Contemporary Practice Research Articles

The Vedic Foundations of Secular Mindfulness: A Study of Upaniṣad and Yoga Influences

This paper explores the Vedic foundations of secular mindfulness, particularly examining the influences of Advaita Vedānta, Patañjali Yoga, and Haṭha Yoga systems on the development of contemporary mindfulness practices, specifically as popularized by Jon Kabat-Zinn through his Mindfulness-Based Stress Reduction (MBSR) program. While mindfulness is often recognized for its Buddhist origins, this research highlights the underexplored connections to Vedic contemplative traditions, demonstrating that secular mindfulness may owe a significant debt to these ancient systems. The study delves into key Vedic concepts such as intrinsic wholeness, perpetual availability, and non-duality, and compares them with the philosophical underpinnings of Kabat-Zinn's mindfulness approach. Through an analysis of primary Vedic texts and Kabat-Zinn's own writings, the paper argues that his secularization of mindfulness is not only an innovative adaptation but also deeply influenced by Vedic philosophy, particularly Advaita Vedānta. The findings suggest that secular mindfulness, as practiced today, may be more closely aligned with Vedic traditions than previously acknowledged, offering a new perspective on the historical and philosophical roots of this widely adopted practice.

Development of an Extended Cardiovascular SOFA Score Component Reflecting Cardiac Dysfunction with Improved Survival Prediction in Sepsis: An Exploratory Analysis in the Sepsis and Elevated Troponin (SET) Study.

The cardiovascular component of the Sequential Organ Failure Assessment (SOFA) score does not correspond with contemporary clinical practice in sepsis or identify impaired cardiac function. Our aim was to develop a modified cardiovascular SOFA component that reflects cardiac dysfunction and improves the SOFA score's 30-day mortality discrimination. A cohort of sepsis patients from a previous study was divided into a training (n = 250) and test cohort (n = 253). Nine widely available measures of cardiovascular function were screened for association with 30-day mortality using natural cubic spline. High-sensitivity cardiac troponin T (hs-cTnT), N-terminal pro B-type natriuretic peptide (NT-proBNP) and heart rate (HR) were transformed into ordinal variables (0-4 points). The presence of atrial fibrillation (AF) was assigned two points. The SOFA score was extended by adding the variable points in different weights and combinations. The best-performing cardiac-extended model (CE-SOFA) was evaluated in the test cohort. Improved prognostic discrimination and calibration were assessed using logistic regression, area under receiver operating characteristic curves (AUC), Net Reclassification Improvement (NRI) index, and DeLong and Hoshmer-Lemeshow tests. In the training cohort, all differently weighted and combined models using hs-cTnT, NT-proBNP and AF points added to the SOFA score showed improved discriminative ability (AUC 0.67-0.75) compared to the SOFA score (AUC 0.62; NRI P < .001; DeLong P ≤ .001). In the test cohort, CE-SOFA demonstrated improved 30-day mortality discrimination compared to the SOFA score (AUC 0.72 vs 0.68), exhibiting good calibration and significantly improved discrimination using the NRI index (P = .009) but not the DeLong test (P = .142). The CE-SOFA model reflects cardiac dysfunction and improves 30-day mortality discrimination in sepsis. External validation is the next step to further substantiate a revised cardiovascular component in a future SOFA 2.0.

Incidence and long-term outcomes of upper limb deep vein thrombosis associated with intracardiac devices: analysis of bleeding, recurrence, and sequelae.

