Formal Interpretation Research Articles

Resepsi dan Transformasi Narasi Serat Menak Yasadipuran dalam Penciptaan Wayang Menak Gaya Surakarta

Serat Menak is a grand corpus of Javanese-Islamic text that is adopted from the Islamic epoch, Qissa-I Emir Hamza or Hikayat Amir Hamzah, which has widely spread in Asian region in the middle of second millenium CE. The popularity of Serat Menak made this text has many variants, and the one which is largely recognized was Yasadipura I (1729-1803)'s version which was composed in the beginning of Surakarta era. The text of Serat Menak Yasadipuran then become very well-known in Java, and became the inspiration for some branches of performing arts, such as wayang, whether in its kulit, golek, krucil, or wong formats. One of these wayang genres that took its repertoire from Menak tales was wayang kulit menak, which was introduced in Surakarta in the first quarter of 20th century, the creation of Sutarja Truna Dipa (STD) which has not being scientifically studied yet until this present day. This article aims to identify how far was the relation between STD's Surakarta wayang kulit menak with Serat Menak Yasadipuran, using Wolfgang Iser's Rezeption Aesthetic approach to obtain the reception and transformation patterns from textual narratives to visual forms. The result of this research concluded that STD's Surakarta wayang menak was a living artwork which evolving along times. On the other side, STD as the implied reader has been consistent in recepting Serat Menak Yasadipuran with some additions and adaptations, which was done to fulfil the needs of performance. Innovations done by STD to his wayang menak creation were not limited in the term of transformation from textual to visual media, but also filling the gaps (leerstellen) with the rich formal interpretation, which are completing the narrative of Serat Menak, so it will be more interesting to be played.

12478 A Pilot Evaluation Of Automated Morphometry Performance On Vertebral Fracture Assessment (vfa) And Its Impact On Interpretation

Abstract Disclosure: S. Syed: None. N. Binkley: None. Introduction: Prevalent vertebral fractures convey increased fracture risk but are often clinically silent; thus, imaging is required for their detection. Vertebral fracture assessment (VFA) can be performed at the time of DXA. We hypothesized that VFA automated morphometry does not accurately identify the number of vertebrae visualized nor the number of fractures present and sought to begin exploring if morphometry impacted the formal interpretation. Methods: Patients seen by an Orthopedic bone health provider were studied. Their VFA images were independently assessed by two physicians, after which a consensus “gold standard” (GS) reading was reached. The number of vertebral bodies able to be assessed and the number of fractures identified by morphometry (M), the formal interpretation (I) and the GS result were compared by one way ANOVA. Results: The study cohort included 100 patients with mean (SD) age 77.6 (8.6) years, 81% female with BMI 26.7 (5.0) kg/m2, 91 of whom had prior clinical fracture. M reported visualizing more vertebral bodies than I and GS; 1243, 1168 and 1063 respectively. I identified numerically more (13) fractures than did M (150 vs. 137) but was lower than GS (167). The automated and formal reports were identical in 52 patients; in this subgroup, 8 patients (15%) had vertebral fractures that were not identified on the formal interpretation. In this same group of 52 patients, an additional 7 (13%) with vertebral fractures had 9 vertebral fractures missed. Conclusion: In this pilot study assessing VFA, automated vertebral morphometry reports identifying more vertebrae than are actually able to be evaluated while missing almost 18% of vertebral fractures that were actually present. That the formal interpretation is identical to that of morphometry in over 50% of patients, while missing vertebral fractures over 12% of the time, implies that morphometry is adversely impacting the formal interpretation and thereby potentially patient care. Further study with larger datasets is indicated. Presentation: 6/3/2024

12262 Pheochromocytoma Masquerading As An Acute Myocardial Infarction And Takotsubo Cardiomyopathy In A Hispanic Woman: A Case Report

