Calculated static stress changes support this interpretation. Smaller events and structures show predominantly strike-slip and normal faulting. We calculate the local interseismic strain rate tensor and coseismic displacements using Global Positioning System data to determine whether nearby volcanic centers played a role in causing the fault geometry. Our results, combined with the spatiotemporal development of the sequence and the moment tensor solutions, indicate that regional scale tectonic forces are the dominant driving factors of this sequence. The NMR sequence adds to the documented variety of spatiotemporal patterns and driving mechanisms of earthquake sequences and swarms within the Walker Lane, providing further information and constraints on seismic hazard in this active region.
Factors affecting data quality of health management information system at township level, Bago region, Myanmar
Authors: Hlaing Thein , Myint Zaw M. 
Published: February 2022

Background: Health information from Health management information system (HMIS) is the core essential operator for strengthening the health system. The effectiveness of the Myanmar health system is challenged by the poor-quality assurance of healthcare data. Methods: The aim of the quantitative study was to evaluate the township HMIS to assess the factors affecting the data quality assurance through three main aspects; organizational, technical, and behavioral. In this cross-sectional study, eight townships from four districts in Bago Region were randomly picked. Under these townships, from a random sample of 117 public health facilities altogether, 273 public health professionals (PHPs) were culled and 291 HMIS registers and 1270 HMIS monthly reports were reviewed. The researchers applied the PRISM tools developed for assessing district and facility HMIS. SPSS assisted the researchers in computing the frequencies and percentages, practicing cross-tabulation, and analyzing bivariate statistics using the Cox proportional hazards model.Results: Out of 281 PHPs invited, 273 were likely to participate in this study. The overall prevalence of the HMIS data quality was 30.4%. Poor data quality assurance was associated with the burden of workload (95%CI-1.16-2.91), poor management ability of the supervisors (95%CI-1.22-2.54), weak handover practice of the HMIS document (95%CI-1.65-2.22), and unavailability of HMIS resources (95%CI-1.12-2.45). The statistically significant relationships were found between low-quality data and some technical factors such as inexpertness for data analysis (95%CI-1.14-2.19), over-workload of paper-based HMIS (95%CI-1.21-2.44), differences between information systems (95%CI-1.22-2.81), and multiple reporting (95%CI-1.64-2.36). There were significant associations between the unacceptable data quality and the human factors such as lower scores of perceived confidences (95%CI-1.18-2.29), competence (95%CI-1.17-2.77), and promotion of the culture of information (95%CI-1.09-2.33).Conclusions: Current township HMIS data quality is unacceptable. It is necessary to strengthen several factors relating to organization, technology and behaviors of HMIS and to develop the effective township-level strategic plan for improving data quality.
Assessment of oral health status and treatment needs among TSRTC employees in Hyderabad City, Telangana, India
Authors: Patanapu Siva Kumar , Arelli Naresh , Veeraboina Nagarani , Reddy Kandadi Vasavi , Dantala Satya Narayana , Voruganti Sreenivas 
Published: February 2022

Background: The trend in all countries is industrialization; it leads to many occupational health problems and diseases among transport workers. The workers may be exposed to hazardous environment which affect the general as well as oral health because of the relative lesser importance given to it. The use of products related to tobacco and poor oral hygiene practices adds to the oral disease burden among this population.Methods: The study population consisted of 404 people, and oral health was examined using the World Health Organization (WHO) Oral Health Assessment form from 1997. Statistical Package for Social Sciences (SPSS) version 21.0 was used to analyze the data. The Chi-square test, t-test, and Analysis of Variance were used to compare study population proportions and mean scores (ANOVA). Results: The number of sextants influenced by CPI and LOA was found to be considerably larger (p=0.005) among guys who had completed high school education. Buccal mucosa showed ulcerations and leukoplakia from oral mucosal ulcers. Males aged 46-60 years old had significantly higher mean DMFT scores (3.31±4.44; 2.11±3.33 respectively) than females aged 46-60 years old (p=0.005). Overall, male workers aged 30-45 years old with a high school degree were shown to have a higher risk of acquiring oral health problems and requiring treatment.Conclusions: According to the findings, TSRTC personnel aged 30-45, males with a primary school education, had poor oral mucosal health and periodontal status. Workers with a high school education have a higher prevalence of dental caries and unmet dental care needs. As a result, there is an urgent need to focus on these high-risk groups.
Community based maternal health fund: a case study from women's group initiative in Awbare woreda of Somali region of Ethiopia
Authors: Olusola Oladeji , Bibilola Oladeji , Abdifatah Elmi Farah , Ayan Mahdi Elmi 
Published: February 2022

Access to maternal and new born health services in most poor countries has been impeded by financial barriers and there has been increased attention for the mobilization of local resources to improve access to services. This study described the establishment, management and utilization of community based maternal health fund by indigenous women’s groups in a rural area of Somali region. The community-based fund was initiated and established by the women’s group as a result of financial constraints faced by pregnant women in accessing health services in the study area. The fund relied exclusively on the group’s monthly contribution and contribution by other members of the communities. The program is unique with the contributors not being beneficiaries of the fund and the management and operation of the fund was at group’s discretion. 754 pregnant women have benefitted from the fund since it was established in 2016 (403 supported during referral to the hospital; 284 provided with transport fare and basic household commodities after delivery and 67 hosted at the maternal waiting homes and provided with food and transport fare).The study demonstrates how community members are able to mobilize local resources to develop community solutions to identified local problems through active participation and commitment. Scaling up such innovative community initiated and managed funds that do not depend on external funding or beneficiary contributions has great potential to improve access to services and improve maternal health outcomes.
Riscos ambientais associados à urbanização: análise temporal de ocupações desordenadas em uma encosta do município do Recife
Authors: Emidio da Silva Martha Lacerda , Vaz Lafayette Kalinny Patricia , Silva Thiago Augusto da , Santos Michele Joyce Pereira dos , Silva Luciana Cassia Lima da 
Published: February 2022