Pacemakers (PM) and implantable cardioverter-defibrillators are vital devices in contemporary clinical practice, but their growing adoption poses challenges. Complications, including lead migration, infections, and post-implantation venous thrombosis, underscore the importance of comprehensive investigation. This retrospective observational study enrolled patients diagnosed with upper limb deep vein thrombosis (DVT) secondary to intracardiac devices at a tertiary hospital from 2015 to 2022. The aim of the study was to determine the incidence and long-term outcomes (bleeding, DVT recurrence and sequelae) in these patients. Across the study period, 2681 intracardiac devices were implanted, with 12 cases of upper limb DVT documented. The majority of patients were male (91.7%), with a mean age of 63.92 years. DVT occurred in patients with PM (50%), implantable cardioverter-defibrillators (25%) and implantable cardioverter-defibrillators with Cardiac Resynchronization Therapy (25%). Treatment encompassed low-molecular-weight heparin (91.7%) during the acute episode and long-term anticoagulation with direct oral anticoagulants (75%) or vitamin K antagonists (25%). Over a mean follow-up period of 33.17 months, half of the patients exhibited long-term sequelae, notably collateral circulation (66.7%). Remarkably, no thrombosis recurrences were observed during follow-up. However, one patient (8.3%) experienced a major bleeding event during treatment, and one patient (8.3%) required device removal (PM) due to persistent symptoms. This study revealed upper limb DVT occurred in 0.45% of patients after intracardiac device implantation. Rate of thrombosis recurrence was low during follow-up. Although half of the patients developed long-term sequelae, the need for prolonged anticoagulant therapy in these cases remains uncertain.

TCT-520 Contemporary Trends and Practice Variation With Use of Intravascular Ultrasound During Peripheral Vascular Intervention

TCT-520 Contemporary Trends and Practice Variation With Use of Intravascular Ultrasound During Peripheral Vascular Intervention

From Islamic Charity to Muslim Philanthropy: Definitions Across Disciplines

ABSTRACTThe study of Muslim philanthropy is often described as an emerging, multidisciplinary space of inquiry that takes contemporary Muslim practices of generosity such as giving and volunteering alongside behavioral motivations as objects of analysis. This emerging field follows over a century of knowledge production about Islamic charitable practices and institutions stemming from early orientalist studies of legal texts on endowments to more contemporary sociological and anthropological analyses of ritual exchange and giving across various Muslim‐majority and minority societies and communities. As the study of Muslim philanthropy grows, these two literatures are often brought together in generative, if uneven ways. In this paper, we review key themes and questions in the study of Islamic charity and ask what impact it has had on the study of Muslim philanthropy. This article surveys recent literature on charitable endowments/trusts (waqf), obligatory alms giving (zakat), and “extemporaneous charity” (sadaqa). We end with an analysis of dominant definitions of philanthropy currently used in philanthropic studies to argue that non‐denominational categories like “religious charity” exclude many religious practices that Muslims consider central to their charitable actions and their motivations, a point crucially missing in much philanthropy literature.

Modeling Memory Institutions: The Ainu Case Study

ABSTRACTThis study aimed to construct a model of memory institutions (libraries, archives, and museums) as a lens for analyzing contemporary collective memory practices related to the Ainu people. First, we developed a pilot model to organize the current phenomena and practices of collective memories and suggest a respective circulation mechanism consisting of three core elements: media, collective representations, and collective memory. Additionally, employing this pilot model, we conducted close readings of 449 pieces of literature and illustrated the characteristics of collective memory practices and phenomena in a case study of the Ainu. Our findings indicate that 1) the traditional collective memory of the Ainu has gradually shifted toward recognizing them as a unique ethnic group, and 2) by translating their oral literature into diverse media, the Ainu have reshaped their cultural identity.

Morphometric analysis of pituitary gland using magnetic resonance imaging in Indian subjects