Abstract Disclosure: A. Hoskote: None. J. Seidenberg: None. V. Gupta: None. Pheochromocytoma is a rare neuroendocrine tumor (<1 per 100,000 person-years) that occurs sporadically or due to mutations. While most patients do not have the classic headache, sweating and tachycardia, about 50% have paroxysmal hypertension and 90% have headaches. We present a rare case of pheochromocytoma masquerading as myocardial infarction (MI) and cardiomyopathy. A 67-year-old Hispanic female with history of hypertension and uncontrolled Type 2 DM, presented to the ER for chest pain and diaphoresis. Home medications were metformin, sitagliptin, lisinopril, simvastatin and aspirin. EKG showed non-specific ST elevations in chest leads without STEMI, and labs revealed a dynamic troponin and hemoglobin A1C of 13.6%. CT angiography ruled out pulmonary embolism. A left heart catheterization and echocardiogram revealed non obstructive coronary artery disease (CAD), a left ventricular ejection fraction of 25%, apical ballooning and a laminar thrombus. She was diagnosed with acute myocardial infarction and Takotsubo cardiomyopathy and discharged on metoprolol and apixaban. During our evaluation 7 months later, we noted several ER and hospital admissions for symptomatic hypertensive emergency with a pattern of labile blood pressures and on review of initial CT scan, a sequentially growing left adrenal mass (3.9cm 29HU) was present. A careful history using Spanish interpretation revealed episodic headaches, diaphoresis and palpitations. Subsequently, on two separate occasions, plasma normetanephrine was 2006 pg/mL (ULN<148 pg/mL) and urine normetanephrine was 12516 mcg/g cr (ULN <524 mcg/g cr). Prazosin was prescribed with stabilization of hypertension. An adrenalectomy is now scheduled. Symptoms of pheochromocytoma and paraganglioma (PPGs) are caused by hypersecretion of one or combinations of catecholamines: norepinephrine, epinephrine and dopamine. In one study 27% were discovered due to symptoms while 61% were found incidentally. PPGs occur in up to 1:500 patients with arterial hypertension and can also be a secondary cause of diabetes. MI and acute or chronic cardiomyopathy are rare presenting features of PPGs. Takotsubo cardiomyopathy is the most common phenotype. In one acute MI study, Hispanic women were significantly more likely to receive delayed care as compared to non-Hispanic women, due to misinterpretation of symptoms by patients and providers. A meticulous history with formal interpretation in patients with limited English proficiency can lead to prompt diagnosis of this surgically curable cause of hypertension. Pheochromocytomas rarely present as acute myocardial infarction and stress cardiomyopathy. A high suspicion for PPGs must be maintained in patients with labile hypertension, cardiomyopathy and an incidental adrenal mass. History should be carefully revisited especially in patients with limited English proficiency. Presentation: 6/3/2024

A Formal and Contextual Interpretation of the Boro Annik Temple, Puthia, Rajshahi District, Bangladesh

A Formal and Contextual Interpretation of the Boro Annik Temple, Puthia, Rajshahi District, Bangladesh

The Traces of Qur’anic Women’s Hakiki Justice Interpretation in KUPI's Fatwas

<p>Mainstream Islamic epistemologies are gender biased due to two primary reasons. First, women are often seen as men’s sexual tools and reproductive machinery, making them sexual objects. Second, legalistic interpretations of the Qur’an require formal interpretation. The Indonesian Women Ulama Congress (KUPI) proposes an alternative Qur'anic women's <em>Hakiki</em> Justice interpretation. In this context, women are respected as whole persons with physical, intellectual, and spiritual qualities deserving of respect as complete subjects. Islamic welfare ideals are shaped by their unique bodily and social human experiences. Islamic teaching system consists of vision, moral foundation, and method verses. As a process of transformation, the verses comprise the starting point, intermediate, and final goals verses. KUPI’s fatwas are examined for Qur'anic women's <em>hakiki</em> justice interpretation. The library research method is employed using credible books and online resources. The key texts are <em>Nalar Kritis Muslimah</em>, <em>Metodologi Fatwa KUPI </em>books, and KUPI's fatwas documents on the Kupipedia website. The results highlight that the traces of Qur'anic women's <em>hakiki</em> justice interpretation in KUPI's fatwas are indicated by how KUPI integrated women's bodily and social experiences in understanding the issues and the Qur'an. </p>