<p class="Normal1">O objetivo deste estudo é verificar a evolução das ocupações irregulares e o risco ambiental em uma área de encosta no município de Recife/PE. Foram realizados registros de imagens, vetorização e ortofotocartas do local, e, com o uso do programa Qgis, foi feita a análise do nível de risco com uma matriz de causa e consequência. Houve uma evolução da mancha urbana no local, com crescimento de 1.119% nos 42 anos que compõe o recorte da análise, uma redução de 68,54% na vegetação nativa, que pode provocar deslizamento de terras e uma variação do nível de base de 35 metros para 55 metros, apresentando um forte indício de deslizamentos passados. Diante do exposto, a necessidade de ações estruturais de redução de riscos para a localidade foi verificada.</p>
Influência da rigidez do solo e de parâmetros geométricos no desempenho mecânico de blocos sobre estacas
Authors: Leoni Vitor Lourensato , Sousa Mauro Alexandre Paula de , Christoforo André Luis 
Published: February 2022

<p class="Pargrafo1">Os sistemas de fundação profunda, muito utilizados para transmitir as cargas provenientes da superestrutura para o solo, são usualmente constituídos por estacas e por um bloco de coroamento, que solidariza e transmite os esforços dos pilares para as estacas. Este trabalho realizou uma análise de sensibilidade de parâmetros, com o objetivo de verificar qual a influência desses parâmetros nos recalques e tensões no topo e na base do bloco. A análise considerou dois blocos quadrados de quatro e nove estacas, nos quais foram avaliados os seguintes parâmetros: altura do bloco, tipo de solo, e quantidade e comprimento das estacas. Os resultados colhidos das simulações foram os deslocamentos no topo e na base dos blocos e das estacas, bem como as tensões normais que surgiram nesses elementos. Foram adotadas medidas de altura do bloco acima e abaixo do critério de bloco rígido, e as estacas utilizadas foram de seção quadrada com 40 cm de lado. A análise estatística dos resultados mostrou que o tipo de solo foi o parâmetro que mais afetou os recalques dos blocos, seguido pelo comprimento e pelo número de estacas. A altura do bloco praticamente não teve influência nos deslocamentos obtidos.</p>
Facilitating Communication in a Pediatric Surgery Center: Implementation of an Interactive Communication Board
Authors: Kiblinger Theresa , Gettis Margaret , Brown Ann-Marie 
Published: February 2022

BackgroundIncreasing linguistic diversity has important implications for providers serving limited English proficiency (LEP) populations. LEP patients have decreased understanding, increased risk for adverse events, and lower healthcare satisfaction. Limited interpreting methods affect nurses’ ability to provide efficient, culturally competent care.ObjectiveAn interactive communication board was implemented to evaluate the perceived effectiveness of LEP patient communication and increase nurse satisfaction with communication in a pediatric ambulatory surgery center.MethodsA pre-post survey design evaluated the implementation of an interactive communication board. After a 3-month implementation period, post-surveys assessed nurse satisfaction, perception of time required to interpret nursing tasks, and feasibility of the tool.ResultsNurses reported a 64% increase (2.27 ± 0.88 pre; 3.57 ± 0.76 post; p = 0.0007) in satisfaction with the interpretation process and a 43% increase (2.07 ± 0.70 pre; 3.50 ± 0.76 post; p = 0.0001) in their self-perceived ability to communicate with LEP populations post-intervention.ConclusionCommunication boards and similar tools can improve nurse satisfaction and streamline the interpretation process in peri-operative periods.Implications for NursingSimilar tools could be implemented in other healthcare settings to increase communication efficiency between nurses and LEP populations. Further projects must be conducted to evaluate the experience and efficacy of this tool from the patient/caregiver perspective.
Suitability of large-scale tree plantation models in Africa, Asia and Latin America for forest landscape restoration objectives
Authors: PÉROCHES Adrien , BARAL Himlal , CHESNES Marion , LOPEZ-SAMPSON Arlene , LESCUYER Guillaume 
Published: February 2022

Today, tree plantations play a crucial role in supplying wood and wood-based products. They supply almost half of global demand, as well as supporting a diversity of ecosystem services. In tropical and subtropical areas, where tree growth is optimum and large tracts of land are available, forest restoration is presented as one of the most effective strategies for climate change mitigation. For these reasons, large-scale tree plantations are being encouraged in Africa, Asia and Latin America. Based on a review of the literature and of public databases on forest plantations, we drew up a typology of large-scale tree plantations in Latin America, Africa and Asia using four criteria: the management objective (production versus protection), number of species planted (multi-species versus mono-species), origin of species (exotic versus indigenous) and management status (industrial companies, private smallholders, state). Our analysis identified seven main plantation types and reveals that the two most common types represent almost 60% of the total planted area: (1) private mono-species plantations using exotic species; and (2) public production-oriented mono/multi-species plantations of indigenous trees. Numerous experimental studies were conducted in the 1950s and 1960s with a wide range of tree plantation models. However, few were adopted by operators because the production rates and financial returns were considered low. The dominant tree plantation types are failing to meet most of the forest restoration objectives set out in the Bonn Challenge (i.e., productivity, carbon storage, biodiversity conservation, rural livelihoods). Alternative large-scale tree plantation models could be promoted by focusing on the other goods and services that plantations can provide. This could be achieved if more diverse stakeholders were involved in plantation design and management processes, and if appropriate technical, financial, and institutional incentives were developed.