Background: Before the advent of magnetic resonance imaging (MRI), the radiological assessment of the hypothalamic-pituitary region relied on plain radiographs and computed tomography scans. However, contemporary medical practice now widely recognizes MRI as the preferred imaging modality for this purpose. The objective is to investigate variations in size and morphology of the pituitary gland associated with age and gender. Aims and Objectives: (a) The aims of this study were as follows: To establish normative measurements of pituitary gland in South Indian population. (b) To evaluate the relationship between gender, weight, height, and body mass index in different patients using conventional MRI sequences. Materials and Methods: This cross-sectional study, approved by the Institutional Review Board, included the enrolment of 140 normal individuals. The dimensions of the pituitary gland were assessed in 140 individuals exhibiting apparently normal pituitary gland function. The height and length of the pituitary gland were measured utilizing mid-sagittal T1-weighted images (T1-WI) obtained through MRI. The width of the pituitary gland was determined using coronal T1-WI, and the pituitary gland volume was subsequently calculated. Results: This study comprised 98 females and 102 males. The anteroposterior dimension, height, and volume of the pituitary gland showed statistically significant correlations with age (P&lt;0.05), while the transverse dimension did not show a significant correlation with age (P&gt;0.05). The shape of the pituitary gland was found to have statistically significant correlations with age and gender. Conversely, the transverse diameter, height, and volume of the pituitary gland showed no significant correlations. Conclusion: The findings underscore the importance of considering pituitary size, shape, and volume in the evaluation of neuroendocrine disorders.

Teaching posterior composite restorations: A survey of dental schools in Palestine

AimThis study aimed to assess different aspects of teaching posterior composite restorations in two dental schools in Palestine. Materials and methodsA questionnaire was emailed to the heads of the operative and conservative dentistry departments to collect detailed information on the teaching practices related to posterior composite restorations. The questionnaire comprised 22 questions structured to collect information on the time dedicated to teaching the topic, competency assessments, future plans for allocating time for each restoration type, relevant indications and contraindications, specific materials and techniques utilized in the application, and fees charged for posterior restorations. The gathered responses were collated in Excel and analyzed. ResultsBoth dental schools allocated similar teaching times to posterior composites and amalgam in their preclinical operative dentistry courses. However, there was a greater emphasis on composites in the clinical course than in the preclinical course at both institutions. Despite these differences, both institutions expressed a shared intention to allocate more time to teaching posterior composites while reducing the emphasis on teaching amalgam procedures. Consistency was observed across competency testing, cavity design preferences, and contraindications, with both schools favoring slot-type cavities. Furthermore, uniformity was noted in the management of operatively exposed dentin and matrix techniques, although variations existed in moisture isolation. Notably, both schools taught circumferential and sectional metal matrices but did not teach clear sectional matrices or use of bulk-fill composites. Additionally, the adhesive and light-curing practices remained consistent across both institutions. ConclusionThe findings of this study indicate that the teaching of posterior composite restorations is consistent across both Palestinian dental schools. Their curricula are aligned with contemporary international practices, demonstrating a strong commitment to modern operative dentistry and adherence to global standards. These findings offer valuable insights for educators and researchers and emphasize the need for ongoing adaptations to maintain high clinical standards.

Osseodensification technique in crestal maxillary sinus elevation-A narrative review.

Osseodensification is a novel approach that has significantly advanced the field of implant dentistry, particularly in the context of transcrestal maxillary sinus floor elevation. This technique involves the use of specially designed burs that compact and densify bone along the osteotomy walls, thereby enhancing implant primary stability and facilitating osseointegration in low-density bone. This article reviews the historical evolution of implant site preparation, and the biomechanical, histological, and clinical evidence of osseodensification with a special focus on its application in sinus floor augmentation. The integration of this technique into contemporary practice represents a paradigm shift, offering a minimally invasive and efficient solution for addressing the challenges of posterior maxilla, with improved patient-reported outcomes and low complication rate. Three different protocols for sinus lift and implant placement using osseodensification burs are proposed based on available literature, and risk factors for Schneiderian membrane perforation based on residual bone height are discussed, along with implant-related outcomes and patient-reported outcome measures. The potential for osseodensification to become a standard practice in sinus floor augmentation is emphasized, highlighting key aspects such as surgical protocol and patient selection.