System Reform: The Ever-Elusive Quest—An Australian Study of How System Middle Leaders’ Role Enactment Influences the Attainment of Policy Coherence

Within an educational context, the current aim of policy translation is to achieve policy coherence by strategically and structurally aligning components, enabling whole system reform. While acknowledging the importance of this coherence conceptualisation, the current literature perspective primarily emphasises message conveyance, and lacks a dimension that identifies policy coherence as the result of how individuals, including middle leaders, interpret and translate policy into actions, both individually and collectively. System middle leaders occupy a unique position within organisational structures, as they bridge the gap between executive system leaders and school- based leaders. To investigate how policy is interpreted and translated within their roles and the impact this has on attaining policy coherence, this study employed an interpretivist approach to exploratory case study methodology, grounded in a review of authoritative literature. The aim was twofold; first, to enhance understanding of policy coherence development at the system middle level by exploring the role enactment of system middle leaders within a large Australian government education system; and second, to examine the interconnectedness and impact of leaders’ role enactment on policy coherence for system reform. Findings suggest that achieving policy coherence is hindered by a lack of role clarity among system leaders, in relation to policy implementation, stemming from the inconsistent interpretation and translation of policy into system strategy documentation and a deficiency in formal policy interpretation and role induction practices. As a result, individual system leaders often turn to informal policy interpretations and interactions with peers to clarify roles, leading to role tensions, accountability ambiguity and partial policy implementation. As a result, this study concludes that the integration of role theory, policy implementation theory and organisational alignment theory offers an interpretivist insight into the development of policy coherence for system reform, illuminating a theoretical pathway and practical recommendations for systems to attain policy coherence.

Interpretation services used for non-English language speaking patients with head and neck cancer: Findings from a tertiary London cancer centre

BackgroundTreatment for head and neck cancer (HNC) can lead to profound changes in swallowing function and nutrition. UK HNC standards recommend informational counselling is provided pre-treatment by the dietitian and speech and language therapist (SLT). Non-english speaking patients treated in English speaking countries have poorer treatment outcomes. UK guidance recommends all patients should have access to interpretation services where required. This audit aimed to investigate the language needs and utilisation of interpretation services for patients with HNC attending pre-treatment clinics. MethodsA retrospective casenote audit over two-years (2021–2023) of all patients attending pre-treatment clinics in a centralised London cancer centre. Information was collected from electronic hospital records on demographics, disease/treatment characteristics, first language; categorised as English primary language (EPL), non-English primary language (NEPL) and interpretation requirements; formal (professional interpreters) or informal (patients friends/relatives). Data was processed and collated using Microsoft Excel (Version 2308). Descriptive statistics were conducted using Excel Analysis ToolPak. Results408 patients were included. Most patients were male (67%), aged 61 ± 13 years. 18% (n = 74) had NEPL; 58 required interpretation services. Formal interpretation service was provided in 43% (n = 25), informal services in 33% (n = 19), and no service in 24% (n = 14). Non-adherence to formal services included lack of/inaccurate documentation of language needs, patient preference and lack of available interpreters. ConclusionThis audit indicated that barriers exist in utilising formal interpretation services. Future research should investigate how this can be optimised to ensure necessary language support is provided consistent with guidelines that promote equality, diversity, and inclusion.

Formal Radiologist Interpretations of Intraoperative Spine Radiographs Have Low Clinical Value.