Real-world exploration of LDL-cholesterol management in patients with atherosclerotic cardiovascular disease

BackgroundAlthough guidelines recommend low-density lipoprotein cholesterol (LDL-C) to be <70mg/dL in patients with atherosclerotic cardiovascular disease (ASCVD), the rate of achieving this goal remains suboptimal. We sought to understand real world contemporary practice patterns of LDL-C management in patients with ASCVD, and whether LDL-C testing influenced management across US health systems. MethodsA retrospective cohort study utilizing electronic medical record data from five health systems participating in the CardioHealth Alliance was performed on patients with an LDL-C measurement in 2021 and prior ASCVD. Multivariable regression modeling was used to determine the relationship of clinical factors with achievement of guideline directed LDL-C target. Changes in lipid lowering therapy (LLT) after LDL-C testing were also described. ResultsAmong 216,074 patients with ASCVD, 129,886 (60.1%) had uncontrolled LDL-C (i.e. ≥70 mg/dL). Compared with participants with controlled LDL-C (<70mg/dL), those with uncontrolled LDL-C were more frequently female (50.9% vs 35.1%), or Black (13.7% vs. 10.3%), and less commonly had coronary artery disease as the form of vascular disease (73.0% vs. 83.5% %), heart failure (21.3% vs. 29.1% %), diabetes (34.1% vs. 48.2%), atrial fibrillation (19.3% vs. 26.1%), or chronic kidney disease (25.1% vs. 32.2%). In multivariable analyses, the factors most strongly associated with failure to achieve LDL-C control were female sex (RR 1.13 [95% CI 1.12-1.14] p <0.001) and Black race (1.15 [1.14-1.17] p <0.001). Among the 53,957 (41.5%) of those with uncontrolled LDL-C ≥70 mg/dL not on lipid lowering therapy (LLT) at baseline, only 21% were initiated on any LLT within 6 months of the uncontrolled LDL-C value. ConclusionsWithin five diverse large health systems in the CardioHealth Alliance, more than half of the patients with ASCVD had uncontrolled LDL-C with significant disparities based on sex and race at baseline. The vast majority were not initiated on any lipid lowering therapy within 6 months of an elevated test result indicating persistent gaps in care that will likely worsen health inequities in outcomes. This highlights the urgent need for implementation efforts to improve equitable care.

Atrial Fibrillation Surgery in Australia: Are We Doing Enough?

This study aimed to examine contemporary burden and treatment trends of atrial fibrillation (AF) in patients undergoing cardiac surgery in Australia and New Zealand. This allows comparison of contemporary practice with the Society of Thoracic Surgeons guideline recommendations for the surgical treatment of AF in patients undergoing cardiac surgery. A 10-year retrospective review of the Australian & New Zealand Society of Cardiac & Thoracic Surgeons National Cardiac Surgery Database was performed, examining all adult cardiac surgery patients from 2011 to 2021. Patients were grouped by the presence or absence of AF, and simple descriptive statistical analysis was performed to assess baseline demographics and premorbid condition of the patients. The incidence of AF was analysed by type of surgery. Trends for surgical treatment of AF were then analysed using simple descriptive statistics, examining isolated left atrial appendage ligation, isolated surgical ablation, and combined ligation and ablation. In the last 10 years, the Australian & New Zealand Society of Cardiac & Thoracic Surgeons database has recorded 140,680 patients who underwent cardiac surgery. Atrial fibrillation (AF) was present in 21,077 patients (14%). Patients with AF were generally older (72.25 vs 66.65 years; p<0.001). Among patients undergoing cardiac surgery, AF was more common in female than in male patients (18% vs 13%, respectively). Patients with AF more often had a higher classification of dyspnoea according to the New York Heart Association and lower ejection fractions compared with their AF-free counterparts. The incidence of AF as a comorbid condition was more frequent in patients undergoing mitral valve surgery or combined coronary artery bypass grafting and valve surgery (aortic, mitral, or both) compared with those undergoing isolated coronary or aortic surgery. Only 11.90% (n=2,509) of patients with AF received a combined ablation and left atrial appendage ligation, and 19.54% (n=693) of those received a Cox-Maze IV ablation. The burden of concomitant AF in patients undergoing cardiac surgery in Australia is higher than previously reported (14% vs 5%-11%). Despite strong recommendation for the surgical management of AF in patients undergoing cardiac surgery and clear evidence of its benefit, both left atrial appendage ligation and surgical ablation independently or concomitantly remain heavily underutilised in this cohort.