Retrospective cohort. To evaluate the clinical relevance, usefulness, and financial implications of intraoperative radiograph interpretation by radiologists in spine surgery. Due to rising healthcare costs, spine surgery is under scrutiny to maximize value-based care. Formal radiographic analysis remains a potential source of unnecessary healthcare costs, especially for intra-operative radiographs. A retrospective cohort analysis was performed on all adult elective spine surgeries at a single institution between July 2020 and July 2021. Demographic and radiographic data was collected, including intraoperative localization and post-instrumentation radiographs. Financial data was obtained through the institution's price estimator. Radiographic characteristics included time from radiographic imaging to completion of radiologist interpretation report, completion of radiologist interpretation report prior to the conclusion of surgical procedure, clinical relevance, and clinical usefulness. Reports were considered clinically relevant if spinal level of the procedure was described and clinically useful if completed prior to conclusion of the procedure and deemed clinically relevant. 481 intraoperative localization and post-instrumentation radiographs from 360 patients revealed a median delay of 128 minutes between imaging and completion of interpretive report. Only 38.9% of reports were completed before conclusion of surgery. There were 79.4% deemed clinically relevant and only 33.5% were clinically useful. Localization reports were completed more frequently before conclusion of surgery (67.2% vs. 34.4%), but with lower clinical relevance (90.1% vs. 98.5%) and clinical usefulness (60.3% vs. 33.6%) than post-instrumentation reports. Each patient was charged $32-$34 for interpretation fee, cumulating a minimum total cost of $15,392. Formal radiographic interpretation of intraoperative spine radiographs was of low clinical utility for spine surgeons. Institutions should consider optimizing radiology workflows to improve timeliness and clinical relevance or evaluate the necessity of reflexive consultation to radiology for intraoperative imaging interpretation to ensure that value-based care is maximized during spine surgeries. 3.

Pragmatic patchwork ethnography, a call to action for health, nutrition and dietetic researchers.

Qualitative research methods are increasingly used in nutrition and dietetics research. Ethnography is an underexploited approach which seeks to explore the diversity of people and cultures in a given setting, providing a better understanding of the influences that determine their choices and behaviours. It is argued that traditional ethnography, that is, the methodology of living within participant communities, is a dated practice, with roots in colonialism, accessible to only researchers with the means, connections and status to conduct such research, typically white, privileged males. This paper proposes a formal interpretation of 'patchwork ethnography', whereby research is carried out in situ around existing modern-day commitments of the researcher, thus enabling more researchers within health, nutrition and dietetic practice to benefit from the rich data that can be discovered from communities. This review proposes the concept that pragmatic patchwork ethnography is required, proposing a framework for implementation, providing researchers, particularly within the fields of human nutrition, dietetics and health, the accessibility and means to deploy a meaningful client-centric methodology. We present pragmatic patchwork ethnography as a modern method for use within multiple healthcare settings, thus adding a progressive brick in the wall of qualitative research.

Behavioral supervision of the Bank of Russia over the activities of microfinance organizations providing loans

The article discusses issues related to the implementation of behavioral supervision of the Bank of Russia over the activities of microfinance organizations, including the provision of loans. The main purpose of the study is to identify changes in approaches to supervision in the microfinance market since the transition to mega-regulation, identify the reasons for the emergence of a new type of supervision aimed at protecting the rights of consumers of financial services, and analyze the work of the mega-regulator in this area. The study examines in detail the issues of legal regulation of the implementation of behavioral supervision in this area and the consolidation of relevant provisions at the level of normative legal acts. Special attention is paid to the results of this supervisory activity of the Bank of Russia, in particular, their reflection at the level of the relevant acts of the mega-regulator. The methodological basis of the research is the general scientific method of analysis, private scientific methods of formal legal analysis and interpretation. The results of the application of behavioral supervision by the Bank of Russia are analyzed and it is shown that this type of supervision is an effective tool for supervisory activities, allowing not only to monitor compliance with the requirements of current legislation, but also to combat unfair practices on the part of supervised organizations. The importance of the preventive component of behavioral supervision is separately noted. Problematic aspects in legal regulation are considered, including the lack of a legal definition of the relevant term and special norms at the level of normative legal acts, and, as a result, the need to improve the legal regulation of behavioral supervision. The novelty of the study lies in the proposed concept of behavioral supervision of the Bank of Russia over the activities of microfinance organizations, as well as in the analysis of the use of a new type of supervision by the mega-regulator in relation to specific subjects of the financial market.

Analysis and Formal and Substantive Evaluation of the Proposal of the European Regulation Authorizing the Marketing of Construction Products in the Harmonized Area

Aim: The aim of the article is to discuss issues related to the functioning of the current Regulation of the European Parliament and of the Council (EU) No. 305/2011 establishing harmonized conditions for the marketing of construction products and the problems identified in this regard, as well as to discuss the assumptions of the proposal of the European regulation for construction products in the harmonized area. This article analyses and indicates the links of the proposal in question to the “European Green Deal” manifested in its inclusion of the assessment and communication of information on the environmental performance of construction products and the promotion of the circulation of construction products. Introduction: The area of conformity assessment of construction products in the EU is currently regulated by the Regulation 305/2011. Its main objective was to improve the functioning of the single market and improve the free movement of construction products in the EU by establishing harmonized conditions for their marketing. In practice, this meant allowing construction products to be legally marketed in one member state. However, the European Commission, after its analysis, identified some shortcomings in its implementation, which required further analysis and discussion. As a consequence, a draft of a new regulation establishing harmonized conditions for the marketing of construction products, amending Regulation (EU) 2019/1020 and repealing Regulation (EU) 305/2011 was developed to address a significant number of issues related to standardization, simplification for micro-enterprises, market surveillance and the enforcement of regulations. Methodology: The article uses theoretical research methods, including an analysis of the EC’s report on the ongoing analyses of Regulation 305/2011 and reports from entities directly involved in the opinion of the proposed regulation. The publication also includes the authors’ own formal and substantive interpretation of selected passages of the proposed regulation, which establishes harmonized conditions for the marketing of construction products. Conclusions: The proposal of the new regulation has both strengths and opportunities from the revision, as well as weaknesses and threats, or poses new challenges. Identifying the problems hindering the functioning of the single market for construction products, the EC pointed to two general goals of the CPR revision, i.e. to create a smoothly functioning single market for construction products and to contribute to the goals of green and digital transformation. The implementation of measures resulting from the entry into force of the new regulation will only show in practice whether the changes introduced have had the intended effect. Keywords: construction products, standardization, harmonized area, European Green Deal, sustainable environment, CPR

К ВОПРОСУ О ПОНЯТИИ И СИСТЕМЕ МЕР УГОЛОВНО-ПРАВОВОГО ВОЗДЕЙСТВИЯ, ПРИМЕНЯЕМЫХ К НЕСОВЕРШЕННОЛЕТНИМ

The article examines the system of measures of criminal and legal influence applied to minors who have committed socially dangerous acts in the domestic legislation. The question is raised about the definition of the concept of other measures of a criminal legal nature and their systematization. Based on the results of a comparative analysis of various points of view on the essence and system of other criminal law measures, the author identifies three approaches that can be traced in the positions of scientists on the interpretation of the content of other criminal law measures in the scientific literature: narrow formal interpretation, broad formal interpretation and interpretation based on a certain set of characteristic features and properties. It is noted that the systematization of other measures of a criminal-legal nature at the present stage of the existence of domestic legislation is extremely difficult due to insufficient legal regulation of this institution. Differentiating the concepts of "punishment", "other measure of a criminal-legal nature", "measure of criminal-legal impact", the author offers his own classification of measures of criminal-legal impact. When categorizing these measures against minors, criteria such as delinquency, the presence or absence of criminal liability, the form of implementation of measures of criminal legal impact are taken into account.