Averting the gaze in Eliyahu de Vidas’ Reshit Hokhmah

This article explores the Kabbalistic framework enhancing the sanctity of guarding the eyes ( shemirat ha-eynayim ), a key theme in early modern moralistic literature, particularly in Reshit Hokhmah . De Vidas cautions against severe consequences for transgressors and the personal impairments linked to forbidden gazing, while also promoting the ideal of the prophetic holy gaze at the divine chariot and preparation for the eternal gaze at the divine objects of paradise. He integrates the quasi-scientific extramission theory of visual perception into his theurgical framework, creating a concept of mental–spiritual wasting of seed akin to actual wasting of seed. Analysing de Vidas’ treatment of gazing prohibitions, the study highlights his use of rabbinical sources and the Zohar to enhance the authority of his warnings. This integration of eye-guarding principles within a framework of fear and aspiration significantly shapes the Kabbalistic ethos of sexual sanctity and influences contemporary practices of averting one’s eyes.

Percivall Pott (1713-1788): Father of Orthopaedics and Pioneer of Occupational Medicine.

Percivall Pott was an eighteenth-century English surgeon best known for three eponymous diseases: Pott's fracture, Pott's puffy tumour and Pott's disease of the spine. He wrote extensively, with treatises covering a wide range of surgical subjects, including cataracts, cranial trauma, hernias and neurology. Pott's practice came at a time when surgery was being transformed from the work of barbers into a scientific study. His publications had a wide-reaching impact, influencing contemporary practice and setting out building blocks for the work of those who came after him. This article aims to explore the life and career of Percivall Pott, looking in particular at his influence on the subjects of orthopaedics and occupational medicine.

Scoping it Out: The Use of Laparoscopy After Penetrating Trauma in Stable Children

IntroductionIn stable children with penetrating abdominal trauma, literature regarding the use of laparoscopy (LAP) remains limited. Given increasing evidence in favor of LAP for selective adult trauma patients, we reviewed contemporary practices and outcomes in pediatric trauma patients. MethodsThe American College of Surgeons (ACS) Trauma Quality Programs data was utilized to identify children (<18 years) from 2016 to 2021 with a penetrating abdominal injury who underwent surgery within 24 h of admission. Patients with non-abdominal abbreviated injury score (AIS) ≥3, Glasgow Coma Scale (GCS) < 13, or instability using a shock index pediatric adjusted (SIPA) cutoff were excluded. Patients were compared based on whether they had LAP, open, or laparoscopic converted to open (LCO) exploration. Primary outcomes were length of stay (LOS) and complications, including missed injuries. ResultsAmong 1945 patients who underwent abdominal surgery for penetrating trauma, 32% were stabbed and 68% had gunshot wounds (GSW). LAP occurred in 235 (12%) and LCO in 145 (7.4%) patients. The proportion of LAP did not change over the study period. LAP was used more in patients presenting with stab wounds than GSW (24 vs. 7%, p < .01). There was higher use of LAP at pediatric centers (p < .01). Although there was no difference in mortality or complications by operative type, open patients were more severely injured, had a longer LOS (p < .01), and had more subsequent procedures (11% of open, 2 % LAP, 7% LCO, p < .01). ConclusionIn stable children with penetrating abdominal trauma, LAP is most often utilized after stabbing and at pediatric trauma centers, but its overall use remains uncommon. LAP patients had lower rates of subsequent procedures and no increase in unexpected operations suggesting low rates of missed injuries. Criteria are needed to identify stable patients presenting after penetrating trauma who can benefit from a LAP approach. Level of EvidenceIII.