Backlogs in formal interpretation of radiology examinations: a pilot global survey

ObjectiveAnecdotal reports from imaging facilities globally suggest growing radiology interpretation reporting delays. This pilot study's primary aim was to estimate the backlog of formal interpretation of imaging examinations. MethodsAn online survey was distributed to radiologists globally to gather practice-specific characteristics, imaging volumes, and reporting for 3 types of examinations (brain/head CT scans, chest CT scans, and chest radiographs) at 4 time points: 7, 30, 90 days, and 6 months. ResultsWe received responses from 49 radiologists in 16 countries on six continents. Unreported examinations (backlog) were present in thirty of 44 (68%) facilities. Backlogs for brain/head CT, chest CT, and chest radiographs were present in, respectively, 48%, 50%, and 59% of facilities at 7 days and 20%, 23%, and 32% of facilities at 6 months. When present, the mean proportion of backlog (range) at 7 days was 17% (1 to 96) for brain/head CT, 18% (3 to 82) for chest CT, and 22% (1 to 99) for chest radiographs. ConclusionsOur findings from this pilot study show a widespread global backlog in reporting common imaging examinations, and further research is needed on the issue and contributing factors.

The External Costs of Industrial Chemical Accidents: A Nationwide Property Value Study

Industrial chemical accidents involving fires, explosions, or toxic vapors impose external costs on nearby communities. We examine changes in residential property values using nationwide data on chemical facilities, accidents, and residential transactions within a spatial difference-in-differences framework. We find that accidents with direct offsite impacts lower home values within 5.75 km by 2-3%, an effect that remains for about 10 to 12 years, on average. We estimate an average loss of $5,350 per home, which translates to a $39.5 billion loss to communities around the 661 facilities where an offsite impact accident occurred. We assess the assumptions needed for a formal welfare interpretation and conclude that these results roughly approximate losses experienced by nearby residents.

A democratic trend in the development of the public administrative sphere in Ukraine in the post-war period

Problem setting. Russia’s full-scale war against Ukraine sows death and destruction; threatens all spheres of socio-economic development of society. It also aims to destroy civilizational achievements in education, science, and culture, as well as to ruin the democratic foundations of Ukrainian society. Threats of curtailment of democratic reforms and restrictions on social transparency may also be due to internal reasons, such as the introduction of norms of the legal regime of martial law and its formal interpretation. Taking into account the above-mentioned present peculiarities, an attempt to systematically analyze the democratic trend in the development of the public administrative sphere in Ukraine and substantiate the means of its uncontested implementation in the post-war period becomes a requirement of time. Paper main body This paper determines the main achievements of the democratic development of Ukrainian society as a change in the essential features of the public administrative sphere, as well as its individual most obvious manifestations. The paper considers the content of threats posed by the aggressive war of the Russian Federation and the need to develop the public administrative sphere in Ukraine on a democratic basis in the post-war period. Democratic development is defined as a trend – a vector of changes, the achievement of which is not uncontested and which opposes the totalitarian regime. The main differences between democratic and totalitarian societies, which are classified according to four spheres and sixteen criteria correspondingly, are revealed. The characteristics provided not only demonstrate the opposite of totalitarianism and democracy but also define a system of tasks to be implemented to ensure further progressive development. It is substantiated that the efficient factor in transforming the democratic trend of development into a specific reality lies in the joint activity of social actors, the synergistic effect of which depends on the adherence to the single paradigm of modernization of the public administrative sphere. The paradigmatic unity of the activity is revealed as the realization of a conceptually conscious model of development, from a defined strategy to the specific tactical steps and technical means of their practical implementation. Conclusions and suggestions. The scientific substantiation proves that the democratic development of Ukrainian society in present conditions should be viewed as a trend not realized with absolute necessity. Its practical application in the public administrative sphere can be guaranteed by mutually coordinated activities of main social actors who consciously implement requirements of the democratic paradigm. Accordingly, proposals for the compliance of these requirements in specific directions are outlined.

Supervision Model of Supervisors of Islamic Religious Education in Improving The Personal and Social Competence of PAI Teachers in Wadaslitang District

This study seeks to reveal how the implementation of the PAI supervisory supervision model in improving the personality and social competence of PAI teachers in the Wadaslintang District. This research is a qualitative type, using a descriptive explanatory case study strategy. The subjects used samples with several data sources from school principals, PAI supervisors and PAI teachers in Wadaslintang District, and structured interview data collection techniques, questionnaires or questionnaires, and documentation. After being analyzed, it was written that in choosing the model for the PAI supervisor in the Wadaslintang sub-district, they did not use certain analytical techniques, they simply chose the preferred model and adjusted it to the conditions of the teacher where the PAI teacher was in the Wadaslintang sub-district. Seeing the habits of PAI teachers in the Wadaslintang sub-district who are compact and considerate of the conditions of other people, especially fellow teachers, so that supervisors use artistic models. According to the artistic approach, the supervisor knows about learning and is experienced as a teacher so that the person concerned gives meaning to ongoing learning without deviating from it. Supervisor approach with several steps: (1) Does not provide information about the learning to be observed. (2) Observing teachers who are teaching; (3) Observations that are carried out thoroughly from the beginning to the end of learning; (4) Provide a formal interpretation of the results of observations; (5) Submission of teaching interpretation results to teachers both in writing and orally.

Problems of calculation of the terms of appeals of decisions made in the order of summary proceedings

The subject of the research is the features of the appeal of court decisions in cases considered in summary proceedings.The methodology. Analysis and synthesis, dialectical method as well as formal legal interpretation of Russian legislative acts.The main results. The author critically assesses the provisions of the procedural legislation, focuses on the problems that exist in practice. (1) There is a different procedure for notifying a decision adopted as a result of summary proceedings, according to the norms of the Civil Procedure Code and of the Arbitration Procedure Code. (2) It is concluded that the dependence of the beginning of the period for filing an application for drawing up a reasoned decision on the day of placement of the operative part of the decision or on the day of its adoption significantly complicates the timely implementation of such a right. A different construction will be justified and practically convenient: fixing in the law a single moment of the beginning of the period for an appeal against a decision - from the moment a copy of the operative part is delivered (irrespective of the application for drawing up a reasoned decision). (3) If the deadline for filing an application for the preparation of a reasoned decision is missed, the issue of its restoration should be resolved only if the deadline for filing an appeal has not been missed. If the deadline for filing an appeal is missed, then a reasoned decision on the case should be made only if the specified dead-line is restored.Recommendations are offered on the possible improvement of procedural rules on summary proceedings. In particular, the issue of increasing the period for applying for a reasoned decision was raised. It is proposed that the start time for filing an application for the preparation of a reasoned decision be determined from the day a copy of the decision is handed over to the persons participating in the case, or the decision is posted on the court's website.Conclusions. The identified problems call into question the merits of the summary procedure, show in practice its difficult and complicated order. The existing model of summary proceedings needs to be significantly detailed in order to increase the guarantees of judicial protection.

Incidental Findings from 16,400 Brain MRI Examinations of Research Volunteers.