Innovative Use of Eco-Enzymes for Domestic Wastewater Purification

The rapid pace of urbanization and the resultant increase in waste generation have significantly escalated the challenges associated with managing organic waste. In line with contemporary sustainable practices, it is imperative to recycle and repurpose waste effectively. This study investigates the use of eco-enzyme, an environmentally friendly product derived from fruit and vegetable scraps, along with natural sweeteners, in the treatment of domestic wastewater. The study assessed the impact of eco-enzyme concentrations at 15% and 20% over a five-day period. Results demonstrated that treated wastewater met irrigation standards after the treatment period. Parameters such as acidity, dissolved solids, biochemical oxygen demand, chemical oxygen demand, and microbial counts were analyzed. The 15% eco-enzyme solution reduced biochemical oxygen demand by 90.54% and chemical oxygen demand by 83.33%, while the 20% solution achieved reductions of 94.20% and 86.34%, respectively. Dissolved solids levels were reduced to 412 ppm and 422 ppm for the 15% and 20% solutions, respectively, and microbial counts decreased significantly. However, the study is limited by the short duration of the treatment period and the scope of the parameters analyzed, which may not fully capture the long-term effectiveness and broader environmental impacts of eco-enzyme use. This research underscores the potential of eco-enzyme technology in enhancing wastewater treatment processes, promoting environmental sustainability, and alleviating the burden on waste management systems. The eco-enzyme production process is straightforward and accessible, involving the fermentation of kitchen waste, and can be readily adopted in both urban and rural settings. Further research is recommended to optimize the fermentation process, reduce digestion time, and explore the broader applications of eco-enzymes in fields such as agriculture and domestic cleaning.

Computational Design with Kurtboğaz: The Generation of Timber Structures with an Aggregative Design Algorithm

This paper investigates the form-finding capacity of the traditional timber-joint construction method, Kurtboğaz, aiming to explore new architectural forms and possibilities through computational design techniques to preserve vernacular construction methods and integrate them into contemporary architecture. It presents an Aggregative Design Algorithm (ADA) that creates different structures based on designer rules and simple assembly rules of Kurtboğaz, leading to unique emergent forms through random rule application. The paper also explores how reinforcement learning, a type of machine learning, can improve this design process through a theoretical framework. The study tries to use a rule-based generative algorithm to explore the modular and reconfigurable characteristics of the Kurtboğaz. The ADA enables random rule application, leading to diverse forms. However, several challenges may be encountered during the application of ADA because of its random aggregation, such as collision avoidance, structural integrity, boundary detection, and the optimization of structural parameters. The study suggests using Reinforcement Learning (RL) in the ADA framework to address these problems. Incorporating RL is anticipated to enable the algorithm to adaptively learn and optimize the form-finding process, enhancing the performance and applicability of the Kurtboğaz method in contemporary architectural practice. In the future, with this generative process described by the study, designs that create spatial differences with the help of walls, floors, and rooms on a human scale can be realized. The study also plans to explore the synergy between craftsmanship and digital fabrication in the future

The Impact of Viruddhahara on Lifestyle Disorders: An Ayurvedic Perspective

Abstract: Ayurveda, an ancient medical system, highlights the significance of Ahara (diet) in maintaining health and preventing disease. A core aspect of Ayurvedic theory is the concept of Viruddhahara, which refers to incompatible food combinations that are believed to disrupt the equilibrium of the body's Doshas, potentially leading to various health complications. This review examines the concept of Viruddhahara and its implications for contemporary lifestyle-related disorders such as hypertension, diabetes, obesity, and cardiovascular diseases. In the current fast-paced environment, improper eating habits and the proliferation of fast food have led to widespread consumption of Viruddhahara, contributing to metabolic disturbances and chronic conditions. Ayurveda categorizes Viruddhahara into several types, including incompatibilities based on properties, timing, and combinations. For instance, the pairing of fish with milk or the consumption of heated honey serves as examples of how such food combinations can negatively impact health. The review emphasizes the importance of adhering to dietary guidelines to prevent disturbances in Dosha and the degradation of body tissues, which are essential for preserving health. With the rising incidence of lifestyle-related disorders, it is crucial to understand the scientific underpinnings of Viruddhahara and its role in disease etiology. This research aims to enhance awareness about the adverse effects of incompatible diets and to advocate for the incorporation of Ayurvedic principles into contemporary dietary practices. By conducting a thorough review of classical Ayurvedic texts alongside modern research, this study seeks to establish a framework for integrating Ayurvedic dietary principles into modern lifestyles, offering a comprehensive approach to the prevention and management of lifestyle-related diseases.