Incidental findings are discovered in neuroimaging research, ranging from trivial to life-threatening. We describe the prevalence and characteristics of incidental findings from 16,400 research brain MRIs, comparing spontaneous detection by nonradiology scanning staff versus formal neuroradiologist interpretation. We prospectively collected 16,400 brain MRIs (7782 males, 8618 females; younger than 1 to 94 years of age; median age, 38 years) under an institutional review board directive intended to identify clinically relevant incidental findings. The study population included 13,150 presumed healthy volunteers and 3250 individuals with known neurologic diagnoses. Scanning staff were asked to flag concerning imaging findings seen during the scan session, and neuroradiologists produced structured reports after reviewing every scan. Neuroradiologists reported 13,593/16,400 (83%) scans as having normal findings, 2193/16,400 (13.3%) with abnormal findings without follow-up recommended, and 614/16,400 (3.7%) with "abnormal findings with follow-up recommended." The most common abnormalities prompting follow-up were vascular (263/614, 43%), neoplastic (130/614, 21%), and congenital (92/614, 15%). Volunteers older than 65 years of age were significantly more likely to have scans with abnormal findings (P < .001); however, among all volunteers with incidental findings, those younger than 65 years of age were more likely to be recommended for follow-up. Nonradiologists flagged <1% of MRIs containing at least 1 abnormality reported by the neuroradiologists to be concerning enough to warrant further evaluation. Four percent of individuals who undergo research brain MRIs have an incidental, potentially clinically significant finding. Routine neuroradiologist review of all scans yields a much higher rate of significant lesion detection than selective referral from nonradiologists who perform the examinations. Workflow and scan review processes need to be carefully considered when designing research protocols.

Counter-sanctions information and restriction of information dissemination in the context of sanctions pressure on the Russian Federation

The article examines counter–sanction information - a new category or type of information for domestic information and legal regulation. The concept of "counter-sanction information" appeared in the legislation in connection with the increased sanctions pressure of foreign states on the Russian Federation at the beginning of 2022. Regulation of the procedure for the dissemination of such information is designed to reduce the risks of taking restrictive measures against Russian legal entities and individuals who are participants in foreign economic activity. The author examines these norms on information, in particular the definition, analyzes the restrictions arising from the recognition of information as counter-sanctioned, the circumstances associated with the onset of legal liability. In the course of the research, scientific methods were used: analysis, generalization, comparison, modeling. The use of the formal legal method and systematic interpretation allowed us to form an idea of the counter-sanction information. The problem under consideration has not been practically investigated in Russian science. It is assumed that the legislator formulates a new special legal regime of information in the context of the development of counter-sanctions regulation, ensuring the protection of private and public interests. At the same time, the risks that have arisen in the activities of entities that freely disseminate information, including mass information, are analyzed. As a result of the conducted research, the conclusion is formulated that under the conditions of sanctions, freedom of information is reduced, and the volume of information previously open and accessible to an unlimited number of people may gradually decrease due to the development of counter-sanctions regulation.

Physical Examination Sensitivity for Skull Fracture in Pediatric Patients With Blunt Head Trauma: A Secondary Analysis of the National Emergency X-Radiography Utilization Study II Head Computed Tomography Validation Study.

We evaluated the emergency department (ED) providers' ability to detect skull fractures in pediatric patients presenting with blunt head trauma. This was a secondary analysis of the National Emergency X-Radiography Utilization Study (NEXUS) Head computed tomography (CT) validation study. Demographics and clinical characteristics were analyzed for pediatric patients. Radiologist interpretations of head CT imaging were abstracted and cataloged. Detection of skull fractures was evaluated through provider response to specific clinical decision instrument criteria (NEXUS or Canadian head CT rules) at the time of initial patient evaluation. The presence of skull fracture was determined by formal radiologist interpretation of CT imaging. Between April 2006, and December 2015, 1,018 pediatric patients were enrolled. One hundred twenty-eight (12.5%) children had a notable injury reported on CT head. Skull fracture was present in most (66.4%) children with intracranial injuries. The sensitivity and specificity of provider physical examination to detect skull fractures was 18.5% (95% confidence interval 10.5% to 28.7%) and 96.6% (95.3% to 97.7%), respectively. The most common injuries associated with skull fractures were subarachnoid hemorrhage (27%) and subdural hematoma (22.3%). Skull fracture is common in children with intracranial injury after blunt head trauma. Despite this, providers were found to have poor sensitivity for skull fractures in this population, and these injuries may be missed on initial emergency department assessment.