AN ANALYSIS OF BEHAVIOURAL FINANCE AND ITS INFLUENCE ON INVESTMENT DECISION

This research delves into the fascinating realm of Behavioural Finance, exploring its significant influence on investment decision-making among residents in India's National Capital Region (NCR). By drawing on insights from relevant studies, this work seeks to uncover the intricate link between human behaviour and financial decision-making within this demographic. The study begins by examining the unique financial behaviours of investors in the region, aiming to identify the key investor profiles that shape the investment environment. As a multidisciplinary field combining elements of psychology, sociology, and finance, Behavioural Finance provides the primary framework for this exploration. The research distinguishes between its micro and macro perspectives: the detailed analysis of individual behavioural traits of investors and the broader identification of inefficiencies in the market. Recognizing the pervasive impact of behavioural biases on investment behaviours and decisions, this study offers an in-depth review of diverse research within the Behavioural Finance domain. It sheds light on how human psychology and social dynamics interact with financial decision-making, highlighting the crucial role of Behavioural Finance in contemporary financial practices. In an era where financial markets are not merely governed by rationality but are also shaped by complex human behaviours, this research offers valuable insights into the dynamics of Behavioural Finance. By illuminating the distinct investment choices, the study aims to deepen our understanding of the factors influencing these decisions, ultimately equipping investors and financial professionals with more informed decision-making strategies.

Of Hackers and Privateers: The Possible Evolution of the Problem of Cyber-Attribution

The escalating severity of the cyber-attribution problem (a problem with attributing cyberattacks to states that ordered them) poses a significant challenge to international law and cyberspace security. However, amidst worsening international relations, a viable solution remains elusive. To address this predicament, the authors turn to a historical echo of the contemporary practice of employing hacker groups – namely, privateering. After an in-depth examination of this analogy’s suitability, they focus mainly on the factors that contributed to the decline of privateering. Their goal is to uncover parallels potentially applicable to mitigating modern challenges posed by state-sponsored cyberattacks and the exploitation of cyber-attribution problem. Among the key identified factors, the most crucial were the emergence of professional cyber-capacities (akin to post-Napoleonic emergence of professional navies) and the disruption of hackers’ safe havens. The paper concludes by introducing three prospective scenarios reflecting potential pathways for the future of the cyber-attribution challenges.

ASSESSING THE SYNERGETIC EFFECT OF SELECTING THE OPTIMAL STRUCTURE OF A LOGISTICS CHAIN

This study tackles a critical challenge in logistics optimization: assessing the economic efficiency not only of individual entities within a logistics chain, but also the synergistic benefits that arise from their collaboration. We achieve this by proposing a methodology that evaluates the economic efficiency of interactions between participants in a logistics chain. This methodology goes beyond individual efficiency and delves into how the overall economic benefit is distributed among key stakeholders. These stakeholders include freight owners, who initiate the delivery process, forwarders who manage and optimize deliveries, carriers who physically transport goods, and freight terminals that facilitate cargo handling and storage. To ensure the methodology’s relevance to contemporary practices, we begin with a comprehensive review of recent advancements in delivery chain optimization research. We propose to measure the synergetic effect by considering delivery demand parameters, such as the weight of the consignment and the distance it needs to travel. To validate our methodology and gain practical insights, we conducted a series of experimental studies specifically tailored to the Kazakhstani transportation market. By analysing the share of the synergistic effect under varying delivery demand parameters, we were able to identify trends and patterns.